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 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. Ranked #1 in the market for Risk Adjustment & Analytics, earning Apixio the distinction of being named 2021 Best in KLAS Software & Services by KLAS Research, Apixio set the standard of excellence for software and services firms.

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 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.

Change Healthcare is a leading independent healthcare technology company, focused on insights, innovation and accelerating the transformation of the healthcare system through the power of the Change Healthcare platform. We provide data and analytics-driven solutions to improve clinical, financial, administrative, and patient engagement outcomes in the U.S. healthcare system.

Our platform and comprehensive suite of software, analytics, technology enabled services and network solutions drive improved results in the complex workflows of healthcare system payers and providers by enhancing clinical decision making, simplifying billing, collection and payment processes, and enabling a better patient experience.

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.

Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, consumer engagement, and network performance management programs. Cotiviti’s healthcare solutions are powered by Caspian Clarity, a proprietary data and analytics platform spanning thousands of unique member and provider data types across financial and clinical domains, representing the most comprehensive longitudinal data set in healthcare. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.

DataLink is a premier provider of value-based care enablement solutions that empower better health by delivering real-time data aggregation, EHR connectivity and dynamic dashboards and reporting for payers, providers and care partners. DataLink’s Evoke360 solution promotes the collaboration of multiple stakeholders across the care continuum, providing a holistic view of the patient from the entire spectrum of clinical data. Evoke360’s intelligent, data-driven insights drive value by reducing the cost of care, improving quality scores, ensuring risk adjustment accuracy and simplifying healthcare navigation. 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, Inc., a leading provider of technology-enabled risk adjustment, Quality, revenue cycle management, and revenue integrity solutions. GeBBS leverages proprietary technology, flexible engagement models, best-in-class processes and first-class infrastructure to offer Health Plans Hospitals and Physicians a platform that reduces costs and improves the bottom line. With a current staff of over 10,000 professionals, GeBBS has been recognized by Modern Healthcare as a Top 15 largest revenue cycle management firm and an eleven-time Inc. 5000 honoree as one of the nation’s fastest growing companies.

GeBBS focuses on Risk Adjustment, HEDIS, and Quality by providing technology enabled solutions for Payers and Risk-bearing providers.

GeBBS Offers One Platform For:

• Risk adjustment and HEDIS
• Concurrent and retrospective
• Chart acquisition and repository
• Tacking/monitoring your RAF score
• Comprehensive provider education
• Single reporting and dashboards

To learn more about our highly efficient HCC coding services and risk adjustment, please call us at (310) 907-7485 or email us at will.stabler@gebbs.com or visit our website 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 platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the marketplace a national-scale capability to interconnect with the healthcare ecosystem, aggregate and analyze data in real time, and empower the application of resulting insights to drive meaningful impact at the point of care. Leveraging its Platform, unparalleled proprietary datasets, and industry-leading subject matter expertise, Inovalon enables better care, efficiency, and financial performance across the healthcare ecosystem. From health plans and provider organizations, to pharmaceutical, medical device, and diagnostics companies, Inovalon’s unique achievement of value is delivered through the effective progression of “Turning Data into Insight, and Insight into Action®.” Supporting thousands of customers, including all 25 of the top 25 U.S. health plans, all 25 of the top 25 global pharma companies, 24 of the top 25 U.S. healthcare provider systems, and many of the leading pharmacy organizations, device manufacturers, and other healthcare industry constituents, Inovalon’s technology platforms and analytics are informed by data pertaining to more than one million physicians, 584,000 clinical facilities, 338 million Americans, and 63 billion medical events. 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 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.

Novillus

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

Quest HealthConnect's mission is to increase satisfaction among health plan members by helping them take full advantage of their benefits and enhancing the quality of their care. Quest HealthConnect continues to innovate with real-time solutions to alert members about health plan programs in Quest Patient Service Centers, as well as streamlined reporting to members, providers and health plans. Quest HealthConnect partners for risk assessment and quality member services, empowering members to connect to quality care.

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

The QuantaFlo® System, from Semler Scientific, is a quick and accurate test for primary care, internal medicine, and specialists to diagnose Peripheral Arterial Disease (PAD). The market leading QuantaFlo® system is currently in use at hospitals, clinics, physician offices, and home health settings throughout the country.

Semler Scientific, Inc. continues to lead the way in portable PAD testing whose diagnostic products may help guide patient care while narrowing the gap between cost and compensation for care.

Sharecare Health Data Services provides secure electronic exchange, delivery and integration of protected health information, with the latest compliance standards and unmatched multi-step quality control processes. Sharecare Health Data Services delivers a variety release of information, electronic health record, and billing-office workflow services. 

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