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.

Apixio is the data science company for health care. Apixio’s proprietary artificial intelligence platform extracts and analyzes clinical data in electronic and PDF records, generating deep insights into patient health. These insights feed applications such as HCC Profiler, which uncovers supported HCC codes with speed and accuracy, enabling comprehensive code identification and compliance auditing for Medicare Advantage and ACA programs.

Ranked #1 from 2018-2021 in the Top Healthcare Consultants & Advisors: Value Based Care Solutions report by Black Book Research, CareAllies has an extensive and successful history of innovative value-based provider collaborations. Our accountable care organization, provider engagement and practice transformation solutions focusing on creating a customized plan-of-action to optimize care and the connections between providers, patients and payers. We work side-by-side with you to accelerate the transition to value-based care, helping improve the quality, value and experience of care for patients and make health care better for everyone

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, and network performance management programs. Cotiviti’s healthcare solutions are powered by Caspian Insights, 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 empowers 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

Episource reinvents risk adjustment program management across healthcare organizations. We empower the most recognizable names in healthcare with end-to-end risk adjustment solutions. From risk adjustment analytics, retrospective chart reviews, in-home assessments, encounter submissions and quality reporting, Episource simplifies healthcare with elegance and innovation.

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 8,000 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) 953-4444 or email us at sales@gebbs.com or visit our website www.gebbs.com 

Health Fidelity simplifies risk adjustment, offering risk-bearing organizations clear visibility into and control over the process. Through our NLP-powered solutions and expert advisory services, we uncover insights that enable better care plans and more complete revenue capture. With Lumanent™️, our partners have the confidence to pursue and ability to succeed in risk-sharing arrangements across MA, ACA, Medicaid, and ACO programs.

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 clients, including all 25 of the top 25 U.S. health plans, 22 of the top 25 global pharma companies, 19 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, 574,000 clinical facilities, 332 million Americans, and 61 billion medical events. For more information, visit www.inovalon.com

Matrix Medical Network offers a broad range of clinical services and proven expertise that gives health plans and employers the tools and knowledge they need to better manage the health of at-risk populations at home and at work. With its deep roots in clinical assessment and care management services, Matrix’s network of more than 3,000 clinicians and fleet of mobile health clinics breaks through traditional barriers to care access by meeting members and employees where they are. By bringing the care to them and using in-person or virtual visits, this approach improves health outcomes for millions of Americans while reducing costs and risks for payers and employers. By combining leading-edge technologies such as artificial intelligence and machine learning with its proprietary platforms, Matrix is able to harness the massive amounts of data it captures to identify emerging health issues, close care gaps, connect individuals to additional resources for care, and drive better clinical and business decisions.

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. www.optum.com

Pulse8 is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustment, Quality, and Pharmacy Benefit Management programs. We enable 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. Our 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. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning to deliver 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 Info@Pulse8.com.

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

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 www.signifyhealth.com

Talix provides risk and quality solutions to help providers, payers, and accountable care organizations address the growing challenges of value-based care. Talix offers a comprehensive, AI-powered SaaS platform to make the transformation to value-based reimbursement more seamless and effective. The Talix Platform uses award-winning, patented natural language processing (NLP) and machine learning (ML) techniques to power workflow applications, making processing patient data more accurate and efficient. Healthcare organizations use Talix to improve productivity by up to 3X, turning their unstructured and structured patient data into actionable information in order to reduce costs and achieve more accurate reimbursements. Ultimately, Talix accelerates the journey toward universal value-based reimbursement so patients can receive quality healthcare nationwide. For more information or to schedule a demo, please visit www.talix.com or email info@talix.com.

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/