Corporate Partners

Advantmed

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.

Centauri Health Solutions

Centauri Health Solutions is a leading provider of technology-enabled analytics and services helping health plans and health systems to manage their variable revenue linked to population health (risk), quality, and eligibility factors. These efforts result directly in better-informed health care delivery, richer benefits, and reduced out-of-pocket healthcare costs for the members and patients they serve.

Cotiviti

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. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit https://hubs.ly/Q01z-zYg0.

Datavant

Datavant and Ciox are now Datavant, the leader in data logistics for healthcare. Datavant protects, connects, and delivers the world’s most precious data. As the leader in data logistics for healthcare, we enable organizations to achieve their boldest ambitions and advance human health.

Episource

Episource provides a complete and integrated set of services and products to simplify the way Medicare, Commercial and Medicaid health plans manage their Risk Adjustment and Quality programs. We work with health plans and healthcare organizations to absorb the most challenging aspects of program implementation, operations, and management. We simplify by modernizing workflows to better assess the full cycle of Risk Adjustment and Quality programs to improve clinical outcomes and financial performance.

Our services include: Retrospective Chart Reviews, HCC Gaps and RAF Campaign Workflow (epiAnalyst), Encounter Data Error Resolution and Financial Analytics (epiEncounter), HEDIS & STARS Analytics & Reporting, Gaps in Care Reporting, and HEDIS Retrieval & Abstraction. We also offer clinical services such as HRAs (Health Risk Assessments) and NP programs. 

For more company information, please contact Claudia Gallardo at (424) 295-0491, visit us at www.Episource.com, or follow us on Twitter @EpisourceLLC

Ingenia

We deliver actionable, data-driven insights that enable healthcare payers and providers to lead fact-based, knowledge-focused operations to manage members effectively while providing a better experience.

Inovalon

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.

Nomi Health

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.

Reveleer

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

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 

Veradigm

Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale. The Veradigm Network features a dynamic community of solutions and partners providing advanced insights, technology, and data-driven solutions, all working together to transform healthcare insightfully. For more information on Veradigm, visit http://www.veradigm.com, or find Veradigm on LinkedIn, Facebook, Twitter, and YouTube.

EXL Health

EXL Health combines unmatched healthcare domain expertise with data-driven insights and technology-enabled services to transform how care is delivered, managed and paid. Leveraging human ingenuity, our teams collaborate with our clients to transform how healthcare is delivered, managed and paid.  With data on more than 260 million lives, EXL partners with healthcare organizations across the healthcare spectrum including payers, providers, PBM and life sciences organizations.  EXL’s proprietary Risk Adjustment analytics and quality platform and custom services support our clients in driving outcomes and maximize reimbursement. To learn more visit https://www.exlservice.com/health

Vatica Health

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/

Wolters Kluwer

Standard setters in clinical data optimization, Health Language delivers the kind of confidence that transforms health data and healthcare. Time tested and trusted, its easy, accurate, and actionable solutions are a catalyst for customer and patient results. Powered by the Wolters Kluwer engine, Health Language’s deep domain expertise is grounded in know-how and elevated in data transformation that’s clean, clear, and precise. Enablers of assurance, Health Language translates more than data—it turns confusion and complexity into competence and confidence. The experts clients need for the effectiveness they want, Health Language increases operational efficiency and takes its clients from unstructured data to outstanding outcomes.

Wider Circle

Wider Circle helps solve the last mile of healthcare by building neighborhood groups that empower members to motivate and support each other to get the care they need, when they need it, where they need it. Through technology and peer-to-peer engagement rooted in trust, Wider Circle restores the community support network essential to managing better health, improving social determinants of health, and providing a better member experience with lower healthcare costs.

Luna

Luna

Apex Health

Healthcare organizations - payers, providers and health systems - are searching for unique solutions and support to migrate successfully to value-based care. Apex helps organizations lead their transformation to value-based care, offering solutions that align payers, providers, systems, and patients to generate improved quality, satisfaction and overall cost of care.

Apex is a national company with broad industry experience focused on solving local customer problems. Our flexibility allows us to be adjustable and client-specific with the solutions we deliver to our healthcare partners. We leverage multiple integrated technologies to support all of our client objectives.

Semler Scientific

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.

Socially Determined

Socially Determined® is the healthcare analytics company that provides Social Risk Intelligence™ and solutions to organizations committed to effectively addressing the Social Determinants of Health. The company is anchored in deep healthcare and technology expertise to give full visibility into where and how socioeconomic factors are impacting communities and people. Delivered through our HITRUST-certified platform, SocialScape® and team of experts, these unparalleled insights enable clients to drive strategic, measurable programs that create healthier communities, optimize business performance and advance health equity.

Vital Data Technology

Vital Data Technology® is a data science-driven healthcare solutions company giving payers, providers, and members the power to drive efficiencies and improve clinical and financial outcomes throughout the healthcare ecosystem with their proprietary artificial intelligence-enabled platform, Affinitē™. The platform transforms data into actionable insights using artificial intelligence and advanced analytics integrated with embedded HEDIS® and risk adjustment logic. Affinitē is purpose-built and flexible, deployed as a cloud-based, end-to-end solution or as distinct modules listed below to help with your business needs.

Vital Data Technology is a trusted partner of health plans serving Medicare Advantage, Medicaid, Commercial and Self-Funded populations nationwide and offers data science analysis services in addition to Affinitē. With Affinitē as a single source of truth, all healthcare parties can coordinate more efficient care interventions with a true 360-degree view of the member.

For more information, visit https://vitaldatatechnology.com/.

Alivi Health

Alivi Health is a licensed Third-Party Administrator who helps health plans manage supplemental and value-based insurance design benefits like non-emergency medical transportation, flex card, SSBCI, food, hearing, vision, dental, OTC, therapy, podiatry, chiropractic, and acupuncture. 

Alivi’s primary benefit is non-emergency medical transportation, where using flexible technology, compliant processes, and experienced people, we guarantee industry leading performance and member satisfaction, with a smooth implementation. Alivi’s benefits are purpose-built to address Social Determinants of Health while creating Health Equity, deliver a delightful Member Experience, promote Member Engagement, and create Competitive Advantage to attract new members and retain existing ones.

For more information, visit www.alivi.com