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Advantmed is a healthcare solutions company dedicated to helping health plans, provider groups, and risk-bearing entities optimize revenue and improve quality outcomes. We achieve industry leading results through a suite of integrated prospective and retrospective solutions that support Medicare, Commercial, and Medicaid populations. Our solutions include:
• Health Assessments (virtual and in-home)
• Risk Adjustment Analytics
• Medical Record Retrieval
• Risk Adjustment Coding
• Second Level Coding Review
• Claims and Data Validation
• Clinical Abstraction
• NCQA-certified HEDIS measure software (certified since 2007)
• Provider Portal
For more information, visit www.advantmed.com or email marketing@advantmed.com.

Apixio is advancing healthcare with data-driven intelligence and analytics. Our artificial intelligence platform for value-based care gives organizations across the healthcare spectrum the power to mine clinical information at scale, creating novel insights that will change the way healthcare is measured, care is delivered, and discoveries are made. Learn more at apixio.com.

Biomedix features a range of diagnostic device technologies designed for point-of-care testing for prospective risk assessments and closing HEDIS measures. All technologies automatically sync results to a web-based population health management tool called Biomedix Xchange.

Our portfolio of diagnostic capabilities include:
1. Peripheral Artery Disease detection with our PADnet Xpress
2. Diabetic retinopathy screening with the IRIS platform
3. Osteoporosis screening with the BeamMed MiniOmni
4. Peripheral neuropathy detection with the NeuroMetrix DPNCheck
5. COPD detection with ndd Medical
6. Depression screening
7. Screening for personality disorder
8. Fall risk assessments
9. Social Determinants of Health assessments

Leveraging a history of more than 1 million peripheral vascular disease tests and artificial intelligence technology, we offer PADnet Xpress, the fastest and most accurate way to diagnose peripheral vascular disease. For more information, visit biomedix.com.

Ciox Health facilitates and manages the movement of health information with the industry’s broadest provider network. Through our expertise in release of information, record retrieval, and HIM, we improve the management and exchange of health information by modernizing workflows, facilitating access to clinical data, and improving the accuracy and flow of health information.

Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart reviews, in-home assessments, EDPS submissions and quality reporting, we empower some of the most recognizable names in healthcare. With elegantly simple solutions, Episource helps payers navigate the chaos of the healthcare system to simplify healthcare.

Signify Health is a leading healthcare platform that leverages advanced analytics, technology, and nationwide healthcare provider networks to create and power value-based payment programs. Our mission is to transform how care is paid for and delivered so that people can enjoy more healthy, happy days at home. Our solutions support value-based payment programs by aligning financial incentives around outcomes, providing tools to health plans and healthcare organizations designed to assess and manage risk and identify actionable opportunities for improved patient outcomes, coordination and cost-savings. Through our platform, we coordinate what we believe is a holistic suite of clinical, social, and behavioral services to address an individual’s healthcare needs and prevent adverse events that drive excess cost, all while shifting services towards the home. For more information on how we are taking health homeward, visit us at signifyhealth.com 

Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale. The Veradigm Network features a dynamic community of solutions and partners providing advanced insights, technology, and data-driven solutions, all working together to transform healthcare insightfully. For more information on Veradigm, visit http://www.veradigm.com, or find Veradigm on LinkedIn, Facebook, Twitter, and YouTube.

Founded in 2015, Vim connects external data to existing workflows directly in provider EHRs at health care’s “last mile”: within clinical operations at the point of patient care. Vim Connect is the company’s flagship technology and is a scalable in-EHR provider enablement platform that powers value-based care models and reduces administrative burden for physicians and care teams. As a point-of-care connection platform, Vim Connect takes in data from payers, provider aggregators, partners, and other sources, connects that data directly to existing provider EHR workflows, and then uses that data to automate previously manual tasks. Health plans, provider aggregators, and medical providers of every size – from independent practitioners to integrated delivery systems – use Vim software to connect data and care across the health system. Vim's proprietary integration engine has dramatically simpler and faster implementations, includes full read-write capabilities, and works on top of any EHR. Learn more at getvim.com.

Centauri Health Solutions is a risk adjustment, quality, and eligibility enrollment and billing solutions healthcare services company serving the government payor space. Centauri’s suite of products includes a comprehensive technology platform operating workflow of reporting and business intelligence software designed for efficient data integration and analytics.

As a leading provider of technology-enabled analytics and services, Centauri helps health plans to manage their variable revenue linked to population health, quality, and eligibility factors. We help clients optimize revenue cycle management, while helping their members realize quality-of-life improvements.

We possess specialized expertise in sophisticated hosted software solutions, data driven services and data management capabilities specifically for quality-based revenue and risk adjustment programs. These efforts result directly in better-informed health care delivery, richer benefits and reduced out-of-pocket healthcare costs.

Centauri boasts one of the few HEDIS programs in the nation that has been continuously certified by NCQA since 2006. Both our Medicare Advantage and Medicaid health plan eligibility/enrollment program infrastructure and our Risk Adjustment and Quality software and service platform have earned HITRUST Certified status for information security, demonstrating that we have met key regulations and industry-defined requirements and are appropriately managing risk.

With nearly 35 years of experience helping members enroll in government-funded assistance programs, we understand that your members’ health extends beyond their medical care. That’s why our Social Determinants of Health program proactively pinpoints gaps in resources and connects members with health-enhancing programs in their communities.

Centauri is charting a new path in healthcare with power to solve and passion to serve.

DataLink Software is a leading healthcare technology company dedicated to empowering better health. Grounded in more than 20 years of experience, DataLink develops integrated solutions that deliver actionable data insights, automated workflows, and advanced interoperability. This streamlined delivery of value-based care improves quality performance, optimizes risk accuracy, and reduces costs. DataLink is rated a Top 10 Population Health Management Solution Provider by Medhealth Outlook. For more information, visit www.datalinksoftware.com.

ECLAT Health Solutions, Inc. (ECLAT) partners with some of the country's largest health systems and government payers. Our Business Processing Outsourcing (BPO) and technology solutions provide revenue intelligence that enables our clients to reduce costs and improve revenue recognition and cash flow. Our ability to improve clients' outcomes through flexible, scalable services and technologies sets ECLAT apart from our competitors. ECLAT is a U.S. private-equity company with offices in the US and internationally.

FarmboxRx is an engagement and technology platform that breaks down barriers to health equity through nutrition and health literacy. With a focus on addressing the root cause of healthcare inequities, FarmboxRx delivers proactive and preventative interventions through high-tech, high-touch programs. Their customizable member engagement programs support sustainable, scalable, and long-lasting quality outcomes through nutritious foods for Healthcare Organizations nationwide. Visit hello.farmboxrx.com to learn more.

Inovalon is a leading provider of cloud-based software solutions empowering data-driven healthcare. The Inovalon ONE® Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved clinical outcomes and economics across the healthcare ecosystem. The company’s analytics and capabilities are used by more than 20,000 customers and are informed by the primary source data of more than 71 billion medical events across one million physicians, 622,000 clinical settings, and 359 million unique patients. For more information, visit www.inovalon.com.

Matrix Medical Network has provided expert care and health services to millions of at-risk individuals where they live for more than 20 years. The organization’s network of approximately 4,000 clinicians meets individuals wherever they are to assess their health and safety, identify and close care gaps, and offer life-changing services that activate them to manage their own health. These options, and our advanced engagement approach, helps health plans manage risks, close care gaps and connect members to more options for the care and support they need. Matrix is headquartered in Scottsdale, AZ, and partners with leading health plans and providers across the country.  For more information, please visit MatrixMedicalNetwork.com

Welcome to the intersection of healthcare, technology, and compassion.

With our team’s extensive experience in healthcare management, MeaeCare’s nationwide network of doctors and nurses stand ready to be there for you. With the support of our AI-driven, proprietary data-gathering tools, our highly qualified team of clinicians can be your advocate to becoming an active participant in your healthcare.

Our goal is simple: optimize the quality of care you receive, therefore improving outcomes, mitigating risk, and completing quality healthcare measures.

Moxe connects the healthcare ecosystem with high quality, meaningful data to drive better outcomes. Compatible with the leading EHRs, our API-first approach revolutionizes the secure exchange of precise and privacy-minded data and insights to support payment and operations. Moxe solutions support risk adjustment, quality improvement, payment integrity, revenue cycle management, care management, and more. www.moxehealth.com

Pareto Intelligence is an analytics and technology solutions company that supports healthcare plans and providers with revenue, cost, quality, and risk adjustment payment models. Pareto was forged to help our clients navigate the most dynamic and critical times in healthcare, and we continue to bring innovative solutions to meet unmet market needs. Pareto acts as a trusted partner, helping clients make key decisions with big data analytics, easy-to-use technology, and expert advisory support. Our award winning suite of technology solutions and services help our clients harness the power of data science and develop actionable insights. We show you what to do with the insights you've acquired and give you direction for tomorrow. Pareto Intelligence was launched by HealthScape Advisors, a management consulting firm with decades of experience in the business of healthcare.

PointClickCare is a leading healthcare technology platform enabling meaningful collaboration and access to real‐time insights at every stage of the patient healthcare journey. More than 27,000 long‐term and post‐acute care providers, over 3,100 hospitals and health systems, 2,200 ambulatory clinics, every major U.S. health plan across the U.S, and over 70 state and Government agencies use PointClickCare, enabling care collaboration and value‐based care delivery for millions across North America.

We combine the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. For more information, visit www.helloporter.com.

ReferWell is a New York-area digital health company that leverages the referable momentSM — the point in time when a person is most ready to take action to improve their health — to improve access to care, increase health plans’ quality performance and reduce the total cost of care while improving the members’ experience and outcomes. ReferWell’s intuitive technology platform and skilled service team helps health plans and providers manage value and help more people get on, and stay on, their healthcare journey by providing an optimized provider search, making it easy to schedule appointments at the point of care to increase patient compliance, and providing a service component to ensure providers close the loop regardless of the EMR they use. 

Reveleer, a healthcare software and services company, uses Machine Learning and Intelligent Automation technology to empower health plans control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, Reveleer allows plans to independently execute and manage provider outreach and data retrieval, coding, abstraction, member management, and reporting. Reveleer leverages proprietary technology, robust data sets, and subject matter expertise, so health plans can execute programs that deliver value and improved outcomes.

Semler Scientific’s mission is to develop, manufacture and market innovative products and services that assist our customers in evaluating and treating chronic diseases. The QuantaFlo® 5 is easy to use, accurate, point of care, non-invasive solution for patients at risk for Peripheral Vascular Disease (PAD) and Cardiovascular Disease (HD).

QuantaFlo PAD aids in early detection of Peripheral Arterial Disease (PAD). As published in the Journal of Vascular Surgery and the American Journal of Preventative Medicine, QuantaFlo detected undiagnosed PAD in 31.6% of patients 65 years and over.

QuantaFlo HD, aids in the early detection of “hemodynamically significant” cardiovascular disease. As published in the Journal of Preventive Medicine, QuantaFlo showed a statistically significant correlation with cardiac echocardiography, which is a gold standard for diagnosing heart failure.

Semler has a suite of solutions that wholly integrate our technologies with our customers’ clinical and operational networks: SemlerConnect™, SemlerShield ™, SemlerVault™, SemlerSimulation™, SemlerAnalytics™ and SemlerHub™.

In both cases, QuantaFlo 5 supports stratification of patient care allowing for further cardiovascular risk management.

Note: QuantaFlo is the product name, ‘5’ is the software version, ‘PAD’ and ‘HD’ are applications.

Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success. For more information, visit arcadia.io.

ATTAC Consulting Group’s risk adjustment experts provide operational excellence and program improvement. We support plans, provider organizations and vendors for Medicare Advantage, commercial ACA, Medicaid and ACO risk adjustment programs. Our team provides a comprehensive range of consulting, advisory and auditing services, including program assessments, overpayments compliance and payment accuracy review and HHS-RADV initial validation auditing. Talk with us about how we can help you implement effective and compliant risk adjustment programs.  

Carenet Health is a leading provider of on-demand healthcare engagement, clinical support, telehealth and health advocacy solutions that help our clients increase revenue, lower costs and improve the member experience. Our proprietary, data-driven Intelligent Engagement™ approach historically outperforms other efforts by 20% to 30%, including initiatives that close gaps in care. Our outstanding member services and clinical teams support millions of Medicare lives in all 50 states—building trust and ensuring the highest levels of satisfaction. Learn more at carenethealth.com.

Cognisight has been partnering with healthcare payers and providers to deliver high quality risk adjustment solutions since 2006. With more than 100 clients in over 40 states, we continue to lead the industry through collaboration, quality, and transparency with a strong focus on providing unparalleled service. Whether you’re looking for a full-service partner or a single solution, Cognisight is a risk adjustment partner you can trust. (877) 271-1657 | Cognisight.com | info@Cognisight.com

Cognizant (Nasdaq-100: CTSH) engineers modern businesses.  We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world.  Together, we’re improving everyday life. See how at www.cognizant.com at @cognizant.  Cognizant’s TriZetto Healthcare Products are software solutions that help organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care, and improve the member and patient experience.  Visit www.cognizant.com/trizetto and follow us on LinkedIn.  

Cozeva is the operating system for value-based healthcare and powers the transition toward a value-based ecosystem for quality, risk, and cost performance. As a cloud-based solution for ACOs, IPAs, payers, providers, and patients, Cozeva aggregates and transforms multiple data streams into actionable analytics and registry driven dashboards in real-time. Cozeva supports multiple stakeholders as they work together to fulfill their goals for HEDIS, AMP, HCC, Stars, MACRA, ACO, APMs, and Care Management. For more information or to request a demo please contact info@cozeva.com.

With over 30 years of industry experience, Datafied is your market leading, one-stop health and data services partner. The DataHub.ai platform combines decades of medical record retrieval experience with artificial intelligence to connect, convert and deliver patient information seamlessly into modern, digital health systems. We take great pride in our speed of response, technical capabilities, highly flexible approach and overriding ‘can do’ attitude. Be satisfied with Datafied.

Edifecs is a premier technology company in the US Healthcare market with solutions focused on interoperability, workflows, value-based care payments, and risk adjustment analytics. With innovative technology and solutions, Edifecs helps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of meeting various regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem. Edifecs is a frontrunner in bringing new technology for B2B data exchange in healthcare streamlining business processes from “card to care,” and reducing the industry burden associated with data provisioning at the points of enrollment, care, payment, and risk adjustment. With the advent of FHIR and new regulatory guidance from HHS, Edifecs has emerged as a leader in easing the effort associated with achieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia; San Francisco, California; Pittsburg, Pennsylvania; and Mohali, India; engineering centers in Moldova, Belarus, and Ukraine, and has more than 1,000 employees.

FinThrive rethinks revenue management to advance the healthcare economy. We pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically.

FinThrive creates integrated technology that adapts with healthcare professionals – freeing them from complexity and inefficiency – so they can focus on doing their best work. Our end-to-end revenue management platform provides financial teams and stakeholders with greater reliability and control to deliver better outcomes for everyone. That’s healthcare finance done right.

Want to improve Risk Adjustment coding speed and accuracy, minimize risk of coding errors, and boost productivity and efficiency? Consider HCC Coder™ - the only software available for Risk Adjustment coding that was built from the ground up by medical coders, for medical coders. HCC Coder boosts productivity and efficiency using an interface that is intuitive; one that has been refined to move step-by-step along with your coding/auditing process. It’s packed with all of the content you need and eliminates everything else. You won’t have to wade through irrelevant information to find the Hierarchical Condition Category codes most relevant to your work.

Healthmine is a technology-enabled member engagement and rewards company. We build personalized, ongoing engagement strategies for health plans in all lines of business that drive healthy action through incentives and rewards, enhance member experience, and improve outcomes. Our all-in-one solution includes:

• Member Engagement: Motivate members to manage their health using data-driven, omnichannel outreach paired with relevant rewards via the member’s preferred contact method.
• Member Experience: Monitor member satisfaction through digital surveys (e.g., Mock CAHPS, NPS©, pulse surveys) and address feedback in real time to improve quality measures.
• Digital HRA: Maximize HRA compliance, uncover risk and identify disparities in your population through self-attestation with quick and efficient digital HRAs.

Healthmine clients get immediate, actionable insights into the success of member engagement and satisfaction initiatives, as well as the priority areas to improve quality measures and Star Ratings. Connect with Healthmine on LinkedIn and learn more at https://www.healthmine.com/

We deliver actionable, data-driven insights that enable healthcare payers and providers to lead fact-based, knowledge-focused operations to manage members effectively while providing a better experience

N1 Health is the applied AI platform that drives measurable business results for healthcare organizations. We combine consumer data, predictive models, and cloud-native technology to create a holistic picture of every individual to generate meaningful predictions that enable precision in your outreach and interventions. Our experienced Data Science and Customer Experience Teams then transform these predictions into actions that improve your members’ health outcomes and drive your financial performance. Visit www.n1health.com for more information.

SWDS delivers a complete and compliant medical record documentation integrity program to deliver accurate risk reimbursement and quality measures. With our dedicated care coordination team and high-touch provider engagement model, SWDS aligns clinical coding and documentation integrity with care coordination best practices to achieve accurate risk adjustment capture and improve adherence to quality measures.

With no technical integration necessary, you have no downtime and no disruptions. Also, SWDS services can be 100% white-labeled for a seamless patient experience.

Socially Determined® is the healthcare analytics company that provides Social Risk Intelligence™ and solutions to organizations committed to effectively addressing the Social Determinants of Health. The company is anchored in deep healthcare and technology expertise to give full visibility into where and how socioeconomic factors are impacting communities and people. Delivered through our HITRUST-certified platform, SocialScape® and team of experts, these unparalleled insights enable clients to drive strategic, measurable programs that create healthier communities, optimize business performance and advance health equity.

Soda Health provides Smart Benefits that connects people to products and services they need, when they need them, so they can live healthier lives. We close health equity gaps and lower the cost of healthcare by bridging the gap between the cost of living and living healthier. Beyond facilitating transactions, Soda Health understands each individual’s needs and connects people to the resources they need to live healthier lives. 

Vatica Health is the leading PCP-centric risk adjustment and quality of care solution for health plans and health systems. By pairing expert clinical teams with cutting-edge technology at the point of care, Vatica increases patient engagement and wellness, improves coding accuracy and completeness, facilitates the identification and closure of care gaps, and enhances communication and collaboration between providers and health plans. The company’s unique solution helps providers, health plans, and patients achieve better outcomes, together. Vatica Health is trusted by many of the leading health plans and thousands of providers nationwide. For more information, visit https://vaticahealth.com/

Wider Circle helps solve the last mile of healthcare by building neighborhood groups that empower members to motivate and support each other to get the care they need, when they need it, where they need it. Through technology and peer-to-peer engagement rooted in trust, Wider Circle restores the community support network essential to managing better health, improving social determinants of health, and providing a better member experience with lower healthcare costs.

Wolters Kluwer provides a suite of healthcare solutions that improve data quality and enable semantic interoperability. Our suite of solutions enable health plans, providers, and health IT vendors to derive actionable insights to effectively maximize reimbursement, manage risk, implement quality improvements, and engage with high-cost, at risk member populations.

The Data Quality Portfolio includes Health Language® Reference Data Management; Interoperability and Data Normalization; and Clinical Natural Language Processing (cNLP) solutions.

Ageless Innovation is committed to positively impacting the lives of older adults and their care partners through the power of play. Our Joy for All Companion Pets are life-like, animatronic pets which are uniquely designed to improve the quality of life of individuals with dementia, and those suffering from social isolation/loneliness. 15+ clinical studies have demonstrated our Companion Pets ability to provide psychosocial benefit—resulting in adoption by Medicare Advantage and Medicaid organizations alike.

Aidaly provides family caregivers with the support, training, and compensation they need to promote aging in place, impact health results, and reduce preventable hospitalizations. We help keep your members living in their homes and communities longer while filling a critical workforce need.

BeamMed is a developer and manufacturer of bone density assessment and monitoring solutions who has pioneered the early assessment of bone density, with the first – and still the only – devices that enable ultrasound-based, multi-site measurement for the early assessment and monitoring of osteoporosis.  BeamMed’s Sunlight product line overcame the cost and radiation exposure-related challenges of Dual X-ray Absorption technology (DXA).  As the only hand-held portable device, currently on the market, the MiniOmni offers high accuracy, small size, ease of use, reliability, excellent affordability, and radiation-free operation that can easily and safely be used in any doctor’s office, clinic, HMO, healthfairs, mobile medical vans, or retail venue such as pharmacies and checkup centers.  HMO plans and providers rely on MiniOmni to screen more patients more often, to Close The Gaps and improve HEDIS OMW quality measures and achieve 5 Stars Maximization.

Best Buy Health aims to enable care at home for everyone. Serving over one million people today, Best Buy Health support our customers with technology for their health journeys across the arc of their lives by focusing on three pillars: wellness at home, aging at home and care at home. Services include an extensive offering of consumer health and wellness products at Best Buy stores and BestBuy.com, independent living and emergency services for the aging population from Lively, and care-at-home programs from Current Health. 

Birdsong Hearing Benefits™, LLC serves as a third-party administrator who offers tremendous value to health plans, employer groups and unions in managing their Medicare Advantage and commercial hearing benefits.

Through listening to health plans, Birdsong has designed and built its hearing benefit products and services focused on the customer experience. We deliver a whole health approach that helps plans and groups improve the health of members and simplify their businesses.

Birdsong provides superior quality of hearing care by being a provider partner of choice to a nationwide hearing care network. Birdsong is easy to work with and provides members a variety of resources from a secure member portal to care navigation teams to proactively manage their hearing health. A plan or group who partners with Birdsong can gain valuable actionable insights with Birdsong’s enhanced technology stack.

Caption Health is the AI leader that provides heart ultrasound access for early disease detection – when there is the highest potential for impact. Our Caption Care services offer health providers, payers, and value-based care organizations convenient and cost-effective echos for their members, leveraging our Caption AI technology platform.

Careington is a responsive, solutions-driven company motivated by the people we serve. We are an established leader structured to design, develop and deliver industry-best products and services focused on individual health and well-being and characterized by affordability, integrity, transparency, simplicity and value. Our innovative solutions connect us to our clients, members, providers and producers - now and into the future.

Cecelia Health is a virtual-first provider organization delivering integrated care to patients across all chronic disease risk profiles. We address critical care gaps, reduce variability in care, and improve therapy adherence. Our virtual specialty care solution delivers the optimal mix of clinical interventions with digital touchpoints. We offer a comprehensive suite of disease management capabilities including remote clinical coaching, device training, remote patient monitoring, and telemedicine delivered via a national network of specialty providers.

Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As the nation’s largest provider of connected care solutions, we deliver a growing portfolio of innovative technologies and personal emergency response services dedicated to the health, safety and independence of America’s most vulnerable populations. Our easy-to-use solutions help bridge the gap between healthcare providers, individuals and their care partners while delivering earlier interventions, reduced hospitalizations and peace of mind for an estimated 10 million lives annually. Together, we are transforming healthcare delivery and redefining the global home healthcare market. 

Core Solution – Over the Counter Health Solutions (OTCHS) is a plan-funded supplemental program enabling convenient member access to benefits, such as over the counter (OTC) health and wellness products with no prescription required, healthy foods, transportation, incentives, etc.

FlexCard (Expanded Network) – The flex card simplifies the member experience by combining various supplemental benefits, such as eligible OTC items, healthy foods, and transportation. The flex card incorporates the member ID and the health plan’s logo onto a single card for use within a network of over 66k online/retail locations. Our Mobile App elevates the member experience by providing real time visibility to allowances for the various supplemental benefits categories defined by the health plans.

EPIC Hearing Healthcare (EPIC) offers hearing benefits with plans designed to deliver value, choice and a positive member experience.

When left untreated, hearing loss may contribute to other medical conditions, and potentially to the high cost of health care services (e.g. hospitalization). By offering a hearing benefit, both the health plan and members can achieve substantial savings.

With EPIC, members have access to routine hearing exams, nationwide support from 7,000+ network hearing providers, and custom-programmed hearing aids.

At FareRx we believe that Food Is Medicine.

FareRx is a wellness company that designs and builds nutrition benefits for health plans. Our programs deliver fresh and local foods, combined with our Member Hospitality team, to address key Social Determinants of Health (SDOH) that help your members feel cared for and more in control of their health. FareRx works with our partners to improvehealth outcomes, member satisfaction, andmember retention.

Fathom is the leader in autonomous medical coding, applying cutting-edge deep learning and natural language processing (NLP) to produce complete coding results for patient encounters with zero human intervention. We deliver the highest automation rates and the broadest specialty coverage. Our AI technology reduces costs, increases accuracy, and shortens turnaround times from days to hours. We carry out a risk-free proof of concept to demonstrate our coding quality before your organization ever pays us a dollar.

Fathom’s clients include leading health systems, physician groups, and revenue cycle management companies such as R1, ApolloMD, Brault, and Rad Partners. Following our $46M Series B in November 2022, we are backed by world-class investors including Lightspeed and Alkeon Capital as well as leading health systems and healthcare executives such as Cedars-Sinai, Vituity's Inflect Health, and Jonathan Bush.

Greater Good Health is a healthcare organization committed to expanding access to primary care by redefining holistic whole-person value-based care. In addition to developing its own comprehensive primary care clinics, Greater Good Health's innovative nurse practitioner centered clinical model provides solutions to help healthcare organizations manage complex patient populations. Focused on empowering NPs, the company provides NPs access to a broad digital community, an education portal, including the Greater Good Institute, technology tools to enhance scheduling, analytics, and point-of- care tools, as well wellness resources to help prevent burnout. For more information, visit www.greatergoodhealth.com.

Hallmark greeting cards are custom created for health plans and mailed to members throughout the year to help close gaps. Mailing a thoughtful Hallmark card with an informative insert to members at key times is proven to help increase quality scores for Stars, HEDIS®, CAHPS®, and HOS. Hallmark cards also improve NPS, Member Satisfaction, Loyalty and Retention. As the business-to-business unit of Hallmark Cards, Inc., Hallmark Business Connections leverages more than 110 years of Hallmark heritage, creativity and innovation in the business arena to provide meaningful, memorable and measurable solutions that strengthen customer relationships. For case studies and information about Hallmark’s health plan offerings, visit Business Solutions for Health Plans | Hallmark Business or email Joe.Dahlkemper@Hallmark.com.

HealthPrize helps members self-manage their health between care episodes to improve quality and lower costs. The web-accessed program keeps track of their medication regimen to improve adherence, delivers personalized education to increase health literacy and injects an element of gamified engagement to ensure daily participation is a delight. Having supported over 1.4 million members over 11 years, the HealthPrize consumer health engagement platform is proven to improve adherence by more than 44% and converted over 60% of previously nonadherent patients to adherent in conditions such as diabetes, hypertension, hyperlipidemia, asthma, COPD, and renal disease. In addition, the program captures weekly member surveys which are used to assess member sentiment. HealthPrize is a fully secure, HIPAA compliant and HITRUST CSF Certified technology solution based in Norwalk, Connecticut. Discover more at https://healthprize.com/for-payers/

Healthrageous is obsessed with making healthy lifestyles possible through convenient, delightful experiences. When members engage with an easy on-ramp to healthy eating, trusted health relationships follow. Visit Healthrageous.net to learn more.

Healthy.io is the global leader in turning the smartphone camera into a medical device, delivering healthcare at the speed of life. With our Minuteful at-home urinalysis and digital wound management services, we empower payers, providers, and healthcare systems to improve patient engagement, health outcomes, and access to care. Founded in 2013, Healthy.io is partnered with the National Kidney Foundation, NHS England, and leading national health plans. 

Inferscience provides HCC Coding Software designed to give real-time coding guidance within the EHR. Our EHR-integrated tools analyze data in the patient’s chart, along with patient records from different healthcare providers. We then present clinicians with HCC coding suggestions based on analysis of a patient’s complete clinical history, for review at the point of care.

Inferscience helps healthcare organizations identify and document diagnoses to improve HCC coding accuracy, resulting in maximized funding from MA contracts.

Innovaccer is a leading San Francisco-based healthcare technology company committed to making a powerful and enduring difference in the way care is delivered. The company leverages artificial intelligence and analytics to automate routine workflows and reduce manual overhead to facilitate more patient-centered care. Its Gartner and KLAS-recognized products have been deployed all over the U.S. across more than 1,000 locations, enabling more than 25,000 providers to transform care delivery and work collaboratively. Innovaccer's Data Activation Platform™ has been successfully implemented in healthcare institutions, government organizations, and corporate enterprises including Catholic Health Initiatives, MercyOne, Orlando Health, Hartford Healthcare, and Stratifi Health. By using the connected care framework, Innovaccer has unified more than twelve million patient records and generated more than $400M in savings.  For more information, please visit innovaccer.com.

Our team of expert medical coders, software engineers, computational linguists, data scientists and artificial intelligence experts came together to help healthcare insurers and providers use technology to more effectively manage their high-risk patient populations. iQuartic uses AI, NLP and advanced analytics to improve healthcare operations and outcomes for Medical Advantage health plans and providers.

iQuartic and the NewWave enterprise have built some of the most extensive health IT solutions in risk adjustment, ePrior authorization, interoperability, TMSIS. We also manage the CMS Clinical Data Abstraction Center and provide RADV Audit support to CMS. Our mission is to bring innovative technologies to solve problems for the greater good in Healthcare. We are, essentially, creating a Risk Adjustment Gold Standard for the healthcare industry.

KAID Health makes care delivery more efficient, effective, and profitable for providers and payers. Its Whole Chart Analysis platform extracts relevant data from EMRs, including structured data and text, using AI and NLP. The solution identifies patient interventions needed for providers to achieve clinical, financial, or operational objectives. The technology automates a variety of workflows including coding accuracy, quality measurement, prior authorization support and pre-operative assessment.

Lightbeam Health Solutions delivers a revolutionary model for managing patient populations and associated risk. The industry-leading technology aggregates health data to generate actionable insights through the use of analytics to provide the right care at the right time to patients in need. The Lightbeam platform facilitates end-to-end population health management for organizations aspiring to provide superior care at a lower cost.

MEDCODE SERVICES stands at the forefront of Risk Adjustment, driven by our standout team of Credentialed Coders, ensuring precision at every step. We proudly uphold HIPAA & ISO standards, emphasizing the utmost client data protection and commitment to global best practices. With our Six Sigma approach, we consistently achieve a remarkable 98% accuracy rate. Understanding the industry's dynamics, we offer significant savings, seamlessly merging quality with value. Furthermore, our infrastructure is designed for scalability and flexibility, ensuring that we can meet the expanding needs of our clients. When you choose MEDCODE, you're aligning with unparalleled excellence and a commitment to adaptability. 

Founded in 2005, Medical Guardian, a leading provider of innovative senior health solutions, serves more than 300,000 active members and patients. Medical Guardian offers a full suite of connected-care medical alerts, RPM and member engagement services to drive positive outcomes and increase member satisfaction and retention. For more information, visit https://www.medicalguardian.com/healthcare.

Medovent Solutions is a trusted industry leader providing solutions for all revenue cycle needs. We specialize in recruitment and staffing of acute care, university, trauma, regional, and community-based medical centers, or clinics. The drive of positive financial revenue, either through staffing or analysis recommendations is our goal to ensure success while creating long-term partnerships. Our goal is to help healthcare organizations to enhance the patient experience, improve the quality of care, and guide the utilization of resources throughout the continuum of care, to reduce costs and minimize penalties while ultimately optimizing the financial impact on the organization.

Milliman IntelliScript is the leading creator of risk-assessment insurtech for the U.S. life and health insurance sectors. Our actuaries, clinicians, developers, and data scientists combine deep technical expertise and a pragmatic focus on demonstrable ROI. We invent and relentlessly improve data-driven SaaS solutions to help carriers make better decisions faster and with greater confidence. For over 20 years now, our customers have come to know us as category-defining innovators and reliable strategic partners. They count on us to clarify both risks and opportunities—so they can see more and fear less.

IntelliScript is part of Milliman, Inc., an independent risk management, benefits, and technology firm. Milliman helps clients around the world, as they take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. See more at rxhistories.com.

New Vision Healthcare Solutions was started in 2019 by two physicians, and a certified Risk Adjustment coder with the mission to help providers improve their documentation. Using a unique approach of taking clinical documentation of individual providers and delivering a tailored education to each provider, NVHC is helping providers improve their documentation across the payer spectrum.

Nightingale Virtual Respiratory Care by Health Care Originals

Omega Healthcare’s Payer Services help payers achieve the goals of value-based care and quality outcomes, manage risk, and protect revenue. Combining the largest medical coding staff in the world, with proprietary technology, analytics and automation capabilities, Omega Healthcare helps payers eliminate administrative burdens, improve accuracy of risk adjustment coding as well as HEDIS and Medicare Stars reporting, and helps improve member engagement. Omega Healthcare has approximately 30,000 employees worldwide, with 14 delivery centers located in the United States, India, Colombia, and the Philippines. For more information, visit omegahms.com.

Persivia helps providers, hospital systems, and payers excel in value-based care.

Our AI-driven integrated platform delivers personalized care by harnessing data and artificial intelligence to support all your quality, care, cost, and risk initiatives. The platform aggregates data from all sources, including social determinants of health, and builds a dynamic longitudinal patient record to deliver real-time insights, gaps, and alerts at the point of care. By utilizing the extraordinary capabilities of generative AI, our platform empowers organizations to transform their data into actionable insights and meaningful outcomes. Not only that, it also automates the processes and workflows, to significantly boost your productivity and operational efficiency.

Persivia's FHIR-compliant, highly configurable and composable architecture helps organizations meet interoperability goals while maintaining platform flexibility.

Our point of Care tool CareTrak enables bi-directional connectivity into the EHR, and provides real-time HCC codes, Care Gaps, Risk Scores, and AUC information at the point-of-care

Learn more at www.persivia.com

Qr8 Health is a digital health company pioneering the use of a patient self-guided, clinically-validated digital cognitive assessment tool in order to improve patient outcomes and generate new revenue for clinical practices.

Quality Health Partners supports primary care physicians, medical groups, and health plans achieve 5-star quality ratings by placing a clinical quality team in provider practices for the sole purpose of taking care of the administrative, documentation, and coding requirements to close quality gaps in care, capture Hierarchical Condition Categories (HCCs), and completing the Annual Wellness Visits, Well Child Visits, Prenatal & Postpartum, Post ER and Post Hospitalization visits for Medicare, Medicaid, and Commercial lines of business.

Call us for more information at 888-959-5192

SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation (NEMT) to people nationwide. SafeRide Health leverages proprietary technology and a nationwide network of vetted transportation providers to elevate human dimensions of care and close the gap between need and access for the nation’s most vulnerable populations. SafeRide’s scalable and intuitive platform gives payers and health systems a more intelligent way to deliver cost-effective, on-demand transportation that connects health plan members to critical healthcare services. SafeRide serves the country’s largest Medicare Advantage, Medicaid, and provider programs.

Real Scalable Change Driven by Clinicians

Effective CDS requires ongoing management for accurate results and monitoring how providers respond. Stanson does this at scale helping with HCC documentation and coding, waste reduction, Appropriate Use Criteria (AUC)/PAMA, and electronic prior authorization.

Learn more at www.stansonhealth.com.

Stellar Health is a healthcare technology company focused on enabling success across the value-based care continuum by bridging the incentive gap between providers and payors. The Stellar solution is the first point-of-care, cloud-based platform that helps providers engage with their patients by providing them real-time information and tangible action-based incentives for improving quality of care. With Stellar, providers optimize the patient care journey through transitions of care and high-value referrals to improve patient health. 

The Helper Bees is a nationwide leader of advanced technology solutions, providing Medicare Advantage plans with access to an innovative and scalable digital ecosystem for the delivery and administration of supplemental benefits. We call this ecosystem America’s Aging-In-Place Platform. Using our scalable platform, we connect millions of families with transformative non-medical in-home services while simultaneously automating provider credentialing, fulfillment, invoicing and payment. We partner with many of the world's largest Medicare Advantage plans, Long-Term Care Insurance carriers, and PACE providers to improve the way in-home care is delivered and serve member populations regardless of need, geography, or regulatory climate. Find out more at thehelperbees.com.

Built for the health insurance ecosystem of insurers, distributors, and members, Trusty.care is the end-to-end sales enablement platform that uses technology, data collection, and analysis to improve acquisition, lifetime value, member satisfaction, and payment integrity to get everyone
into the right-fit plan.

Videra Health

Vital Data Technology® is a data science-driven healthcare solutions company giving payers, providers, and members the power to drive efficiencies and improve clinical and financial outcomes throughout the healthcare ecosystem with their proprietary artificial intelligence-enabled platform, Affinitē™. The platform transforms data into actionable insights using artificial intelligence and advanced analytics integrated with embedded HEDIS® and risk adjustment logic. Affinitē is purpose-built and flexible, deployed as a cloud-based, end-to-end solution or as distinct modules listed below to help with your business needs.

Vital Data Technology is a trusted partner of health plans serving Medicare Advantage, Medicaid, Commercial and Self-Funded populations nationwide and offers data science analysis services in addition to Affinitē. With Affinitē as a single source of truth, all healthcare parties can coordinate more efficient care interventions with a true 360-degree view of the member.

For more information, visit https://vitaldatatechnology.com/.

VLMS Global Healthcare stands as a prominent global entity specializing in tech-enabled Revenue Cycle Management, medical coding and billing services. By providing internationally-qualified services that prioritize accuracy, security and prompt turnaround times we empower healthcare providers, payers, and stakeholders within the healthcare industry to achieve their goals effectively. Having unwavering commitment towards our core values, we consistently deliver exceptional customer service and transparency thus cultivating strategic and strong collaborations with our partners  for mutual success.

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