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
HYPERLIFT brings solutions to market that address the most pressing challenges
facing Medicare Advantage Stars management today. With HYPERLIFT’s Stars Management Suite™ (SMS) and
HYPERLIFT's Deliverables as a Service™ (DaaS), Medicare Advantage Stars teams can manage plan performance
at a level previously unachievable.
Carrot Health believes in enabling a future with no barriers to better health, for everyone. We believe that shining the bright light of data onto our disparities will help us, all working together, improve health. We provide consumer insights for each and every individual person in the United States to engage patients and members, close gaps in care, and optimize performance for healthcare payers and provider systems. The Carrot MarketView™ software platform incorporates social, behavioral, environmental, and economic barriers to health data to deliver a 360 degree view of the consumer, providing actionable insights to inform Growth, Health, and Quality.
Premier Home Health Care Services Inc. was founded in 1992 in response to expanding community need
for home health and facility based healthcare personnel. As a homecare leader, we have set the clinical
standard for today's fastest-growing segment of healthcare by redefining industry quality standards
through our delivery models, innovative tools, extensive staff training and education, and by utilizing the
latest advancements in technology. The Company's Commitment to Excellence in care is reflected in
every aspect of service we provide to individuals, families, and health care organizations. With 43
branches in 7 states, we are a company on the move, driving some of the most exciting new
opportunities in home care.
Zelus is a trusted advisor to healthcare payers, insurance brokerage firms, and governmental agencies.
Zelus delivers customized solutions--for operations, technical implementations, and the talent development
area--that rely on performance thinking to drive business outcomes. As market dynamics change, Zelus remains
committed to delivering results that are better for the consumer AND client. Our PACE program is a groundbreaking
new way to ready your contact center to deliver an exceptional customer experience!
Verisys offers a complete Credentials Verification Organization service that starts with primary source verifying data,
continuous monitoring/reporting on all licensed and non-licensed employees, businesses, and license statuses.
Verisys also offers an easy-to-use SaaS solution in CheckMedic.
Verisys monitors over 3,500 data sets from which we can provide a full transparent view of providers and staff.
Through our technology, our data and our service we bring disparate data together to meet and support your credentialing needs.
Improving healthcare outcomes requires access to the right data at the right time. Apixio is advancing value-based care with data-driven intelligence and analytics. Our AI solutions for risk, quality, and clinical insights unlock actionable information from administrative data and unstructured clinical information. The results drive better clinical decision-making and a smarter approach to healthcare.
Simplify Healthcare provides market-leading solutions to health plans & TPAs for their benefit plan
management, provider data-contract & value-based reimbursement needs. With our digital business
process transformation suite Simplify9, we build highly configurable & modular solutions that enable
health plans to improve their speed-to-market, efficiency, compliance and reduce costs & errors.
eMedicareSync is the industry’s first turn-key MA product/plan configuration solution that automates
CMS PBP-Bid process and auto-generates ANOC, EOC and SB compliance documents.
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.
American Logistics is a transportation management and technology company serving the healthcare
industry and transit/municipal agencies nationwide. American Logistics leverages its proprietary
technology to manage the transportation benefit by validating eligibility, trip type, destination,
and by GPS/AVL for live-trip tracking while providing analytics and detailed reporting. Headquartered in
St. George, Utah, American Logistics has over 20 years of experience in passenger transportation. To learn
more about how American Logistics can add or augment transportation for your organization, visit americanlogistics.com.
Advantasure is a healthcare technology product and business process services company that improves the performance of
health plans and provider organizations in the delivery of government healthcare programs. Through a comprehensive
portfolio of products and services, Advantasure enables clients to lower administrative costs, increase reimbursement
accuracy and improve the quality of care for their members. Headquartered in Glen Allen, Virginia, Advantasure has
offices in four states (Sunrise, FL; Southfield, MI; Las Vegas, NV and Glen Allen, VA)and more than 900 employees.
For more information, visit Advantasure.com.
Landmark Health and its affiliated medical groups (Landmark) partner with health plans to bring patient-centric,
in-home care to complex and chronically ill populations. Landmark’s value-based model relies on fully-employed,
local multidisciplinary care, including doctors, nurse practitioners, physician assistants, psychiatrists, psych
APPs, pharmacists, nurse care managers, social workers, dietitians, care coordinators and ambassadors.
We are available to patients 24/7 which has helped us drive meaningful outcomes, such as a 39% reduction in ER visits for our patients.
Joint Academy, is a digital clinic for chronic joint pain which grew out of the world's most successful face-face clinically validated MSK program. (Better OA care or BOA)
BOA successfully treated over 250,000 patients, and Sweden is the first country in the world with declining utilization in total joint replacements. Joint Academy has digitized BOA to make it even better. Joint Academy patients receive: A Personal Licensed Physical Therapist, interactive education, Individualized exercises, Data and progress tracking and the Leading Clinically validated Treatment
Joint Academy has treated 1000 patients and their peer reviewed research and data shows: 31% reduction in Total Joint Replacements, 22% reduction in Medication use (Such as opioids) and an 88% improvement in Physical Function after 30 weeks • 46% in pain reduction after 20 weeks
At Mom’s Meals, we believe better health should be accessible to all, and it begins
with the very meals we eat. We provide high-quality, refrigerated meals to any U.S.
We put choice in the hands of our customers, offering a broad selection of
entrees, including those to support common health conditions.
WebMD Health Services has more experience and serves more health plans with our
well-being engagement platform than any other company in the industry. With more
than 30 health plan customers, including 10 Blue Cross Blue Shield plans, we know
how to manage the complexity of our health plan partners to create an easy-to-use
digital connection for both your members and administrators. Our technology helps a
Blue plan connect and communicate as a member’s total health management hub. Our
expertise, combined with a variety of third-party partner integrations, enables us to
deliver unique and personalized experiences across a wide range of industries. See
how we can support your population at webmdhealthservices.com.
Would real-time, bi-directional communication between your Primary Care Provider Networks and your Health Plan improve your Value-Based lines of business?
iCare Intelligence provides a cloud-based, HIPAA-compliant Provider Engagement platform that enhances administration of value-based payment contracts. The platform accelerates closing gaps in care, improves existing workflows for Risk Adjustment, Quality/HEDIS™, and Medication Adherence all while calculating and displaying customized financial incentives.
Tabula Rasa HealthCare (TRHC) is a leading provider of patient-specific, data-driven technology and Medication Therapy Management services that enable healthcare organizations to improve outcomes and Star Ratings while lowering costs. Through a suite of innovative solutions, TRHC offers customizable technology and service models with over 1,000 clinical algorithms that predict, identify, and address potential medication-related problems including medication adherence, gaps in care, and other opportunities to optimize care.
AdhereHealth™ is a healthcare technology solutions leader supporting health plans, self-
insured employers and other risk-bearing entities for medication adherence insights and
improved healthcare outcomes. The company’s Adhere™ platform touches nearly 10 million
consumers through advanced technologies, at-risk engagement services and home-
delivered pharmacy. The integrated set of solutions address an estimated $500 billion of
unnecessary annual medical costs attributed to medication adherence issues. The company
is headquartered in the Nashville suburb of Franklin, Tennessee. For more information,
please visit www.adherehealth.com.
NationsHearing is a hearing healthcare company that provides a comprehensive and cost-effective
hearing aid and hearing services solution. By focusing on a technology-driven, outcomes-based
approach for patients, health plans, partners and providers, we aim to improve the overall health of
customers using hearing aids. We work with leading organizations of all types and provide customized
solutions. To learn more, please visit www.nationshearing.com.
Managed Care delivers high-interest articles and features developed through original research
and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and
executives on the integration of the business and medical aspects of the rapidly changing
managed care market. A strict fact-checking and peer-review process assures the accuracy and
relevance of editorial content.