Rise

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.

Arcadia helps payers and providers put their data to work so they can transform healthcare. We do that through an interoperable data platform that uses advanced analytics to shape strategies, inform decisions, and facilitate actions. In turn, payers and providers can focus on what matters most — whether that’s patient outcomes, operational efficiencies, or financial performance. We’re trusted by the institutions driving the future of healthcare, including Southwestern Health Resources, Tandigm, Castell, Rush Health, and Beth Israel Lahey Health. To learn how Arcadia is shaping the future of healthcare with innovative solutions that deliver data-driven insights, visit arcadia.io.

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 300+ payer and health system customers, who serve nearly 300 million people in the U.S. healthcare market. For over 25 years, Edifecs has enabled customers to transform by unlocking greater value with their healthcare interoperability and data management, workflow and operations solutions, which includes its award-winning Healthcare Interoperability Cloud solution. Edifecs’ healthcare SaaS solutions, available via public, private, and hybrid clouds, serve as the foundation to help eliminate stakeholder friction and overcome healthcare’s biggest challenges, including accelerating value-based payment adoption and obtaining more complete and accurate care funding for alternative payment models. Edifecs’ solutions are powered by AI that incorporates generative AI and LLMs, natural language processing, and machine learning, to provide deeper insights into patients, populations, and business processes. As new standards and regulations continually emerge from government agencies, Edifecs is a proven partner to support its customers road to “evergreen” compliance. Edifecs customers include 24 of the 25 top commercial health plans in the country, 32 of the 51 Medicaid programs, and 6 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.

Evernorth Health Services brings the power of wonder and relentless innovation to create world-class pharmacy, care and benefit solutions. We make the treatment, prediction and prevention of health care’s most complex conditions easier and more accessible as we drive organizations and people forward. Our capabilities work seamlessly together to create innovative pharmacy, care and benefit solutions for today and tomorrow. We’ve designed them to work together in new and expanded ways to better anticipate and deliver what you need.

Evernorth Home-Based Care provides value-based care that helps patients with multiple chronic conditions and Social Determinant of Health barriers get the care they need and the personalized experience they deserve. We serve patients who struggle to navigate the healthcare system by bringing high-quality primary and preventive care services to the home. By providing clinical care and support services that provide whole-person care, we improve health equity, access, and outcomes for the populations we serve.

EviCore by Evernorth leverages our clinical expertise, evidence-based guidelines, and innovative technologies to deliver best-in-class medical benefit management solutions that inform more effective, affordable treatment and site of care decisions for each patient’s needs. The result: Better outcomes and lower costs for patients, providers, and plans.

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.

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.

RAAPID is a healthcare technology company serving payers, healthcare providers, and other supporting organizations. Their platform uses artificial intelligence (AI), machine learning (ML), medically trained natural language processing (NLP), and knowledge graphs to power workflow applications that help healthcare organizations shift to value-based care. RAAPID's cloud-based Risk Adjustment platform - SaaS and API - takes structured and unstructured patient data to extract accurate chronic conditions and determine the corresponding HCC codes, calculate risk scores, identify gaps in care, and analyze population health trends. RAAPID enables payers, providers, and other organizations participating in Medicare Advantage, ACA, and Medicare ACO programs to drive revenue and reduce administrative costs with customized solutions

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.

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.  

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.

SSI Group

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/

American Logistics is a transportation management and technology company serving the healthcare industry and transit/municipal agencies nationwide. American Logistics leverages its proprietary technology to manage the transportation benefit by validating eligibility, trip type, destination, and by GPS/AVL for live-trip tracking while providing analytics and detailed reporting. Headquartered in St. George, Utah, American Logistics has over 20 years of experience in passenger transportation. To learn more about how American Logistics can add or augment transportation for your organization, visit americanlogistics.com.

ATTAC Consulting Group’s risk adjustment experts provide operational excellence and program improvement. We support plans, provider organizations and vendors for Medicare Advantage, commercial ACA, Medicaid and ACO risk adjustment programs. Our team provides a comprehensive range of consulting, advisory and auditing services, including program assessments, overpayments compliance and payment accuracy review and HHS-RADV initial validation auditing. Talk with us about how we can help you implement effective and compliant risk adjustment programs.  

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.

Ciklum is a leading Experience Engineering firm at the forefront of innovation, seamlessly blending next-generation product engineering, exceptional customer experiences, and cutting-edge AI. With a global team of over 4,000 highly skilled engineers, experience design specialists, and consultants, we are revolutionizing the way people live by developing groundbreaking technologies that reimagine and reshape the future of healthcare.

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

Cognizant (Nasdaq-100: CTSH) engineers modern businesses.  We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world.  Together, we’re improving everyday life. See how at www.cognizant.com at @cognizant.  Cognizant’s TriZetto Healthcare Products are software solutions that help organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care, and improve the member and patient experience.  Visit www.cognizant.com/trizetto and follow us on LinkedIn.  

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.

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.

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.

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.

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 IntelliScript is the leading creator of risk-assessment insurtech for the U.S. life and health insurance sectors. Our actuaries, clinicians, developers, and data scientists combine deep technical expertise and a pragmatic focus on demonstrable ROI. We invent and relentlessly improve data-driven SaaS solutions to help carriers make better decisions faster and with greater confidence. For over 20 years now, our customers have come to know us as category-defining innovators and reliable strategic partners. They count on us to clarify both risks and opportunities—so they can see more and fear less.

IntelliScript is part of Milliman, Inc., an independent risk management, benefits, and technology firm. Milliman helps clients around the world, as they take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. See more at rxhistories.com.

Founded in 1998, Milliman MedInsight® is a leading provider of healthcare data and analytics, trusted by over 300 payers, providers/ACOs, employers, and government agencies worldwide. Our comprehensive suite of analytics and data solutions empowers organizations to leverage healthcare data for informed decision-making and improved clinical and financial outcomes. With deep industry expertise and advanced technology, we deliver actionable insights into healthcare utilization, costs, quality, and performance. From risk management to value-based care, Milliman MedInsight empowers stakeholders to navigate the complexities of the healthcare landscape and achieve sustainable success. Learn more at: medinsight.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.

Pareto Intelligence is an analytics and technology solutions company that supports healthcare plans and providers with revenue, cost, quality, and risk adjustment payment models. Pareto was forged to help our clients navigate the most dynamic and critical times in healthcare, and we continue to bring innovative solutions to meet unmet market needs. Pareto acts as a trusted partner, helping clients make key decisions with big data analytics, easy-to-use technology, and expert advisory support. Our award winning suite of technology solutions and services help our clients harness the power of data science and develop actionable insights. We show you what to do with the insights you've acquired and give you direction for tomorrow. Pareto Intelligence was launched by HealthScape Advisors, a management consulting firm with decades of experience in the business of healthcare.

RazorMetrics creates cutting-edge pharmacy cost containment solutions to quickly and easily reduce drug costs. Its proprietary technology automatically initiates cost-saving opportunities through medication switching, deprescription, deduplication, and more–all while adapting to fit client's plan, preferences, and formulary. RazorMetrics conveniently plugs into prescriber’s existing workflow, improving healthcare decisions while seamlessly reducing medication costs for members and plan sponsors. Based in Austin, TX, RazorMetrics supports self-funded employers, health plans, PBMs, and organizations to bring clarity, efficiency, and more value to their pharmacy benefits.

Sprinter Health is a mobile healthcare provider that combines technology and a full-stack medical practice to reimagine care at home. We partner with health plans to drive engagement with preventive care by providing convenient in-home visits that close care gaps and equip providers with actionable data to support better health. For more information, visit www.sprinterhealth.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.

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.

Virtix Health is the leader in medical record retrieval and risk adjustment coding, helping health plans maximize accuracy, efficiency, and financial performance. With the nation’s top retrieval network and our proprietary Linx platform, we achieve up to 50% higher retrieval rates and 95% coding accuracy. Our team of 13,000+ certified coders, abstractors, and auditors delivers unmatched speed and transparency without compromising quality. We specialize in risk adjustment for Medicare Advantage, Marketplace/ACA, and Medicaid MCOs, integrating seamlessly with industry partners to optimize outcomes and reduce administrative burdens. Learn more at www.virtixhealth.com.

The Wolters Kluwer Health Language platform ensures that anyone who relies on healthcare data can trust that it is accurate and fit-for-use. With the most robust data, AI-enabled technology and decades of experience working in healthcare, the Health Language platform ensures that the quality of your data is maintained to meet your needs, because good data powers better health. Leveraging a curated and continuously updated library of industry standards, organizations can maintain a single source of truth for their healthcare data, which can be easily accessed in the cloud. This trusted terminology foundation serves as the benchmark for managing all codes throughout the data value chain and helps identify and maintain relationships across data sets. From point of care documentation to data normalization, analytics, and risk adjustment, healthcare data is messy. Health Language can clean it up, ensuring that good data powers better health.

ELLKAY is a recognized healthcare connectivity leader, providing interoperability solutions and services nationwide since 2002. ELLKAY empowers diagnostic laboratories, hospitals and health systems, healthcare IT vendors, payers, and other healthcare organizations with cutting-edge technologies and solutions. With over 58,000 practices connected, ELLKAY’s system capability arsenal has grown to over 750+ EHR/PM systems across 1,100+ versions. As the industry leader in healthcare data and interoperability, ELLKAY helps our health plan partners drive value-based care, streamline data collection, empower member engagement, and meet CMS interoperability mandates.

The business of healthcare is complex and ever-changing. At AAPC, we work with both payers and providers to ensure regulatory compliance, improve staff retention, and increase revenue. As the gold standard in clean claims, hundreds of reputable organizations trust AAPC for coding and auditing services, team training, and software, resulting in stronger teams, more efficient workflows, and a more robust bottom line. For more information, visit: https://www.aapc.com/business

Healthcare is a journey, and AdhereHealth is here to transform it. We improve medication adherence and health outcomes through a unique combination of advanced technology, behavioral science, and clinical expertise. Partnering with health plans and managed care organizations, we optimize value-based care, reduce costs, and address root causes of nonadherence, such as Social Determinants of Health (SDOH) and behavioral barriers. Our dynamic, personalized, omnichannel approach continuously engages health plan members over time, fostering trust, enhancing care experiences, and empowering members to achieve lasting health improvements. This holistic and individualized model delivers measurable performance outcomes, benefiting both members and health plans. Learn more at www.adherehealth.com.

Adobe Population Health offers proactive care management services through a tech-enabled, hybrid care model delivering whole-person care. By combining proprietary risk stratification and health risk assessments with virtual and in-home care delivery, Adobe gathers a complete picture of at-risk members, coordinating seamlessly with primary care while addressing social determinants, improving outcomes and lowering costs. Applying the human touch, Adobe develops real relationships forging a pathway forward improving both the human and health condition of each member.

Amergis provides scalable staffing solutions with a mission of ‘Connecting People to Work that Matters’.  Amergis has a long-standing national footprint that supports high volume delivery.

Amergis Revenue Cycle Services,  a division of Amergis Healthcare Staffing,  focuses on the complex business tasks of healthcare, helping with Risk Adjustment coding, auditing, and chart retrieval. Amergis specializes in projects such as RADV IVA, MA, PACE, and Commercial amongst others.  With decades of experience working closely with healthcare partners nationwide, you can rest assured knowing we can provide the highest quality staff. Amergis is also a national leader in the Locum Tenens industry, taking a consultative, scalable, and tech-enabled approach to meet delivery on value-based primary care, home care, and telehealth.

AnewHealth provides comprehensive pharmacy care services for patients with complex, chronic care needs, helping people live healthier and thrive in home and community settings. We are medication experts, delivering an unparalleled combination of integrated clinical pharmacy and technology solutions that optimize medication therapy, makes it easier for patients to take medications as prescribed, and mitigates medication-related risks. These solutions keep patients healthier, out of the hospital, and lowers the total cost of care.

At Annova Solutions, we empower health plans to optimize performance and achieve superior outcomes. Our expertise spans risk adjustment coding across all lines of business, including Medicare (Part C & D), ACA, and Medicaid (CDPS). Whether retrospective, concurrent, or prospective, we ensure coding accuracy, compliance, and financial integrity. 

Beyond coding, we enable health plans and providers to enhance the member experience, improve Star Ratings, and achieve operational excellence. By prioritizing efficiency and quality, we equip organizations with the expertise and tools needed to drive financial performance, maintain compliance, and ensure long-term success.

At Arbital Health we are transforming value-based care, one contract at a time. We take the complexity out of outcomes-based contracting by centralizing, predicting, adjudicating, and improving contract performance. Through our combination of advanced technology and actuarial advisory services, we support payers, providers, point solutions, employers, and risk enablers across all disease verticals and lines of business. Arbital Health is uniquely positioned to help our clients deliver on their promise of improved patient outcomes while unlocking the trillion-dollar shift to value-based care. 

Our vision is to be the neutral third-party adjudicator of outcomes-based contracts.

athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. We’re inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Learn more at athenahealth.com

Customer experience software for healthcare to listen, analyze, and activate your customer voices to identify trends and disruptions in the healthcare journey. Our AI-powered platform is designed to deliver insights, enhance quality, and monitor compliance. Authenticx delivers INSIGHTS to identify leading drivers of customer attrition and understand why customers stop or change plans or treatments. We enhance QUALITY to improve operational efficiency, quality scores, and agent performance by scaling call auditing and surfacing issues within calls. Authenticx monitors COMPLIANCE to reduce manual identification of compliance events to manage risk and improve outcomes. Learn more at Authenticx.com

Avalere

Azara Healthcare, the 2023 Best in KLAS population health management solution, is the leading provider of quality measurement, analytics and reporting for the Community Health and physician practice market. Azara solutions empower more than 1,000 Community Health Centers, physician practices, Primary Care Associations, Health Center Controlled Networks, and clinically integrated networks in 42 states to improve the quality and efficiency of care for more than 25 million Americans through actionable data. To learn more about Azara Healthcare, visit www.azarahealthcare.com.

Beacon Healthcare Systems streamlines the business of healthcare through reliable innovative SaaS technology delivered by industry experts. With a focus on appeals and grievances, compliance, and analytics, Beacon HCS is the first place health plans turn when looking for a trusted, experienced partner that can help them reduce costs, grow revenue, and achieve their strategic goals. Founded in 2011, Beacon HCS is a privately held California-based company with a wholly owned subsidiary in India. Visit our website at www.beaconhcs.com

BeneLynk is a national provider of social determinant of health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. Through our One Lynk™ solution, we create human-to-human connections and provide the assistance members need to get the benefits they deserve.

At BeneLynk we lead with help to build stronger human connections, supported by our innovative Lynk360™ technology, to produce positive outcomes for both health plans and members. Member dual-eligible, but not enrolled? We can begin a Medicaid application. Member enrolled in Medicaid, but in need of assistance to complete the annual recertification? Our state-specific assistance accesses the full range of state recertification options. Member a Veteran who receives some care from the Department of Veterans Affairs? We can help the member share documentation of VA care with his or her Medicare Advantage Plan.

BeneLynk’s integrated SDoH solution produces positive returns for our clients, and life-changing assistance for their members.

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.

Bloom helps Medicare health plans grow profitably through industry-leading telesales and tech-enabled products and services. Our customizable multichannel onboarding experience ensures high-quality lasting enrollments and accelerated clinical activation for new members through early actions and value-based data collection. Working together, Bloom delivers better outcomes for Medicare health plans and their members.
Learn more at www.BloomInsuranceAgency.com.

Bold is the leading healthy aging platform, offering personalized, evidence-based exercise programs for Medicare members that help prevent falls, reduce musculoskeletal pain and disability, and increase physical activity levels. Innovative Medicare Advantage plans and provider groups rely on Bold to deliver engaging, clinically sound exercise programs that members love to use and that achieve significant clinical and quality outcomes. Bold is backed by Andreessen Horowitz, GingerBread Capital, Khosla Ventures, Maveron, Primetime Partners, Samsung Next, and Rethink Impact. To learn more about Bold, please visit agebold.com.

Care Kits will change the way members think about their health plan. Custom designed, they have everything a member needs for self-care, including step x step education, household reference tools, and vetted devices.

Sent direct to home, or in conjunction with your provider network, Care Kits are proven to lower the cost of care, narrow health equity gaps, and improve star ratings. Surprise and delight your members with a Care Kit quality program.

Stop by and see all 50 kits and request a sample. www.carekit.com.

CARECODE PRO

Careforth has 25 years of experience empowering family caregivers nationwide to confidently care for loved ones at home. Our nurses and care coaches provide emotional support, personalized guidance, and resource connections through real conversations and our digital collaboration app. Careforth’s services improve health outcomes and satisfaction for caregivers and care recipients, increase engagement for providers and health plans, and deliver cost savings to payers.

Careington is a responsive, solutions-driven company motivated by the people we serve. We are an established leader structured to design, develop and deliver industry-best products and services focused on individual health and well-being and characterized by affordability, integrity, transparency, simplicity and value. Our innovative solutions connect us to our clients, members, providers and producers - now and into the future.

Carelon is a healthcare services organization that supports a whole-health approach through capabilities including behavioral health, medical benefits management, pharmacy, and research. Carelon turns data into insights, insights into action, and action into personalized, innovative, and meaningful outcomes. By collaborating with clients and partners, Carelon delivers value, connects for health, and improves
experiences.

For more information, please visit Carelon.com or follow Carelon on LinkedIn.

Only Cavo Health achieves higher accuracy and greater completeness with a faster coding platform for risk, HEDIS, CDI, and prospective projects because only Cavo Health’s coding modules are powered by Precise Word Matching AI.

No more “garbage in, garbage out” problem of machine learning AI solutions. Instead, Cavo Health’s coding solutions are powered by millions of “queries.” Each query is curated by an expert coder to always match to the most specific code or HEDIS measure supported in the documentation.

That’s why Cavo Health’s risk adjustment, prospective, CDI, and HEDIS modules achieve the highest ROI in the industry.

Contact Steve Butler at 630.388.8220 or visit us at www.cavohealth.com

Cecelia Health is a national virtual specialty medical practice serving people with chronic conditions across the care continuum. We expand access to care and provide personalized clinical support to help patients achieve sustained engagement and durable outcomes. Powered by digital tools and uniquely data-enabled, our integrated care approach addresses the whole person with proactive, coordinated support focused on clinical, behavioral, social, and emotional needs across cardiometabolic and related conditions. Following evidence-based guidelines and clinical best practices, our solution is scalable for health plans, providers, health systems, and life sciences. 

At Charta Health, we're transforming healthcare with fully autonomous pre-bill reviews on every chart at unparalleled accuracy and costs. Our AI will scan your charts and claims to identify revenue opportunities and coding mistakes, and then automatically generate any necessary addendums or billing changes. Save thousands of hours while generating millions in revenue (98.2% cheaper than human auditors). Learn more at chartahealth.com. 

Since 2012, ChartRequest has helped professionals across the country securely transmit medical, billing, and imaging records. We’ve developed a nationwide network of healthcare organizations and third-party professionals who enjoy fast turnaround times on our streamlined platform.

With frequent internal audits and verification of state and federal regulations, ChartRequest simplifies record exchange compliance for all custodians and requestors. Additionally, our powerful encryption and SOC 2 Type 2 compliance highlight our dedication to safeguarding PHI.

For payors, ChartRequest offers unmatched transparency and customization with RecordGateway. Our easy-to-use API solution helps payor companies complete audits and close the books.

ComplexCare Solutions is a leader in member engagement, helping health plans nationwide drive better outcomes through personalized, data-driven services in and out of the home. Our comprehensive and thorough assessments provide deep insights into members’ needs, enabling targeted outreach and interventions that improve health and reduce costs. Our modular solutions seamlessly integrate with health plan operations, ensuring compliance, accurate reimbursements, and enhanced care quality. By partnering with us, you gain a strategic extension of your team—one that optimizes engagement, improves satisfaction, and delivers measurable impact. We don’t just assess members—we empower them, creating lasting connections that transform healthcare delivery. Let’s redefine member engagement for risk, quality, and care together.

Cook Unity

CoventBridge Group has more than 25 years of experience in the identification, prevention and investigation of fraud, waste, and abuse for our customers across the healthcare, insurance, financial and government markets with a proven track record of implementing and managing the largest programs in the industry. CoventBridge is the partner of choice supporting:

• Centers for Medicare and Medicaid Services managing the Unified Program Integrity Contractor program investigating Healthcare FWA since 1997
• One of the largest government agencies providing a national network of undercover investigators
• 700 National licensed employee investigators, many of which are former OIG, DOJ, FBI investigators

Program Management

• Audits & Assessments
• Compliance Assessment
• Medicare & Medicaid FWA
• On-site Audits
• Vendor Management

Document Retrieval & Analysis

• Medical Record Retrieval
• Medical Record Review & Coding (RN)
• Investigative Medical Record Review
• Medical & Healthcare Canvassing

Investigative Services

• Healthcare FWA Investigations
• Investigative Reports
• Clinical Surveillance
• Law Enforcement Referrals
• Alive and Well Checks

Staff Augmentation

• Data Analysts
• Investigators
• Nurse Reviewers
• RN Consultants

For more information, visit Health Plan FWA Solutions | CoventBridge

Credo Health is a clinical insights platform optimized to support providers and risk bearing organizations in the transition to Value. Our platform leverages the most comprehensive set of patient specific clinical data to deliver evidence rich insights on patient health that drive more accurate and timely health assessments at lower cost. This seamless integration enhances clinical decision-making, optimizes contract performance, and improves operational efficiency—ultimately elevating both patient outcomes and provider satisfaction.

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.

Curant Health is a national outcomes-based patient support organization that specializes in improving adherence for challenging populations by leveraging advanced technology solutions with dedicated expert clinicians to deliver exceptional patient and partner outcomes.

For over two decades, we have improved medication adherence and health plan quality scores while reducing Total Cost of Care through proprietary algorithms that identify, engage, and monitor members in complex care populations.

Our solutions for Employers and Health Plans are included but not limited to Products focused on Total Cost of Care Reduction, Productivity Improvement, High Cost & Complex Care Monitoring, Stars Adherence Improvement, HEDIS Gap Closure and Medication Reconciliation Post-Discharge.

We look forward to meeting you!

Cybexys

At D4 Solutions, we understand that in today’s fast-paced healthcare environment, communication isn’t just about sending documents; it’s about safeguarding critical information, ensuring regulatory compliance, and building trust with every interaction. We deliver flexible, secure, and compliant print and digital document solutions that empower Medicare Advantage Health Plans to engage effectively with members and providers. Our end-to-end services are designed to streamline your communications processes while mitigating risk and driving operational efficiencies.

Comprehensive Solutions for Healthcare Communications

✅ Print & Mail Services – From Welcome Letters and ID Cards to EOBs, ANOCs, EOCs, and Statements, we ensure error-free, on-time delivery of mission-critical communications.

✅ Secure Web-Based Document Hosting – Need instant, compliant access to member documents? Our secure portal solutions provide real-time tracking, easy retrieval, and audit readiness.

✅ Regulatory Compliance & CMS-Ready Solutions – Navigating complex healthcare regulations? Our SOC 2 Type II & HIPAA-compliant processes keep you audit-ready and aligned with CMS requirements.

✅ Omnichannel Member Engagement – Improve Star Ratings, retention, and satisfaction with integrated print, digital, and mobile communication strategies tailored to your members.

Unparalleled Security and Compliance

Security and compliance are at the core of our operations. With our SOC 2, Type II and HIPAA audited solutions, we guarantee that your sensitive member data is handled with the utmost care and adherence to industry standards. We proactively stay ahead of evolving regulatory requirements, ensuring that your organization is always audit-ready. By partnering with D4 Solutions, you benefit from our rigorous compliance framework that not only protects your data but also enhances your reputation as a trusted healthcare provider.

D4 Solutions Print & Digital Solutions

We specialize in customized, end-to-end document management, seamlessly integrating variable data, personalized formatting, and multichannel distribution to optimize engagement and operational efficiency. Whether you need to streamline print and mail workflows or enhance digital access through a secure, web-based portal, we have the expertise and technology to simplify complexity and reduce costs.

At D4, we do the heavy lifting—from onboarding to production and final delivery—so you can focus on what matters most: your members and patients.

Partner with D4 Solutions and experience the efficiency, security, and reliability that top healthcare organizations trust. Let us streamline your document workflows while you focus on delivering exceptional care.

With over 30 years of industry experience, Datafied is your market leading, one-stop health and data services partner. The DataHub.ai platform combines decades of medical record retrieval experience with artificial intelligence to connect, convert and deliver patient information seamlessly into modern, digital health systems. We take great pride in our speed of response, technical capabilities, highly flexible approach and overriding ‘can do’ attitude. Be satisfied with Datafied.

Ethermed

Everly Health Solutions is the enterprise division of Everly Health, a digital health company providing virtual-first disease prevention, diagnosis, and treatment that has served over 56 million people to date. Our mission is to eliminate barriers, close care gaps, and improve access to affordable and actionable healthcare.

We collaborate with health plans, employers, and pharmaceutical companies to bridge care gaps through at-home diagnostics and virtual care for major health challenges facing Americans today. Supporting over 340 programs, we empower enterprise clients with tailored, data-driven solutions to improve patient outcomes and streamline care delivery.

FTI Consulting’s Healthcare Risk Management & Advisory practice works with virtually every aspect of the Healthcare and Life Sciences Industry to identify innovative solutions to manage risk, ensure quality and protect value that prepare our clients for future strategic, operational, financial and legal challenges. Our professionals have specialized capabilities and a record of success helping clients evaluate and mitigate risk, investigate allegations of regulatory non-compliance, and provide advice and support regarding related financial and operational impacts.

GA Foods is a trusted and experienced national meal benefits partner for health plans and state organizations across all 50 states. With over 30 million meals served each year, we specialize in catering to the unique needs of Medicare and Medicaid members, seniors, children, the U.S. military, and disaster relief efforts.

Our services include advanced logistics and distribution, state-of-the-art delivery with GA Foods' drivers, a diverse product portfolio, quality customer care, certified nutrition education, and comprehensive member engagement. We utilize the latest innovations in food as medicine to improve health outcomes with nutritious food and help payers adopt a personalized healthy food strategy to manage complex chronic conditions better. In addition to providing high-quality nutrition, our Registered Dietitians offer individualized medical nutrition therapy to support members on their long-term health and wellness journey. We go beyond nutrition to connect with members, earn their trust, and improve outcomes.

Contact: Patrick Coulson at PCoulson@gafoods.com or (440) 279-7669.

Approximately 87% of older adults have at least one chronic disease, such as heart disease, stroke, cancer, type 2 diabetes, and arthritis. Chronic disease management is one of the most critical and challenging problems in healthcare today. It is estimated that 40% of those with chronic illness are malnourished. GA Foods provides medically-tailored meals that focus on diseases with the highest health care utilization rates.

We take pride in nourishing your members with care and respect. Our products are marketed under the SunMeadow® brand name and are available nationwide. Our SunMeadow® meals are made with fresh, high-quality ingredients and are designed to meet or exceed federal and state regulatory standards and recommendations.

For information, call 1-866-575-2772 or visit www.GAFoods.com

Generated Health

Greater Good Health is committed to enabling and expanding access to holistic, value-based care. Our integrated clinical services extend the reach of risk-bearing organizations via programs focused on reducing total cost of care, improving outcomes, and addressing social determinants of health. For more information, visit www.greatergoodhealth.com. 

Hallmark greeting cards are personalized and mailed to members (MA, DSNP, FEP).  Hallmark cards have the highest ‘open-rate’ of any direct mail format, and are proven to increase Quality scores: Stars, CAHPS, HEDIS, HOS.  89% of Hallmark card recipients give the highest possible rating on surveys.  Hallmark Business Connections leverages 115 years of Hallmark heritage, creativity and innovation to provide meaningful, memorable and measurable solutions that strengthen health plan relationships with members.  To access case studies, best practices, and receive examples of cards proven most effective, send an email to Jada.Sudbeck@Hallmark.com or visit our website at Business Solutions for Health Plans | Hallmark Business

Want to improve Risk Adjustment coding speed and accuracy, minimize risk of coding errors, and boost productivity and efficiency? Consider HCC Coder™ - the only software available for Risk Adjustment coding that was built from the ground up by medical coders, for medical coders. HCC Coder boosts productivity and efficiency using an interface that is intuitive; one that has been refined to move step-by-step along with your coding/auditing process. It’s packed with all of the content you need and eliminates everything else. You won’t have to wade through irrelevant information to find the Hierarchical Condition Category codes most relevant to your work.

Inovaare's HITRUST CSF®-certified, AI-enabled health cloud platform empowers healthcare payers and providers to drive continuous compliance and operational excellence through automated solutions, proactive monitoring tools and advanced analytics for smarter and faster decision making that mitigates risk and drives growth.

Inovaare's cloud-based suite of solutions streamlines complex regulatory processes and enables out-of-the-box as well as composable software to manage data across internal and external departments. This centralized compliance management ecosystem allows healthcare organizations to efficiently meet their unique business requirements, sustain audit readiness through continuous monitoring, reduce non-compliance risks, lower operating costs and improve overall member, employee, provider and delegate experience.

InteropX offers state of the art solutions that enable near real-time patient clinical data access and compliance with the latest CMS 0057F regulation for health plans and health systems. iX DataBridge allows Payers, ACOs, and IDNs to GATHER AND store complete and ‘always up to date’ clinical data for their ENTIRE patient population, ENABLING BETTER RISK ADJUSTMENT, HEDIS REPORTING, CARE GAPS CLOSURE, AND MACHINE LEARNING. iX DataBridge with the CMS-0057-F option provides complete implementation and operationalization of the 4 provisions of the CMS-0057-F, enabling out-of-the-box compliance. Visit us in Booth 5429 for the iX DataBridge demo or contact us at info@interopx.com.

Know Your Rhythm with ZioⓇ is the groundbreaking program by iRhythm Technologies for the early detection of AFib and other heart arrhythmias. The program offers a turnkey solution for member engagement and at-home diagnostic testing with the Zio service, as well as telehealth cardiology services by partnering with Heartbeat Health. We believe the Know Your Rhythm program will offer a pathway to detect and diagnose arrhythmias earlier, with the goal of improving health outcomes for members, delivering more cost-effective healthcare resource utilization and a positive financial impact for Medicare Advantage plans.

IRIS’ mission is to end preventable blindness which we accomplish by improving performance on the annual diabetic eye exam measure.  Our cloud-based, camera-agnostic tool helps capture, enhance, and diagnose diabetic retinopathy in a way that makes it easier for health risk assessment companies, payors, and healthcare providers to close care gaps and reduce healthcare costs.  We’ll start by understanding your workflow, camera needs, billing requirements, and referral process. Then, we’ll then tailor the IRIS solution to fit your organization by recommending a camera, installing the software, and training your existing team to use our digital retinal screening technology.

Judge Healthcare bridges the talent and technology divide for clients across the healthcare ecosystem. Our industry-leading expertise, diverse candidate database, and unmatched staffing and global managed services experience distinguish Judge Healthcare as a leader in the field. We deliver the highest quality healthcare professionals and technology for both payers and providers, focusing on risk adjustment and revenue cycle. Judge Healthcare specializes in clinical coding and auditing services, all HEDIS services, in-home risk assessment visits, project staffing, and executive search. We are proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100.

https://www.judge.com/

Keebler Health is an AI-first risk adjustment platform for providers and payers that are at risk for Medicare & Medicaid lives. Through a custom-built, transformer AI model, Keebler Health quickly uncovers risk adjustment opportunities with minimal encounter data.

Kiser Health Solutions (KHS) is a trusted leader in healthcare quality improvement, data analytics, and performance measurement. With deep expertise in HEDIS, Stars, and risk adjustment, KHS helps health plans, providers, and industry partners navigate complex regulatory and operational challenges. Our team of seasoned professionals delivers tailored strategies that drive measurable results and improve outcomes. Connect with us to learn how KHS can support your organization’s success in an evolving healthcare landscape.

Lightbeam Health Solutions delivers a revolutionary model for managing patient populations and associated risk. The industry-leading technology aggregates health data to generate actionable insights through the use of analytics to provide the right care at the right time to patients in need. The Lightbeam platform facilitates end-to-end population health management for organizations aspiring to provide superior care at a lower cost.

Linus Health is a Boston-based digital health company focused on transforming brain health for people worldwide. By advancing how we detect and address cognitive and brain disorders – leveraging cutting-edge neuroscience, clinical expertise, and artificial intelligence – our goal is to enable a future where people can live longer, happier and healthier lives with better brain health. Linus Health’s digital cognitive assessment platform delivers a proven, practical means of enabling early detection; empowers providers with actionable clinical insights; and supports individuals with personalized action plans. We are proud to partner with leading healthcare delivery organizations, research institutions and life sciences companies to accelerate more proactive intervention and personalized care in brain health. To learn more about our practical solutions for proactive brain health, visit www.linushealth.com or follow us on LinkedIn.

Matrix Medical Network pioneered the first national in-home clinical network 25 years ago and is an independent provider of in-home health assessments serving people across the nation. The company and its clinicians are an extension of the services client partners provide to their members and can enhance the benefits extended to those members by caring for individuals where they’re most comfortable: in their own homes. Today, Matrix is focusing on providing a broader range of healthcare services in the home and using whole-person care models that improve access and more effectively identify and manage social risk factors. 

Welcome to the intersection of healthcare, technology, and compassion.

With our team’s extensive experience in healthcare management, MeaeCare’s nationwide network of doctors and nurses stand ready to be there for you. With the support of our AI-driven, proprietary data-gathering tools, our highly qualified team of clinicians can be your advocate to becoming an active participant in your healthcare.

Our goal is simple: optimize the quality of care you receive, therefore improving outcomes, mitigating risk, and completing quality healthcare measures.

MedCode Services Inc. offers expert Risk Adjustment Coding solutions with 5,000+ coders across 12 SOC-compliant facilities. We specialize in HCC coding, HEDIS abstraction, RADV audits, and data validation. Our proprietary ICD-10 CM database and Automated Coding Workflow Tool ensure high accuracy, faster turnaround, and regulatory compliance. With a 95%+ accuracy rate, we help clients optimize productivity, increase revenue, and minimize audit risks. Partner with us for reliable, efficient, and scalable coding solutions that drive measurable results.

Medline takes pride in bringing together products, processes and people to deliver unmatched Health Plan Benefit Solutions. As your partner, our promise is to help improve your members’ quality of life and overall health. Every population is unique, that’s why we’re committed to offering a broad selection of benefit solutions designed to address each of your member’s distinct needs. We offer OTC Benefits, Food Benefits, Hearing Benefits, At-Home Testing Benefits, Care Gap Kits, and more. Each solution can be customized to leverage data and analytics to gain valuable insights into the performance of your health plan programs. Our solutions are built to improve your Star Ratings while boosting outcomes and experience for your members.

MedTrainer streamlines compliance with an all-in-one digital platform that optimizes workflows and accelerates education, credentialing, and documentation for more than 300,000 healthcare professionals across North America. With MedTrainer, healthcare organizations can operate with complete visibility and enhanced organization across all compliance areas.

MOBE is the whole-person, cross-condition solution that goes further to guarantee reductions in cost of care by millions of dollars in year one and delivers better health outcomes for your members. Working with health plans, we find an overlooked, rising risk population who are continually seeking solutions in the health care system and driving up costs. Our proven approach achieves results through personalized lifestyle guidance and medication optimization.

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.

NMR has conducted healthcare peer reviews and related services since 1996 and has been continuously URAC accredited as an Independent Review Organization since 2003. NMR is also certified as an Independent Dispute Resolution Entity through the No Surprises Act.

NationsBenefits®, a leading supplemental benefits company, provides customized healthcare management solutions through clinically-focused interventions, exceptional service delivery, and technological innovation. Our integrated management services are designed to maximize quality and deliver value-based outcomes, while achieving cost advantages for managed care organizations and their members.

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.

Cognitive health starts here. Changing the trajectory of Alzheimer’s and other dementias begins with routine cognitive screening. Neurotrack develops turnkey digital tools for providers that can be easily delivered at scale to facilitate early detection of cognitive impairment and ongoing monitoring of cognitive function. Our patient-guided, clinically-validated assessments work in the clinic or at home to fit any workflow. The company also provides patient education and behavioral health support to address modifiable risk factors. Learn more at Neurotrack.com. 

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.

Novillus is a leading provider of healthcare solutions that streamlines quality, risk, and provider incentives programs. By bringing these elements together into a unified AI-powered workflow, Novillus empowers payers and provider groups to achieve significant improvements in revenue and performance.

O'Neil Digital Solutions is a leading provider of customer communication management and customer experience solutions. With a legacy of innovation, O'Neil helps organizations simplify, manage, and optimize their customer communications. Our ONEsuite CCM + CX platform combines cutting-edge technology with industry expertise to improve customer communication, workflow efficiency, and customer engagement.

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.    

Parakeet Health is an AI patient engagement platform that empowers national healthcare organizations and multi-site/multi-specialty practices to enhance the patient experience, increase revenue, and reduce admin costs through calls, text, and web 24/7. We help fee-for-service organizations streamline operations and enable value-based care (VBC) groups to drive revenue by rapidly scaling patient outreach for care gaps campaigns, AWV scheduling, CCM, post-discharge follow ups, and more.

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,

PointClickCare is a leading healthcare technology platform enabling meaningful collaboration and access to real‐time insights at every stage of the patient healthcare journey. More than 27,000 long‐term and post‐acute care providers, over 3,100 hospitals and health systems, 2,200 ambulatory clinics, every major U.S. health plan across the U.S, and over 70 state and Government agencies use PointClickCare, enabling care collaboration and value‐based care delivery for millions across North America.

Your Trusted Integration Solutions Partner

At Previon, our mission is to revolutionize population healthcare through seamless, self-collection diagnostic solutions and effective communications. By deploying an end-to-end software platform, PrISM, and robust supply chain logistics, we provide comprehensive, white-labeled services that empower our partners to bridge gaps in consumer care. Committed to innovation, reliability, and regulatory compliance, we ensure our clients have access to accurate diagnostic tools, ultimately improving patient and consumer outcomes.

Introducing PrISM Powered by Previon

PrISM is our powerful campaign management platform, designed to optimize program execution and enhance customer experiences. With PrISM, businesses can seamlessly manage campaigns, track performance, and improve outcomes with data-driven insights.

Partner with Previon and experience the future of integrated solutions—where technology meets efficiency and innovation.

Pyx Health is the leading social health platform solving loneliness. A proven solution to improve health and well-being, Pyx Health eliminates social barriers to health and builds deep member relationships to address complex health and social needs. This safe, scalable program seamlessly integrates compassionate humans with technology – featuring an engaging mobile app - to identify, engage and support users in need. By reinforcing genuine relationships with data-driven insights and empathetic peer companion mentoring, Pyx Health provides an antidote to loneliness and creates a ripple effect across healthcare cost, quality and utilization. For more information, visit pyxhealth.com. Because no one gets better alone.  

Data Collection. Risk Detection. Health connection. Quest Diagnostics had a goal to build a better home assessment, one that provides a meaningful experience. By using clinical data, and laboratory values, in-home visits, and proactively identifying medical conditions, the MediCheck program can help keep medical documentation up to date, help members stay healthy, and improve HEDIS/Star ratings. With so much at stake, health plans look for assessment services that make a difference. That's why we, through our company ExamOne, are pleased to offer MediCheck, the only assessment program offered by a leading diagnostics company. For more information emailMediCheck@ExamOne.com.

ReferWell is a digital healthcare company focused on helping health plans and provider organizations manage value by helping more people get on, and stay on, their healthcare journey. With a mission to transform access to care and improve patient engagement, the company’s innovative Perfect Match™ scheduling platform and unique care concierge services remove administrative burdens from health plans, providers and patients to effortlessly connect patients with care to improve their experience and health outcomes. ReferWell, headquartered in Stamford, Connecticut, has grown to support plans and providers responsible for more than 10 million covered lives across the U.S. For more information, visit ReferWell.com. 

Relay Network is the industry’s only dedicated, HIPAA-compliant B2C feed channel, driving significantly better engagement and outcomes by combining the best of outbound and inbound communications to meet members where they, enabling a seamless and frictionless digital member experience.

S2M Health is a premier ISO 27001:2013, SOC 2 TYPE I, and HIPAA-compliant organization specializing in Risk Adjustment solutions for U.S.-based Payers & Providers. Since its inception in 2016, S2M Health has built a reputation for precision, compliance, and expertise in medical coding and risk adjustment services.

With an industry-leading 98% accuracy rate, 8+ years of experience, and over 8 million charts processed annually, we are committed to delivering data-driven, high-quality coding solutions that enhance reimbursement accuracy, compliance, and operational efficiency for healthcare organizations.

At S2M Health, we go beyond just coding—we empower healthcare providers and payers with reliable, scalable, and knowledge-centric solutions to optimize risk adjustment performance and patient care outcomes.

We're intelligence made actionable. Salient Health identifies operational and clinical opportunities to empower timely, precise data-driven actions that optimize profitability, promote connected care and empower a higher quality of patient care. Salient Health is a strategic partner, supporting decision-making and resource allocation by transforming complex, protected data sets into actionable intelligence using a holistic interpretation of operational, clinical and population health data.

Founded in 2008, we offer innovative, digital-first solutions that empower healthcare organizations to enhance their Provider and Network management capabilities. We assist these organizations in innovating and transforming provider management by integrating cutting-edge technology with an in-depth comprehension of Payor and Provider workflows, encompassing provider enrollment, credentialing & re-credentialing, provider directory updates, and attestations. Our enterprise-grade solutions are designed to cater to the requirements of small, midsize, and large healthcare organizations. Our agile and scalable products give payors, hospitals, networks, practices and DSOs the ability to expand and adjust to the ever-changing technological and regulatory demands across their operations. In an evolving healthcare landscape, one element remains constant – our unwavering commitment to quality, speed, and technological expertise, all rooted in a profound understanding of provider data and workflows.

Simple Healthkit

SNT Biotech is a leader in At-Home Screening Solutions for chronic conditions such as Colon Cancer Screening, Diabetes HbA1C, Cervical Cancer Screening, Heart Health and KED Screening.

We partner with health plans and MCOs to help them improve quality scores, close gaps in care, save costs and improve health outcomes with our comprehensive solution that is focused on improving member engagement and compliance rates. Our comprehensive solution covers everything from kitting, bulk mailing, omni-channel member engagement via call, text and email, personalized communications and a robust software with a live dashboard and reporting capabilities and laboratory testing services. Additionally, we own and operate a CLIA and COLA accredited laboratory.

We are based in IL, and are a trusted partner to many health plans nationally. Schedule a demo with us to see how we can help you improve quality scores and close gaps in care with our customized solutions.

Tagline:
Comprehensive At-Home Screening Solutions at Close Care Gaps and Improve Quality Scores

Real Scalable Change Driven by Clinicians

Effective CDS requires ongoing management for accurate results and monitoring how providers respond. Stanson does this at scale helping with HCC documentation and coding, waste reduction, Appropriate Use Criteria (AUC)/PAMA, and electronic prior authorization.

Learn more at www.stansonhealth.com.

Stellar Health is a healthcare technology company redefining value-based care delivery for primary care teams.  Through their industry-leading micro-incentive platform, providers and their care teams receive in-workflow prompts to close care and quality gaps efficiently. Every value-based care activity is rewarded monthly, real-time feedback loops are realized, and overall patient care is enhanced.  By shifting the existing financial model, Stellar Health is ushering in a new era of shared accountability for primary care networks everywhere. 

Stellus Rx provides pharmacist-led clinical support that propels value-based care performance for healthcare organizations, while reducing clinical and administrative burden for providers. Our teams and technologies help people integrate the right medications and healthier behaviors into their lives. 

Through this work—including a care model that’s especially impactful for people with chronic and complex conditions—we’re changing the health trajectory for patients nationwide. With 900,000 covered lives under our care, our solutions have:

• Helped Texas’ largest independent primary care network achieve 3 straight years of 5-Star (or better) performance in the three, triple-weighted adherence measures with the network’s largest Medicare Advantage contract 
• Created cost savings of 30% or more among adherent patients with diabetes, high cholesterol and hypertension
• Produced clinical improvements in a patient cohort that drove $278 PMPM total cost of care savings

Learn more at stellusrx.com

Are downstream Medicare risk adjustment coding errors adversely affecting your organization’s revenue? Our risk adjustment review team is committed to ensuring that the complete risk profile of each patient is accurately represented to providers for documentation at the point of care. This collaborative effort aims to enhance the quality of care, eliminate downstream errors, and optimize reimbursement outcomes.

Symbion Coding collaborates with medical organizations to develop customized solutions that enhance operational efficiency, improve compliance, and achieve maximum financial performance. We support our clients in navigating the intricate and evolving healthcare reimbursement landscape, enabling them to capitalize on market opportunities, mitigate risks, and fulfill compliance requirements.

The Helper Bees is a nationwide leader in advanced technology solutions, providing Medicare Advantage plans and Long-Term Care Insurance carriers with access to an innovative and scalable digital ecosystem for the delivery and administration of supplemental benefits in and around the home.

The homeAlign® platform automates provider credentialing, fulfillment, invoicing, and payment, enabling the seamless administration of supplemental benefits. Through this platform, we connect 6 million eligible members to transformative non-medical in-home services, facilitating over 2,000 daily visits.

With the introduction of our flexible spending card, helpful™, we streamline and integrate a wide range of in-home services—such as care, meal delivery, transportation, and home maintenance—with over-the-counter products and other covered healthcare expenses. This all-in-one solution empowers plans to allocate funds efficiently while meeting each member’s personalized needs, offering unparalleled convenience and flexibility. helpful™ sets a new standard for high-quality, tailored care that benefits members and payers.

We partner with the world's largest Medicare Advantage plans and Long-Term Care Insurance carriers to improve in-home care delivery and serve member populations regardless of need, geography, or regulatory climate. Find out more at thehelperbees.com. 

We are the top talent solutions provider for Health Plans, PBM's, TPA's, ACO's, IPA's and similar organizations. Our Recruiters know your world! We build world-class teams that support you in the following areas: Case Management, Utilization Management, QI/HEDIS, Pharmacy Review, Call Center, and operational roles. Our solutions are delivered in one or more models: Contingent Labor, Direct Hire, Business Process Outsourcing, Managed Service, or a Vendor Management Solution. Our Utilization Management outsourcing solution is widely regarded as providing an industry best ROI and can be deployed inside of 30 days.

Trualta, Inc.

TTEC

Veravas is a leading innovator in clinical diagnostics focused on the early-stage detection of Alzheimer’s disease and other neurological conditions. The company’s proprietary VeraBIND^™ technology transforms challenging sample types into measurable biomarkers, enabling earlier disease detection and the development of novel diagnostic tests. Its VeraBIND Tau assay is a first-in-class blood-based test that measures the pathological activity of hyperphosphorylated tau in blood samples of cognitively normal individuals or individuals experiencing cognitive impairment which may be used to aid in the diagnosis of Alzheimer's disease. Veravas.com

Verily is an Alphabet health technology company focused on research, care, and health financing to deliver on the promise of precision health and help people live healthier lives. We are uniquely positioned at the intersection of technology, data science, and healthcare to create tools to accelerate evidence generation, products to enable more personalized care, and approaches to make costs more predictable. 

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

Vim is a middleware platform for healthcare. Its flexible and scalable cloud-based platform and unique and interactive integration layer unlock access to provider EHR workflows, allowing for the delivery of data and patient insights when and where providers need it most - at the point of patient care. Vim's partners can leverage Vim's core applications or deploy their custom applications on top of Vim Connect - Vim's in-EHR connectivity layer - accelerating time to market at reduced cost and improved flexibility. Digital health builders of all sizes, including national health plans, leading MSOs, and tech companies, use Vim's platform to connect with over 2,000 provider organizations. For more information, visit getvim.com.

WEX (NYSE: WEX) is the global commerce platform that simplifies the business of running a business. WEX has created a powerful ecosystem that offers seamlessly embedded, personalized solutions for its customers around the world. Through its rich data and specialized expertise in simplifying benefits, reimagining mobility and paying and getting paid, WEX aims to make it easy for companies to overcome complexity and reach their full potential. For more information, please visit www.wexinc.com.

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.