Vendor Directory

+Oscar

When Oscar Health Inc. first launched an insurance product in 2012, it was clear that legacy technology didn’t fit the needs of a modern healthcare or...

1UpHealth

1upHealth provides the healthcare industry’s most sophisticated Fast Healthcare Interoperability Resources (FHIR®) enabled health data platform for cl...

6 Degrees Health

Since 2012, 6 Degrees Health has been using our proprietary data and cutting-edge software, plus years of industry experience to help solve some of th...

Abacus Insights

Abacus Insights is a healthcare technology leader with the only data transformation platform and solutions built specifically for health plans. Focuse...

Activate Care Technologies

Many Medicaid beneficiaries struggle to obtain, process, communicate, and understand basic health information and services. Many lack health literacy,...

Advantasure

Advantasure is a healthcare technology product and business process services company that improves the performance of health plans and provider organi...

Alliance of Community Health Plans (ACHP)

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

Amplifon Hearing Health Care

Amplifon Hearing Health Care makes it easy for health plans to provide high-quality, affordable hearing health care to their members. We do this by pa...

Applied Research Works - COZEVA

Applied Research Works, Inc. (ARW) created the Cozeva® platform to help payers, physician organizations, providers, and patients to collaborate on val...

Arrive Health (formerly RxRevu)

Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first.

We improve access to the most affo...

Artemis By Nomi Health

Data Analytics for Health Plans. The Artemis Platform empowers health plans to demonstrate the value and effectiveness of their solutions to employer ...

AssureCare

AssureCare is a population health company, leading the industry by connecting care for payors, providers, and pharmacies across the US and internation...

ATTAC Consulting Group, LLC

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

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

Beacon Healthcare Systems

Beacon Healthcare Systems is your trusted partner in health plan operations, compliance and analytics helping you navigate the complexities of healthc...

Birdsong Hearing Benefits, LLC

Birdsong Hearing Benefits™, LLC is a hearing benefits manager that views hearing care as total care. Through listening to health plans, Birdsong has d...

BrainHQ - Posit Science Corporation

WHAT'S BRAINHQ? BrainHQ (https://www.brainhq.com) is an app that monitors and addresses brain health, which can be carried on a phone in your pocket. ...

bswift

bswift LLC offers cloud-based technology and services that transform the way employees perceive and engage with their benefits. With adaptive technolo...

Calibrated Healthcare Network, LLC

Healthcare BPO providing administrative and clinical services. Experienced offshore Calibrated staff work in your health plan system so the Plan has 2...

Capital Rx

Capital Rx is a healthcare technology company advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient...

Centauri Health Solutions

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

Ceresti Health

Ceresti's digital platform remotely upskills family caregivers of frail elderly Medicare Advantage members to reduce preventable member utilization an...

CertifyOS

CertifyOS is a provider intelligence platform that delivers frictionless, API-first credentialing, licensing, enrollment, and network monitoring to pa...

Ciba Health, LLC

Ciba Health is the leader in making personalized, whole-person care more accessible in order to prevent and reverse chronic disease.

Our Physician-...

CIMRO

CIMRO is a not-for-profit peer review organization and URAC accredited Independent Review Organization - External. CIMRO's panel includes nearly 500 p...

ClaimLogiq

ClaimLogiq® is a healthcare technology company that delivers an innovative and proactive approach to both payment integrity and risk adjustment. We cr...

ClarisHealth

ClarisHealth provides health plans and payers with total visibility into payment integrity and FWA operations through our A.I.-powered technology plat...

Clarity Software Solutions

Clarity Software Solutions, Inc. provides technology-driven healthcare engagement through multimodal communications. As an industry leader, Clarity as...

Clear Arch Health

Clear Arch Health is a provider of easy to adopt, custom and turnkey remote patient monitoring (RPM) and mobile personal emergency response system (mP...

Clearlink Partners

Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market ...

Cognizant

Cognizant’s TriZetto Healthcare Products and Services help healthcare organizations enhance revenue growth, drive administrative efficiency, improve c...

Cotiviti, Inc.

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the q...

CoventBridge Group

CoventBridge Group has more than 25 years of experience in the identification, prevention and investigation of fraud, waste, and abuse for our custome...

Curative Talent, LLC

Established In 2009, Curative Talent LLC. (formerly THMED) is a complete solutions provider of healthcare staffing and consulting services. In 2020, t...

Curatus LLC

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

Damore Health Advisors LLC

We provide consulting services to health plans, health systems, and other organizations who are developing, implementing, and enhancing value-based ca...

Decision Point Healthcare Solutions

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

Deft Research

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

Diagnostic Robotics

Diagnostic Robotics is a leading provider of value-based care enablement solutions. Our solution leverages advanced machine learning algorithms and ca...

ELLKAY

As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 20 years. Proudly known in the healthcare indust...

Emids Technologies

Founded in 1999 and based in Nashville, Emids provides global digital transformation solutions across the healthcare ecosystem, providing tailored, cu...

Employee Benefits Corporation

At Employee Benefits Corporation, we provide a world-class customer experience and pride ourselves on our reputation as a service-oriented and technol...

Encore Integrity, LLC

Encore Integrity, LLC (Encore) is a healthcare consulting company rooted in technical solutions to support Affordable Care Act and Medicare Advantage ...

Endear Health

Endear is an API-connected, white labeled platform that empowers payors to deliver cutting-edge benefits and programs, without the associated technica...

Episource

Episource is a leading provider of risk adjustment services, software, and solutions for health plans and medical groups. As an integrated platform, E...

Evensun Consulting, LLC

Evensun is a consulting and services firm focused on the Affordable Care Act Individual Marketplace strategy and operations. In addition to consulting...

EyeMed Vision Care

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

First Health Network

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

Foodsmart

We are the world’s largest telenutrition and foodcare solution, backed by a national network of Registered Dietitians and designed to yield consistent...

GA Foods

Headquartered in St. Petersburg, Fla., GA Foods has been preparing and delivering meals since 1973. We are the most trusted and experienced national m...

Gradient AI

Gradient AI was founded in order to address the need for state-of-the-art Artificial Intelligence (AI) solutions designed specifically for the trillio...

Guardian

Guardian has been helping people protect their future and secure their lives for more than 160 years. Every day, we serve 29 million people by helping...

Hayes, a Symplr Company

Hayes is now part of symplr!
Hayes was part of a recent acquisition by symplr (symplr.com), the global leader in enterprise healthcare operations sof...

Health Analytics Connect

In today’s data-driven healthcare industry, the ability to adapt and enhance existing analytics platforms is crucial for staying ahead. At Health Anal...

Health Management Associates, Inc. (HMA)

Health Management Associates (HMA) is a leading independent national research and consulting firm specialized in healthcare. Founded in 1985, today w...

Healthcare Fraud Shield

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

Healthcare Information Management

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

HealthEdge

HealthEdge is the digital foundation enabling next-gen health plans to provide a transparent and consumer-centric experience at lower cost, higher qua...

HealthEquity

Health savings account (HSA) account management and advisors, and employer benefit cost management. HealthEquity offers a complete line of integrated ...

HealthHelp

HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-bas...

Healthmine

Healthmine is the industry’s leading quality improvement solution focused on empowering people to take the right actions to improve their health. We b...

HealthSherpa

0 years, >35 million shopping sessions, and 32% of all ACA enrollment have helped us create the most efficient, streamlined ACA Marketplace in the bus...

HealthTrio, LLC

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

Hilabs Inc.

HiLabs was founded at Yale with the mission of refining dirty health plan data. Our team of healthcare professionals has worked alongside data scienti...

HolaDoctor Inc

HolaDoctor offers Hispanic and multicultural engagement, retention solutions, and provides content for health plans. Our turn-key solutions is compris...

Homethrive

Homethrive provides 2 distinct market solutions for risk-bearing entities. Our family caregiver support and our personal companion models are both te...

Inovaare Corporation

Inovaare transforms complex compliance processes by designing configurable solutions so healthcare organizations can collect real-time data across int...

Inovalon, Inc

Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the ...

Intellihealth, Inc

Intellihealth is changing the perception of obesity and redefining how it is treated. We offer a cost-effective and clinically proven medical obesity ...

Itiliti Health

Through our innovative solutions, Itiliti Health is at the forefront of transforming the prior authorization landscape. By eliminating unnecessary man...

J.P. Morgan

We are everything you need for simple, transparent and secure payments under one roof, built for healthcare. Partner with us to deliver a frictionless...

Kaia Health

Kaia Health delivers evidence-based digital therapeutics by combining cutting-edge motion analysis technology and human care into a convenient mobile ...

Kiddo Health, LLC

Kiddo Health is a connected care platform helps provide wrap-around support for children with physical and/or behavioral health challenges. Kiddo incl...

Kyruus Health

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

Linkwell Health

Linkwell Health drives action in healthcare. Our omnichannel engagement journeys — based in behavioral science and enabled by our benefit and clinical...

Lucet

Lucet’s unique combination of people and technology is proven to optimize access to behavioral health care providers and increase a health plan’s abil...

Managed Healthcare Resources, Inc.

Marigold Health

Marigold is virtual treatment program where people with mental health & substance use conditions support each other, and receive support from certifie...

McCormack Consultants, Inc.

McCormack Consultants provides client with deep experience in system implementations and data integrations across the Healthcare Industry....

MDFlow System

MDFlow Systems is a premier Healthcare Information Technology (HIT) company whose products and solutions help healthcare providers and payers work mor...

MedImpact Healthcare Systems, Inc.

MedImpact is the PBM that puts clients and consumers first. For 30 years, it has had a single mission: To make pharmacy benefits affordable, understan...

Meru Health

Everyone is trying to add more traditional mental health care (face to face and telehealth) to their ecosystem. It is important work but not a differe...

Milliman MedInsight

Milliman MedInsight® stands at the forefront of the healthcare industry as one of the most comprehensive and sophisticated analytics and data platform...

MOBE

MOBE is a health and financial outcomes company. Using advanced analytics, we identify populations where we can make a real difference in both individ...

MP CareSolutions - A Monroe Plan Company

MP CareSolutions provides customizable Population Health Management Programs that include:
• A State-of-the-Art Analytics Platform
• NCQA Certified ...

mPulse Mobile

mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by eng...

MPX

Healthcare payer fulfillment services for all print and digital communications, outbound and inbound, completely managed by one platform, one team: E...

NationsBenefits

NationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions a...

nirvanaHealth

nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that leverages their robotic process automation (RPA) cloud ...

Nokomis

NOKOMIS: Experts in Claim Accountability

At the core of Nokomis is Claim Accountability, a holistic approach to claim submission review that combin...

Noridian Healthcare Solutions

For nearly 60 years, Noridian Healthcare Solutions has provided transformational back-office services for health plans and government payers across th...

Nossaman LLP

Founded in 1942, Nossaman LLP is an innovative, midsize national law firm with seven offices in the U.S. We have a strong foundation in California and...

NourishedRx

NourishedRx leverages food's connective and healing power to address diet-related chronic disease and to bend the healthcare cost curve through its pr...

Omada Health, Inc.

Omada is the virtual-first provider that improves population health through sustained behavior change. We tackle the most pervasive conditions at scal...

Optum Advisory

Optum Advisory is a leading consulting firm exclusively dedicated to serving the highly volatile healthcare market. With a team of over 2,000 highly s...

PayMedix

PayMedix is an innovative healthcare payment platform dedicated to solving the serious problem of high out-of-pocket costs for everyone: providers, al...

Pfizer

Podimetrics

Podimetrics is solving the devastating and costly problem of preventable diabetic amputations and associated complications. This hidden problem in hea...

Porter

Porter helps connects people with what they need to manage at home after an illness or injury. The platform creates connected, meaningful interactions...

Prealize Health

Today, members have to wait for a health crisis before receiving care, often too late, leaving the health plan to foot the bill. Health plans rely on ...

Propeller Health

Propeller Health is a precision digital health company on a mission to uplift every person living with chronic disease so they can take control of the...

Provista LLC

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

Pyx Health

Pyx Health is a mobile, scalable platform built to address loneliness and social isolation for vulnerable populations through technology, by providing...

Quest Analytics

Quest Analytics’® software platform and services are trusted by more than 400 clients, including all eight of the nation’s largest health plans, regul...

RBorn Consulting, LLC

RBorn Consulting, LLC provides consulting services that includes but is not limited to health plan operations, finance, and strategy. Expertise in pr...

Rebellis Group, LLC

With decades of experience in health plan, PBM and government consulting and technology, we set out to create a consulting company designed for the mo...

Reveleer

Reveleer is revolutionizing the health plan industry with the only end-to-end, cloud-based SaaS, AI-driven workflow solution enabling healthcare organ...

Rialtic

Rialtic is a modern healthcare technology platform focused on payment accuracy. Built by a team of seasoned industry veterans, Rialtic addresses the m...

Roundtrip Health

Roundtrip is the leading digital transportation benefit manager for better health outcomes. We provide a simple, comprehensive member ride ordering so...

Rx Savings Solutions

Rx Savings Solutions, part of McKesson Corporation, works on behalf of health plans and self-insured employers to help their members reduce out-of-poc...

RxSense

RxSense is a pharmacy technology company with an advanced pharmacy benefit platform, RxAgile®, working in concert with integrated analytics, RxIQ®. Wi...

Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw ...

Secondwave Delivery Systems, LLC

Secondwave aligns clinical documentation integrity, clinical coding and provider engagement best practices to deliver accurate risk capture and improv...

Shift Technology

Shift Improper Payment Detection uses enhanced data, combined with healthcare-trained AI models to uncover 4x more fraud, waste and abuse, increase de...

Simplify Healthcare

Simplify Healthcare powers connected benefits and provider journeys for Payers through a scalable, enterprise-grade, secure, compliant, and configurab...

Smart Data Solutions

As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) is a strategic partner in healthcare process ...

SmartRise Health, LLC

Empowering and mobilizing healthcare organizations, their staff, and community partners to innovate and maximize value. Design and launch strategies, ...

Softheon

SoluteHealth

SoluteHealth is an onshore custom development firm focused on building SaaS solutions based on our clients needs. Including operations management, pay...

SonarMD

SS&C Health (formerly DST Pharmacy Solutions)

SS&C Health partners with plans, PBMs, and providers to create health solutions that power their vision and enable their success. For nearly 40 years,...

Summit Re

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

Sword Health

Sword Health is an industry leader in demonstrating expanded reach of digitally enabled clinical-grade MSK care - without compromise to quality and cl...

Tegria

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to transform healthcare. Tegria deli...

The Jacobson Group

The Jacobson Group is the leading provider of talent to the insurance industry. For more than 50 years, we have been providing executive search and an...

The Viability Company

Toney Healthcare

Toney Healthcare brings peace of mind to health plans’ clinical operations. Through guidance, leadership and talent, we provide expertise in all aspe...

Trusty.care

Built for the health insurance ecosystem of insurers, distributors, and members, Trusty.care is the end to-end sales enablement platform that uses tec...

TurningPoint Healthcare Solutions

TurningPoint is an integrated complex condition management solution, guided by deep clinical expertise and capable of bearing risk across a set of com...

Unite Us

Unite Us is a technology company that builds coordinated care networks of health and social service providers. With Unite Us, providers across sectors...

United Spinal Association

Uno Health

Uno specializes in enrolling your Medicare members in state and federal programs that deliver targeted cash assistance for all of the government progr...

Upland Panviva

Panviva is a Knowledge Management system that provides immediate access to standardized policies, procedures, call scripts, and work instructions. Pan...

Upside

The only vertically integrated housing benefit for all health plan members....

UST HealthProof

Technology, Consulting, and BPaaS services...

Valenz Health

Valenz® simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powere...

Van Dellen Solutions

Expertise spanning from row-level claim data to strategic health care economics. We have proven success in:
• Plan data, analytics & insights driving...

Vatica Health

Founded in 2011, Vatica Health is the #1 ranked PCP-centric risk adjustment and quality of care solution for health plans and health systems. By pairi...

VBA

VBA is a proactive, healthcare technology company
providing comprehensive benefit administration, user experience, customer support, and business i...

Veradigm

Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale. T...

Verifiable

Verifiable is an API first platform to automate primary source verifications in seconds to streamline provider credentialing and simplify network mana...

Vida Health

From depression to diabetes, Vida is the only solution designed from the ground up to treat a wide range of comorbidities, physical and mental....

Vimly Benefit Solutions

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

Virta Health

Virta Health is the leader in type 2 diabetes reversal and is creating a new standard in medical care for people living with type 2 diabetes, prediabe...

Virtix Health

Providing Virtual Wellness Visits and in-home health risk assessments for Medicare Advantage, Medicaid and ACA health plans.

Clinical data connec...

VirtualHealth

Virtual Health is the first true population health management platform; an end-to-end ecosystem, purpose built for the transition to value-based care....

Vital Insights LLC

Vitality Group

Guided by a core purpose of making people healthier, Vitality is the leader in improving health to unlock outcomes that matter. By blending industry-l...

Wakely Consulting Group

Wakely Consulting Group, LLC, an HMA Company. Wakely's actuaries provide a comprehensive full-service array of expert actuarial services and consultin...

Wellth, Inc.

Wellth is a behavior change company that builds motivation and habits while addressing health equity in populations with chronic conditions through th...

West Monroe

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.

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

Wider Circle

Wider Circle works with health plans nationally to deliver unique hyper-local care programs that connect neighbors for better health. The company’s tr...

Zelis Healthcare, LLC

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, p...

ZeOmega

ZeOmega empowers health plans and other risk-bearing organizations with the industry’s leading technology for simplifying population health management...

Zipari

Zipari’s Consumer Experience Platform is the one-stop-
shop for all payer engagement challenges. Our
exclusive health insurance solution helps payer...

ZyDoc Medical Transcription, LLC

ZyDoc helps physicians document clinical encounters simply and efficiently with dictation on their smartphones. Our fourth method of clinical document...