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About Fresh, Inc.
Administrative Systems
About Fresh partners with healthcare organizations to get healthy food to the people who need it most. Our Fresh Connect prepaid debit card programs e...
Access2Care, LLC
Administrative Systems
Managed Transportation
Access2Care is one of the nation’s largest managers of Non-Emergency Medical Transportation (NEMT) services. Our experience be...
AccessHope LLC
Utilization/Care/Disease Management
AccessHope believes in putting the ever-growing body of cancer knowledge to work for the greater good. We deliver a revolutionary employee health bene...
Actium Health
Enterprise Data
Actium's Health brings “precision” to consumer engagement by harnessing the power of diverse data, we then calculate the most valuable actions and de...
Advantasure
Automation, Workflow and IT Services
Advantasure is a healthcare technology product and business process services company that improves the performance of health plans and provider organi...
Advantmed LLC
Administrative Systems
Founded in 2005 and based in Santa Ana, California, Advantmed, LLC is a healthcare information management company that provides healthcare organizatio...
ADVault, Inc.
Automation, Workflow and IT Services
ADVault, Inc. built upon its award-winning, free MyDirectives® application to develop the world’s first and only interoperable, affordable, end-to-end...
Advisory Board
Consulting
We help leaders and future leaders in the health care industry work smarter and faster by providing provocative insights, actionable strategies, and p...
Alliant Employee Benefits
Consulting
Alliant Employee Benefits provides a full spectrum of risk management, employee benefits consulting, and insurance brokerage services to employers nat...
Aloe Care Health
Automation, Workflow and IT Services
Aloe Care's voice-activated system is the world's most-advanced in-home medical alert and communication system for older adults. Aloe Care is breaking...
Amplifon Hearing Health Care
Supplemental Benefits
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...
Amwell
Automation, Workflow and IT Services
Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...
Apervita
Enterprise Data
Apervita is committed to making the Learning Health System a reality. We make this possible through our quality measurement and clinical intelligence ...
Apixio
Automation, Workflow and IT Services
Apixio is advancing healthcare with data-driven intelligence and analytics. Our Artificial Intelligence platform gives organizations across the health...
Applied Research Works - COZEVA
Population Health
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)
Automation, Workflow and IT Services
Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first.
We improve access to the most affo...
Astrata, Inc.
Enterprise Data
Astrata is a digital quality company, offering a full suite of products and services for health plans and value-driven providers who are moving from p...
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
Enterprise Data
Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...
Beacon Healthcare Systems
Automation, Workflow and IT Services
Beacon Healthcare Systems is your trusted partner in health plan operations, compliance and analytics helping you navigate the complexities of healthc...
BeaconLBS
Automation, Workflow and IT Services
BeaconLBS is a laboratory benefits solutions company that provides health plans with a branded approach to improve the quality and cost of lab testing...
Benefits Data Trust
Administrative Systems
BDT is a national nonprofit that connects people to essential public benefits programs while treating them with dignity and respect. Since 2005 we've...
Benelynk
Automation, Workflow and IT Services
BeneLynk’s integrated approach to impacting Social Determinants of Health serves Managed Care Organizations and their members. Our services drive risk...
Blue Eagle Consulting
Consulting
Blue Eagle Consulting (BEC) is a contract SME & IT Consultant resource provider for both PAYORS and PROVIDER organizations (All EHR's, Facets, QNXT, U...
BluePeak Advisors
Consulting
BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...
BrainHQ - Posit Science Corporation
Automation, Workflow and IT Services
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. ...
Calibrated Healthcare Network, LLC
Claims
Healthcare BPO providing administrative and clinical services. Experienced offshore Calibrated staff work in your health plan system so the Plan has 2...
Capital Rx
Administrative Systems
Capital Rx is built around the mission of changing the way drugs are priced and patients are serviced. Helping members navigate their benefits, saving...
CareJourney
Enterprise Data
CareJourney was founded in 2014 under the belief that our nation’s transition to value-based care is an important one, but without an “operating manua...
Carrot Fertility
Utilization/Care/Disease Management
Flexible fertility and maternity benefits for health plans and their members.
Carrot provides high-touch, clinically managed benefits that result in ...
Catalyst Solutions
Consulting
Outsourced BPO, IT, and consulting services. Based in the U.S., Catalyst Solutions is exclusively focused on the needs of health plans with 20+ years...
Cedar Gate Technologies
Automation, Workflow and IT Services
Censinet
Automation, Workflow and IT Services
Censinet enables healthcare providers and payers to take the risk out of their business while protecting patient care and confidential data with Censi...
Centauri Health Solutions
Automation, Workflow and IT Services
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
Automation, Workflow and IT Services
Ceresti's digital platform remotely upskills family caregivers of frail elderly Medicare Advantage members to reduce preventable member utilization an...
CertifyOS
Automation, Workflow and IT Services
CertifyOS is a provider intelligence platform that delivers frictionless, API-first credentialing, licensing, enrollment, and network monitoring to pa...
Change Healthcare
Consulting
Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...
Chordline Health
Automation, Workflow and IT Services
Chordline Health is the leading provider of managed care workflow software designed to support health plans, TPAs, ACOs, and other risk bearing organi...
CiOX Health
Automation, Workflow and IT Services
Ciox’s leading clinical data platform leverages the industry’s most extensive clinical data network, data orchestration engine and data intelligence l...
CirclesX
Automation, Workflow and IT Services
CirclesX, with over 170 patents, is the first in the Medicare Secondary Payer (MSP) recovery industry to leverage patented technologies harnessing IoT...
CitiusTech Inc
Automation, Workflow and IT Services
CitiusTech (www.citiustech.com) is a leading provider of healthcare technology services, solutions and platforms, with strong presence in the payer, p...
ClaimLogiq
Automation, Workflow and IT Services
ClaimLogiq® is a healthcare technology company that delivers an innovative and proactive approach to both payment integrity and risk adjustment. We cr...
ClarisHealth
Automation, Workflow and IT Services
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
Automation, Workflow and IT Services
Clarity Software Solutions, Inc. provides technology-driven healthcare engagement through multimodal communications. As an industry leader, Clarity as...
ClearHealth Strategies, LLC
Automation, Workflow and IT Services
- No Surprises Act turnkey program management
- Network-based Medicare pricing (contractual pricing)
- Rreference-based pricing (out-of-network)
- ...
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
Administrative Systems
Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...
Cognizant
Automation, Workflow and IT Services
Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...
Cohere Health
Automation, Workflow and IT Services
Cohere Health is a digital intelligence company that’s transforming utilization management (UM) by aligning physicians and health plans on evidence-ba...
Collective Health
Administrative Systems
Collective Health provides an integrated third-party administration and navigation solution that delivers a truly engaging health benefits for your pe...
Collective Medical
Collective, a PointClickCare company, helps care teams collaborate to support their most vulnerable patients — those whose needs cannot be met in any ...
ConnectureDRX
Automation, Workflow and IT Services
For more than 20 years, ConnectureDRX has been developing innovative and compliant Medicare shopping/enrollment and drug transparency technologies, un...
Convey Health Solutions
Automation, Workflow and IT Services
Convey Health Solutions (“Convey”) is a specialized healthcare technology and services company committed to providing clients with healthcare-specific...
Cotiviti, Inc.
Enterprise Data
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the q...
Cricket Health
Utilization/Care/Disease Management
Cricket Health is a comprehensive kidney care provider with a personalized, evidence-based, and value-based approach to managing chronic kidney diseas...
CrossBridge Health
Utilization/Care/Disease Management
CrossBridge has re-envisioned how to deliver the comprehensive care patients dealing with chronic inflammatory/autoimmune conditions deserve. Demand ...
Curation Health
Automation, Workflow and IT Services
Curation Health helps providers and health plans navigate and scale from fee-for-service to value-based care. Our advanced clinical decision support p...
Curatus LLC
Automation, Workflow and IT Services
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
Consulting
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
Automation, Workflow and IT Services
Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...
Deft Research
Marketing/Member Materials
Deft Research is a market research firm with deep expertise in the health insurance industry. We blend primary research with data from our syndicated ...
Delta Dental Plans Association
Core System
Delta Dental Plans Association is comprised of a network of 39 independent Delta Dental companies operating in all 50 states, Puerto Rico, and other U...
Diagnostic Robotics
Enterprise Data
Diagnostic Robotics works with health plans to support their Population Health efforts. In addition, we help you to predict Risk within your Populatio...
Discovery Health Partners
Administrative Systems
Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...
Diversity Crew
Consulting
Diversity Crew is a consortium made up of equal partners focusing on diversity and inclusion. Our role at Diversity Crew is to create equity for an in...
Dominion National - Private-Label Dental & Vision
Reinsurance
Dominion National is a national administrator of Private-Label dental and vision programs. Our CORE expertise is partnering with Blues plans, health ...
Easy Health Medical Solutions
Utilization/Care/Disease Management
We partner with leading health plans and provider groups to deliver a broad array of enrollment and assessment services to members that improve healt...
ELLKAY
Automation, Workflow and IT Services
As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 20 years. Proudly known in the healthcare indust...
Emergent Business
Consulting
For more than 30 years I’ve been adapting sales organizations to compete successfully in highly competitive markets.
As an experienced VP of Sales...
Emids Technologies
Consulting
Founded in 1999 and based in Nashville, Emids provides global digital transformation solutions across the healthcare ecosystem, providing tailored, cu...
emocha Health
Automation, Workflow and IT Services
emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...
Employee Benefits Corporation
Automation, Workflow and IT Services
At Employee Benefits Corporation, we provide a world-class customer experience and pride ourselves on our reputation as a service-oriented and technol...
Endear Health
Automation, Workflow and IT Services
Endear is an API-connected, white labeled platform that empowers payors to deliver cutting-edge benefits and programs, without the associated technica...
eNeura, Inc., a wholly owned subsidiary of Aruene Corporation
Pharmacy
SAVI™ Dual Migraine Therapy, the First and Only Full Spectrum Migraine Therapy for Adults and Children (12 years of age and older)...
Engagent Health, LLC
Automation, Workflow and IT Services
We provide a flexible module based end to end solution for your sales administration. SeoTraxs encompasses agent onboarding, CRM, agent oversight an...
Engagys
Consulting
Engagys is the leading healthcare consumer engagement consulting and research firm....
Episource
Automation, Workflow and IT Services
Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart r...
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...
Evensun Consulting
Consulting
Evensun Consulting is a boutique consulting firm focused on the Affordable Care Act Individual Marketplace strategy and operations. In addition to con...
eviCore healthcare
Administrative Systems
eviCore healthcare (eviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing the safe...
Evolent Health
Claims
Evolent Health Services provides modern administrative and clinical capabilities along with managed services to health plans and risk-bearing organiza...
EyeMed Vision Care
Utilization/Care/Disease Management
Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...
Finity, Inc.
Automation, Workflow and IT Services
Finity is a mission-focused health technology and services company. Our health intelligence engagement solutions are designed to empower members to ma...
First Dollar
Automation, Workflow and IT Services
First Health Network
Administrative Systems
For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...
Flume Health
Automation, Workflow and IT Services
Flume Health started as a tech-forward TPA and has evolved into a full scale technology platform that allows our clients to build and launch customize...
Foodsmart
Administrative Systems
We are the world’s largest telenutrition and foodcare solution, backed by a national network of Registered Dietitians and designed to yield consistent...
Frier Levitt, LLC
Administrative Systems
Frier Levitt, established in 2000, is a national boutique law firm focused exclusively on Healthcare and Life Sciences. The Firm draws on its experie...
Furst Group
Administrative Systems
Talent needs are not episodic or transactional. One part truly does affect the whole. Furst Group and NuBrick Partners, both companies of MPI, have de...
GA Foods
Administrative Systems
Headquartered in St. Petersburg, Fla., GA Foods has been preparing and delivering meals since 1973. We are the most trusted and experienced national m...
Gibson Consultants
Administrative Systems
Gibson Consultants is an executive search firm founded by former health plan veterans. Its national client base includes health plans, hospitals, and ...
Gradient AI
Automation, Workflow and IT Services
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
Core System
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
Administrative Systems
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 e-Commerce
Administrative Systems
At Health-E Commerce, we believe in untangling and simplifying the health and wellness benefits marketplace so our partners can reach the 100+ million...
Health Fidelity, an Edifecs Company
Automation, Workflow and IT Services
Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...
Health Intelligence Company
Enterprise Data
Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...
healthAlign
Automation, Workflow and IT Services
healthAlign, now owned by The Helper Bees, is a leading platform that connects health plan members to the care and support services needed to enable i...
HealthBridge Financial
Claims
HealthBridge Financial, Inc. offers a first-of-its-kind financial security solution to help members bridge the gap between the cost of their portion o...
Healthcare Fraud Shield
Automation, Workflow and IT Services
Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...
Healthcare Information Management
Administrative Systems
Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...
HealthCorum, Inc.
Enterprise Data
HealthCorum is a health data analytics company on a mission to impact wasteful health spending. With roughly 30% of all health spend being of low-valu...
HealthEdge
Automation, Workflow and IT Services
HealthEdge is the digital foundation enabling next-gen health plans to provide a transparent and consumer-centric experience at lower cost, higher qua...
HealthEquity
Administrative Systems
Health savings account (HSA) account management and advisors, and employer benefit cost management. HealthEquity offers a complete line of integrated ...
HealthExecWire (formerly MCOL)
Administrative Systems
MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, videos, training software, resour...
HealthHelp
Utilization/Care/Disease Management
HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-bas...
Healthmine
Automation, Workflow and IT Services
Healthmine is the industry’s leading quality improvement solution focused on empowering people to take the right actions to improve their health. We b...
HealthScape Advisors, LLC
Consulting
HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.
HealthScape Advisors’ offers a bro...
HealthSparq
Automation, Workflow and IT Services
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
Automation, Workflow and IT Services
HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...
HGS Healthcare
A global leader in business process management and member/patient experience, HGS Healthcare combines technology-powered services with decades of Heal...
HighRoads
Automation, Workflow and IT Services
HighRoads is a provider of sales-enabling product data management solutions. Our platform, P2A, is a purpose-built solution that automates complex pro...
HolaDoctor Inc
Marketing/Member Materials
HolaDoctor offers Hispanic and multicultural engagement, retention solutions, and provides content for health plans. Our turn-key solutions is compris...
hunterAI
Enterprise Data
Group Purchasing Organization for IT and Sourcing Data Transparency Platform
GPO HEALTH has created the first near-real-time* (NRT) platform that br...
Icario
Administrative Systems
Icario is a health action platform that unites pioneering technology, data science, and behavioral insights to connect everyone to better health. Icar...
InComm Healthcare
Automation, Workflow and IT Services
InComm Healthcare is the leader in innovative payment platforms and restricted-spend capabilities. Our proprietary OTC network currently consists of 6...
InfoMC
Utilization/Care/Disease Management
InfoMC is a technology solutions provider offering a cloud-based medical management platform for managing vulnerable, at-risk populations with complex...
InfoMC Inc.
Automation, Workflow and IT Services
InfoMC is a leading providers of cloud-based integrated healthcare management and care coordination software. It’s Incedo™ Healthcare Management Plat...
Inovaare Corporation
Automation, Workflow and IT Services
Inovaare transforms complex compliance processes by designing configurable solutions so healthcare organizations can collect real-time data across int...
Inovalon, Inc
Automation, Workflow and IT Services
Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the ...
Insightin Health
Automation, Workflow and IT Services
Our cloud-based platform, inGAGE™, eliminates healthcare data silos to enable payers to deliver a highly satisfying, consumer-centric healthcare exper...
Insignia Health
Administrative Systems
Insignia Health empowers healthcare organizations and health professionals around the world to assess patient activation and develop strategies for ef...
Integrity Advantage
Consulting
Integrity Advantage provides niche expertise and services that are laser focused on combating healthcare fraud, waste and abuse (FWA). Our team of su...
iRhythm Technologies, Inc.
Utilization/Care/Disease Management
iRhythm is a CMS certified Independent Diagnostic Testing Facility (“IDTF”) digital healthcare company re-defining the way cardiac arrhythmias are cli...
Itiliti Health
Utilization/Care/Disease Management
Itiliti Health is on a mission to streamline prior authorizations using medical policy transparency and AI to deliver widely available, automated prio...
J29 Associates
Optimization. You know what you want, and you know what you have. And – you don’t know what you don’t know. With J29, we’ll help you boost your capabi...
Lark Health
Automation, Workflow and IT Services
Lark is the world's largest A.I. healthcare provider, having served nearly 2 million patients suffering from or at risk of chronic and behavioral heal...
Leadership Guidance Group
Consulting
Leadership Guidance Group is founded on best practices developed over 25 years serving clients and candidates. We are a retained executive search firm...
LifeBalance Program
Administrative Systems
Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...
LifeDojo
Utilization/Care/Disease Management
LifeDojo, powered by Ontrak Health, is an evidence-based well-being solution that delivers results. We partner with employers to help create a happier...
MacroHealth
Automation, Workflow and IT Services
MacroHealth makes purchasing and selling healthcare services simple and powerful. Through our innovative MacroHealth Intelligent Exchange (MIX) platfo...
Magnum Actuarial Group
Consulting
Specialized Actuarial Consulting services, specializing in our MagnaFund product, a turn key solution for health plans to enter the Self-Funded market...
MC-Rx
Claims
MC-Rx is a full-service Pharmacy Benefits Manager (PBM), offering innovative quality programs with straightforward pricing. We provide state-of-the a...
McCormack Consultants, Inc.
Consulting
McCormack Consultants provides client with deep experience in system implementations and data integrations across the Healthcare Industry....
MDFlow System
Automation, Workflow and IT Services
MDFlow Systems is a premier Healthcare Information Technology (HIT) company whose products and solutions help healthcare providers and payers work mor...
Med-Kick
Utilization/Care/Disease Management
Remote Patient Monitoring (RPM) and Chronic Care Management Services (CCM)
As well as other care management services like Principal Care Management(P...
MedeAnalytics, Inc
Enterprise Data
Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...
Medecision
Automation, Workflow and IT Services
Medecision® is an integrated health analytics and software company, whose solutions and services are used today by 85+ leading health plans and care d...
Medefy Health
Portals/Other UI
Medefy helps employers revolutionize their benefits offerings by empowering health plan members to find and use their health benefits - right when the...
MedEncentive
Automation, Workflow and IT Services
MedEncentive is a health-improvement, cost-containment service for employers, insurers, and governments. The Company’s web-based and mobile-enabled Mu...
Medical Risk Managers, Inc.
Administrative Systems
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...
MedInsight, a Milliman company
Enterprise Data
Milliman MedInsight® stands at the forefront of the healthcare industry as one of the most comprehensive and sophisticated analytics and data platform...
MedReview
Utilization/Care/Disease Management
MedReview is an independent auditor of healthcare claims and we correct those claims to fairly represent the care that was provided, saving our client...
Meru Health
Utilization/Care/Disease Management
Meru Health is a comprehensive mental health solution providing support and care around stress, resiliency, depression, anxiety, and burnout. Meru hel...
Messagepoint
Automation, Workflow and IT Services
The Healthcare Touchpoint Exchange is purpose-built to streamline the creation and annual updates to your CMS compliance materials including Annual No...
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...
Mindstrong Health
Utilization/Care/Disease Management
Mindstrong is a virtual mental health care platform that helps health plans reduce total-cost-of-care and members improve outcomes.
We specializes ...
Mindtree
Automation, Workflow and IT Services
Mindtree is a global technology consulting and services company, helping enterprises marry scale with agility to achieve competitive advantage. “Born ...
Mineral
Administrative Systems
There’s something new happening in the health insurance market. It’s a deliberate, strategic effort to connect employee health with organizational hea...
ModivCare Solutions, LLC
Administrative Systems
ModivCare makes connections to care that are essential in helping people live life in their best health. As the leading non-emergency medical transpor...
Monument
Utilization/Care/Disease Management
Monument is a telehealth platform for those looking to change their relationship with alcohol. We offer peer support through community offering, and o...
Morgan Consulting Resources, Inc.
Administrative Systems
Morgan Consulting Resources is a nationally retained executive search firm with over twenty five years of experience filling executive roles at health...
Moxe Health
Automation, Workflow and IT Services
Moxe helps health plans acquire, harmonize, and use clinical and administrative data.
Our clinical data retrieval platform fully integrates with E...
mPulse Mobile
Automation, Workflow and IT Services
mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by eng...
MPX
Automation, Workflow and IT Services
Healthcare payer fulfillment services for all print and digital communications, outbound and inbound, completely managed by one platform, one team: E...
MSP Recovery Associates, LLC
Administrative Systems
MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...
MTM, Inc
Administrative Systems
MultiPlan
Administrative Systems
MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...
NationsBenefits
Administrative Systems
NationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions a...
New Century Health
Automation, Workflow and IT Services
New Century Health is the nation's leading specialty care management company, with special focus on cancer and cardiology patients. New Century Health...
NICE
Automation, Workflow and IT Services
With NICE (Nasdaq: NICE), it’s never been easier for organizations of all sizes around the globe to create extraordinary customer experiences while me...
nirvanaHealth
Automation, Workflow and IT Services
nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that leverages their robotic process automation (RPA) cloud ...
Nokomis
Claims
NOKOMIS: Experts in Claim Accountability
At the core of Nokomis is Claim Accountability, a holistic approach to claim submission review that combin...
Nossaman LLP
Consulting
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
Administrative Systems
NourishedRx provides highly personalized food solutions for health plan and providers' most vulnerable members -- those facing nutritionally sensitive...
Nymbl Science
Automation, Workflow and IT Services
Healthcare as become great at identifying risk for older adults, but not at listening to what the older adult actually needs. Nymbl is a digital, evid...
OM1, Inc.
Automation, Workflow and IT Services
OM1 is a leading health outcomes and registries company focused on the measurement, comparison, and prediction of treatment outcomes. Leveraging big d...
Omada Health, Inc.
Population Health
Omada is the virtual-first provider that improves population health through sustained behavior change. We tackle the most pervasive conditions at scal...
Onduo LLC
Utilization/Care/Disease Management
At Onduo, we are dedicated to making “healthy” easier and more accessible. We understand that only through sustained behavior change can people achiev...
Online Insight
Automation, Workflow and IT Services
Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...
Ontrak Health
Utilization/Care/Disease Management
Ontrak Health is a leading AI-driven healthcare company that finds and engages hard-to-reach populations with unaddressed behavioral health issues and...
Optum
Enterprise Data
At Optum, we are a leading health services innovation company dedicated to helping make the health system work better for everyone. We create simple, ...
Papa, Inc.
Automation, Workflow and IT Services
Papa is a family on-demand service providing assistance and companionship to older adults and families across the United States with a curated network...
Pareto Intelligence
Enterprise Data
Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...
Payer Compass
Automation, Workflow and IT Services
Payer Compass is an innovator in healthcare cost control. We’re helping health plans minimize overall spend on claim pricing, administration and proc...
PayMedix
Financial Operations
PayMedix is an innovative healthcare payment platform dedicated to solving the serious problem of high out-of-pocket costs for everyone: providers, al...
Picwell, Inc.
Enterprise Data
Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...
Porter
Automation, Workflow and IT Services
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
Enterprise Data
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 ...
PRIVAXI
Automation, Workflow and IT Services
Privaxi is a Managed Cyber Security and Compliance Provider. We are a HITRUST/HIPAA Readiness/Remediation Assessor and provide organizations assistanc...
Prognos Health
Enterprise Data
Prognos Health is an AI platform company focused on predicting the trajectory of disease to drive decisions earlier in the patient journey for payers,...
ProviderTrust, Inc.
Automation, Workflow and IT Services
ProviderTrust is a data & software solutions company based in Nashville, TN. We partner with health plans, hospitals, and health systems to eliminate ...
Provista LLC
Administrative Systems
The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...
Pyx Health
Automation, Workflow and IT Services
Pyx Health is a mobile, scalable platform built to address loneliness and social isolation for vulnerable populations through technology, by providing...
Quest Analytics
Enterprise Data
Quest Analytics is the software platform trusted by the nation’s health plans and regulators to manage, measure and monitor health plan network perfor...
RazorMetrics
Pharmacy
RazorMetrics is an innovative, SaaS-based platform that lowers drug spend for health plans and self-insured employers. We use a unique, physician-firs...
RBS Re (an HM Insurance Group company)
Reinsurance
HM Insurance Group offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, services and solutions wor...
Real Time Medical Systems
Enterprise Data
Real Time Medical Systems is the industry-leading Interventional Analytics platform that provides Health Plans and Payers with post-acute interoperabi...
Rebellis Group, LLC
Consulting
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...
Reeder & Associates
Consulting
Founded in 1996, Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior exec...
Reema Health Inc
Automation, Workflow and IT Services
Reema is a mix of a tech platform to engage members and an in person community guide, all aimed at meeting social needs for Medicaid, Medicare, and Du...
Reveleer
Automation, Workflow and IT Services
Reveleer is revolutionizing the health plan industry with the only end-to-end, cloud-based SaaS, AI-driven workflow solution enabling healthcare organ...
Rialtic
Automation, Workflow and IT Services
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
Supplemental Benefits
Roundtrip is the leading digital transportation benefit manager for better health outcomes. We provide a simple, comprehensive member ride ordering so...
Rx Savings Solutions
Pharmacy
Founded by a pharmacist, Rx Savings Solutions helps people and payers reduce prescription drug costs through a combination of clinical technology, tra...
RxAnte
Automation, Workflow and IT Services
RxAnte is a leading predictive analytics and clinical services company located in Portland, Maine, and Washington, D.C., dedicated to improving medica...
RxSense
Automation, Workflow and IT Services
RxSense is a pharmacy technology company with an advanced pharmacy benefit platform, RxAgile®, working in concert with integrated analytics, RxIQ®. Wi...
About Fresh, Inc.
Administrative Systems
About Fresh partners with healthcare organizations to get healthy food to the people who need it most. Our Fresh Connect prepaid debit card programs e...
Access2Care, LLC
Administrative Systems
Managed Transportation
Access2Care is one of the nation’s largest managers of Non-Emergency Medical Transportation (NEMT) services. Our experience be...
AccessHope LLC
Utilization/Care/Disease Management
AccessHope believes in putting the ever-growing body of cancer knowledge to work for the greater good. We deliver a revolutionary employee health bene...
Actium Health
Enterprise Data
Actium's Health brings “precision” to consumer engagement by harnessing the power of diverse data, we then calculate the most valuable actions and de...
Advantasure
Automation, Workflow and IT Services
Advantasure is a healthcare technology product and business process services company that improves the performance of health plans and provider organi...
Advantmed LLC
Administrative Systems
Founded in 2005 and based in Santa Ana, California, Advantmed, LLC is a healthcare information management company that provides healthcare organizatio...
ADVault, Inc.
Automation, Workflow and IT Services
ADVault, Inc. built upon its award-winning, free MyDirectives® application to develop the world’s first and only interoperable, affordable, end-to-end...
Advisory Board
Consulting
We help leaders and future leaders in the health care industry work smarter and faster by providing provocative insights, actionable strategies, and p...
Alliant Employee Benefits
Consulting
Alliant Employee Benefits provides a full spectrum of risk management, employee benefits consulting, and insurance brokerage services to employers nat...
Aloe Care Health
Automation, Workflow and IT Services
Aloe Care's voice-activated system is the world's most-advanced in-home medical alert and communication system for older adults. Aloe Care is breaking...
Amplifon Hearing Health Care
Supplemental Benefits
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...
Amwell
Automation, Workflow and IT Services
Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...
Apervita
Enterprise Data
Apervita is committed to making the Learning Health System a reality. We make this possible through our quality measurement and clinical intelligence ...
Apixio
Automation, Workflow and IT Services
Apixio is advancing healthcare with data-driven intelligence and analytics. Our Artificial Intelligence platform gives organizations across the health...
Applied Research Works - COZEVA
Population Health
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)
Automation, Workflow and IT Services
Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first.
We improve access to the most affo...
Astrata, Inc.
Enterprise Data
Astrata is a digital quality company, offering a full suite of products and services for health plans and value-driven providers who are moving from p...
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
Enterprise Data
Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...
Beacon Healthcare Systems
Automation, Workflow and IT Services
Beacon Healthcare Systems is your trusted partner in health plan operations, compliance and analytics helping you navigate the complexities of healthc...
BeaconLBS
Automation, Workflow and IT Services
BeaconLBS is a laboratory benefits solutions company that provides health plans with a branded approach to improve the quality and cost of lab testing...
Benefits Data Trust
Administrative Systems
BDT is a national nonprofit that connects people to essential public benefits programs while treating them with dignity and respect. Since 2005 we've...
Benelynk
Automation, Workflow and IT Services
BeneLynk’s integrated approach to impacting Social Determinants of Health serves Managed Care Organizations and their members. Our services drive risk...
Blue Eagle Consulting
Consulting
Blue Eagle Consulting (BEC) is a contract SME & IT Consultant resource provider for both PAYORS and PROVIDER organizations (All EHR's, Facets, QNXT, U...
BluePeak Advisors
Consulting
BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...
BrainHQ - Posit Science Corporation
Automation, Workflow and IT Services
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. ...
Calibrated Healthcare Network, LLC
Claims
Healthcare BPO providing administrative and clinical services. Experienced offshore Calibrated staff work in your health plan system so the Plan has 2...
Capital Rx
Administrative Systems
Capital Rx is built around the mission of changing the way drugs are priced and patients are serviced. Helping members navigate their benefits, saving...
CareJourney
Enterprise Data
CareJourney was founded in 2014 under the belief that our nation’s transition to value-based care is an important one, but without an “operating manua...
Carrot Fertility
Utilization/Care/Disease Management
Flexible fertility and maternity benefits for health plans and their members.
Carrot provides high-touch, clinically managed benefits that result in ...
Catalyst Solutions
Consulting
Outsourced BPO, IT, and consulting services. Based in the U.S., Catalyst Solutions is exclusively focused on the needs of health plans with 20+ years...
Cedar Gate Technologies
Automation, Workflow and IT Services
Censinet
Automation, Workflow and IT Services
Censinet enables healthcare providers and payers to take the risk out of their business while protecting patient care and confidential data with Censi...
Centauri Health Solutions
Automation, Workflow and IT Services
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
Automation, Workflow and IT Services
Ceresti's digital platform remotely upskills family caregivers of frail elderly Medicare Advantage members to reduce preventable member utilization an...
CertifyOS
Automation, Workflow and IT Services
CertifyOS is a provider intelligence platform that delivers frictionless, API-first credentialing, licensing, enrollment, and network monitoring to pa...
Change Healthcare
Consulting
Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...
Chordline Health
Automation, Workflow and IT Services
Chordline Health is the leading provider of managed care workflow software designed to support health plans, TPAs, ACOs, and other risk bearing organi...
CiOX Health
Automation, Workflow and IT Services
Ciox’s leading clinical data platform leverages the industry’s most extensive clinical data network, data orchestration engine and data intelligence l...
CirclesX
Automation, Workflow and IT Services
CirclesX, with over 170 patents, is the first in the Medicare Secondary Payer (MSP) recovery industry to leverage patented technologies harnessing IoT...
CitiusTech Inc
Automation, Workflow and IT Services
CitiusTech (www.citiustech.com) is a leading provider of healthcare technology services, solutions and platforms, with strong presence in the payer, p...
ClaimLogiq
Automation, Workflow and IT Services
ClaimLogiq® is a healthcare technology company that delivers an innovative and proactive approach to both payment integrity and risk adjustment. We cr...
ClarisHealth
Automation, Workflow and IT Services
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
Automation, Workflow and IT Services
Clarity Software Solutions, Inc. provides technology-driven healthcare engagement through multimodal communications. As an industry leader, Clarity as...
ClearHealth Strategies, LLC
Automation, Workflow and IT Services
- No Surprises Act turnkey program management
- Network-based Medicare pricing (contractual pricing)
- Rreference-based pricing (out-of-network)
- ...
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
Administrative Systems
Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...
Cognizant
Automation, Workflow and IT Services
Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...
Cohere Health
Automation, Workflow and IT Services
Cohere Health is a digital intelligence company that’s transforming utilization management (UM) by aligning physicians and health plans on evidence-ba...
Collective Health
Administrative Systems
Collective Health provides an integrated third-party administration and navigation solution that delivers a truly engaging health benefits for your pe...
Collective Medical
Collective, a PointClickCare company, helps care teams collaborate to support their most vulnerable patients — those whose needs cannot be met in any ...
ConnectureDRX
Automation, Workflow and IT Services
For more than 20 years, ConnectureDRX has been developing innovative and compliant Medicare shopping/enrollment and drug transparency technologies, un...
Convey Health Solutions
Automation, Workflow and IT Services
Convey Health Solutions (“Convey”) is a specialized healthcare technology and services company committed to providing clients with healthcare-specific...
Cotiviti, Inc.
Enterprise Data
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the q...
Cricket Health
Utilization/Care/Disease Management
Cricket Health is a comprehensive kidney care provider with a personalized, evidence-based, and value-based approach to managing chronic kidney diseas...
CrossBridge Health
Utilization/Care/Disease Management
CrossBridge has re-envisioned how to deliver the comprehensive care patients dealing with chronic inflammatory/autoimmune conditions deserve. Demand ...
Curation Health
Automation, Workflow and IT Services
Curation Health helps providers and health plans navigate and scale from fee-for-service to value-based care. Our advanced clinical decision support p...
Curatus LLC
Automation, Workflow and IT Services
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
Consulting
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
Automation, Workflow and IT Services
Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...
Deft Research
Marketing/Member Materials
Deft Research is a market research firm with deep expertise in the health insurance industry. We blend primary research with data from our syndicated ...
Delta Dental Plans Association
Core System
Delta Dental Plans Association is comprised of a network of 39 independent Delta Dental companies operating in all 50 states, Puerto Rico, and other U...
Diagnostic Robotics
Enterprise Data
Diagnostic Robotics works with health plans to support their Population Health efforts. In addition, we help you to predict Risk within your Populatio...
Discovery Health Partners
Administrative Systems
Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...
Diversity Crew
Consulting
Diversity Crew is a consortium made up of equal partners focusing on diversity and inclusion. Our role at Diversity Crew is to create equity for an in...
Dominion National - Private-Label Dental & Vision
Reinsurance
Dominion National is a national administrator of Private-Label dental and vision programs. Our CORE expertise is partnering with Blues plans, health ...
Easy Health Medical Solutions
Utilization/Care/Disease Management
We partner with leading health plans and provider groups to deliver a broad array of enrollment and assessment services to members that improve healt...
ELLKAY
Automation, Workflow and IT Services
As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 20 years. Proudly known in the healthcare indust...
Emergent Business
Consulting
For more than 30 years I’ve been adapting sales organizations to compete successfully in highly competitive markets.
As an experienced VP of Sales...
Emids Technologies
Consulting
Founded in 1999 and based in Nashville, Emids provides global digital transformation solutions across the healthcare ecosystem, providing tailored, cu...
emocha Health
Automation, Workflow and IT Services
emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...
Employee Benefits Corporation
Automation, Workflow and IT Services
At Employee Benefits Corporation, we provide a world-class customer experience and pride ourselves on our reputation as a service-oriented and technol...
Endear Health
Automation, Workflow and IT Services
Endear is an API-connected, white labeled platform that empowers payors to deliver cutting-edge benefits and programs, without the associated technica...
eNeura, Inc., a wholly owned subsidiary of Aruene Corporation
Pharmacy
SAVI™ Dual Migraine Therapy, the First and Only Full Spectrum Migraine Therapy for Adults and Children (12 years of age and older)...
Engagent Health, LLC
Automation, Workflow and IT Services
We provide a flexible module based end to end solution for your sales administration. SeoTraxs encompasses agent onboarding, CRM, agent oversight an...
Engagys
Consulting
Engagys is the leading healthcare consumer engagement consulting and research firm....
Episource
Automation, Workflow and IT Services
Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart r...
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...
Evensun Consulting
Consulting
Evensun Consulting is a boutique consulting firm focused on the Affordable Care Act Individual Marketplace strategy and operations. In addition to con...
eviCore healthcare
Administrative Systems
eviCore healthcare (eviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing the safe...
Evolent Health
Claims
Evolent Health Services provides modern administrative and clinical capabilities along with managed services to health plans and risk-bearing organiza...
EyeMed Vision Care
Utilization/Care/Disease Management
Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...
Finity, Inc.
Automation, Workflow and IT Services
Finity is a mission-focused health technology and services company. Our health intelligence engagement solutions are designed to empower members to ma...
First Dollar
Automation, Workflow and IT Services
First Health Network
Administrative Systems
For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...
Flume Health
Automation, Workflow and IT Services
Flume Health started as a tech-forward TPA and has evolved into a full scale technology platform that allows our clients to build and launch customize...
Foodsmart
Administrative Systems
We are the world’s largest telenutrition and foodcare solution, backed by a national network of Registered Dietitians and designed to yield consistent...
Frier Levitt, LLC
Administrative Systems
Frier Levitt, established in 2000, is a national boutique law firm focused exclusively on Healthcare and Life Sciences. The Firm draws on its experie...
Furst Group
Administrative Systems
Talent needs are not episodic or transactional. One part truly does affect the whole. Furst Group and NuBrick Partners, both companies of MPI, have de...
GA Foods
Administrative Systems
Headquartered in St. Petersburg, Fla., GA Foods has been preparing and delivering meals since 1973. We are the most trusted and experienced national m...
Gibson Consultants
Administrative Systems
Gibson Consultants is an executive search firm founded by former health plan veterans. Its national client base includes health plans, hospitals, and ...
Gradient AI
Automation, Workflow and IT Services
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
Core System
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
Administrative Systems
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 e-Commerce
Administrative Systems
At Health-E Commerce, we believe in untangling and simplifying the health and wellness benefits marketplace so our partners can reach the 100+ million...
Health Fidelity, an Edifecs Company
Automation, Workflow and IT Services
Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...
Health Intelligence Company
Enterprise Data
Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...
healthAlign
Automation, Workflow and IT Services
healthAlign, now owned by The Helper Bees, is a leading platform that connects health plan members to the care and support services needed to enable i...
HealthBridge Financial
Claims
HealthBridge Financial, Inc. offers a first-of-its-kind financial security solution to help members bridge the gap between the cost of their portion o...
Healthcare Fraud Shield
Automation, Workflow and IT Services
Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...
Healthcare Information Management
Administrative Systems
Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...
HealthCorum, Inc.
Enterprise Data
HealthCorum is a health data analytics company on a mission to impact wasteful health spending. With roughly 30% of all health spend being of low-valu...
HealthEdge
Automation, Workflow and IT Services
HealthEdge is the digital foundation enabling next-gen health plans to provide a transparent and consumer-centric experience at lower cost, higher qua...
HealthEquity
Administrative Systems
Health savings account (HSA) account management and advisors, and employer benefit cost management. HealthEquity offers a complete line of integrated ...
HealthExecWire (formerly MCOL)
Administrative Systems
MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, videos, training software, resour...
HealthHelp
Utilization/Care/Disease Management
HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-bas...
Healthmine
Automation, Workflow and IT Services
Healthmine is the industry’s leading quality improvement solution focused on empowering people to take the right actions to improve their health. We b...
HealthScape Advisors, LLC
Consulting
HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.
HealthScape Advisors’ offers a bro...
HealthSparq
Automation, Workflow and IT Services
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
Automation, Workflow and IT Services
HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...
HGS Healthcare
A global leader in business process management and member/patient experience, HGS Healthcare combines technology-powered services with decades of Heal...
HighRoads
Automation, Workflow and IT Services
HighRoads is a provider of sales-enabling product data management solutions. Our platform, P2A, is a purpose-built solution that automates complex pro...
HolaDoctor Inc
Marketing/Member Materials
HolaDoctor offers Hispanic and multicultural engagement, retention solutions, and provides content for health plans. Our turn-key solutions is compris...
hunterAI
Enterprise Data
Group Purchasing Organization for IT and Sourcing Data Transparency Platform
GPO HEALTH has created the first near-real-time* (NRT) platform that br...
Icario
Administrative Systems
Icario is a health action platform that unites pioneering technology, data science, and behavioral insights to connect everyone to better health. Icar...
InComm Healthcare
Automation, Workflow and IT Services
InComm Healthcare is the leader in innovative payment platforms and restricted-spend capabilities. Our proprietary OTC network currently consists of 6...
InfoMC
Utilization/Care/Disease Management
InfoMC is a technology solutions provider offering a cloud-based medical management platform for managing vulnerable, at-risk populations with complex...
InfoMC Inc.
Automation, Workflow and IT Services
InfoMC is a leading providers of cloud-based integrated healthcare management and care coordination software. It’s Incedo™ Healthcare Management Plat...
Inovaare Corporation
Automation, Workflow and IT Services
Inovaare transforms complex compliance processes by designing configurable solutions so healthcare organizations can collect real-time data across int...
Inovalon, Inc
Automation, Workflow and IT Services
Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the ...
Insightin Health
Automation, Workflow and IT Services
Our cloud-based platform, inGAGE™, eliminates healthcare data silos to enable payers to deliver a highly satisfying, consumer-centric healthcare exper...
Insignia Health
Administrative Systems
Insignia Health empowers healthcare organizations and health professionals around the world to assess patient activation and develop strategies for ef...
Integrity Advantage
Consulting
Integrity Advantage provides niche expertise and services that are laser focused on combating healthcare fraud, waste and abuse (FWA). Our team of su...
iRhythm Technologies, Inc.
Utilization/Care/Disease Management
iRhythm is a CMS certified Independent Diagnostic Testing Facility (“IDTF”) digital healthcare company re-defining the way cardiac arrhythmias are cli...
Itiliti Health
Utilization/Care/Disease Management
Itiliti Health is on a mission to streamline prior authorizations using medical policy transparency and AI to deliver widely available, automated prio...
J29 Associates
Optimization. You know what you want, and you know what you have. And – you don’t know what you don’t know. With J29, we’ll help you boost your capabi...
Lark Health
Automation, Workflow and IT Services
Lark is the world's largest A.I. healthcare provider, having served nearly 2 million patients suffering from or at risk of chronic and behavioral heal...
Leadership Guidance Group
Consulting
Leadership Guidance Group is founded on best practices developed over 25 years serving clients and candidates. We are a retained executive search firm...
LifeBalance Program
Administrative Systems
Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...
LifeDojo
Utilization/Care/Disease Management
LifeDojo, powered by Ontrak Health, is an evidence-based well-being solution that delivers results. We partner with employers to help create a happier...
MacroHealth
Automation, Workflow and IT Services
MacroHealth makes purchasing and selling healthcare services simple and powerful. Through our innovative MacroHealth Intelligent Exchange (MIX) platfo...
Magnum Actuarial Group
Consulting
Specialized Actuarial Consulting services, specializing in our MagnaFund product, a turn key solution for health plans to enter the Self-Funded market...
MC-Rx
Claims
MC-Rx is a full-service Pharmacy Benefits Manager (PBM), offering innovative quality programs with straightforward pricing. We provide state-of-the a...
McCormack Consultants, Inc.
Consulting
McCormack Consultants provides client with deep experience in system implementations and data integrations across the Healthcare Industry....
MDFlow System
Automation, Workflow and IT Services
MDFlow Systems is a premier Healthcare Information Technology (HIT) company whose products and solutions help healthcare providers and payers work mor...
Med-Kick
Utilization/Care/Disease Management
Remote Patient Monitoring (RPM) and Chronic Care Management Services (CCM)
As well as other care management services like Principal Care Management(P...
MedeAnalytics, Inc
Enterprise Data
Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...
Medecision
Automation, Workflow and IT Services
Medecision® is an integrated health analytics and software company, whose solutions and services are used today by 85+ leading health plans and care d...
Medefy Health
Portals/Other UI
Medefy helps employers revolutionize their benefits offerings by empowering health plan members to find and use their health benefits - right when the...
MedEncentive
Automation, Workflow and IT Services
MedEncentive is a health-improvement, cost-containment service for employers, insurers, and governments. The Company’s web-based and mobile-enabled Mu...
Medical Risk Managers, Inc.
Administrative Systems
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...
MedInsight, a Milliman company
Enterprise Data
Milliman MedInsight® stands at the forefront of the healthcare industry as one of the most comprehensive and sophisticated analytics and data platform...
MedReview
Utilization/Care/Disease Management
MedReview is an independent auditor of healthcare claims and we correct those claims to fairly represent the care that was provided, saving our client...
Meru Health
Utilization/Care/Disease Management
Meru Health is a comprehensive mental health solution providing support and care around stress, resiliency, depression, anxiety, and burnout. Meru hel...
Messagepoint
Automation, Workflow and IT Services
The Healthcare Touchpoint Exchange is purpose-built to streamline the creation and annual updates to your CMS compliance materials including Annual No...
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...
Mindstrong Health
Utilization/Care/Disease Management
Mindstrong is a virtual mental health care platform that helps health plans reduce total-cost-of-care and members improve outcomes.
We specializes ...
Mindtree
Automation, Workflow and IT Services
Mindtree is a global technology consulting and services company, helping enterprises marry scale with agility to achieve competitive advantage. “Born ...
Mineral
Administrative Systems
There’s something new happening in the health insurance market. It’s a deliberate, strategic effort to connect employee health with organizational hea...
ModivCare Solutions, LLC
Administrative Systems
ModivCare makes connections to care that are essential in helping people live life in their best health. As the leading non-emergency medical transpor...
Monument
Utilization/Care/Disease Management
Monument is a telehealth platform for those looking to change their relationship with alcohol. We offer peer support through community offering, and o...
Morgan Consulting Resources, Inc.
Administrative Systems
Morgan Consulting Resources is a nationally retained executive search firm with over twenty five years of experience filling executive roles at health...
Moxe Health
Automation, Workflow and IT Services
Moxe helps health plans acquire, harmonize, and use clinical and administrative data.
Our clinical data retrieval platform fully integrates with E...
mPulse Mobile
Automation, Workflow and IT Services
mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by eng...
MPX
Automation, Workflow and IT Services
Healthcare payer fulfillment services for all print and digital communications, outbound and inbound, completely managed by one platform, one team: E...
MSP Recovery Associates, LLC
Administrative Systems
MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...
MTM, Inc
Administrative Systems
MultiPlan
Administrative Systems
MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...
NationsBenefits
Administrative Systems
NationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions a...
New Century Health
Automation, Workflow and IT Services
New Century Health is the nation's leading specialty care management company, with special focus on cancer and cardiology patients. New Century Health...
NICE
Automation, Workflow and IT Services
With NICE (Nasdaq: NICE), it’s never been easier for organizations of all sizes around the globe to create extraordinary customer experiences while me...
nirvanaHealth
Automation, Workflow and IT Services
nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that leverages their robotic process automation (RPA) cloud ...
Nokomis
Claims
NOKOMIS: Experts in Claim Accountability
At the core of Nokomis is Claim Accountability, a holistic approach to claim submission review that combin...
Nossaman LLP
Consulting
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
Administrative Systems
NourishedRx provides highly personalized food solutions for health plan and providers' most vulnerable members -- those facing nutritionally sensitive...
Nymbl Science
Automation, Workflow and IT Services
Healthcare as become great at identifying risk for older adults, but not at listening to what the older adult actually needs. Nymbl is a digital, evid...
OM1, Inc.
Automation, Workflow and IT Services
OM1 is a leading health outcomes and registries company focused on the measurement, comparison, and prediction of treatment outcomes. Leveraging big d...
Omada Health, Inc.
Population Health
Omada is the virtual-first provider that improves population health through sustained behavior change. We tackle the most pervasive conditions at scal...
Onduo LLC
Utilization/Care/Disease Management
At Onduo, we are dedicated to making “healthy” easier and more accessible. We understand that only through sustained behavior change can people achiev...
Online Insight
Automation, Workflow and IT Services
Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...
Ontrak Health
Utilization/Care/Disease Management
Ontrak Health is a leading AI-driven healthcare company that finds and engages hard-to-reach populations with unaddressed behavioral health issues and...
Optum
Enterprise Data
At Optum, we are a leading health services innovation company dedicated to helping make the health system work better for everyone. We create simple, ...
Papa, Inc.
Automation, Workflow and IT Services
Papa is a family on-demand service providing assistance and companionship to older adults and families across the United States with a curated network...
Pareto Intelligence
Enterprise Data
Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...
Payer Compass
Automation, Workflow and IT Services
Payer Compass is an innovator in healthcare cost control. We’re helping health plans minimize overall spend on claim pricing, administration and proc...
PayMedix
Financial Operations
PayMedix is an innovative healthcare payment platform dedicated to solving the serious problem of high out-of-pocket costs for everyone: providers, al...
Picwell, Inc.
Enterprise Data
Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...
Porter
Automation, Workflow and IT Services
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
Enterprise Data
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 ...
PRIVAXI
Automation, Workflow and IT Services
Privaxi is a Managed Cyber Security and Compliance Provider. We are a HITRUST/HIPAA Readiness/Remediation Assessor and provide organizations assistanc...
Prognos Health
Enterprise Data
Prognos Health is an AI platform company focused on predicting the trajectory of disease to drive decisions earlier in the patient journey for payers,...
ProviderTrust, Inc.
Automation, Workflow and IT Services
ProviderTrust is a data & software solutions company based in Nashville, TN. We partner with health plans, hospitals, and health systems to eliminate ...
Provista LLC
Administrative Systems
The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...
Pyx Health
Automation, Workflow and IT Services
Pyx Health is a mobile, scalable platform built to address loneliness and social isolation for vulnerable populations through technology, by providing...
Quest Analytics
Enterprise Data
Quest Analytics is the software platform trusted by the nation’s health plans and regulators to manage, measure and monitor health plan network perfor...
RazorMetrics
Pharmacy
RazorMetrics is an innovative, SaaS-based platform that lowers drug spend for health plans and self-insured employers. We use a unique, physician-firs...
RBS Re (an HM Insurance Group company)
Reinsurance
HM Insurance Group offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, services and solutions wor...
Real Time Medical Systems
Enterprise Data
Real Time Medical Systems is the industry-leading Interventional Analytics platform that provides Health Plans and Payers with post-acute interoperabi...
Rebellis Group, LLC
Consulting
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...
Reeder & Associates
Consulting
Founded in 1996, Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior exec...
Reema Health Inc
Automation, Workflow and IT Services
Reema is a mix of a tech platform to engage members and an in person community guide, all aimed at meeting social needs for Medicaid, Medicare, and Du...
Reveleer
Automation, Workflow and IT Services
Reveleer is revolutionizing the health plan industry with the only end-to-end, cloud-based SaaS, AI-driven workflow solution enabling healthcare organ...
Rialtic
Automation, Workflow and IT Services
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
Supplemental Benefits
Roundtrip is the leading digital transportation benefit manager for better health outcomes. We provide a simple, comprehensive member ride ordering so...
Rx Savings Solutions
Pharmacy
Founded by a pharmacist, Rx Savings Solutions helps people and payers reduce prescription drug costs through a combination of clinical technology, tra...
RxAnte
Automation, Workflow and IT Services
RxAnte is a leading predictive analytics and clinical services company located in Portland, Maine, and Washington, D.C., dedicated to improving medica...
RxSense
Automation, Workflow and IT Services
RxSense is a pharmacy technology company with an advanced pharmacy benefit platform, RxAgile®, working in concert with integrated analytics, RxIQ®. Wi...