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Advantasure is a health technology products 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.

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.

Allymar Health Solutions is an end-to-end technology enabled Medicare Advantage platform designed for growth-oriented plans and risk-bearing providers. Our solutions, powered by and partnering with Accenture, provide capabilities and services once only available to the large, national Payers. Allymar Health’s focus is on supporting start-up, small and mid-sized payers as well as risk bearing provider practices. Using the latest in artificial intelligence and advanced analytics, Allymar drives outcomes resulting in and guaranteeing a cost effective and replicable model for reduced administrative costs, clinical outcomes and risk score accuracy. For more information, visit allymarhealth.com or email vsanchez@allymarhealth.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.

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.

BeneLynk is a national provider of social determinant of health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. Through our One Lynk™ solution, we create human-to-human connections and provide the assistance members need to get the benefits they deserve.

At BeneLynk we lead with help to build stronger human connections, supported by our innovative Lynk360™ technology, to produce positive outcomes for both health plans and members. Member dual-eligible, but not enrolled? We can begin a Medicaid application. Member enrolled in Medicaid, but in need of assistance to complete the annual recertification? Our state-specific assistance accesses the full range of state recertification options. Member a Veteran who receives some care from the Department of Veterans Affairs? We can help the member share documentation of VA care with his or her Medicare Advantage Plan.

BeneLynk’s integrated SDoH solution produces positive returns for our clients, and life-changing assistance for their members.

Cavo Health is setting the standard for fully automated medical coding utilizing new technology for fast accurate risk adjustment coding. We provide health plans and other risk adjusting organizations a tool that helps coding staff work more efficiently, find more HCC’s and improve speed of coding. Cavo Health’s technology deploys a proprietary precise matching engine instead of relying on fuzzy word associations of machine learning. We find the words that confirm the presence of a risk adjustable ICD in a medical record (EMR or PDF) and coders then verify the matches in seconds. Cavo Health works equally well as a First Pass or Second Pass auto-coding tool. Cavo Health can also reduce coding errors during a RADV audit, and even audit Claims data. Our coding tool complements your coders work, resulting in precise ICD identification with more HCCs confirmed, increase chart review productivity, greater accuracy and improve coding compliance.

For more information on the Cavo Health difference, please contact Steve Butler at 630.388.8220. Or visit us at www.cavohealth.com

Centauri Health Solutions works with healthcare payors and providers to improve the lives of their members and patients through compassionate outreach, sophisticated analytics, and data-driven solutions, including risk adjustment, eligibility & enrollment (Duals, SSI/SSDI), clinical data exchange, and quality program support . Our reimbursement-focused services and unparalleled expertise lead to more accurate payment rates, a reduction in uncompensated care, and quality measurement compliance.

With more than 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.

With Change Healthcare now part of Optum, two innovative technology companies have come together to increase efficiency and reduce friction to create a better health care experience and lower costs. Working with partners across health care, we are committed to enabling a higher-performing, value-oriented health system to ensure every person, in every community, has access to the health care they need, when they need it.

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.

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.

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.

Edifecs is a premier technology company in the US Healthcare market with solutions focused on interoperability, workflows, value-based care payments and 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 reporting. 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 and Mohali, India, an engineering center in Moldova, and has more than 600 employees.

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.

Epstein Becker Green has served as a thought leader in the health care industry for more than 40 years. This sustained focus allows us to bring decades of experience to the managed care industry by counseling clients on complex regulatory matters concerning governmental programs such as Medicaid and Medicare. We bring a seasoned perspective to Medicare Part C contractors, risk sharing providers and vendors regarding recent risk adjustment enforcement and have successfully guided clients through government investigations, disclosures and compliance matters.

FarmboxRx has been revolutionizing proactive wellness in the healthcare industry since 2019. With a Food as Medicine approach, FarmboxRx enables health insurance providers to address Social Determinants of Health (SDOH) by delivering fresh healthy food to member's doors across America. FarmboxRx is a first-of-its-kind nutrition program that goes beyond just getting healthy food in members' hands; the program includes Registered Dietitian Nutritionist (RDN) designed nutrition education to promote long-term sustainable healthy habits among participating members. FarmboxRx is available through Medicaid or Medicare programs as an Advantage Benefit, part of a member's Over the Counter (OTC) Card benefit, or as a Healthy Food Card benefit. FarmboxRx is dedicated to improving member health outcomes through nutrition education and reliable access to fresh, healthy food - making food as medicine accessible for all.

Farmbox Direct, the parent company of FarmboxRx, was founded by Ashley Tyrner with a clear vision that healthy foods should be accessible to all. Beginning as a local delivery service in NYC, the company quickly expanded to meet the national demands of the millions of Americans who lack access to fresh fruits and vegetables.

FTI Consulting Health Solutions works closely with payers, providers and other healthcare enterprises to anticipate challenges, identify areas for potential growth and operationalize changes. We provide unparalleled expertise, analytics, innovation, and the necessary global reach to achieve success. FTI can help you optimize performance in the short term and prepare for the inevitable strategic, operational, regulatory and financial challenges of the future.

GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 15,000+ strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient / member experience. Headquartered in Los Angeles, CA, GeBBS has won numerous accolades for its medical coding outsourcing and medical billing outsourcing, including being ranked in Modern Healthcare’s Top 3 Largest RCM Firms, Black Book Market Research’s Top 10 RCM Outsourcing Services, and Inc. 5000’s fastest growing private companies in the U.S.

 For more information, Health Plans and Risk Bearing Providers (RBP) should contact Will Stabler, Executive Vice President, Payer Solutions 310-907-7485 or visit https://www.gebbs.com.

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: Conduct outreach—delivered through the member’s preferred channel—utilizing instant smart lists to engage members in self-managing health and conditions.
• Member Experience: Keep a pulse on member satisfaction through digital surveys (e.g., Mock CAHPS, NPS©) and a real-time feedback loop with results.
• Digital HRA: Maximize HRA compliance and uncover risk in your population through self-attestation via 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/

Icario, formerly Revel + NovuHealth, is the industry’s leading healthcare engagement company, using behavioral research, data science, and deep industry expertise to move people to better health. We develop personalized healthcare experiences that connect people to better health with every action, while reducing member abrasion through the use of extrinsic and intrinsic motivations.

Our solutions address the areas where engaging members is most critical for plans—quality & risk, connecting to care, and member experience. Learn more about Icario’s health action programs at icariohealth.com.

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.

InterSystems is the engine behind the world’s most important applications. In healthcare, business, government, and other sectors where lives and livelihoods are at stake, InterSystems is the power behind what matters™. Founded in 1978, InterSystems is a privately held company headquartered in Cambridge, Massachusetts (USA), with offices worldwide, and its software products are used daily by millions of people in more than 80 countries. For more information, visit InterSystems.com.

Founded in 2016, Kaia Health is a leading digital therapeutics company that creates evidence-based treatments for a range of disorders including musculoskeletal conditions and COPD. Kaia Health uses innovative technology, including artificial intelligence and computer vision, and works with medical experts to create an interdisciplinary digital approach. This empowers and motivates individuals to take control and self-manage their condition with effective, non-pharmacological, digital alternatives at low costs.

Matrix Medical Network has provided expert care and health services to millions of at-risk individuals where they live and work for more than 20 years. The organization’s vast network of 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. Matrix, in partnership with its expert clinical advisory panel, offers customizable solutions across distinct lines of business via in-home visits, telehealth, on-site support at medical facilities and businesses, and mobile health clinics: Matrix Clinical Care helps seniors and other at-risk individuals enjoy a better quality of care, experience better health outcomes, and identify chronic conditions that may otherwise go undiagnosed. Matrix Clinical Solutions helps keep workers healthy and businesses run productively by designing custom workplace health solutions and providing testing, tracing, and clinical care solutions. Matrix Clinical Labs is a CLIA-certified and CAP-accredited laboratory that provides state-of-the-art diagnostic services and clinical testing support. For more information, visit www.matrixmedicalnetwork.com

Our goal isn’t a number. It’s a difference.

Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation, remote patient monitoring, meal delivery, and personal and home care to enable greater access to care, reduce costs and improve outcomes.

Bringing equity, hope and healing to those who need it most.

We believe social and economic factors such as where you live, work or learn should never be a barrier to care. These factors, known as the social determinants of health, lead to inequities in our healthcare system and it’s our mission to close that gap by making connections to care. To make a world of difference, one patient at a time. That’s what drives us.

Nomi Health is a direct healthcare company delivering easy access to low-cost care across the U.S. The company’s direct model of care delivery and care payment benefits patients, providers and buyers of healthcare in both the public and private sectors. To date, Nomi Health has served more than 11 million Americans with everyday healthcare services brought directly into hundreds of communities nationwide, including our nation’s care deserts.

Optum is a leading health services and innovation company dedicated to helping make the health system work better for everyone. With more than 124,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, quality and efficiency of health care. Optum uniquely collaborates with all participants in health care, connecting them with a shared focus on creating a healthier world. Hospitals, doctors, pharmacies, employers, health plans, government agencies and life sciences companies rely on Optum services and solutions to solve their most complex challenges and meet the growing needs of the people and communities they serve. Visit us at optum.com

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.

Press Ganey, the leading Human Experience (HX) healthcare performance improvement company, offers an integrated suite of solutions that address safety, clinical excellence, patient experience and workforce engagement. The company works with more than 41,000 healthcare facilities in its mission to reduce patient suffering and enhance caregiver resilience to improve the overall safety, quality and experience of care. Press Ganey is a PG Forsta company.

Reveleer is a healthcare technology company that uses Machine Learning and Intelligent Automation to empower payers in all lines of business to take control over their Quality Improvement and Risk Adjustment programs. The Reveleer platform enables payers to independently execute and manage every aspect of provider outreach, retrieval, coding, abstraction, and reporting – all under one platform. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer also assists payers with full record retrieval and review services to support financial performance and improved member outcomes. Have questions? Contact our experts to learn how we can help: PayerCommunity@reveleer.com

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.

Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone.

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 

Solutran, LLC, a part of Optum, is a FinTech benefit payments company providing directed spend health solutions with its proprietary S3® technology. Solutran has offered state-of-the-art technology to the public and private sector for 40 years. We’ve established a long-standing reputation for excellence in delivering and managing ancillary benefits, rewards and healthcare services on a multi-benefit platform through a national dual network. Learn more about Solutran’s latest innovations at Solutran.com and follow us on LinkedIn. 

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/

Veradigm Payer Analytics (formerly Pulse8) is healthcare analytics and technology solution delivering complete visibility into the efficacy of your Risk Adjustment, Quality, and Pharmacy Benefit Management programs. Veradigm empowers health plans and providers to eliminate waste and achieve the greatest financial impact in the Medicare Advantage, Medicaid, and ACA Commercial markets as well as with Value-Based Payment models for Medicare. Advanced analytic methodologies and flexible business intelligence tools offer real-time visibility into member behavior and provider performance while also improving efficiency for payers and at-risk providers through high-speed clinical data exchange. Veradigm's patented Dynamic Intervention Planning offers a suite of uniquely pragmatic solutions that identify the most cost-effective and appropriate interventions for closing gaps in documentation, coding, and quality. For more company information or to schedule a demo, please email payersolutions@veradigm.com