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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.

DataLink Software is a leading healthcare technology company dedicated to empowering better health. Grounded in more than 20 years of experience, DataLink develops integrated solutions that deliver actionable data insights, automated workflows, and advanced interoperability. This streamlined delivery of value-based care improves quality performance, optimizes risk accuracy, and reduces costs. DataLink is rated a Top 10 Population Health Management Solution Provider by Medhealth Outlook. For more information, visit www.datalinksoftware.com.

“Datavant, formerly Ciox, is a health data platform company making the world’s health data secure, accessible, and usable. By acquiring Apixio, a pioneer in AI-powered analytics and value-based solutions, we’ve expanded our capabilities to help healthcare organizations protect, connect, and deliver the world’s health data.”

DUOS is a digital health company focused on helping older adults stay connected and age independently. Founded in 2020, DUOS connects Medicare beneficiaries and their caregivers to the resources needed to attain the highest level of health. The DUOS SaaS platform and activation programs improve plan performance, enhance the continuum of care, and improve well-being and satisfaction through highly contextualized, personalized and timely campaigns. Visit getDUOS.com to learn more. 

Edifecs provides market-leading technology to its payer and health system customers, which serve nearly 300 million people in the U.S. healthcare market. Edifecs solutions enable customers to aggregate, normalize, and unify data with its Best in KLAS interoperability platform. Edifecs’ solutions incorporate natural language processing, machine learning, and artificial intelligence to provide deeper insights into patients, populations, and processes. Edifecs customers include 24 of the 25 top commercial health plans in the country, 27 out of 34 of the Blue Cross Blue Shield payers, 35 of the 50 Medicaid programs, and 5 out of 10 of the largest health systems.

Epstein Becker Green has served as a thought leader in the health care industry for more than 50 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.

Fathom is the leader in autonomous medical coding, applying cutting-edge deep learning and natural language processing (NLP) to produce complete coding results for patient encounters with zero human intervention. We deliver the highest automation rates and the broadest specialty coverage, including risk-adjustment, HCC coding, and diagnosis capture. Our AI technology reduces costs, increases accuracy and specificity, strengthens revenue capture, and shortens turnaround times from days to minutes. We carry out a risk-free trial to demonstrate our coding quality before your organization ever pays us a dollar.

Fathom's clients include leading health plans / payers, health systems, physician groups, and revenue cycle management companies. Following our $46M Series B in November 2022, we are backed by world-class investors including Lightspeed and Alkeon Capital as well as leading health systems and healthcare executives such as Cedars-Sinai and Jonathan Bush.

GeBBS Healthcare Solutions is a leading provider of Risk Adjustment and HEDIS services to healthcare payers and risk bearing providers. With an integrated AI enabled platform iCRA, GeBBS empowers Commercial, Medicare, and Medicaid health plans with end-to-end risk adjustment solutions, including risk adjustment analytics, retrospective chart reviews, and encounter submissions.

With certifications in HITRUST and SOC 2 Type 2, combined with over 14000+ experienced workforce we are committed to help our clients improve reimbursement, adhere to compliance, measure performance, and enhance the patient experience.

Contact us today at gebbs.com to schedule a free technology demonstration or consultation and learn how we can help you address your current challenges and grow into the future.

Icario is the leading digital-first health action company driving the next generation of healthcare. Powering over 100 million connections with people, the company’s health action platform unites whole person data, behavioral science, and digital-first omnichannel pathways to personally connect everyone to health. Icario deeply understands people and delivers personalization at scale for the most trusted healthcare organizations in all 50 states, including 8 of the 10 largest health plans.
Learn more at icariohealth.com.

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.

Nymbl is the only company providing digital balance training that is scalable, insightful, and cost saving for our partners and effective and engaging for older adults. Our scientifically validated balance training program trains the brain and body to work together, known as dual-tasking. Using just a smart device, and in only 10 minutes a day, older adults are preserving and enhancing their freedom and enjoyment of life with Nymbl. For more information, visit www.nymblscience.com.

Optum is a leading information and technology-enabled health services business dedicated to helping make the health system work better for everyone. With more than 215,000 people worldwide, Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health. For more information, visit optum.com/risk.

Persivia Inc. is dedicated to a transformative mission, aiding healthcare providers and payers in the shift from the traditional Fee-For-Service model to Value-Based Care (VBC). The Persivia CareSpace® Platform, stands out as an integrated, AI-driven solution tailored to support all VBC models and care venues. CareSpace® merges clinical, socioeconomic, claims and other data from multiple sources to provide a single comprehensive picture that puts the patient at the center of care. It offers advanced analytics, real-time clinical decision support, and valuable insights at the point of care to help improve care quality and reduce costs. CareSpace® offers a comprehensive view of both individual patients and broader populations, ensuring personalized and cost-effective management.
At the core of our capability lies our expertise in using Artificial Intelligence to provide Care Management, Risk Adjustment, STARS Management, Cost and Utilization Management and Risk Stratification capabilities. The foundations of Persivia Inc. are deeply rooted in over a decade and a half of experience in developing and launching an AI-centric Population Health Management platform. Today, we proudly support care, quality, cost and risk management initiatives in over 200 hospitals, with a user base of 12,000 clinicians
Founded in 2015, Persivia Inc. is headquartered in Marlborough, Massachusetts,

We combine the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. For more information, visit www.helloporter.com.

As the industry’s pioneering value-based care (VBC) enablement partner, Reveleer’s integrated VBC platform is purpose built to solve the most pressing real-world challenges faced by provider and health-plan organizations today. By unifying retrieval, clinical intelligence, risk adjustment, and quality improvement solutions into one powerful, AI-enabled platform, Reveleer streamlines fragmented workflows to supercharge productivity, enhance care quality, and optimize performance on their highest priority value-based initiatives. Learn more at www.reveleer.com.

Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone.

Signify Health, a CVS Health Company, is a leading health care platform that leverages advanced analytics, technology, and nationwide health care provider networks to create and power value-based payment programs. Our mission is to build trusted relationships to make people healthier. Our solutions support value-based payment programs by aligning financial incentives around outcomes, providing tools to health plans and health care 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 health care needs and prevent adverse events that drive excess cost, all while shifting services towards the home.

Ushur’s HIPAA secure, no-code Customer Experience Automation™ platform allows healthcare companies to support members and patients with AI-powered, omni-channel, digital self-service. Augment live interactions and journeys with intelligent digital ones - quickly - with little to no IT support needed. 

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/

Centauri Health Solutions works with healthcare payors and providers to improve the lives of their members and patients through compassionate outreach, sophisticated analytics, and data-driven solutions, including risk adjustment, eligibility & enrollment (Duals, SSI/SSDI), clinical data exchange, and quality program support . Our reimbursement-focused services and unparalleled expertise lead to more accurate payment rates, a reduction in uncompensated care, and quality measurement compliance.

With more than 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.

Cognisight has been partnering with healthcare payers and providers to deliver high quality risk adjustment solutions since 2006. With more than 100 clients in over 40 states, we continue to lead the industry through collaboration, quality, and transparency with a strong focus on providing unparalleled service. Whether you’re looking for a full-service partner or a single solution, Cognisight is a risk adjustment partner you can trust. (877) 271-1657 | Cognisight.com | info@Cognisight.com

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.

ECLAT offers a fully integrated platform that can be licensed directly as a Software-as-a-Solution (SaaS) that supports BOTH prospective and retrospective review utilizing NLP/ML and NLP/ML-enabled Pre-Visit & Post-Visit (Pre-Bill) HCC CDI Solution with Configurable NLP technology processes both structured and unstructured chart data as well as claims data that are surfaced to the providers in the EMR so they can confirm or deny for documentation improvement opportunities.

A leading provider of cancer screening and diagnostic tests, Exact Sciences relentlessly pursues smarter solutions providing the clarity to take life-changing action, earlier. Building on the success of the Cologuard® and Oncotype® tests, Exact Sciences is investing in its product pipeline with the launch of the OncoExTraTM and RiskguardTM tests to take on some of the deadliest cancers and improve patient care. Exact Sciences unites visionary collaborators to help advance the fight against cancer.

For more information, please visit the company's website at www.exactsciences.com, follow Exact Sciences on Twitter @ExactSciences, or find Exact Sciences on Facebook.

FarmboxRx delivers customized food as engagement solutions that break down barriers to health equity while supporting sustainable, scalable, and long-lasting quality outcomes for healthcare organizations. Through health literacy and nutrition, FarmboxRx addresses accessibility, affordability, and education to inspire self-efficacy and sustainable behavioral changes. For more information, contact us at info@farmboxrx.com or visit farmboxrx.com

Fusion Advantage was formed to provide Health Wellness Assessment services to government sponsored health plans and at-risk provider groups. By bringing together innovative clinical decision support and documentation software along with deep clinical and industry expertise, we enable health plan members, health plans, and healthcare providers to improve their health insights and wellness.

Get Well is redefining digital patient engagement by putting patients in control of their healthcare, inside and outside the hospital. Get Well combines advanced AI navigation with high-touch care experiences to improve patient activation, loyalty, and outcomes and reduce the cost of care. Get Well serves more than 10 million patients annually at over 1,000 hospitals and clinical partner sites, using longitudinal data analytics to better serve patients and clinicians.

Hello Heart is the only digital therapeutics company to focus exclusively on heart disease, the leading cause of death worldwide. Through a connected mobile device that uses AI, behavioral science, and personalized digital coaching to drive lifestyle changes, Hello Heart empowers people to reduce blood pressure and predicts serious heart issues before they occur. Validated in peer-reviewed studies, Hello Heart is easy to use and works alongside an employer’s benefits ecosystem. Leading employers across most major industries are realizing immediate and sustained results for member engagement, clinical outcomes, and reduced cost of unnecessary cardiac procedures. Founded in 2013, Hello Heart is a member of the American Heart Association’s Innovators’ Network and is part of the CVS Health Point Solutions Management Program. Visit www.helloheart.com for more information.

Invent Health is a healthcare analytics company with a mission to generate quality data that is actionable and meaningful. Invent Health’s modules not only create highly accurate chase lists and reports, which have been vetted by multiple algorithms, but also break down data that can be fed easily to Provider Partners (PPG/IPA) and physicians/facilities in a web-enabled system. Additionally, Invent Health creates an effective workflow between payers and providers where gaps in risk scores, care gaps, chart chases, annual wellness visits, and prospective and concurrent coding are all cyclically connected.

Milliman is among the world's largest providers of actuarial and related products and services. The firm has consulting practices in healthcare, property & casualty insurance, life insurance and financial services, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. For further information, visit milliman.com.

Moxe connects the healthcare ecosystem with high quality, meaningful data to drive better outcomes. Our EHR agnostic solutions streamline the secure exchange of precise data and insights, delivering payers accurate clinical data that’s cost effective, timely, and configured for payment and operations. Moxe solutions support risk adjustment, quality improvement, payment integrity, revenue cycle management, care management, and more. www.moxehealth.com

mPulse Mobile is transforming digital engagement for healthcare's leading organizations through proven solutions that combine conversational AI with integrated streaming content.

Trusted by 200+ health organizations to personalize over 1 billion conversations annually, mPulse Mobile’s innovative technology and engagement strategy deliver business efficiencies, improve health outcomes, and inspire a more equitable, healthier world, one person at a time.

Over The Counter Health Solutions (OTCHS) by CVS Health help consumers connect with their supplemental benefits, lower the cost of care and drive value for health plans and their members.  With various products available, including our newly launched Flex Card which consolidates multiple benefit needs across a broad spectrum of services like healthy foods, dental, vision and hearing services, home health care, transportation, and more, OTCHS by CVS Health is able to customize a program to satisfy any plan’s need.    

Secure Exchange Solutions is the leading provider of interoperable, electronic clinical data exchange for health plans and providers. Leveraging a nationwide network of connected endpoints, we capture, match, filter, transform, and route data to payer workflows to optimize risk adjustment, HEDIS, Stars, and close care gaps. By streamlining data delivery into workflows, our solutions substantially improve existing data access methods, thus reducing costs and abrasion between providers and payers. For more information on how we can help improve your risk adjustment ROI, please visit secureexsolutions.com.  

UST HealthProof is powered by experience, expertise, and an innovative mindset. Our cutting-edge health information technology, matured operating model and organizational culture have transformed Core Administration, Risk Adjustment and Quality Improvement outcomes for more than 30 health plans across all lines of business, regional and national, to meet their strategic objectives and improve operational efficiency.

Avalere

Biomedix features a range of diagnostic device technologies designed for point-of-care testing for prospective risk assessments and closing HEDIS measures. All technologies automatically sync results to a web-based population health management tool called Biomedix Xchange.

Our portfolio of diagnostic capabilities include:
1. Peripheral Artery Disease detection with our PADnet Xpress
2. Diabetic retinopathy screening with the IRIS platform
3. Osteoporosis screening with the BeamMed MiniOmni
4. Peripheral neuropathy detection with the NeuroMetrix DPNCheck
5. COPD detection with ndd Medical
6. Depression screening
7. Screening for personality disorder
8. Fall risk assessments
9. Social Determinants of Health assessments

Leveraging a history of more than 1 million peripheral vascular disease tests and artificial intelligence technology, we offer PADnet Xpress, the fastest and most accurate way to diagnose peripheral vascular disease. For more information, visit biomedix.com.

Backed by 30 years of research, the Creyos online platform enables physicians nationwide to efficiently and precisely manage the full-spectrum of cognitive care – from screening, to testing, to care planning.  Scientifically-validated, Creyos aligns to the requirements of CMS-HCC Model V28, leverages DSM-5 diagnostic criteria for dementia, and produces care plans that incorporate recommendations from the Alzheimer’s Association. Published in 400 peer reviewed studies and backed by a normative database of 85,000 subjects, it’s a scientifically-superior solution for cognitive assessment and care planning. Visit www.creyos.com for details.

Innovaccer is a leading San Francisco-based healthcare technology company committed to making a powerful and enduring difference in the way care is delivered. The company leverages artificial intelligence and analytics to automate routine workflows and reduce manual overhead to facilitate more patient-centered care. Its Gartner and KLAS-recognized products have been deployed all over the U.S. across more than 1,000 locations, enabling more than 25,000 providers to transform care delivery and work collaboratively. Innovaccer's Data Activation Platform™ has been successfully implemented in healthcare institutions, government organizations, and corporate enterprises including Catholic Health Initiatives, MercyOne, Orlando Health, Hartford Healthcare, and Stratifi Health. By using the connected care framework, Innovaccer has unified more than twelve million patient records and generated more than $400M in savings.  For more information, please visit innovaccer.com.

MRO partners with health systems to transform the way clinical data is extracted, exchanged, and analyzed to protect clinical and financial wellbeing. Leveraging domain expertise with advanced, compliant technology and service solutions, MRO helps clients find better ways to facilitate the exchange of patient data, process and track medical record requests, and improve enterprise-wide financial performance. Visit www.mrocorp.com for more.

New Vision Healthcare Solutions was started in 2019 by two physicians, and a certified Risk Adjustment coder with the mission to help providers improve their documentation. Using a unique approach of taking clinical documentation of individual providers and delivering a tailored education to each provider, NVHC is helping providers improve their documentation across the payer spectrum.

Previon is a leading provider of customizable preventive health test kitting, kit logistics, healthcare communications, and consulting solutions that help healthcare organizations improve quality, provide better experiences, and achieve better results.

Offer patients an accelerated path to care decision-making and employees a convenient testing method with Previon’s cost-effective health test kit services designed to encourage optimal response and completion rates. Previon handles the printing, mailing, and tracking of physician-ordered, direct-to-patient kits and augments these with market-leading campaign management services and our patented workflow software, Previon PCaaS™. Our kits leverage customized, postage-saving packaging, personalized patient letters, and identification barcodes for easy lab processing and screening that saves you money and improves patient experiences. And with our patented technology, teams gain full visibility into workflows for straightforward kit configuration, delivery status updates, patient interaction insights, and more.

If you distribute CMS-regulated communications, Previon can help with the preparation and on-time delivery of these important documents. Trust Previon to print and mail or digitally deliver communications that meet compliance requirements and strict deadlines, from welcome kits and EOBs to patient reminders and invoices. Replace manual efforts and makeshift systems with Previon Compliance™, the workflow software that simplifies document collaboration, reduces the risk of errors, and keeps data central and secure. Review and merge proofs, produce detailed reports, facilitate program audits, and obtain greater control over your documentation fulfillment processes with Previon’s experts by your side.

Contact us today for a free consultation!

S2M Health

Stellar Health is a healthcare technology company focused on enabling success across the value-based care continuum by bridging the incentive gap between providers and payors. The Stellar solution is the first point-of-care, cloud-based platform that helps providers engage with their patients by providing them real-time information and tangible action-based incentives for improving quality of care. With Stellar, providers optimize the patient care journey through transitions of care and high-value referrals to improve patient health. 

The Helper Bees is working to empower aging in place across the U.S. Our mission is to help people stay at home longer through data-driven services that transform both the plan and the member experience. We are committed to providing innovative, scalable technology and solutions that enable members and their families to access the services they need, when they need them most. We hold our technology and our Provider Network to a standard of excellence with the goal of helping plans meet the triple aim – cost of care, quality of care, and member satisfaction. Find out more at thehelperbees.com

Health systems across the country rely on Verisma for timely and accurate fulfillment of medical record requests. Our award-winning technology is enhanced by our intimate knowledge of release protocols for each facility we serve, includes health plan API options, and supports the data standard for C-CDA. Payers with large request volumes leverage Verisma’s direct provider relationships to streamline process and obtain records from the specialists trained and authorized to pull them. A trusted partnership with us is truly a promise of efficiency for Medicare Advantage Plans, ACA, RADV audits, and HEDIS scoring