17th Annual Medicaid Innovations Forum

Data-Driven Strategies for Enhancing Care Delivery, Promoting Health Equity, and Driving Medicaid Transformation

2025 Partners

Educational Underwriters

Organization

Vheda Health is the pioneering leader in virtual health engagement for health plans supporting underserved populations. With over a decade of experience, our turnkey chronic care and maternal health programs create a digital extension to your care management team that delivers an outstanding 84% member engagement and an average 3:1 return on investment. The most trusted government payors partner with Vheda Health to create the best healthcare experience that empowers people to live their best life. For more information, please visit  vheda.com follow us on LinkedIn.  

Organization

Happiest Baby is a mission-driven company dedicated to helping parents raise healthy, happy children. The company develops science-based products and content to solve everyday parenting challenges and enhance child well-being. They launched SNOO Smart Sleeper in 2016. It's a responsive bassinet that quickly soothes fussing and increases infant sleep. SNOO is the first—and only—medical device to receive De Novo Authorized from the Food and Drug
Administration (FDA) for its ability to keep sleeping babies safely on their backs. In addition, SNOO is used in 160+ top hospitals where it improves infant care and reduces nurse labor 4-5 hours/day. The company also makes numerous other infant products (like, Sleepea–the doctor-designed “5- second” swaddle and SNOObear – a responsive, white noise lovey). Based in Los Angeles, Happiest Baby Inc. was founded by celebrated pediatrician, Dr. Harvey Karp, and Nina Montée Karp. Dr. Karp’s books/videos, The Happiest Baby on the Block, The Happiest Toddler on the Block and The Happiest Baby Guide to Great Sleep: Birth to 5 have helped millions of parents and have been translated into over 20 languages.

Organization

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 industry.

With a national employee investigator network and expertise in Medicare and Medicaid, CoventBridge Group has a singular focus in service offerings to fight fraud, waste and abuse.

For more information, visit Health Plan FWA Solutions | CoventBridge.

Supporting Organizations

Organization

As a leading pharmacy benefits manager (PBM), Express Scripts by Evernorth manages pharmacy services and lowers drug spend for health plans, employers, labor unions and government agencies. Each year, Express Scripts by Evernorth saves approximately $64 billion 1  for the nearly 100 million Americans and thousands of clients we serve—who choose Express Scripts by Evernorth for our proven track record of delivering significant savings and better clinical outcomes.
1. Savings for patients and plan in 2023 through a combination of supply chain and clinical solutions

Organization

Kinetik is on a mission to modernize the non-emergency medical transportation (NEMT) marketplace, solving the industry’s most complex challenges — ensuring members can request and receive a medical ride in real-time, transportation providers are reimbursed promptly and health plans have complete visibility into every trip cycle. Kinetik’s end-to-end digitized infrastructure connects the entire NEMT ecosystem, allowing for seamless delivery of medical transportation services and improving access to care.

Organization

Since 1999, MedScope, a Medical Guardian company, has offered innovative PERS devices and nationwide support for Medicaid Waiver and Medicare Advantage members. Serving over 600,000 members, our in-home connected-care systems and remote patient monitoring peripherals promote safe aging. MGEngage360 enhances engagement, boosts satisfaction, and improves health outcomes.

Organization

CITIZ3N Government Solutions, a SOFTHEON Brand, is a premier provider of integrated, modular platforms specifically tailored for government agencies overseeing Affordable Care Act (ACA) Marketplaces, Medicaid, Health & Human Services (HHS), and Government Health Benefits for Employees. We are dedicated to empowering local, state, and federal agencies with innovative technology and services. Our goal is to reduce costs, enhance member experiences, support eligibility verification, and broaden access to healthcare for all members of society. At our core, we value innovation, collaboration, and trust. We aim to provide comprehensive platforms for, but not limited to, State-Based Marketplaces and tailored solutions for Medicaid and HHS agencies. Our goal and vision are to make healthcare affordable, accessible, and plentiful for all Americans.

Organization

Gray Matter Analytics leverages industry-leading advanced analytics to help healthcare organizations accelerate their path to value in today’s outcomes-based environment. Gray Matter’s cloud-native Analytics as a Service (AaaS) suite of solutions focuses on managing the measures and metrics that are contained in risk-based contracts, including for government programs such as Medicare and Medicaid. The solutions aggregate data to generate machine learning-based analytics, enabling proactive management of value-based contracts to avoid penalties or address missed opportunities for increasing revenues from shared savings programs. Advisory services complement solutions by furthering customers’ understanding of what the data is telling them and optimizing data-driven insights to capture missed revenues and address quality improvements. For more information, visit graymatteranalytics.com.

Organization

Incline is a boutique actuarial services firm focused on providing actuarial and healthcare data analytics. Our mission is to solve unique problems for clients by applying actuarial techniques from across the profession rather than specific to just one industry. Fulfilling this mission requires us to provide clients with accurate data analysis, actionable research, and important insights. In Medicaid, Incline provides actuarial services in three key areas:
Risk-bearing provider organizations: contract negotiations with payers, reserving, financial modeling, risk adjustment, directed payment, attribution and claim methodology review, quality measure calculations, data warehousing and analytics
State Medicaid agencies: capitation rate development, leadership support and executive advisory, external rate review, risk adjustment, directed payments, 1115 budget neutrality, PACE rates, cost effectiveness, data analytics, and technical assistance
Specialty VBC and startups: product pricing, trend forecasting, attribution, reserving, financial reporting
Due to extensive past and present partnerships with more than 30 different Medicaid programs, both through Medicaid MCOs and State agencies, our team has developed broad expertise in this area. We also have wide-ranging experience in Medicare, including ACO data analysis, Medicare Advantage pricing, commercial pricing, and reserving. Our diverse team of actuaries brings both individual and collective expertise to the table, enabling Incline to uniquely assist our clients at all stages.

Organization

Wider Circle works with health plans nationally to deliver unique hyper-local care programs that connect neighbors for better health. The company’s trusted delivery network has been proven to drive resilience, improve member experience and engagement, and reduce hospitalizations. Wider Circle offers innovative programs to communities nationwide, including specialized COVID- 19 support for vulnerable populations in isolation and peer-to-peer community support. To learn more, please visit www.widercircle.com

Organization

HealthCare Dynamics International (HCDI) is a quality improvement and population health advisory and management firm. Founded by primary care clinicians over 33 years ago, HCDI has experienced over three decades of success at the US Department of Health and Human Services and its operating divisions, including the Center for Medicare and Medicaid Services (CMS). HCDI has performed an array of services based in quality improvement across many government- sponsored payer networks, as well as continued these efforts in both prime and subcontracting capacities with CMS--supporting the agency’s value-based purchasing and clinical transformation priorities. HCDI is proud to  be distinguished as one of the six small businesses to serve on the CMS Network of Quality Improvement Contractors (NQIIC) for supporting innovation and quality improvement efforts across health programs.

Using extensive past performance with CMS, HCDI offers unique insight into strategic implementation of quality and population health objectives for government-sponsored health plans. HCDI is your high-performance partner to close HEDIS gaps, engage hard to reach communities, and customize data solutions with our innovative and cutting edge Advanced Integrated Matrix for Equity (A.I.M.e) dashboards. We are ready to maximize your quality initiatives and ensure efficient, effective community-based solutions.

Transdev

As an operator and global integrator of mobility, Transdev – The mobility company – empowers freedom to move every day thanks to safe, reliable and innovative solutions that serve the common good. We are proud to deliver safe, efficient, easy to use and environmentally friendly transportation services that connect people and communities. Our approach is rooted in long-term partnerships with businesses and public authorities, and in the relentless pursuit of the safest and most innovative mobility solutions. We are a team of people serving people, and mobility is what we do. In the US, we operate multiple modes such as bus, rail, paratransit, non- emergency medical transport, autonomous vehicles, shuttles, and vehicle upfitting and maintenance services in 46 States, plus DC and Puerto Rico. Globally, we have a team of 101,000 across 19 countries. Our U.S. headquarters is based near Chicago, Illinois. www.transdevNA.com

Transdev

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.

Exhibitors

Organization

ProgenyHealth delivers an integrated, tech-enabled maternal and infant care management solution that provides uninterrupted support from prenatal health, through any resultant NICU stay, to one full year of life. By promoting predictable, equitable, and standardized high quality care journeys, we ensure healthier outcomes and lower overall costs.  www.progenyhealth.com

Organization

Cecelia Health is a national virtual specialty medical practice. We address the whole person with proactive, personalized support focused on clinical, behavioral, social, and emotional needs across a range of care and cardiometabolic conditions. Our data-enabled integrated care solution is scalable for health plans, providers, health systems, and life sciences.

Organization

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- profits, etc.

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).

Organization

InComm Healthcare leads in innovative payment platforms and restricted-spend capabilities. Our OTC Network spans 70,000+ retailers, with online, phone, and mail order options that deliver the convenience members expect. Through Medicaid programs and wellness rewards that close care gaps, we help health plans empower members to make healthy choices while meeting essential needs. Learn more at incommhealthcare.com.

Organization

Ushur delivers the world’s first AI-powered Customer Experience Automation™ (CXA) platform and Experience Operating System, purpose-built from the ground up to intelligently automate entire customer journeys end to end. Designed to provide delightful, hyper-personalized customer experiences through rapid issue resolution and unified, omnichannel engagement, Ushur is the first-of-its-kind system of enterprise intelligence. It combines Conversational Automation and Knowledge Work Automation in a secure, no-code, cloud-native SaaS platform to digitally transform every step of the complete enterprise customer experience, from Micro- Engagements™ to entire customer journeys. Backed by leading investors including Third Point Ventures, 8VC, Aflac Ventures and Iron Pillar, Ushur’s Customer Experience Automation solutions are currently in production at some of the leading healthcare and insurance companies across the globe, including Irish Life, Aflac, Unum, and Cigna.

Organization

GEDWorks™ is a transformative program that helps healthcare plans support members in earning their GED credential, creating new opportunities for education, career growth, and improved health outcomes. By partnering with GEDWorks™, healthcare plans show their commitment to member well-being, removing barriers to success and paving the way for brighter futures. Earning a GED has been shown to reduce chronic health conditions, improve lifestyle choices, and increase earning potential by nearly $10,000 annually. With access to this credential, members gain confidence, open doors to higher-paying jobs, and improve their economic stability, benefiting both individuals and their communities.
Investing in GEDWorks™ promotes health equity, boosts member engagement, and fosters healthier lifestyles. To learn more about how GEDWorks™ can make a meaningful impact for your healthcare plan, visit ged.com/gedworks/health-plans/

Organization

Quest Analytics’ provider network decisioning platform and services are trusted by more than 400 clients, including all eight of the nation’s largest health plans, regulators, including the Centers for Medicare and Medicaid Services (CMS) and multiple state regulatory agencies, and many of the nation’s leading health systems and provider groups to measure, manage, monitor, and model provider networks with unparalleled precision and insights. Their mission is to elevate the health of communities across the nation through superior provider networks. The company helps 90% of all healthcare networks deliver differentiated member experiences, thereby impacting 90% of Americans’ ability to access quality healthcare. For more information, please visit Quest Analytics.

Transdev

Founded pre-pandemic, Pyx Health is the first proven therapeutic used to treat loneliness. The Pyx Health platform combines a friendly technology application with a call center staffed with certified, compassionate humans to offer companionship and connection to resources. We work with health insurers who have demonstrated improving loneliness improves cost (57% reduction in medical spend), health (82% improved loneliness and depression) and engagement (73% feel more connected to care teams).

Media Association Partner

Organization

Founded on the principles of personalized expertise and unwavering commitment to excellence, Mostly Medicaid stands as a premier consulting firm dedicated to supporting health plans, state government agencies, and solution providers navigating the intricate landscape of Medicaid. With a robust project management process driving our operations, we pride ourselves on our ability to deliver tailored solutions that address the unique needs of each client. Backed by a team of seasoned professionals boasting diverse backgrounds and extensive experience, we combine deep research and knowledge capabilities to ensure the success of every project we undertake. At Mostly Medicaid, we understand that no two challenges are alike, which is why we meticulously assemble the right team for each endeavor, ensuring unparalleled results and fostering positive outcomes for all stakeholders involved. To see more, visit: www.mostlymedicaid.com.