Our Partners

Strategic Partners

As the leading consulting and software solutions firm specializing in government health programs, Gorman Health Group (GHG) combines innovation with proven, integrated approaches and technology solutions to help organizations operating in Medicare, Medicaid, and the Health Insurance Marketplace reduce costs, improve quality, and optimize revenues. Since 1996, GHG's unparalleled teams of subject matter experts, former health plan executives, and seasoned healthcare regulators have been providing strategic, operational, financial, and clinical services to the industry across a full spectrum of business needs. Further, GHG's software solutions have continued to place efficient and compliant operations within our clients' reach. GHG's mission is to empower health plans and providers, through a compliant, member-centric focus, to deliver higher quality care to members at lower costs while serving as valued, trusted partners. Learn more at www.gormanhealthgroup.com.

Educational Underwriters

Episource is a business services and technology company serving Healthcare Payers and Provider Organizations in the Medicare, Commercial/HIX and Medicaid markets. Episource offers cutting-edge services and solutions to help healthcare organizations navigate the complexities of government programs. Our expertise includes Retrospective Chart Reviews, Risk Adjustment Program Improvement, Workflow and Analytics, Health Risk Assessments, Encounter Data Error Resolution and Financial Analytics, and Quality Improvement.

Anderson Direct & Digital is a privately held, full-service marketing agency that helps companies acquire new customers, grow profitable customer relationships and retain their best customers. A unique and intentional mix of industry veterans plus new age talent, Anderson is among the top 20 direct marketing agencies in the U.S. We provide clients with superior ROI through cutting-edge strategies and technologies founded on direct and digital marketing best practices. We have deep experience and expertise in the Medicare industry.

For over 30 years, we have created and executed thousands of marketing programs that maximize ROI and extend our clients' brands through true marketing channel integration, including: Direct Mail, SEM, SEO, Social, Mobile, Digital Display, Email, Print, DRTV, Radio and Microsites.

A trusted advisor to healthcare payers, insurance brokerage firms, and governmental agencies, Zelus delivers customized solutions that rely on performance thinking to drive business outcomes. Our solutions span operations, technical implementations, and the talent development arena. As industry demands increase and regulatory issues impact customer behavior and market dynamics, Zelus remains committed to delivering results that are better for the consumer AND better for our client. Our PACE program is a groundbreaking new way to ready your contact center to deliver an exceptional customer experience!

HealthEdge® provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise solution suite, HealthRules®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment. An award-winning company, HealthEdge empowers health insurers to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit www.healthedge.com

healow Insights is an innovative, Cloud-based solution with service offerings designed to automate the bidirectional exchange of actionable data between health plans and providers. Through on-demand Medical Record Retrieval, EHR Data Aggregation and Point-of-Care Alerts, health plans may reduce overhead costs, improve compliance, and boost ratings on key quality measures.

Burgess helps leading American health insurers and ACOs set a new standard in payment accountability. The company's cloud-based platform, Burgess Source™, natively brings together up-to-date regulatory data, claims pricing and editing, and real-time analytics tools. This unified approach allows clients to make payments with total confidence, and make business decisions with real intelligence. The company is headquartered in Alexandria, VA, and online at www.burgessgroup.com

For Health Plans and population risk-bearing entities that want to improve member and employee health. PharmMD is the proven choice for pharmacy quality solutions. Founded by healthcare and pharmacy innovators, PharmMD's outcomes-driven reporting, priority on personal touch, and scalable network are backed by performance-based pricing that guarantees fast results for Part C/HEDIS and Part D Star Rating improvement and the most effective Medication Therapy Management. For more information go to www.PharmMD.com

Supporting Organizatations

TruHearing is a hearing aid savings program that offers your health plan members exclusive pricing on the industry's best hearing aids and services. We partner with top hearing aid manufacturers to save your members thousands of dollars off the retail price of hearing aids. Because our prices are exclusive, TruHearing helps differentiate your health plan from the competition. In fact, 90% of TruHearing customers report having an improved opinion of their health plan after using our program.

TruHearing offers both embedded hearing aid benefit programs tailored to Medicare audiences as well as VAIS programs that are free to the health plan and come at no additional cost to members.

For more information about how TruHearing can enhance your benefit offering, contact Jarem Hallows, VP of Business Development, [email protected]

Mom's Meals NourishCare provides high-quality meal solutions direct to the homes of senior's and patient's nationwide. Customers choose every meal every order from our broad selection of entrees, including those to support common health conditions. Mom's Meals has been a leading nutrition provider for over 17 years.

Illuma Care Connections specializes in closing Diabetic Retinal Exam care gaps by engaging members, coordinating care and collecting clinical encounter data for reporting. Through a proprietary engagement platform and integrated eye care network supported by the AOA, Illuma reaches out to members directly via phone, email, text and/or automated voice mails. Care coordinators educate patients on proper diabetes care, health plan benefits, and schedule exams in real time. This innovative approach removes barriers that typically exist when attempting to coordinate care while improving the member experience.

Hyperlift's Stars Insights Engine is the most comprehensive data, analytics and predictive modeling solution for plans seeking to improve their Star ratings. We apply data science, predictive modeling, and machine learning to give your Stars management team unprecedented perspective and insights so that you can make critical decisions and achieve your goals. With our Stars Insights Engine, we focus on the most upstream and important aspect of managing any Stars program--creating an essential roadmap that identifies the right measures to focus on and why. The Stars Insights Engine makes it easy to align all internal and external partners to the roadmap and successfully steer the organization throughout the year so that you can achieve your annual Stars objectives. The Stars Insights Engine provides:

  1. A sophisticated SaaS solution with simple log-in access - no IT required
  2. Intuitive user interface enabling you to reforecast throughout the year
  3. Logic, built on the industry's most accurate cutpoints (up to 99% accurate)
  4. A solution that's customizable to your plan's unique strategic situation
Simply put, Hyperlift's Stars Insights Engine gives you unprecedented decision-making confidence and agility at a fraction of the cost and time it took you to do the work last year.

Carrot Health is putting the consumer at the center of the US healthcare system. Our Carrot MarketView™ Healthcare Business Intelligence software platform delivers actionable business insights to health systems and health plans - who your customers are, what they want, and how best to engage them. MarketView drives customer engagement and profitable revenue growth for payers and providers, improving your decision making, market share, and growth - and the health of the communities you serve.

HearUSA is the recognized leader in hearing care becoming the first URAC accredited and the only HiTrust certified network. Through its network of over 4500 providers, HearUSA features savings up to 60% off retail prices from every major manufacturer. HearUSA customizes programs from no-cost discounts to fully-covered capitated benefits.

Turn-Key Health, a subsidiary of Enclara Healthcare, is a population health management company serving payers and their members with advanced illnesses. Its Palliative Illness Management™ (PIM™) model introduces a new, innovative option to improve care quality, address costs and reduce burdens associated with life-limiting illnesses. Visit www.turn-keyhealth.com.

Talix provides risk adjustment, quality and oncology solutions to help providers, payers and life science organizations succeed in value-based healthcare. Our leading-edge SaaS applications leverage purpose built natural language processing (NLP), machine learning and advanced patient data analytics to transform complex data into actionable intelligence that drives improved efficiency and accuracy-leading to better patient outcomes, more accurate reimbursements and reduced costs.