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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.

Apixio is advancing healthcare with data-driven intelligence and analytics. Our artificial intelligence platform for value-based care gives organizations across the healthcare spectrum the power to mine clinical information at scale, creating novel insights that will change the way healthcare is measured, care is delivered, and discoveries are made. Learn more at apixio.com.

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.

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.

With a workforce of over 350 dedicated professionals, our team includes practicing clinicians, registered nurses, AHIMA/AAPC certified coders, and ACDIS/AHIMA Clinical Documentation Specialists. Our expertise spans the healthcare industry, ensuring comprehensive support for clinical, coding, and documentation needs. Learn more at www.chirokhealth.com.

Ciox Health facilitates and manages the movement of health information with the industry’s broadest provider network. Through our expertise in release of information, record retrieval, and HIM, we improve the management and exchange of health information by modernizing workflows, facilitating access to clinical data, and improving the accuracy and flow of health information.

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.

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 is a premier technology company in the US Healthcare market with solutions focused on interoperability, workflows, value-based care payments and analytics. With innovative technology and solutions, Edifecs helps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of meeting various regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem. Edifecs is a frontrunner in bringing new technology for B2B data exchange in healthcare streamlining business processes from “card to care,” and reducing the industry burden associated with data provisioning at the points of enrollment, care, payment, and reporting. With the advent of FHIR and new regulatory guidance from HHS, Edifecs has emerged as a leader in easing the effort associated with achieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia and Mohali, India, an engineering center in Moldova, and has more than 600 employees.

Episource is a leading provider of risk adjustment services, software, and solutions for health plans and provider groups. As an integrated platform, Episource empowers Commercial, Medicare, and Medicaid payers and providers with end-to-end risk adjustment solutions, including risk adjustment analytics, medical record retrieval, medical chart coding, and encounter submissions. To learn more about us, visit www.episource.com. You can also connect with us on LinkedIn, Facebook, Twitter, Instagram, and Youtube.

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.

GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 15,000+ strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient / member experience. Headquartered in Los Angeles, CA, GeBBS has won numerous accolades for its medical coding outsourcing and medical billing outsourcing, including being ranked in Modern Healthcare’s Top 3 Largest RCM Firms, Black Book Market Research’s Top 10 RCM Outsourcing Services, and Inc. 5000’s fastest growing private companies in the U.S.

For more information, Health Plans and Risk Bearing Providers (RBP) should contact Will Stabler, Executive Vice President, Payer Solutions 310-907-7485 or visit https://www.gebbs.com.

Healthmine is a technology-enabled member engagement and rewards company. We build personalized, ongoing engagement strategies for health plans in all lines of business that drive healthy action through incentives and rewards, enhance member experience, and improve outcomes. Our all-in-one solution includes:

• Member Engagement: Motivate members to manage their health using data-driven, omnichannel outreach paired with relevant rewards via the member’s preferred contact method.
• Member Experience: Monitor member satisfaction through digital surveys (e.g., Mock CAHPS, NPS©, pulse surveys) and address feedback in real time to improve quality measures.
• Digital HRA: Maximize HRA compliance, uncover risk and identify disparities in your population through self-attestation with quick and efficient digital HRAs.

Healthmine clients get immediate, actionable insights into the success of member engagement and satisfaction initiatives, as well as the priority areas to improve quality measures and Star Ratings. Connect with Healthmine on LinkedIn and learn more at https://www.healthmine.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.

Nomi Health is a direct healthcare company delivering easy access to low-cost care across the U.S. The company’s direct model of care delivery and care payment benefits patients, providers and buyers of healthcare in both the public and private sectors. To date, Nomi Health has served more than 11 million Americans with everyday healthcare services brought directly into hundreds of communities nationwide, including our nation’s care deserts.

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.

Reveleer, a healthcare software and services company, uses Machine Learning and Intelligent Automation technology to empower health plans control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, Reveleer allows plans to independently execute and manage provider outreach and data retrieval, coding, abstraction, member management, and reporting. Reveleer leverages proprietary technology, robust data sets, and subject matter expertise, so health plans can execute programs that deliver value and improved outcomes.

Signify Health is a leading healthcare platform that leverages advanced analytics, technology, and nationwide healthcare provider networks to create and power value-based payment programs. Our mission is to transform how care is paid for and delivered so that people can enjoy more healthy, happy days at home. Our solutions support value-based payment programs by aligning financial incentives around outcomes, providing tools to health plans and healthcare organizations designed to assess and manage risk and identify actionable opportunities for improved patient outcomes, coordination and cost-savings. Through our platform, we coordinate what we believe is a holistic suite of clinical, social, and behavioral services to address an individual’s healthcare needs and prevent adverse events that drive excess cost, all while shifting services towards the home. For more information on how we are taking health homeward, visit us at signifyhealth.com 

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/

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

Cozeva is the operating system for value-based healthcare and powers the transition toward a value-based ecosystem for quality, risk, and cost performance. As a cloud-based solution for ACOs, IPAs, payers, providers, and patients, Cozeva aggregates and transforms multiple data streams into actionable analytics and registry driven dashboards in real-time. Cozeva supports multiple stakeholders as they work together to fulfill their goals for HEDIS, AMP, HCC, Stars, MACRA, ACO, APMs, and Care Management. For more information or to request a demo please contact info@cozeva.com.

ECLAT Health Solutions, Inc. (ECLAT) partners with some of the country's largest health systems and government payers. Our Business Processing Outsourcing (BPO) and technology solutions provide revenue intelligence that enables our clients to reduce costs and improve revenue recognition and cash flow. Our ability to improve clients' outcomes through flexible, scalable services and technologies sets ECLAT apart from our competitors. ECLAT is a U.S. private-equity company with offices in the US and internationally.

FarmboxRx is an engagement and technology platform that breaks down barriers to health equity through nutrition and health literacy. With a focus on addressing the root cause of healthcare inequities, FarmboxRx delivers proactive and preventative interventions through high-tech, high-touch programs. Their customizable member engagement programs support sustainable, scalable, and long-lasting quality outcomes through nutritious foods for Healthcare Organizations nationwide. Visit hello.farmboxrx.com to learn more.

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. Our AI technology reduces costs, increases accuracy, and shortens turnaround times from days to hours. We carry out a risk-free proof of concept to demonstrate our coding quality before your organization ever pays us a dollar.

Fathom’s clients include leading health systems, physician groups, and revenue cycle management companies such as R1, ApolloMD, Brault, and Rad Partners. 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, Vituity's Inflect Health, and Jonathan Bush.

mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by engaging individuals with tailored and meaningful dialogue.

mPulse Mobile combines behavioral science, analytics and industry expertise that helps healthcare organizations activate their consumers to adopt healthy behaviors.

With over a decade of experience, 100+ healthcare customers and more than 300 million conversations annually, mPulse Mobile has the data, the expertise and the solutions to drive healthy behavior change.

Persivia helps providers, hospital systems, and payers excel in value-based care.

Our AI-driven integrated platform delivers personalized care by harnessing data and artificial intelligence to support all your quality, care, cost, and risk initiatives. The platform aggregates data from all sources, including social determinants of health, and builds a dynamic longitudinal patient record to deliver real-time insights, gaps, and alerts at the point of care. By utilizing the extraordinary capabilities of generative AI, our platform empowers organizations to transform their data into actionable insights and meaningful outcomes. Not only that, it also automates the processes and workflows, to significantly boost your productivity and operational efficiency.

Persivia's FHIR-compliant, highly configurable and composable architecture helps organizations meet interoperability goals while maintaining platform flexibility.

Our point of Care tool CareTrak enables bi-directional connectivity into the EHR, and provides real-time HCC codes, Care Gaps, Risk Scores, and AUC information at the point-of-care

Learn more at www.persivia.com

SWDS delivers a complete and compliant medical record documentation integrity program to deliver accurate risk reimbursement and quality measures. With our dedicated care coordination team and high-touch provider engagement model, SWDS aligns clinical coding and documentation integrity with care coordination best practices to achieve accurate risk adjustment capture and improve adherence to quality measures.

With no technical integration necessary, you have no downtime and no disruptions. Also, SWDS services can be 100% white-labeled for a seamless patient experience.

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.  

Semler Scientific’s mission is to develop, manufacture and market innovative products and services that assist our customers in evaluating and treating chronic diseases. The QuantaFlo® 5 is easy to use, accurate, point of care, non-invasive solution for patients at risk for Peripheral Vascular Disease (PAD) and Cardiovascular Disease (HD).

QuantaFlo PAD aids in early detection of Peripheral Arterial Disease (PAD). As published in the Journal of Vascular Surgery and the American Journal of Preventative Medicine, QuantaFlo detected undiagnosed PAD in 31.6% of patients 65 years and over.

QuantaFlo HD, aids in the early detection of “hemodynamically significant” cardiovascular disease. As published in the Journal of Preventive Medicine, QuantaFlo showed a statistically significant correlation with cardiac echocardiography, which is a gold standard for diagnosing heart failure.

Semler has a suite of solutions that wholly integrate our technologies with our customers’ clinical and operational networks: SemlerConnect™, SemlerShield ™, SemlerVault™, SemlerSimulation™, SemlerAnalytics™ and SemlerHub™.

In both cases, QuantaFlo 5 supports stratification of patient care allowing for further cardiovascular risk management.

Note: QuantaFlo is the product name, ‘5’ is the software version, ‘PAD’ and ‘HD’ are applications.

Cecelia Health is a virtual-first provider organization delivering integrated care to patients across all chronic disease risk profiles. We address critical care gaps, reduce variability in care, and improve therapy adherence. Our virtual specialty care solution delivers the optimal mix of clinical interventions with digital touchpoints. We offer a comprehensive suite of disease management capabilities including remote clinical coaching, device training, remote patient monitoring, and telemedicine delivered via a national network of specialty providers.

Greater Good Health is a healthcare organization committed to expanding access to primary care by redefining holistic whole-person value-based care. In addition to developing its own comprehensive primary care clinics, Greater Good Health's innovative nurse practitioner centered clinical model provides solutions to help healthcare organizations manage complex patient populations. Focused on empowering NPs, the company provides NPs access to a broad digital community, an education portal, including the Greater Good Institute, technology tools to enhance scheduling, analytics, and point-of- care tools, as well wellness resources to help prevent burnout. For more information, visit www.greatergoodhealth.com.

HCC Coder is your all-in-one enterprise solution for streamlined diagnostic coding and chart abstraction. Boost productivity and revenue by using the right tool, right from the beginning. Finally, a Risk Adjustment solution with a friendly user interface that’s intuitive, fast, and accurate. It’s everything you need for effective HCC Coding in one, easy-to-use platform. Visit us at the RISE Summit in Nashville or schedule a live demo now! sales@hcccoder.com  

The IQVIA NLP Risk Adjustment Solution combines 20 years of leading Healthcare NLP with Risk Adjustment specific clinical intelligence and workflow. Having supported our clients implement the power of IQVIA NLP (formerly Linguamatics) into their own Risk Adjustment programmes, we now offer a solution that goes from record ingestion through to code acceptance and submission, while providing crucial supporting evidence information to the coder. As a leading provider of Healthcare NLP – our technology also enables organizations to extract additional insights for further applications from the increasing volume of unstructured member data that they are receiving. From identify member level social determinants in health from medical records, to analyzing call center transcripts, there are many additional ways HCOs can benefit from IQVIA’s enterprise NLP capabilities.

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.

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.

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.