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. Optum is part of UnitedHealth Group (NYSE: UNH). For more
information, visit www.Optum.com
Sandata Technologies, is the leading U.S. provider of technology for Medicaid payers and
providers. Sandata’s suite of solutions offers its 15,000+ agencies, 21 state Medicaid agencies, and
50+ Managed Care Organizations tools and capabilities to advance quality of care and improve
patient and client outcomes.
mPulse Mobile is reimagining health engagement to inspire healthier lives and deeper
relationships between healthcare organizations and their consumers. A leading healthcare
Conversational AI platform combines with award-winning health education for the streaming age
to deliver tailored digital health engagement that nurtures, educates, and activates healthcare
consumers. With more than a decade of experience, 150+ healthcare customers and over one
billion conversations annually, mPulse Mobile has the data, the expertise, and the solutions to
drive healthy behavior change. To learn more visit mpulsemobile.com.
FarmboxRx is an engagement and technology solution 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
Reema uses technology to power human relationships with the goal of improving health outcomes
for people who are hardest to reach. Reema’s breakthrough health platform uses proprietary
technology and predictive data modeling to identify people with the highest level of unmet social
needs, power Community Guides with the right information to engage them meaningfully, connect
them with the most relevant resources, and improve their health and their lives.
Quest Analytics has been the industry leader in improving network management for more than 30
years. Our software platform and services are trusted by The Centers for Medicare and Medicaid
Services under a recently renewed 5-year agreement and more than 425 health plans. We help these
organizations measure, manage and monitor health plan network performance across all lines of
business as a way to deliver better member protections and improve Americans’ access to quality
Twill (formerly Happify Health) shortens the gap between need and care with digital-first tools
that are as connected as the body and mind. We intelligently guide each person to the care they
need, when they need it, in the way they want.We do this by developing Sequences™ which are
configured to meet the needs of customers and the populations they serve. Sequences combine
evidence-based digital therapeutics, well-being products, communities, coaching, and third-party
services on a clinical-grade platform designed to work seamlessly with the customer’s existing
solutions and resources. This enables a more precise and personalized care experience, at scale.
Our 360° model of care enhances the gold standard of medication adherence, Directly Observed
Therapy. Combining personalized video coaching, education, and motivational content, we bring
healthcare professionals, patients, and their families together to solve the $500B medication
nonadherence problem. Our mobile app allows patients to connect with a care team of
pharmacists, nurses, and health coaches through daily video check-ins, anytime and anywhere.
We make it fun for patients to stay on top of their medications, help them address medication
challenges, and empower them to improve their health by addressing barriers to adherence
related to social determinants of health.
Mom’s Meals provides refrigerated, ready-to-heat-and-eat meals through Medicaid and Medicare
Advantage health plan benefits as well as for direct purchase. By offering many nutritionally
tailored options and delivering to homes nationwide, Mom’s Meals fuels better health outcomes
for all. Its long-term care, chronic care and post-discharge care programs also allow clients to lead
healthier lives while remaining independent at home. For more information, visit
Kaizen Health is a healthcare logistics platform - removing transportation as a barrier to living a
healthy life. Kaizen Health serves healthcare providers (safety net hospitals, FQHCs and large
health systems), Medicaid, Medicare Advantage, senior living, home health, clinical trials, non-
Kaizen Health brings together all levels of transportation (inclusive of courier/delivery services) to
ensure a full offering for their clients across the social determinants of health (accessing
healthcare, food, pharmacy, education, employment, housing, social services and social activities).
Papa is creating a new kind of care, built on human connection. Through our national network of
empathetic Papa Pals, we provide companionship, personalized non-medical care, and everyday
assistance to Medicare Advantage, Medicaid, and commercial health plan members and
employees. The result: less loneliness, fewer trips to the emergency room, a brighter outlook, and
better physical health. We’re driven by our vision of a world where no one has to go it alone.
Learn more at Papa.com.
Evernorth creates and connects premier health services offerings, including benefits
management, pharmacy, care solutions, insights and intelligence. With an open approach to
partnering across the health care landscape, we deliver innovative and flexible solutions for health
plans, employers and government programs, including those plan sponsors responsible for
administering and managing risk for the pharmacy benefit for their regulated markets
populations—Medicare, Medicaid, dual-eligible and health exchange. Evernorth capabilities are
powered by our family of companies, including Express Scripts, Accredo, eviCore and MDLIVE,
along with holistic Evernorth platforms and solutions that elevate health and drive progress for
people and businesses. All Evernorth solutions are serviced and provided by or through operating
affiliates of Evernorth Health, a wholly owned subsidiary of Cigna Corporation, or third-party
partners. Learn more at Evernorth.com.
MediSked is a trusted partner to organizations across the country, providing integrated electronic
record systems, care coordination tools, and business intelligence and reporting tools to improve
quality and outcomes. For twenty years, MediSked has been committed to delivering innovative
and holistic software solutions that improve lives, drive efficiencies, and generate innovations for
the human services organizations that support our communities.
Health is at the core of everything we do. Since 1961, Humana has been committed to helping
people live healthy and happy. Our approach is simple—offer personalized care from people who
care. We do this by listening to our members and creating solutions to help them reach the best
version of themselves.
We’re also deeply invested in towns and cities across the country, and we strive to support and
improve communities at a local level.
Humana Healthy Horizons® in Florida offers a whole-person approach to delivering healthcare to
Medicaid recipients in Florida. We aim to help improve the health and well-being of children and
adults across the state, while bringing the human side of healthcare.
Monogram Health is a leading value-based provider of in-home nephrology, primary care, and
benefit management services for individuals with chronic kidney and end-stage renal disease. The
company deploys an innovative in-home care delivery model and technology-driven array of
evidence-based clinical services, including complex case and disease management, utilization
management, and medication therapy management to transform the way health care is delivered
for those with kidney disease. This innovative model of care has been shown to dramatically
improve patient outcomes and quality of life while reducing medical costs across the health care
continuum. Based in Nashville, Tennessee, and privately held by Frist Cressey Ventures, Norwest
Venture Partners, and TPG Capital, Monogram Health has numerous value-based partnerships
with leading health plans and risk-bearing providers to care for patients across 34 states and all
Custom Health helps people who take medication to have the best possible health outcome. We
connect patients with their circle of care, help them to take meds as prescribed with easy-to-use
digital health tools, then go beyond adherence to make sure those meds are doing what they
should. Our integrated healthcare delivery model includes personalized medication management,
always-on clinical oversight, remote patient monitoring, and home-based care. For more
information visit www.customhealth.com.
ProgenyHealth is the only national, tech-enabled company dedicated to Maternity and NICU Care
Management. We serve women, infants, caregivers, and families through the milestones of
maternal health from conception and pregnancy to postpartum and parenting. We improve
maternal and infant health for normal, moderate, and high-risk pregnancies, as well as for
complex births resulting in NICU admissions and postpartum issues. We improve outcomes,
enhance member and provider satisfaction, and lower overall costs of care.
Alera Health (formerly Blaze Advisors) creates relationships where everyone has an equal vested
interest in success. As points of care are unified between primary care providers, hospitals,
behavioral health providers and payors, healthier communities emerge.
Our goal is to create a continuum of care where the patient moves seamlessly between providers
based on need when and where necessary. Their story only needs to be told once for the benefit
of the provider, the payor, and most of all, the patient.
We are not an ACO, we are a unified network of care where our tactical and technological services
facilitate the exchange of information needed to streamline communication and collaboration.
Home Care Delivered is a leading consumer-focused provider of insurance-covered medical
supplies for diabetes testing, incontinence, urology, ostomy, and would care supplies delivered
directly to the patient’s home. Founded in 1996 and headquartered in Glen Allen, Virginia, Home
Care Delivered is dedicated to providing best-in-class customer service and experience, and
quality medical supplies for patients and caregivers nationwide. www.hcd.com.
WEX is a global leader in financial technology solutions. We simplify the complexities of payment
systems and account administration across continents and industries—including Fleet, Corporate
Payments, and Benefits. With 16 million accounts managed on the WEX benefits platform and $10
billion in transactions processed during 2021, WEX is a leading benefits administrator. Our service
teams are staffed with benefits experts, and we also provide a wide array of resources to help
employers and plan participants understand and make the most of their benefit plans. More
information can be found at www.wexinc.com.
Maven is the largest virtual clinic for women’s and family health, partnering with health plans to
provide support to members throughout prenatal and postpartum periods and to improve
maternal health inequities. Founded in 2014 by CEO Kate Ryder, Maven has been recognized as
Fast Company’s #1 Most Innovative Health Company and has supported more than 10 million
women and families to date. Maven has raised more than $200 million in funding from leading
investors including Sequoia, Oak HC/FT, Dragoneer Investment Group and Lux Capital. To learn
more about how Maven is reimagining life’s most critical healthcare moment, visit us at
Vheda Health is a virtual health engagement company, Empowering people with chronic
conditions to live their best lifeTM. For Medicaid and SNP populations, we have achieved an 84%
engagement rate and 20% medical savings by inspiring action in our members.
At Vheda Health, we are experts in Medicaid and Medicare coverage programs and SNP health
plans. We focus on three areas that will have a dramatic impact:
1. Engaging our members,
2. Lowering our members medical costs, and
3. Empowering our members to achieve optimal health outcomes.
We achieve this through our Virtual Engagement Model, to ensure the right member outcome is
delivered at the right time.
Save millions in operational costs while increasing effectuation rates. Softheon automates the
end-to-end shopping, enrollment, billing, and payments process, helping you keep more subsidy
dollars and effectuate more members.
ZOLL AR Boost is a real-time accounts receivable (AR) solution suite from ZOLL Data Systems that
simplifies and expedites the pre-billing process. By delivering accurate, actionable data to reveal
hidden coverage and drive self-pay and high-deductible conversions, ZOLL AR Boost helps ensure
that no payments are left on the table.
ZOLL Data Systems, a division of ZOLL Medical Corporation, develops cloud-based healthcare
software solutions for hospitals, EMS and Fire, and billing/accounts receivable teams. Our
business exists to help customers deliver more — from better patient outcomes to operational
efficiencies and greater revenue capture.
Centauri Health Solutions offers risk adjustment solutions, as well as eligibility and enrollment
services to the government payor space.
As a leading provider of technology-enabled analytics and services, Centauri helps health plans to
manage their variable revenue linked to population health and eligibility factors. We help clients
optimize revenue cycle management, while helping their members realize quality-of-life
improvements. We possess specialized expertise in sophisticated hosted software solutions, data
driven services and data management capabilities. These efforts result directly in better-informed
health care delivery, richer benefits and reduced out-of-pocket healthcare costs.
With nearly 35 years’ 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.
RRD Healthcare is focused on assisting our Health Plan clients communicate more effectively with
their current and prospective members. Whether online or print, static or variable, our solutions
will help you design, produce, and deliver communications that will engage your members across
the communication journey.
Homestyle Meals to Help Manage Health Conditions! Homestyle Direct is a national provider of
delicious, home-delivered meals tailored to nutrition needs including low-calorie, cultural,
carbohydrate-control, low fat, sodium-control, allergy and renal options. Participants have choice
of every meal and we can deliver to any continental US address. All meals are designed with care
in Twin Falls, ID, frozen and shipped direct to your door! Check us out using our QR code or our
With 68 million members, EyeMed Vision Care is America’s fastest-growing vision benefits
company.1 Driven to become the nation’s first choice for vision benefits, EyeMed is focused on
developing innovative benefit solutions and the networks your members want. The company is
based in Cincinnati, Ohio. Visit eyemed.com.
NationsBenefits® is a leading member engagement, benefits administration, and healthcare
company that partners with managed care organizations to provide innovative healthcare
solutions aimed at driving growth, reducing costs, and delighting members. Through its
comprehensive suite of innovative supplemental benefits, payments platform, and member
engagement solutions, NationsBenefits helps health plans deliver high quality benefits to their
members that help address social determinants of health and improve member health outcomes
and satisfaction. The Company’s compliance-focused infrastructure, proprietary technology
systems, and premier service delivery model allow NationsBenefits’ health plan partners to deliver
high quality, value-based care to millions of members. To learn more, visit NationsBenefits.com.
LifeStation is one of the leading providers of medical alert monitoring and telehealth technology
services in the United States. LifeStation’s mission is to leverage innovative technology and
services to transform the lives of seniors and help them live safely and independently. Our full
suite of solutions improve patient outcomes, reduce readmissions and ensure senior safety. Stay
competitive and reduce costs by letting us be your partner in Senior health.
moveUP is transforming rehabilitation care with its cloud-based solution and services platform
through digitization, bringing invaluable Provider insights through data analytics leading to care
pathway efficiencies, improved efficacy and better patient outcomes. Our aim is to improve the
rehabilitation standard of care for all through our digital platform proving reduced complications
SafeRide Health’s mission is to restore access and dignity to care. SafeRide serves the nation’s
leading Medicare Advantage, Managed Medicaid, integrated systems, providers and dialysis firms.
SafeRide’s technology and services support over three million members annually spanning 48
contiguous states. SafeRide’s venture and client investment enables a long-term view, and we
believe in transforming our industry. Across all our programs, we maintain a singular focus of
improving member experience, driving enrollment, increasing adherence, and positively impacting
STAR ratings. Learn more at www.saferidehealth.com or follow us on LinkedIn.
For the past 50 years healthcare organizations have relied on O’Neil Digital Solutions to
communicate and engage with their Members. O’Neil offers an industry leading omni-channel
platform, called ONEsuite, which provides healthcare clients powerful CCM + CX tools, including
data analytics with next-best-actions, campaign management workflows, journey building, 360
degree member engagement portal, preference management, template creation, document
management, custom brochure creation, storefront technology for agent/broker ordering,
archiving and many other powerful features.
Acumen Fiscal Agent, one of the largest and leading fiscal agents in the country, provides fiscal
management services in over 27 states to individuals who choose to self- direct their services.
Acumen's mission is to "facilitate freedom, choice and opportunity through innovative fiscal agent
solutions." Our partnerships with Managed Care Organizations, State Departments, AAA’s and
other funding sources allow Acumen to support participants across all ages and disabilities.
With Direct Care Innovations (DCI) as our software platform, we are in the forefront of providing
services and systems that meet the Electronic Visit Verification mandates required in the 21st
Century Cures Act. Our mission, experience and practices support states and individuals in
achieving the highest quality and successful self-directed programs possible.
Unite Us is a technology company that builds coordinated care networks of health and
social service providers. With Unite Us’ end-to-end solution, providers across sectors
identify social care needs, send and receive secure electronic referrals, report on
tangible outcomes, and transform payment models within a secure and collaborative
ecosystem. Unite Us’ community engagement teams build sustainable partnerships
with local organizations to ensure networks have solid foundations, launch
successfully, and continue to grow and thrive. This HITRUST-certified social care
infrastructure helps communities address social determinants of health and advance
health equity. Follow Unite Us on LinkedIn,
The Managed Care Resource Alliance (MCRA) is an assemblage of industry leaders that provide services, products and/or subject matter expertise to Managed Care organizations. Our alliance consists of prominent and experienced organizations that are partnering to provide transformative solutions to our clients.
We Can Help.
We use our best-in-class HHS expertise to help you meet your business and policy objectives.
MostlyMedicaid reaches more than 10,000 Medicaid industry professionals, decision makers and influencers with its thought
leadership and advisory services. We offer a unique value in the Medicaid industry by focusing on data-driven
business perspectives, rather than policy-only or advocacy-only positions. Our advisory services follow a rigorous
method of shared discovery designed to help you achieve your objectives in the HHS and Medicaid space. www.mostlymedicaid.com