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186 Results

Advanced Plan for Health

Analytics

Since 2004, Advanced Plan for Health’s advanced & predictive analytics platform, Poindexter, has delivered cost-saving insights & actions to help heal...

Advantasure

Technology solutions

Performance Clinical Systems is a privately held healthcare information technology and business solutions company based in San Francisco, CA. Founde...

Aerial by Medecision

Technology solutions

Aerial by Medecision delivers the best customer experience in integrated health management for consumers and their care teams. By providing a 360-degr...

Alegeus

Market leader in healthcare and benefit payments – offering the industry’s most comprehensive platform for the administration of tax-advantaged benefi...

Alliance of Community Health Plans (ACHP)

Marketing services

The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that...

Altruista Health, Inc

Technology solutions

Altruista Health delivers care management and population health management solutions that support value-based and person-centered care models. Altruis...

Amwell

Technology solutions

Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...

Animas Data Solutions

Technology solutions

Provider data management has been a fragmented undertaking, utilizing multiple vendors engaged by various operational areas within a health plan. This...

Apixio, Inc.

Technology solutions

Improving healthcare outcomes requires access to the right data at the right time. Apixio is advancing value-based care with data-driven intelligence ...

ArmadaHealth

Clinical services

ArmadaHealth® has developed the most robust and comprehensive recommendation intelligence in the industry and is the market leader in High Tech, Right...

AscellaHealth

Pharmacy

A Pharmacy Benefit Administrator with focus on the specialty pharmacy and Infusion services and solutions....

Assist America

As the largest provider of global emergency medical services through employee and student benefit plans, we serve more than 35 million members and ove...

ATTAC Consulting Group, LLC

Consulting

Founded in 2003, ATTAC Consulting Group (ACG) has been recognized as a premier national consulting and auditing firm serving insurers, managed care an...

Avalon Healthcare Solutions

Analytics

Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...

Babel Health

Technology solutions

Babel Health offers the only fully integrated platform for risk adjustment data submissions. Our single, easy-to-use interface manages all complex ris...

Beacon Health Options

Clinical services

Beacon is the largest specialty behavioral health company in the U.S. For 35 years, Beacon has changed the way people live with behavioral health cond...

Benefitfocus

Technology solutions

AI-driven platform solution that connects & enables all members of the benefits ecosystem. From quoting and enrollment to administration, billing and ...

BluePeak Advisors

Consulting

BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...

Bright.md

Technology solutions

We've developed an automated virtual medical resident called the SmartExam that can have your providers giving care remotely for low-acuity in less th...

Buoy Health

Technology solutions

These days, when most Americans get sick, they google their symptoms. But the information they find is unreliable and risky. Buoy is an online sympto...

Cardinal Analytx

Analytics

Cardinal Analytx Solutions combines state-of-the-art AI-enabled data science with “next-best action” health insights. Based in Palo Alto, Calif., the ...

Care3, Inc.

Technology solutions

Care3 is a new generation platform using machine learning and proprietary algorithms to offer health plans a mobile solution for managing member exper...

Care4ward, Inc.

Clinical services

Care4ward is a digital health company leveraging a unique blend of technology and human-touch to personalize therapeutic nutrition in high-acuity pati...

CareJourney

Analytics

CareJourney is a leading provider of clinically-relevant analytics for value-based networks. Headquartered in Arlington, VA, CareJourney currently sup...

Carrot Health, Inc.

Technology solutions

Carrot MarketView, gives payers and providers a better way to understand the social determinants of health – and the actions they should take to impro...

Catalyst Solutions

Consulting

Catalyst Solutions is a consulting company focused exclusively on health plan operations and technology-nationwide....

Centauri Health Solutions

Business services

Centauri Health Solutions is a leading provider of technology-enabled analytics and services helping health plans and health systems to manage their v...

Change Healthcare Consulting

Consulting

Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...

ClarisHealth

Technology solutions

How are you addressing the information silos, supplier confusion, missed prevention opportunities, provider friction and member dissatisfaction that h...

Clarity Software Solutions

Technology solutions

Clarity Software Solutions, Inc. assists clients to optimize customer relationships by enhancing flexibility and control over their document managemen...

Clinigence Health

Analytics

Clinigence Health, a leading health data aggregation and analytics provider, enables healthcare organizations to realize the full potential of populat...

CLOUD, Inc.

CLOUD is the Consortium for Local Ownership & Use of Data, an open-source standards organization building a new architecture for the Internet and its ...

Cognisight

Business services

Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...

Cognizant

Technology solutions

Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...

Colibrium

Technology solutions

Colibrium provides award winning software solutions, including an analytics-driven shopping, enrollment, management, payment and renewal system, an ED...

Competiscan, LLC

Marketing services

Connecture

Technology solutions

Connecture offers the most widely adopted Medicare shopping and enrollment solution, providing millions of consumers every year with a simple digital ...

ConsejoSano

Consulting

Context4 Healthcare

Technology solutions

Context 4 Healthcare is a leader in automated payment integrity analytics, UCR and Medicare pricing. Our advanced logic is delivered through cloud ba...

Convey Health Solutions

Technology solutions

Convey Health Solutions is a specialized healthcare technology and services company that is committed to providing clients with healthcare-specific, c...

Cotiviti, Inc.

Analytics

Cotiviti (formerly Verscend Technologies) is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clie...

CredibleMind, Inc.

Technology solutions

CredibleMind, a digital behavioral health platform company, has created a COVID-19 Resource Center to help combat the psychological toll of the pandem...

CredSimple

Technology solutions

CredSimple is an NCQA-certified CVO whose technology redefines the credentialing process.

Through our automated, cloud-based platform, we are able ...

Cumberland Consulting Group

Consulting

Cumberland Consulting Group is a leading healthcare consulting firm that provides IT advisory, implementation, optimization and outsourcing services t...

Curation Health

Technology solutions

Curation Health, formerly TrustHealthcare, was founded by a team of healthcare veterans and clinicians to help providers and health plans navigate and...

Data Saints Auditing

Business services

Pre and post pay recovery audit services. 100% United States based senior auditors. Common search terms - DRG and APC auditing, DRG Validation, Medi...

Decision Analyst, Inc.

Consulting

Decision Analyst is a strategic analytical consulting and marketing research organization with an expert Medical & Healthcare team that serves the med...

Decision Point Healthcare Solutions

Technology solutions

Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...

Deerwalk Incorporated

Analytics

Deerwalk has incorporated elastic search technology to build a powerful population health management and employer group reporting platform in a NoSQL ...

Deft Research

Marketing services

Deft Research is a market research consultancy with deep expertise in the health insurance industry. We blend primary research with data from our synd...

Discovery Health Partners

Business services

Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...

Dynamic Healthcare Systems

Technology solutions

Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid,...

Emergent Business

Consulting

Emergent Business works with businesses in highly competitive markets that require significant shifts in their approach to sales, account management a...

emocha Health

Technology solutions

emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...

Engagent Health, LLC

Technology solutions

We provide a flexible module based full end to end solution for your sales administration that encompasses agent onboarding, CRM and commission payme...

Episource

Episource is driven to collect data that’s insightful and accurate to improve Risk Adjustment and Quality outcomes for Medicare, Commercial, and Medi...

Epstein Becker Green (EBG)

Business services

Epstein Becker Green (“EBG”) has served as a thought leader in the health care industry for more than 45 years. The breadth of experience delivered by...

Essential HealthCare Solutions, LLC

Consulting

Essential HealthCare Solutions, LLC is a full service Healthcare consulting firm. We offer the following services:

1) Provider Network Development...

eviCore healthcare

Business services

eviCore healthcare (eviCore) is a medical benefits management (MBM) company committed to making a positive impact in healthcare. Our strength and bre...

ExactCare

Clinical services

ExactCare provides solutions to help health plans, risk-taking physician groups, and ACOs enhance care for medically-complex, chronic and high-risk me...

Excelsior Solutions

Pharmacy

Excelsior Solutions is the nation’s leading pharmacy consulting firm. We provide unique value by combining traditional consulting services with an on...

EyeMed Vision Care

Clinical services

Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...

Faegre Drinker Biddle & Reath LLP

Consulting

Faegre Drinker is a top 50 firm designed for clients. A full-service law firm handling complex transactions, litigation and regulatory work for multin...

First Health Network

Business services

For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...

FlexTech, Inc.

Technology solutions

For 30 years, FlexTech has been the leading implementation consulting company in the healthcare payer marketplace. Our services revolve around the im...

forty-one 12 (4112 Agency, LLC)

Marketing services

forty-one 12 is a full service Advertising Agency that specializes in marketing health insurance products to both businesses and consumers. The agency...

Furst Group

Business services

At Furst Group, we provide executive search and consulting services for the healthcare industry. Our experience in evaluating talent, leadership and c...

GA Foods

Business services

Aligning supplemental benefits, with the recent CMS Medicare Advantage benefit changes, as well as providing SDOH support to both Medicare and Medicai...

Gibson Consultants

Business services

Gibson Consultants is a leading executive search firm with a national client base targeting health plans, hospitals, and their digital health partners...

Gorman Health Group

Consulting

Gorman Health Group is a leading consulting and software solutions firm specializing in government health programs, including Medicare, Medicaid and H...

HackerAgency

Marketing services

For over 32 years, HackerAgency has focused on performance marketing across consumer categories for Fortune 500 companies, challenger brands and start...

Hayes, a TractManager Company

Business services

Hayes, Inc., now part of TractManager, provides clinically focused, evidence-based research and analysis to health plans, insurers, hospitals, healthc...

Health Care Cost Institute

Analytics

HCCI is an independent, non-profit research institute.

The Health Care Cost Institute’s mission is to get to the heart of the key issues impacting ...

Health Fidelity

Technology solutions

Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...

Health Intelligence Company

Analytics

Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...

Healthcare Fraud Shield

Technology solutions

Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...

Healthcare Information Management

Business services

Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...

HealthCorum, Inc.

Analytics

HealthCorum is a health data analytics company uniquely focused on identifying care that is unnecessary and of low-value to patients, eliminating wast...

HealthCrowd

Technology solutions

HealthCrowd is the first truly unified SaaS platform for healthcare communications. By fusing healthcare domain expertise with ad analytics and machin...

HealthEdge

Technology solutions

HealthEdge is an agile and innovative 21st century software company focused on providing next-generation, business-transforming technology products to...

HealthEquity

Business services

HealthMine

Technology solutions

HealthMine is a clinical member engagement solution that increases Star Ratings, improves risk adjustment scores, and reduces gaps in care directly th...

HealthScape Advisors, LLC

Consulting

HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.

HealthScape Advisors’ offers a bro...

HealthshareBlox, LLC (DBA "HSBlox")

Technology solutions

HSBlox is a healthcare technology company. Our solutions incorporate Distributed Ledger Technology (aka, "blockchain") to deliver cutting edge soluti...

HealthSparq

Technology solutions

At HealthSparq, we help people make smarter health care choices by partnering with health plans to provide members with cost and quality information a...

HealthTrio, LLC

Technology solutions

HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...

HMS Essette

Technology solutions

Essette is a modular care management platform offering utilization management, case management and population health solutions. Essette modules are fl...

Hyperlift

Technology solutions

Hyperlift is the only end-to-end solution
for high-performance Stars
management.

We offer a technology-enabled
approach to Stars management that...

Impact4Health

Consulting

Impact4Health consults health systems, public health agencies, nonprofits and foundations seeking innovations to advance health equity. We provide ex...

InfoMC Inc.

Technology solutions

InfoMC is a healthcare technology company delivering a person-centered, collaborative care platform to health plans, payers, and provider organization...

Inovalon, Inc

Technology solutions

Inovalon is a leading technology company providing an integrated cloud-based platform that enables healthcare organizations to implement large-scale h...

KEPRO

Clinical services

KEPRO, a care management company, has worked with public program and commercial health insurance payers and employers for over 30 years. We currently...

Kiriworks, Inc.

Technology solutions

Kiriworks, Inc. is a leading provider of process management solutions and services that optimize and transform today’s business. For over 50 years, in...

Landmark Health

Clinical services

Landmark Health contracts with health plans and health systems in value-based arrangements to manage complex, chronic patients through longitudinal an...

LifeBalance Program

Business services

Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...

Lumeris

Business services

At Lumeris, we envision a world where care decisions are clear, and everyone shares in the rewards. To bring our vision of value-based care to life, w...

Lyft Healthcare

Technology solutions

Lyft Healthcare connects the power of Lyft's technology platform and 1.6 million drivers with healthcare. Every year 3.6 million people miss or delay ...

Magnum Actuarial Group

Consulting

Specialized Actuarial Consulting services, specializing in Individual, Small Group and Small Group Self Funded product design and pricing...

Mazars USA LLP

Consulting

Health care consulting, including health care finance and compliance consulting, among other areas....

MCG Health

Clinical services

MCG Health offers evidence-based care guidelines and software solutions that help health plans and care providers implement informed care strategies t...

MCOL

Business services

MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, training software, resource books...

MedeAnalytics, Inc

Analytics

Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...

Media Logic

Marketing services

Media Logic is a national leader in health care marketing – providing strategic, breakthrough solutions that drive business. Media Logic offers deep e...

Medical Risk Managers, Inc.

Business services

In business since 1984, MRM is one of the largest stop loss underwriters in the country. Historically MRM has underwritten $3 billion in stop loss pr...

MedImpact Healthcare Systems, Inc.

Business services

MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded...

MedInsight, a Milliman company

Analytics

Milliman MedInsight® is one of the healthcare industry’s most robust platforms
for data warehousing and healthcare analytics. For more than 20 years,...

MediQuire

Technology solutions

MediQuire's mission is to accelerate the move towards value-based contracting, with its suite of contract management and population health management ...

Medullan

Consulting

Medullan is a privately-held, self-funded digital healthcare solutions firm that specializes in amazing digital product strategy and user experience. ...

MHK (formerly MedHOK)

Clinical services

MHK, part of the Hearst Health network, is a Medical House of Knowledge, where care and knowledge converge. The only service provider that combines ph...

Milliman

Consulting

Milliman is the world's largest provider of actuarial services and a leading experts in healthcare financing and delivery. We consult across a broad s...

Mindful Meal

Technology solutions

Mindful Meal is 'Fitbit for Nutrition'

Problem: Cooking and eating healthy is complicated since families have to alter their diets based on nutriti...

MSP Recovery Associates, LLC

Business services

MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...

MultiPlan

Business services

MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...

MyDirectives

Technology solutions

With consumer users in over 40 countries, MyDirectives®, a service of Dallas, Texas-based ADVault, Inc., is the world’s leading all-digital advance ca...

Mymee Inc.

Technology solutions

Navigant Consulting, Inc.

Consulting

Navigant’s healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, ope...

NETCENTRIC TECHNOLOGIES INC.

Business services

NetCentric Technologies offers software and services for PDF and online electronic document remediation. We ensure that any PDF, Microsoft Word, and P...

NovuHealth

Business services

NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates ...

NuBrick Partners

Consulting

At NuBrick Partners, clients appreciate our ability to add value to their vision and tangible tools for their talent as they develop, retain and deplo...

Omega Health Group, LLC

Marketing services

Oncology Analytics

Technology solutions

Oncology Analytics is a leading technology-enabled service company providing health plans, providers, and patients with an evidence-based, analytics f...

Onduo LLC

Clinical services

Onduo's Virtual Clinic, built upon Verily/Google technology and staffed with clinical experts, gives patients access to specialized care, personalized...

One Touch Telehealth

Pharmacy

One Touch Telehealth is a SaaS-based telehealth branded platform that embeds right on your website and mobile application. Patients and Doctors enjoy...

Online Insight

Technology solutions

Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...

Oracle

Technology solutions

Oracle offers IT solutions that enable health insurers to transform to Digital Health and increase business agility through the Cloud. Organizations c...

Owl Insights

Technology solutions

Owl Insights (“the Owl”) is a user-friendly cloud-based outcomes and analytics platform that simplifies the deployment of measurement-based care (MBC)...

Panviva, Inc.

Technology solutions

Panviva’s technology is a “guide on the side”, always there but never in the way, providing your staff with 3 clicks or less access to the information...

Pareto Intelligence

Analytics

Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...

Payer Compass

Technology solutions

Payer Compass is an innovator in healthcare cost control. We’re helping health plans minimize overall spend on claim pricing, administration and proc...

Picwell, Inc.

Analytics

Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...

Pivot

Technology solutions

Pivot is a digital smoking cessation platform proven to help even smokers who say they aren’t ready to quit. Smoking is still the leading cause of pre...

Policy Reporter

Business services

Policy Reporter provides:
1. Email Alerts: Everyday Policy Reporter's behind the scenes software checks every payer / MAC / Medicaid / PBM in the U.S...

Pops Diabetes Care

Technology solutions

Managing Diabetes is a 24/7/365 job. The POPS!® one System is a new approach to diabetes management. The digital health system combines the power of t...

Prognos

Analytics

Prognos Health is an AI platform company focused on predicting the trajectory of disease to drive decisions earlier in the patient journey for payers,...

Provista LLC

Business services

The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...

Pulse8

Analytics

Pulse8, a Veradigm™ Business, is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustmen...

Quest Analytics

Analytics

Quest Analytics is the first comprehensive platform that enables health plans to optimize their member experience, while complying with federal and st...

RBS Re (an HM Insurance Group company)

Reinsurance

RBS Re (an HM Insurance Group company) offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, servic...

Reeder & Associates

Consulting

Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior executives in the hea...

Retium Health

Consulting

Retium Health supports health plans to develop Medicare Advantage (MA) networks that are compliant with CMS's network adequacy criteria. We can assist...

RR Donnelley Healthcare Solutions

Business services

The RRD Healthcare Solutions team is focused on assisting our health plan clients communicate more effectively with their current and prospective memb...

Rx Savings Solutions

Technology solutions

Rx Savings Solutions works on behalf of health plans and self-insured employers to help their members reduce out-of-pocket prescription drug costs and...

RxEOB

Technology solutions

For 20 years, RxEOB has built and deployed software and systems to allow our clients to tame, manage and leverage their medical and pharmacy data for ...

RxREVU

Technology solutions

RxRevu is a physician-founded organization on a mission to become the leader in prescription decision support, helping prescribers identify the most c...

RxSense

Technology solutions

RxSense has flexible technology and services to support client-specific pharmacy programs through its proprietary enterprise platform solution. Plan s...

SAE & Associates

Consulting

SAE is a leader in helping plans comply with the parity requirements of federal and state laws.

SAE & Associates (SAE) was privileged to serve as ...

Sage Health Management Solutions, a DSS, Inc. company

Technology solutions

Sage Health Management Solutions, Inc. (Sage HMS) offers RadWise® qCDSM (qualified Clinical Decision Support Mechanism) that meets the CMS requiremen...

Sagitec Health

Technology solutions

Sagitec's HealConnect is a member engagement platform for Medicaid health plans. It helps reduce administrative burden for annual re-determination, s...

Saisystems Health

Business services

Saisystems Health is a nationally independent managed service organization (MSO) specializing in medical coding, billing, and provider risk solutions ...

Sapphire Digital (formerly Vitals)

Technology solutions

Sapphire Digital (formerly Vitals) is a mission-driven company that drives competition in health care to lower cost and improve quality for all. The ...

Scheiner Inc

Marketing services

We partner with global B2B and B2C brands to simplify the complexity of their strategy, messaging and customer experience that goes beyond the click. ...

SentryHealth

Business services

SentryHealth drives better health and wellness nationwide through personalized, full-service well-being management solutions. Their unique, technology...

Senture, LLC

Business services

Senture specializes in providing large-scale, multi-channel contact center and service desk services—including expertise with surge/quick-ramp operati...

Signify Health

Technology solutions

Signify Health partners with leading health plans, healthcare providers, biotechnology and pharmaceutical companies, and technology companies to impro...

Simplify Healthcare

Technology solutions

Description of Services:
Founded in 2008, focused exclusively on Health Plans, Simplify Healthcare has developed deep expertise in Benefit Plan Manag...

Stellar Health

Technology solutions

Stellar Health is a technology company that helps healthcare providers and insurers improve quality and financial performance by prompting providers w...

Stonegate Advisors, LLC

Technology solutions

Stonegate Advisors, LLC (dba Stonegate); Acquire | Retain | Grow

Stonegate, as part of the Health Plan Alliance GPO, is excited to bring to you STA...

Summit Re

Reinsurance

Summit Re is a managing general underwriter and reinsurance advisor, working with health insurers, managed care plans, and self-funded employers throu...

Talix

Technology solutions

Talix delivers NLP powered, integrated workflow applications to improve the speed and accuracy of risk adjustment coding. Our proven applications ser...

TCS Healthcare Technologies

Technology solutions

TCS Healthcare Technologies provides ACUITY Advanced Care™, a cost-effective, feature-rich software solution that improves the efficiency and effectiv...

The Mihalik Group, LLC

Consulting

The Mihalik Group (TMG) is a national healthcare consulting, software, and audit solutions firm that offers accreditation and risk adjustment-related ...

The Phia Group, LLC

Consulting

The Phia Group, LLC is an expert provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan...

Tivity Health

Clinical services

Care support programs (core & impact conditions), health support programs (health and wellness services & health provider network)

...

Tonic Advisors

Consulting

We are a Health Care Management Consulting Firm with over 40 years of health care experience. Our diverse background draws from time spent at large he...

TransPerfect Translations, Inc.

Business services

TransPerfect is the largest privately held language services provider in the world with solutions ranging from document translation, over-the-phone in...

Truveris, Inc.

Technology solutions

Truveris is a digital health company providing healthcare stakeholders with the solutions to improve the access and ability to afford prescription dru...

Turn-Key Health

Clinical services

Turn-Key Health, an Enclara Healthcare company, serves health plans, provider organizations and their members who are experiencing a serious or advanc...

UHAS, a Division of Risk Strategies

Consulting

As a team of actuarial experts and support staff, UHAS provides health actuarial, management and underwriting consulting services relating to a wide r...

USI Insurance

Consulting

USI is the largest privately-owned,l insurance brokerage / consulting firm with more than 150 local offices across the U.S Within the employee benefi...

Vericred Inc.

Technology solutions

We build APIs, so don't Carriers don't have to.

Vericred is a many-to-many, middleware solution that enables carriers to meet the needs of InsurTe...

Vimly Benefit Solutions

Technology solutions

Vimly Benefit Solutions began in 1993 by serving small to mid-sized businesses (SMBs) through Association Health Plans (AHPs) and Multi-employer trust...

Vital Data Technology LLC

Technology solutions

Vital Data Technology is a data science driven health care solutions company giving payers, providers and members the power to drive efficiencies and ...

Vital Decisions

Clinical services

Vital Decisions ensures that the care of individuals with complex medical situations and nearing end of life aligns with their values and preferences....

Wakely Consulting Group

Consulting

Wakely Consulting Group actuaries provide a comprehensive full-service array of expert actuarial services and consulting to the medical and health car...

WebMD Health Services

Technology solutions

WebMD Health Services has more experience and serves more health plans with our well-being engagement platform than any other company in the industry....

Welldoc

Technology solutions

Welldoc® is a leading digital health company revolutionizing chronic disease management to help transform lives. BlueStar® helps guide individuals thr...

Wellframe

Clinical services

Wellframe partners with leading health plans and care delivery organizations to enable them to evolve the way in which services are delivered to patie...

Welltok

Technology solutions

Welltok is an award-winning consumer activation company that improves people’s total wellbeing. Only Welltok leverages proprietary data and advanced a...

West Monroe

Consulting

West Monroe is a national consulting firm that was born in technology but built for business—partnering with companies in transformative industries to...

WEX Health, Inc.

Technology solutions

About WEX
Powered by the belief that complex payment systems can be made simple, WEX (NYSE: WEX) is a leading financial technology service provider a...

Wunderman Health

Marketing services

We are proud to be strategic partners of nearly 60 managed healthcare clients including providers and payers – Medicare, senior products, group and un...

Zelis

Technology solutions

Zelis is a healthcare and financial technology growth company and market-leading provider of claims cost management and payments optimization solution...

Zipari

Technology solutions

Zipari is a modern consumer experience solution that serves more than 10 million members through our partnerships with health carriers. Zipari has pio...

186 of 186 items Back

Advanced Plan for Health

Analytics

Since 2004, Advanced Plan for Health’s advanced & predictive analytics platform, Poindexter, has delivered cost-saving insights & actions to help heal...

Advantasure

Technology solutions

Performance Clinical Systems is a privately held healthcare information technology and business solutions company based in San Francisco, CA. Founde...

Aerial by Medecision

Technology solutions

Aerial by Medecision delivers the best customer experience in integrated health management for consumers and their care teams. By providing a 360-degr...

Alegeus

Market leader in healthcare and benefit payments – offering the industry’s most comprehensive platform for the administration of tax-advantaged benefi...

Alliance of Community Health Plans (ACHP)

Marketing services

The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that...

Altruista Health, Inc

Technology solutions

Altruista Health delivers care management and population health management solutions that support value-based and person-centered care models. Altruis...

Amwell

Technology solutions

Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...

Animas Data Solutions

Technology solutions

Provider data management has been a fragmented undertaking, utilizing multiple vendors engaged by various operational areas within a health plan. This...

Apixio, Inc.

Technology solutions

Improving healthcare outcomes requires access to the right data at the right time. Apixio is advancing value-based care with data-driven intelligence ...

ArmadaHealth

Clinical services

ArmadaHealth® has developed the most robust and comprehensive recommendation intelligence in the industry and is the market leader in High Tech, Right...

AscellaHealth

Pharmacy

A Pharmacy Benefit Administrator with focus on the specialty pharmacy and Infusion services and solutions....

Assist America

As the largest provider of global emergency medical services through employee and student benefit plans, we serve more than 35 million members and ove...

ATTAC Consulting Group, LLC

Consulting

Founded in 2003, ATTAC Consulting Group (ACG) has been recognized as a premier national consulting and auditing firm serving insurers, managed care an...

Avalon Healthcare Solutions

Analytics

Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...

Babel Health

Technology solutions

Babel Health offers the only fully integrated platform for risk adjustment data submissions. Our single, easy-to-use interface manages all complex ris...

Beacon Health Options

Clinical services

Beacon is the largest specialty behavioral health company in the U.S. For 35 years, Beacon has changed the way people live with behavioral health cond...

Benefitfocus

Technology solutions

AI-driven platform solution that connects & enables all members of the benefits ecosystem. From quoting and enrollment to administration, billing and ...

BluePeak Advisors

Consulting

BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...

Bright.md

Technology solutions

We've developed an automated virtual medical resident called the SmartExam that can have your providers giving care remotely for low-acuity in less th...

Buoy Health

Technology solutions

These days, when most Americans get sick, they google their symptoms. But the information they find is unreliable and risky. Buoy is an online sympto...

Cardinal Analytx

Analytics

Cardinal Analytx Solutions combines state-of-the-art AI-enabled data science with “next-best action” health insights. Based in Palo Alto, Calif., the ...

Care3, Inc.

Technology solutions

Care3 is a new generation platform using machine learning and proprietary algorithms to offer health plans a mobile solution for managing member exper...

Care4ward, Inc.

Clinical services

Care4ward is a digital health company leveraging a unique blend of technology and human-touch to personalize therapeutic nutrition in high-acuity pati...

CareJourney

Analytics

CareJourney is a leading provider of clinically-relevant analytics for value-based networks. Headquartered in Arlington, VA, CareJourney currently sup...

Carrot Health, Inc.

Technology solutions

Carrot MarketView, gives payers and providers a better way to understand the social determinants of health – and the actions they should take to impro...

Catalyst Solutions

Consulting

Catalyst Solutions is a consulting company focused exclusively on health plan operations and technology-nationwide....

Centauri Health Solutions

Business services

Centauri Health Solutions is a leading provider of technology-enabled analytics and services helping health plans and health systems to manage their v...

Change Healthcare Consulting

Consulting

Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...

ClarisHealth

Technology solutions

How are you addressing the information silos, supplier confusion, missed prevention opportunities, provider friction and member dissatisfaction that h...

Clarity Software Solutions

Technology solutions

Clarity Software Solutions, Inc. assists clients to optimize customer relationships by enhancing flexibility and control over their document managemen...

Clinigence Health

Analytics

Clinigence Health, a leading health data aggregation and analytics provider, enables healthcare organizations to realize the full potential of populat...

CLOUD, Inc.

CLOUD is the Consortium for Local Ownership & Use of Data, an open-source standards organization building a new architecture for the Internet and its ...

Cognisight

Business services

Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...

Cognizant

Technology solutions

Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...

Colibrium

Technology solutions

Colibrium provides award winning software solutions, including an analytics-driven shopping, enrollment, management, payment and renewal system, an ED...

Competiscan, LLC

Marketing services

Connecture

Technology solutions

Connecture offers the most widely adopted Medicare shopping and enrollment solution, providing millions of consumers every year with a simple digital ...

ConsejoSano

Consulting

Context4 Healthcare

Technology solutions

Context 4 Healthcare is a leader in automated payment integrity analytics, UCR and Medicare pricing. Our advanced logic is delivered through cloud ba...

Convey Health Solutions

Technology solutions

Convey Health Solutions is a specialized healthcare technology and services company that is committed to providing clients with healthcare-specific, c...

Cotiviti, Inc.

Analytics

Cotiviti (formerly Verscend Technologies) is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clie...

CredibleMind, Inc.

Technology solutions

CredibleMind, a digital behavioral health platform company, has created a COVID-19 Resource Center to help combat the psychological toll of the pandem...

CredSimple

Technology solutions

CredSimple is an NCQA-certified CVO whose technology redefines the credentialing process.

Through our automated, cloud-based platform, we are able ...

Cumberland Consulting Group

Consulting

Cumberland Consulting Group is a leading healthcare consulting firm that provides IT advisory, implementation, optimization and outsourcing services t...

Curation Health

Technology solutions

Curation Health, formerly TrustHealthcare, was founded by a team of healthcare veterans and clinicians to help providers and health plans navigate and...

Data Saints Auditing

Business services

Pre and post pay recovery audit services. 100% United States based senior auditors. Common search terms - DRG and APC auditing, DRG Validation, Medi...

Decision Analyst, Inc.

Consulting

Decision Analyst is a strategic analytical consulting and marketing research organization with an expert Medical & Healthcare team that serves the med...

Decision Point Healthcare Solutions

Technology solutions

Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...

Deerwalk Incorporated

Analytics

Deerwalk has incorporated elastic search technology to build a powerful population health management and employer group reporting platform in a NoSQL ...

Deft Research

Marketing services

Deft Research is a market research consultancy with deep expertise in the health insurance industry. We blend primary research with data from our synd...

Discovery Health Partners

Business services

Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...

Dynamic Healthcare Systems

Technology solutions

Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid,...

Emergent Business

Consulting

Emergent Business works with businesses in highly competitive markets that require significant shifts in their approach to sales, account management a...

emocha Health

Technology solutions

emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...

Engagent Health, LLC

Technology solutions

We provide a flexible module based full end to end solution for your sales administration that encompasses agent onboarding, CRM and commission payme...

Episource

Episource is driven to collect data that’s insightful and accurate to improve Risk Adjustment and Quality outcomes for Medicare, Commercial, and Medi...

Epstein Becker Green (EBG)

Business services

Epstein Becker Green (“EBG”) has served as a thought leader in the health care industry for more than 45 years. The breadth of experience delivered by...

Essential HealthCare Solutions, LLC

Consulting

Essential HealthCare Solutions, LLC is a full service Healthcare consulting firm. We offer the following services:

1) Provider Network Development...

eviCore healthcare

Business services

eviCore healthcare (eviCore) is a medical benefits management (MBM) company committed to making a positive impact in healthcare. Our strength and bre...

ExactCare

Clinical services

ExactCare provides solutions to help health plans, risk-taking physician groups, and ACOs enhance care for medically-complex, chronic and high-risk me...

Excelsior Solutions

Pharmacy

Excelsior Solutions is the nation’s leading pharmacy consulting firm. We provide unique value by combining traditional consulting services with an on...

EyeMed Vision Care

Clinical services

Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...

Faegre Drinker Biddle & Reath LLP

Consulting

Faegre Drinker is a top 50 firm designed for clients. A full-service law firm handling complex transactions, litigation and regulatory work for multin...

First Health Network

Business services

For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...

FlexTech, Inc.

Technology solutions

For 30 years, FlexTech has been the leading implementation consulting company in the healthcare payer marketplace. Our services revolve around the im...

forty-one 12 (4112 Agency, LLC)

Marketing services

forty-one 12 is a full service Advertising Agency that specializes in marketing health insurance products to both businesses and consumers. The agency...

Furst Group

Business services

At Furst Group, we provide executive search and consulting services for the healthcare industry. Our experience in evaluating talent, leadership and c...

GA Foods

Business services

Aligning supplemental benefits, with the recent CMS Medicare Advantage benefit changes, as well as providing SDOH support to both Medicare and Medicai...

Gibson Consultants

Business services

Gibson Consultants is a leading executive search firm with a national client base targeting health plans, hospitals, and their digital health partners...

Gorman Health Group

Consulting

Gorman Health Group is a leading consulting and software solutions firm specializing in government health programs, including Medicare, Medicaid and H...

HackerAgency

Marketing services

For over 32 years, HackerAgency has focused on performance marketing across consumer categories for Fortune 500 companies, challenger brands and start...

Hayes, a TractManager Company

Business services

Hayes, Inc., now part of TractManager, provides clinically focused, evidence-based research and analysis to health plans, insurers, hospitals, healthc...

Health Care Cost Institute

Analytics

HCCI is an independent, non-profit research institute.

The Health Care Cost Institute’s mission is to get to the heart of the key issues impacting ...

Health Fidelity

Technology solutions

Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...

Health Intelligence Company

Analytics

Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...

Healthcare Fraud Shield

Technology solutions

Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...

Healthcare Information Management

Business services

Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...

HealthCorum, Inc.

Analytics

HealthCorum is a health data analytics company uniquely focused on identifying care that is unnecessary and of low-value to patients, eliminating wast...

HealthCrowd

Technology solutions

HealthCrowd is the first truly unified SaaS platform for healthcare communications. By fusing healthcare domain expertise with ad analytics and machin...

HealthEdge

Technology solutions

HealthEdge is an agile and innovative 21st century software company focused on providing next-generation, business-transforming technology products to...

HealthEquity

Business services

HealthMine

Technology solutions

HealthMine is a clinical member engagement solution that increases Star Ratings, improves risk adjustment scores, and reduces gaps in care directly th...

HealthScape Advisors, LLC

Consulting

HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.

HealthScape Advisors’ offers a bro...

HealthshareBlox, LLC (DBA "HSBlox")

Technology solutions

HSBlox is a healthcare technology company. Our solutions incorporate Distributed Ledger Technology (aka, "blockchain") to deliver cutting edge soluti...

HealthSparq

Technology solutions

At HealthSparq, we help people make smarter health care choices by partnering with health plans to provide members with cost and quality information a...

HealthTrio, LLC

Technology solutions

HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...

HMS Essette

Technology solutions

Essette is a modular care management platform offering utilization management, case management and population health solutions. Essette modules are fl...

Hyperlift

Technology solutions

Hyperlift is the only end-to-end solution
for high-performance Stars
management.

We offer a technology-enabled
approach to Stars management that...

Impact4Health

Consulting

Impact4Health consults health systems, public health agencies, nonprofits and foundations seeking innovations to advance health equity. We provide ex...

InfoMC Inc.

Technology solutions

InfoMC is a healthcare technology company delivering a person-centered, collaborative care platform to health plans, payers, and provider organization...

Inovalon, Inc

Technology solutions

Inovalon is a leading technology company providing an integrated cloud-based platform that enables healthcare organizations to implement large-scale h...

KEPRO

Clinical services

KEPRO, a care management company, has worked with public program and commercial health insurance payers and employers for over 30 years. We currently...

Kiriworks, Inc.

Technology solutions

Kiriworks, Inc. is a leading provider of process management solutions and services that optimize and transform today’s business. For over 50 years, in...

Landmark Health

Clinical services

Landmark Health contracts with health plans and health systems in value-based arrangements to manage complex, chronic patients through longitudinal an...

LifeBalance Program

Business services

Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...

Lumeris

Business services

At Lumeris, we envision a world where care decisions are clear, and everyone shares in the rewards. To bring our vision of value-based care to life, w...

Lyft Healthcare

Technology solutions

Lyft Healthcare connects the power of Lyft's technology platform and 1.6 million drivers with healthcare. Every year 3.6 million people miss or delay ...

Magnum Actuarial Group

Consulting

Specialized Actuarial Consulting services, specializing in Individual, Small Group and Small Group Self Funded product design and pricing...

Mazars USA LLP

Consulting

Health care consulting, including health care finance and compliance consulting, among other areas....

MCG Health

Clinical services

MCG Health offers evidence-based care guidelines and software solutions that help health plans and care providers implement informed care strategies t...

MCOL

Business services

MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, training software, resource books...

MedeAnalytics, Inc

Analytics

Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...

Media Logic

Marketing services

Media Logic is a national leader in health care marketing – providing strategic, breakthrough solutions that drive business. Media Logic offers deep e...

Medical Risk Managers, Inc.

Business services

In business since 1984, MRM is one of the largest stop loss underwriters in the country. Historically MRM has underwritten $3 billion in stop loss pr...

MedImpact Healthcare Systems, Inc.

Business services

MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded...

MedInsight, a Milliman company

Analytics

Milliman MedInsight® is one of the healthcare industry’s most robust platforms
for data warehousing and healthcare analytics. For more than 20 years,...

MediQuire

Technology solutions

MediQuire's mission is to accelerate the move towards value-based contracting, with its suite of contract management and population health management ...

Medullan

Consulting

Medullan is a privately-held, self-funded digital healthcare solutions firm that specializes in amazing digital product strategy and user experience. ...

MHK (formerly MedHOK)

Clinical services

MHK, part of the Hearst Health network, is a Medical House of Knowledge, where care and knowledge converge. The only service provider that combines ph...

Milliman

Consulting

Milliman is the world's largest provider of actuarial services and a leading experts in healthcare financing and delivery. We consult across a broad s...

Mindful Meal

Technology solutions

Mindful Meal is 'Fitbit for Nutrition'

Problem: Cooking and eating healthy is complicated since families have to alter their diets based on nutriti...

MSP Recovery Associates, LLC

Business services

MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...

MultiPlan

Business services

MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...

MyDirectives

Technology solutions

With consumer users in over 40 countries, MyDirectives®, a service of Dallas, Texas-based ADVault, Inc., is the world’s leading all-digital advance ca...

Mymee Inc.

Technology solutions

Navigant Consulting, Inc.

Consulting

Navigant’s healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, ope...

NETCENTRIC TECHNOLOGIES INC.

Business services

NetCentric Technologies offers software and services for PDF and online electronic document remediation. We ensure that any PDF, Microsoft Word, and P...

NovuHealth

Business services

NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates ...

NuBrick Partners

Consulting

At NuBrick Partners, clients appreciate our ability to add value to their vision and tangible tools for their talent as they develop, retain and deplo...

Omega Health Group, LLC

Marketing services

Oncology Analytics

Technology solutions

Oncology Analytics is a leading technology-enabled service company providing health plans, providers, and patients with an evidence-based, analytics f...

Onduo LLC

Clinical services

Onduo's Virtual Clinic, built upon Verily/Google technology and staffed with clinical experts, gives patients access to specialized care, personalized...

One Touch Telehealth

Pharmacy

One Touch Telehealth is a SaaS-based telehealth branded platform that embeds right on your website and mobile application. Patients and Doctors enjoy...

Online Insight

Technology solutions

Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...

Oracle

Technology solutions

Oracle offers IT solutions that enable health insurers to transform to Digital Health and increase business agility through the Cloud. Organizations c...

Owl Insights

Technology solutions

Owl Insights (“the Owl”) is a user-friendly cloud-based outcomes and analytics platform that simplifies the deployment of measurement-based care (MBC)...

Panviva, Inc.

Technology solutions

Panviva’s technology is a “guide on the side”, always there but never in the way, providing your staff with 3 clicks or less access to the information...

Pareto Intelligence

Analytics

Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...

Payer Compass

Technology solutions

Payer Compass is an innovator in healthcare cost control. We’re helping health plans minimize overall spend on claim pricing, administration and proc...

Picwell, Inc.

Analytics

Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...

Pivot

Technology solutions

Pivot is a digital smoking cessation platform proven to help even smokers who say they aren’t ready to quit. Smoking is still the leading cause of pre...

Policy Reporter

Business services

Policy Reporter provides:
1. Email Alerts: Everyday Policy Reporter's behind the scenes software checks every payer / MAC / Medicaid / PBM in the U.S...

Pops Diabetes Care

Technology solutions

Managing Diabetes is a 24/7/365 job. The POPS!® one System is a new approach to diabetes management. The digital health system combines the power of t...

Prognos

Analytics

Prognos Health is an AI platform company focused on predicting the trajectory of disease to drive decisions earlier in the patient journey for payers,...

Provista LLC

Business services

The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...

Pulse8

Analytics

Pulse8, a Veradigm™ Business, is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustmen...

Quest Analytics

Analytics

Quest Analytics is the first comprehensive platform that enables health plans to optimize their member experience, while complying with federal and st...

RBS Re (an HM Insurance Group company)

Reinsurance

RBS Re (an HM Insurance Group company) offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, servic...

Reeder & Associates

Consulting

Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior executives in the hea...

Retium Health

Consulting

Retium Health supports health plans to develop Medicare Advantage (MA) networks that are compliant with CMS's network adequacy criteria. We can assist...

RR Donnelley Healthcare Solutions

Business services

The RRD Healthcare Solutions team is focused on assisting our health plan clients communicate more effectively with their current and prospective memb...

Rx Savings Solutions

Technology solutions

Rx Savings Solutions works on behalf of health plans and self-insured employers to help their members reduce out-of-pocket prescription drug costs and...

RxEOB

Technology solutions

For 20 years, RxEOB has built and deployed software and systems to allow our clients to tame, manage and leverage their medical and pharmacy data for ...

RxREVU

Technology solutions

RxRevu is a physician-founded organization on a mission to become the leader in prescription decision support, helping prescribers identify the most c...

RxSense

Technology solutions

RxSense has flexible technology and services to support client-specific pharmacy programs through its proprietary enterprise platform solution. Plan s...

SAE & Associates

Consulting

SAE is a leader in helping plans comply with the parity requirements of federal and state laws.

SAE & Associates (SAE) was privileged to serve as ...

Sage Health Management Solutions, a DSS, Inc. company

Technology solutions

Sage Health Management Solutions, Inc. (Sage HMS) offers RadWise® qCDSM (qualified Clinical Decision Support Mechanism) that meets the CMS requiremen...

Sagitec Health

Technology solutions

Sagitec's HealConnect is a member engagement platform for Medicaid health plans. It helps reduce administrative burden for annual re-determination, s...

Saisystems Health

Business services

Saisystems Health is a nationally independent managed service organization (MSO) specializing in medical coding, billing, and provider risk solutions ...

Sapphire Digital (formerly Vitals)

Technology solutions

Sapphire Digital (formerly Vitals) is a mission-driven company that drives competition in health care to lower cost and improve quality for all. The ...

Scheiner Inc

Marketing services

We partner with global B2B and B2C brands to simplify the complexity of their strategy, messaging and customer experience that goes beyond the click. ...

SentryHealth

Business services

SentryHealth drives better health and wellness nationwide through personalized, full-service well-being management solutions. Their unique, technology...

Senture, LLC

Business services

Senture specializes in providing large-scale, multi-channel contact center and service desk services—including expertise with surge/quick-ramp operati...

Signify Health

Technology solutions

Signify Health partners with leading health plans, healthcare providers, biotechnology and pharmaceutical companies, and technology companies to impro...

Simplify Healthcare

Technology solutions

Description of Services:
Founded in 2008, focused exclusively on Health Plans, Simplify Healthcare has developed deep expertise in Benefit Plan Manag...

Stellar Health

Technology solutions

Stellar Health is a technology company that helps healthcare providers and insurers improve quality and financial performance by prompting providers w...

Stonegate Advisors, LLC

Technology solutions

Stonegate Advisors, LLC (dba Stonegate); Acquire | Retain | Grow

Stonegate, as part of the Health Plan Alliance GPO, is excited to bring to you STA...

Summit Re

Reinsurance

Summit Re is a managing general underwriter and reinsurance advisor, working with health insurers, managed care plans, and self-funded employers throu...

Talix

Technology solutions

Talix delivers NLP powered, integrated workflow applications to improve the speed and accuracy of risk adjustment coding. Our proven applications ser...

TCS Healthcare Technologies

Technology solutions

TCS Healthcare Technologies provides ACUITY Advanced Care™, a cost-effective, feature-rich software solution that improves the efficiency and effectiv...

The Mihalik Group, LLC

Consulting

The Mihalik Group (TMG) is a national healthcare consulting, software, and audit solutions firm that offers accreditation and risk adjustment-related ...

The Phia Group, LLC

Consulting

The Phia Group, LLC is an expert provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan...

Tivity Health

Clinical services

Care support programs (core & impact conditions), health support programs (health and wellness services & health provider network)

...

Tonic Advisors

Consulting

We are a Health Care Management Consulting Firm with over 40 years of health care experience. Our diverse background draws from time spent at large he...

TransPerfect Translations, Inc.

Business services

TransPerfect is the largest privately held language services provider in the world with solutions ranging from document translation, over-the-phone in...

Truveris, Inc.

Technology solutions

Truveris is a digital health company providing healthcare stakeholders with the solutions to improve the access and ability to afford prescription dru...

Turn-Key Health

Clinical services

Turn-Key Health, an Enclara Healthcare company, serves health plans, provider organizations and their members who are experiencing a serious or advanc...

UHAS, a Division of Risk Strategies

Consulting

As a team of actuarial experts and support staff, UHAS provides health actuarial, management and underwriting consulting services relating to a wide r...

USI Insurance

Consulting

USI is the largest privately-owned,l insurance brokerage / consulting firm with more than 150 local offices across the U.S Within the employee benefi...

Vericred Inc.

Technology solutions

We build APIs, so don't Carriers don't have to.

Vericred is a many-to-many, middleware solution that enables carriers to meet the needs of InsurTe...

Vimly Benefit Solutions

Technology solutions

Vimly Benefit Solutions began in 1993 by serving small to mid-sized businesses (SMBs) through Association Health Plans (AHPs) and Multi-employer trust...

Vital Data Technology LLC

Technology solutions

Vital Data Technology is a data science driven health care solutions company giving payers, providers and members the power to drive efficiencies and ...

Vital Decisions

Clinical services

Vital Decisions ensures that the care of individuals with complex medical situations and nearing end of life aligns with their values and preferences....

Wakely Consulting Group

Consulting

Wakely Consulting Group actuaries provide a comprehensive full-service array of expert actuarial services and consulting to the medical and health car...

WebMD Health Services

Technology solutions

WebMD Health Services has more experience and serves more health plans with our well-being engagement platform than any other company in the industry....

Welldoc

Technology solutions

Welldoc® is a leading digital health company revolutionizing chronic disease management to help transform lives. BlueStar® helps guide individuals thr...

Wellframe

Clinical services

Wellframe partners with leading health plans and care delivery organizations to enable them to evolve the way in which services are delivered to patie...

Welltok

Technology solutions

Welltok is an award-winning consumer activation company that improves people’s total wellbeing. Only Welltok leverages proprietary data and advanced a...

West Monroe

Consulting

West Monroe is a national consulting firm that was born in technology but built for business—partnering with companies in transformative industries to...

WEX Health, Inc.

Technology solutions

About WEX
Powered by the belief that complex payment systems can be made simple, WEX (NYSE: WEX) is a leading financial technology service provider a...

Wunderman Health

Marketing services

We are proud to be strategic partners of nearly 60 managed healthcare clients including providers and payers – Medicare, senior products, group and un...

Zelis

Technology solutions

Zelis is a healthcare and financial technology growth company and market-leading provider of claims cost management and payments optimization solution...

Zipari

Technology solutions

Zipari is a modern consumer experience solution that serves more than 10 million members through our partnerships with health carriers. Zipari has pio...