RISE Association Partners

3M

3M Health Information Systems empowers providers, payers and government agencies to anticipate and navigate the evolving healthcare landscape. 3M is committed to eliminating revenue cycle waste, creating more time to care and bridging the gap from volume to value-based care with innovative software and services. By closing the loop between clinical care and revenue integrity, 3M helps organizations reduce costs and enable more informed care.  For more information, visit www.3m.com/his or follow @3MHISNews on Twitter.

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.

Advantasure

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

We all want better healthcare. At Apixio, we believe the key is using data insights. With innovations in machine learning technology, we can augment the ability to read, decipher, and understand patient information for more cost-effective healthcare. Roughly 80% of healthcare data is unstructured and underused. Apixio helps organizations use their data for knowledge about patient health. This ultimately translates into care delivery, lower costs, and streamlined processes. It’s time for serious change in healthcare. With Apixio, data insights will lead the way.

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.

Change Healthcare

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.

Learn more at www.changehealthcare.com

Ciox

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

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.

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

GeBBS Healthcare Solutions

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.

Inovalon

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, 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, 580,000 clinical facilities, 336 million Americans, and 62 billion medical events. For more information, visit www.inovalon.com.

Nuance

Nuance Communications is a technology pioneer with market leadership in conversational AI and ambient intelligence. A full-service partner trusted by 77 percent of U.S. hospitals and 85 percent of the Fortune 100 companies worldwide, Nuance creates intuitive solutions that amplify people's ability to help others.

Pulse8

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.

Real Time Medical Systems

Real Time Medical Systems, the industry-leading Interventional Analytics platform, provides Health Plans and Payers with post-acute interoperability. The cloud-based solution improves member outcomes by offering live post-acute data transparency that reduces rehospitalizations 52%, decreases length-of-stay 43%, establishes centralized infection surveillance, and risk stratifies members in the PAC-setting. For more information, visit realtimemed.com or you may contact us at info@realtimemed.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 

Amsive

The level of competition in the market has never been more fierce. At Amsive, we connect data, insights, and expertise to enable healthcare plans to grow and win in the current ultra-competitive environment. We operate as a full-service agency that brings marketing to life by shaping strategy, identifying audiences, developing impactful messaging, and executing omnichannel communications while measuring and analyzing results across all channels.

Amsive gives you the tools to know more and the services to do more.

EXL

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

Messagepoint

Messagepoint enables business users to control the creation and management of all member communications.  The Healthcare Touchpoint Exchange provides a purpose-built solution that simplifies the creation and management of regulated Medicare marketing materials (ANOC, EOC, and SB).  It provides access to the framework that includes all model content, PBP data integration and benefit rules. Messagepoint provides a collaborative environment controlled by an integrated workflow that enables stakeholders to participate in a controlled experience when performing annual updates.  Messagepoint’s automation capabilities improve speed, accuracy of information, and compliance with CMS marketing guidelines.  The result is reduced time and effort by as much as 70%, while reducing costs, improving quality and gaining confidence that your plan documents are compliant.

Navina

Navina uses medically-informed AI to provide data mastery to primary care physicians.  We transform care - and deliver optimized value-based outcomes - by highlighting care and risk gaps and allowing physicians to instantly find the information they need, and act in the moment of care. The results: higher quality care, elevated physician satisfaction, accurate diagnosis capture, and enhanced financial performance for providers and payers.

Shearwater Health

Shearwater Health knows that you want quality outcomes without exhausting clinical resources or paying a premium to hire seasonal clinicians. To achieve this, you need your clinicians practicing at the peak of their license. The problem is a nursing shortage that causes rising labor costs and retention issues.

We believe outsourcing your clinical workflows should make life easier. We understand that you want a strategic solution that supports your internal efforts. That’s why we provide remote teams of cross-trained nurses that become an extension of your clinical and quality departments.

Wolters Kluwer

Wolters Kluwer provides a suite of healthcare solutions that improve data quality and enable semantic interoperability. Our suite of solutions enable health plans, providers, and health IT vendors to derive actionable insights to effectively maximize reimbursement, manage risk, implement quality improvements, and engage with high-cost, at risk member populations.

The Data Quality Portfolio includes Health Language® Reference Data Management; Interoperability and Data Normalization; and Clinical Natural Language Processing (cNLP) solutions.

DMW Direct

DMW is a full-service direct marketing agency with over 35 years of experience serving the insurance industry. Today, over 90% of our activity is in the health insurance industry, with a specific emphasis on the varied aspects of Medicare marketing: MA, SNP, and Supplement plans; AEP, OEP and SEP campaigns; plus, year-round New-to-Medicare and Retention programs. Our clients rely on us to create measurable, ROI-driven marketing across all channels: digital, video, print, direct mail, and TV. The agency’s core values focus every daily activity to Inspire Direct Results.

InterSystems

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.

Trusty.care

Trusty.care is improving the way insurance is bought, sold, and managed for the 150m Americans that don’t get their insurance through an employer. Trusty Select Pro streamlines the sales, commission, licensing and contracting process for insurance distributors while significantly improving member retention for payers and providers. The inefficiency of health insurance distribution contributes to 40% rapid disenrollment from insurance policies, with 85% of Americans accessing non-employer based insurance purchasing a wrong-fit insurance plan, and distributors spending 3x the national average on administrative costs.

Trusty.care is on a mission to make sure no American goes bankrupt because of out-of-pocket healthcare costs and we make that happen with our state-of-the-art distribution and member retention platform that is revolutionizing the way insurance is bought, sold, and managed in the $2T Medicare, Medicaid, and ACA markets.