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 half a trillion dollars 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
Advantasure is a health technology 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 healthcare. 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.
Arcadia (www.arcadia.io) is a population health management company, specializing in data aggregation, analytics, and workflow software for value-based care. Our customers achieve financial success in their risk-sharing contracts through Arcadia’s focus on creating the highest quality data asset, pushing expertly derived insights to the point of care, and supporting administrative staff with data when and where they need it with applications including care management and referral management. Arcadia has off-the-shelf integration technology for more than 40 different physical and behavioral health EHR vendors, powered by machine learning that combs through variations in over 50 million longitudinal patient records across clinical, claims, and operational data sources. Arcadia software and outsourced ACO services are trusted by some of the largest risk-bearing health systems and health plans in the country to improve the bottom line. Founded in 2002, Arcadia is headquartered outside Boston in Burlington, MA, with offices in Seattle, Pittsburgh, Chicago, and Rockford, IL. In 2019, Arcadia was awarded Best in KLAS for Value Based Care Managed Services.
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 (Nasdaq: CHNG) is a healthcare technology company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system.
We are foundationally committed to fully leveraging Artificial Intelligence to inspire a better healthcare system. We have the synergistic combination of: Massive Data Scale, Market Position & Workflow, Deep Bench of Dedicated Data Scientists, and Infrastructure Investment & Expertise, putting us at the forefront of the industry.
Our interoperable products and AI-driven automation deliver more value with less effort, allowing you to perform tasks more easily. We help you reduce administrative costs, increase your cash flow, and realize a more consistent, profitable revenue stream.
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.
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.
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 24 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 994,000 physicians, 558,000 clinical facilities, 315 million Americans, and 55 billion medical events.
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.
mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by engaging individuals with tailored and meaningful dialogue. mPulse Mobile combines behavioral science, analytics and industry expertise that helps healthcare organizations activate their consumers to adopt healthy behaviors. With over a decade of experience, 70+ healthcare customers and more than 250 million conversations annually, mPulse Mobile has the data, the expertise and the solutions to drive healthy behavior change.
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
Healthcare data is complex. We make it simple. Pareto Intelligence is a leading healthcare technology company modernizing the way payers and providers succeed in value-based care. We deliver analytics, technology and advisory solutions to help our clients activate clinical and claims data, capture complete and compliant revenue, communicate critical patient information seamlessly, and make more informed strategic decisions. And it works—our clients achieve an average 5:1 to over 20:1 return on investment.
One solution, Pareto Engage, enables the exchange of member-specific information between payers and providers through electronic messages delivered directly into EHRs. Payers use Pareto Engage today to improve risk and quality outcomes by delivering timely patient-level clinical and quality information to providers in current workflows. Don’t miss the session on Tuesday at 1:00PM ET, where Blue Cross of Idaho will share real-world experience and results from using Pareto Engage.
Pareto also delivers market-leading risk adjustment solutions that go beyond standard suspecting and help payers prioritize gaps to improve risk documentation completeness in the most efficient, cost effective method possible. Combined with the power of our Healthcare Data Integration solution, which ingests and standardizes any data source (e.g., claims, clinical data, social determinants of health) in any format (e.g., structured and unstructured), Pareto demystifies complex healthcare data and delivers actionable predictions that improve outcomes.
With over 14 million lives flowing through the Pareto platform, payers nationwide use Pareto’s robust solutions to improve risk, quality and clinical outcomes. Contact Duncan Wierengo at email@example.com or (616) 340-1519 to schedule a demo.
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 Info@Pulse8.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.
Talix provides risk and quality solutions to help providers, payers and accountable care organizations address the growing challenges of value-based health care. Its leading-edge SaaS applications leverage machine learning and advanced patient data analytics to transform complex data into actionable intelligence that drives improved coding efficiency and accuracy – leading to better patient outcomes, more accurate reimbursements and reduced costs.