Carrot Health is putting the consumer at the center of the US healthcare system. Our Carrot MarketView™ Healthcare Business Intelligence software platform delivers actionable business insights to health systems and health plans – who your customers are, what they want, and how best to engage them. MarketView drives customer engagement and profitable revenue growth for payers and providers, improving your decision making, market share, and growth – and the health of the communities you serve.
CSG Government Solutions is a leading government operations consulting firm focused on helping states modernize critical program enterprises. Our highly experienced teams and industry-leading Centers of Excellence help governments leverage innovative technology and processes to meet the challenges of administering complex programs. Founded in 1997, CSG has established itself as a trusted adviser to more than 150 government agencies in 44 states across the U.S., as well as the U.S. Department of Health and Human Services. Named one of America’s Best Management Consulting Firms two years in a row by Forbes Magazine, we work with our clients to deliver high quality services that help to achieve the organization’s goals and objectives.
HMS advances the healthcare system by helping healthcare organizations reduce costs and improve health outcomes. Through our industry-leading technology, analytics and engagement solutions, we save billions of healthcare dollars annually while helping consumers lead healthier lives. HMS provides a broad range of coordination of benefits, payment integrity and population health management solutions that help move the healthcare system forward.
Visit us at www.hms.com and follow us on Twitter at @HMSHealthcare.
At Mom’s Meals, we believe better health should be accessible to all, and it begins with the very meals we eat. We provide high-quality, refrigerated meals to any U.S. address. We put choice in the hands of our customers, offering a broad selection of entrees, including those to support common health conditions.
HealthMine offers a dynamic member engagement solution that motivates members through multiple modalities to continuously complete health actions, while diligently monitoring them for continued satisfaction. Its powerful intelligence platform was originally built inside a Value-Based Insurance Design (VBID) health plan— designed to aggregate data and utilize advanced algorithms to combine population health and quality improvement disciplines to help plans thrive. Our personalized solution can help enhance or supplement targeted member engagement strategies through smart rewards distribution and fulfillment.
Tabula Rasa HealthCare (TRHC) is a leader in providing patient-specific, data- driven technology and solutions that enable health plans to optimize medication safety. TRHC focuses on preventing adverse drug events via simultaneous, multi- drug analyses to improve outcomes, efficacy, and adherence, and reduce total cost of care. Through a suite of innovative solutions, TRHC offers vast opportunities for enhancing patient care and satisfaction for payers, providers, and other healthcare organizations. Clients report a 4:1 ROI.
Thomson Reuters is a leading provider of business information services. Our products include highly specialized information-enabled software and tools for legal, tax, accounting, and compliance professionals combined with the world’s most global news service – Reuters. For more information on Thomson Reuters, visit tr.com and for the latest world news, reuters.com.
MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded employers and government entities. Our unique business model aligns us with our clients. We promote the prescribing and fulfillment of low-cost, medically appropriate drugs at the most appropriate pharmacy. We provide exceptional client service, flexible solutions and member-centric products focused on value, quality and low-net cost to improve care and reduce costs.
LexisNexis® offers a full suite of iprogram integrity solutions that gets to the heart of fraud and waste – individuals. Our solutions range from pre-enrollment identity verification to post pay claims analysis. Our tools leverage the industry’s gold standard in provider data, the most comprehensive set of public records data, contributory data systems, advanced linking and cross-claims analytics and intuitive interfaces to deliver results agencies can act on.
Verisys offers a complete Credentials Verification Organization service that starts with primary source verifying data, continuous monitoring/reporting on all licensed and non-licensed employees, businesses, and license statuses. Verisys also offers an easy-to-use SaaS solution in CheckMedic. Verisys monitors over 3,500 data sets from which we can provide a full transparent view of providers and staff. Through our technology, our data and our service we bring disparate data together to meet and support your credentialing needs.
NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates consumers to complete high-value healthcare activities by leveraging its sophisticated engagement platform, proven loyalty and behavioral science strategies, and deep industry and regulatory expertise. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served nearly 15 million consumers across all 50 states.
At Express Scripts, we dare to imagine a better health care system, and we’re driven to make it happen. Where others see problems, we see possibilities. We’re challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all.
We have always acted first to take on the toughest challenges. We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care, and deliver better outcomes — like no one else can. We believe health care can do more. We are Champions For BetterSM.
Express Scripts, a Cigna company, unlocks new value in pharmacy, medical, and beyond to further total health for all.
Aerial™ is the flagship solution from Medecision, delivering the best customer experience in integrated health management for consumers and their care teams. By providing a 360-degree, shareable, near-real time view of an individual’s comprehensive health status, Aerial gives every stakeholder the insights and action plans needed to reduce risk, enhance efficiency and improve health outcomes. The Aerial Experience means providing value to risk-bearing organizations across the board: clinical outcomes and quality measurement, streamlined deployment, proven pre-configured workflows, social-mobile applications, and more.
Powered by the belief that complex payment systems can be made simple, WEX (NYSE: WEX) is a leading financial technology service provider across a wide spectrum of sectors, including fleet, travel and healthcare. WEX operates in more than 10 countries and in more than 20 currencies through approximately 4,900 associates around the world. WEX fleet cards offer approximately 14 million vehicles exceptional payment security and control; our travel and corporate solutions business processes over $35 billion of purchase volume annually; and the WEX Health financial technology platform helps 343,000 employers and more than 28 million consumers better manage healthcare expenses.
RRD Healthcare works with Medicaid plans to communicate more effectively with their members. From ID Cards and Welcome Kits to appeal & denial programs to health and wellness communications. Focused on keeping you compliant, delivering operational efficiency and driving cost savings. We execute Medicaid communications in all 50 States.
Kaizen Health is a HIPAA compliant, data-driven logistics platform that connects healthcare and transportation. Our platform increases patient access to safe and reliable transportation, which decreases no-show rates and ED utilization, while improving throughput and patient satisfaction. We connect to a diverse network of transportation options and provide real-time analytics and mapping tools to gain a better insight into the effectiveness of transportation initiatives.
MyHealthDirect, an Experian company, is a leading provider of digital care coordination solutions and partners with many of the nations largest health systems and health plans to make it easy for people to access healthcare. Our intuitive technology guides consumers to the right care and enables real-time scheduling through any access channel: on the web, in call centers, and in provider offices.
The Wellframe digital health management solution supports the comprehensive needs of people beyond the walls of care delivery. Wellframe translates evidence-based, peer-reviewed guidelines and literature into an interactive daily checklist delivered to patients through the Wellframe mobile app. As patients engage with the Wellframe app, their data is shared in real time with their care team through the care team dashboard, which utilizes advanced algorithms to generate early intervention alerts. With secure two-way messaging, Wellframe facilitates long-term, trusted relationships between patients and care teams.
Enhanced Medication Services is the premier clinical services delivery channel connecting health plans to community pharmacy through our fully integrated dispensing and clinical services platform. We provide high-quality, clinical intervention outreach services to patients and providers in collaboration with pharmacies and health plans. We combine an industry leading clinical services call center with an expansive network of community pharmacies facilitating the transformation of the community pharmacy into a powerful clinical services engagement hub. Our interventions provide “quality lift” for our partner pharmacies and health plans to achieve high level performance on quality measures and improve health outcomes. Our services include comprehensive medication therapy management services, industry-leading medication adherence programs and other targeted interventions to patients and providers.
Acumen Fiscal Agent is a leading fiscal agent providing fiscal management services in over 22 states and 65 diverse programs to individuals who choose to self- direct their services. Acumen's mission is to "facilitate freedom, choice and opportunity through innovative fiscal agent solutions." 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.
For almost 25 years, MTM has partnered with our clients to develop innovative solutions for accessing healthcare, promoting independence, and connecting community resources. By leveraging high quality customer service and our ability to develop comprehensive provider networks, we help our clients accomplish their goals while achieving our vision of communities without barriers.
CipherHealth empowers managed care organizations to engage all members throughout their health journey to close gaps in care, improve chronic disease management, and reduce avoidable readmissions and ED visits through engagement software that enhances communication and care coordination.
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, 70+ healthcare customers and more than 200 million conversations annually, mPulse Mobile has the data, the expertise and the solutions to drive healthy behavior change.
Allazo Health is a high-growth, profitable healthtech start-up that is leading the development and deployment of revolutionary artificial intelligence solutions which help improve patient outcomes and medical costs by influencing patients to adopt healthier behaviors around medication adherence. After going to market in 2015, our customers include some of the largest payors, pharmacy chains, pharma manufacturers, and providers. AllazoHealth is the only company in the space to have validated its AI engine with a randomized control trial with BCBS NC to demonstrated significant clinical and financial effectiveness.
Amplify proactive care with CareSignal. CareSignal is an accessible monitoring platform that improves performance in value-based care by engaging and identifying rising-risk patients. Care teams receive real-time alerts enabling them to prioritize outreach and care delivery to rising-risk patients before they worsen. Patients respond to an evidence-based portfolio of automated text messages and phone calls reporting their health status. Try a self-guided demo: text “diabetes” to (844)-837-9996.
Health plans can improve performance on the Diabetes Eye Exam measure with the Topcon Screen program. By enabling retinal eye exams in the primary care setting, Topcon helps increase Star ratings and improve HCC documentation within the diabetes population. In addition, our solution helps improve care coordination and outcomes for patients with an active vision threatening complication.
Navitus Health Solutions, a division of SSM Health Care, serves as a full pass through pharmacy benefit manager (PBM) and industry alternative to traditional models. As such, Navitus is committed to taking the unnecessary costs out of pharmacy benefits to make prescriptions more affordable for plan sponsors (i.e. employers, health plans, unions, governments, etc.) and their members. By combining a unique pass through approach that returns 100% of rebates with a focus on lowest-net-cost medications and comprehensive clinical care programs, Navitus helps reduce costs and improve member health. To learn more about Navitus, call 877.571.7500
Edifecs develops innovative, cost-cutting information technology solutions to transform the global healthcare marketplace. Since 1996, Edifecs technology has helped healthcare providers, insurers, pharmacy benefit management companies and other trading partners trim waste, reduce costs and increase revenues. Today, more than 350 healthcare customers use Edifecs solutions to simplify and unify financial and clinical transactions. In addition, Edifecs develops supply chain management solutions to support worldwide customers in non-healthcare industry segments. Edifecs is based in Bellevue, WA, with operations internationally.
Managed Care delivers high-interest articles and features developed through original research and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and executives on the integration of the business and medical aspects of the rapidly changing managed care market. A strict fact-checking and peer-review process assures the accuracy and relevance of editorial content.