Rise

Press Ganey, the leading Human Experience (HX) healthcare performance improvement company, offers an integrated suite of solutions that address safety, clinical excellence, patient experience and workforce engagement. The company works with more than 41,000 healthcare facilities in its mission to reduce patient suffering and enhance caregiver resilience to improve the overall safety, quality and experience of care. Press Ganey is a PG Forsta company.

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.

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. 

HealPros works with client Health Plans to find and address critical health issues faced by their member population. Our team helps members with one or more chronic conditions access the care they need, in a way that is most convenient for them – whether in their homes, remotely or in their communities. Our team is currently active in 45 states and the US Virgin Islands and has the capacity to reach members anywhere in the US with our robust network of both non-clinical and clinical resources. We know that when we treat people with kindness and curiosity, we can close more gaps, improve health outcomes and change lives. www.healpros.com

Health Data Decisions provides strategic and analytic consulting related to quality, efficiency and population health. We help health plans, at-risk provider groups and analytics vendors to maximize the use of their data for predictive and retrospective measurement and modeling. Our team brings decades of experience with measurements including HEDIS®, Stars, QRS, AHRQ and P4P in management, analytics, and programming. We can manage your team, your vendors and your data to improve your HEDIS project. Talk to us about improving the value of your data and your overall measure rates.

Hyperlift was founded in 2017 with the expressed goal of changing how plans looked at Stars optimization and creating a repeatable model that could be ubiquitous across the industry. Through an action-oriented Stars Performance Scorecard, leading Stars experts, and a year-round technology-enabled approach, Hyperlift helps plans of all sizes and performance levels supercharge their Stars performance management.

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.

MedOrion was created for the purpose of helping health plans drive higher levels of quality across their membership whether it is focused on HEDIS, PHARMACY or CAHPS.  We do this by integrating proven behavioral science models with claims data, SDOH information and other key data to create an Electronic Behavioral Record.  Our MedPulseX AI then utilizes this information to create personalized journeys executed across multiple channels, all done with a click of a button. 

PSyn

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.

Wakely is the premier source for healthcare actuarial consulting, helping clients understand the complex and evolving world of healthcare, using the best tools, talent, and data. Our consultants have substantive experience working with payers, purchasers, and healthcare providers. We help our clients succeed through disciplined and transparent work, assessment of options, creative problem solving, attention to deadlines, and the ability to clearly communicate and document complex issues. Wakely goes beyond the numbers.

Annova Solutions, a technology-driven, human-in-the-loop, BPM 4.0 company, serves as a strategic operations partner, delivering continuous ROI for clients. Specializing in top-tier Risk Adjustment Coding solutions like CMS-HCC, HHS, Medicaid CDPS, and HEDIS measures, the company ensures HIPAA compliance through efficient processes and dedicated teams. With leadership boasting 150+ years of healthcare experience, access to a talent pool of 20,000+ graduates, a robust operational framework, and AI-enabled capacity management, Annova has achieved an impressive 100% year-over-year growth for the past four years.

Every day, millions of patients, caregivers and healthcare providers rely on Baxter's leading portfolio of diagnostic, critical care, kidney care, nutrition, hospital and surgical products used across patient homes, hospitals, physician offices and other sites of care. Welch Allyn products are now part of Baxter’s global portfolio, following Baxter’s acquisition of Hillrom in 2021.

The Welch Allyn RetinaVue care delivery model is a simple, affordable, patient-centered solution to help improve diabetic retinal exam compliance anywhere the patient is. Improve HEDIS, STAR, and HCC risk factors by closing care gaps for patients living with diabetes.

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 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.

Everly Health Solutions, a subsidiary of Everly Health, Is a virtual care provider that uses advanced diagnostics and telehealth to improve early detection and prevention of disease. Our solutions provide the clinical, legal, and technological framework to facilitate population-scale testing across key healthcare markets in all 50 states, Puerto Rico, the U.S. Virgin Islands, and Canada. We believe that empowering people with convenient access to clinically actionable testing has the power to change lives, improve outcomes, and create a healthier world.

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.

We deliver actionable, data-driven insights that enable healthcare payers and providers to lead fact-based, knowledge-focused operations to manage members effectively while providing a better experience.

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.

Sword Health is on a mission to free 2 billion people from pain by pioneering the field of AI Care. Sword has developed the first platform to predict, prevent, and treat pain. Matching Sword's AI therapists with the expertise of clinical teams, the Sword platform makes high-quality care as accessible as running water. Delivering over 1.5 million AI sessions to members in 2023 and available to over 10,000 employers across three continents, Sword holds the majority of industry patents, a 70% win rate in competitive evaluations, and has raised over $300 million in funding from major venture firms, including Founders Fund, General Catalyst, and Khosla Ventures. Recently ranked as the 26th fastest-growing US company on the Inc. 5000 list, Sword is redefining healthcare by saving clients millions while delivering unparalleled recovery from pain to its members. Visit www.SwordHealth.com for more information.

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.

Wellth is an innovative and proven approach to better health outcomes.

Using the science of behavioral economics, Wellth supports health plans and risk-bearing providers by addressing the unique obstacles that prevent members with chronic conditions from forming the habits necessary to create lasting change.

We create de novo motivation, spark behavior change and help people form new healthy habits.

Astrata (www.astrata.co) is a digital quality company, offering a suite of products and services for health plans and value-driven providers who are moving from paper-based clinical quality measures to digital clinical quality measures, as required by NCQA and CMS. Astrata’s products make it possible to better measure and improve healthcare quality, a foundation for moving to value-based care. Astrata’s value propositions include dramatic efficiency gains, higher clinical quality rates, and increased quality bonus payments. 

Beacon Healthcare Systems streamlines the business of healthcare through reliable, innovative technology delivered by industry experts. With a focus on appeals, grievances, compliance, enrollment, supplemental benefits, 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. beaconhcs.com.

BeamMed is a developer and manufacturer of bone density assessment and monitoring solutions who has pioneered the early assessment of bone density, with the first – and still the only – devices that enable ultrasound-based, multi-site measurement for the early assessment and monitoring of osteoporosis.  BeamMed’s Sunlight product line overcame the cost and radiation exposure-related challenges of Dual X-ray Absorption technology (DXA).  As the only hand-held portable device, currently on the market, the MiniOmni offers high accuracy, small size, ease of use, reliability, excellent affordability, and radiation-free operation that can easily and safely be used in any doctor’s office, clinic, HMO, healthfairs, mobile medical vans, or retail venue such as pharmacies and checkup centers.  HMO plans and providers rely on MiniOmni to screen more patients more often, to Close The Gaps and improve HEDIS OMW quality measures and achieve 5 Stars Maximization.

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.

Curant Health is an outcomes-based member support organization that specializes in clinician empowered & tech-enabled medication adherence and utilization management support to maximize Medicare program Stars performance and minimize commercial plan Total Cost of Care (TCoC).

Curant Health’s solutions for Health Plans include products focused on Stars Adherence Improvement, HEDIS Gap Closure, Medication Reconciliation Post-Discharge, High Cost & Complex Care Monitoring, and Total Cost of Care Reduction. Curant Health leverages member risk stratification/segmentation and enhanced member engagement services to deliver optimal member and partner outcomes while providing you with real-time insights and program strategy through dynamic business reviews.

To schedule your demo, visit www. curanthealth.com/healthplans

DataLink

Decision Point is a leading patient and provider engagement management company bringing artificial intelligence to everyday health plan decision-making. Decision Point works with over 50 health plans to understand and predict every facet of a patient’s health experience, enabling effective targeting and impactful holistic interventions. Decision Point aims to change the fundamentals of healthcare decision-making by predicting and acting on the entire patient health experience, delivering sustained improvements in outcomes across satisfaction, retention, quality, and utilization domains. 

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.

Healow is a comprehensive, EHR-agnostic, cloud-based platform for patients, practices, payers, hospitals, and health systems. healow provides Patient Relationship Management, clinical and payer insights, and state-of-the-art interoperability solutions. The PRISMA health information search engine gathers patient records from other EHRs and helps providers focus on the most clinically relevant information at the point of care. healow’s Population Health Management tools, including Remote Patient Monitoring, provide real-time data to deepen understanding of patient populations. And healow Insights automates the bidirectional exchange of data between health plans and providers to improve scores on quality measures, help control costs, and promote better medical outcomes. Learn more at www.plus.healow.com.

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.

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.

Intouch Marketing Call Centers specialize in member and patient engagement through highly trained and empathetic service specialists. Our team caters to various healthcare entities, including Health Plans, Medical Groups, MSOs, IPAs, FMOs, Agency Partners. We offer comprehensive outreach services that foster meaningful connections and promotes positive experiences for your target audience. Rest assured that InTouch Marketing Call Centers will enhance member engagement and elevate your organization's success in the ever-evolving healthcare landscape.

For more information visit www.intouchmarketing.com

LetsGetChecked is a leading healthcare solutions company that provides consumers, employees, and health plan members the tools to manage their health from home, with direct access to health insights, at-home diagnostics, genomics,  virtual care, and pharmacy for a wide range of health conditions. Founded in 2015, the company empowers people with accessible health information and care to live longer, happier lives. Today, LetsGetChecked is a leader in healthcare innovation with an end-to-end model including manufacturing, logistics, lab analysis, affiliated physician support, and prescription fulfillment, which provides a seamless user experience and a convenient, reliable and secure healthcare experience.

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.

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. 

OLIPOP is the #1 Healthy Soda…That Connects to Healthy Actions! We can put a NATIONALLY RECOGNIZED product in YOUR MEMBER’S HOME TO DRIVE ENGAGEMENT & BOOST STAR RATINGS! 

We believe members would feel HAPPIER, MORE ENGAGED & SUPPORT CMS Star Rating healthy actions when provided OLIPOP by their plan. Beyond directly providing OLIPOP to members, our healthy soda is SNAP, Solutran HealthyBenefits+, Incomm OTC Network, NationsBenefits & Soda Health catalog purchase eligible.  

Each healthy soda only has 2g-5g of sugar & 9g of fiber.  OLIPOP is available at over 30K retailers including Walmart, Target, Kroger, HEB, Costco, Publix & 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.

"Perx Health is a digital care management program that uses daily, persistent motivation to deliver 90% adherence with high-risk members. Unlike most digital health solutions, Perx was designed specifically the clinically complex. The program manages all of a member’s chronic conditions - from diabetes to behavioral health - and uses a range of motivational techniques targeting low health literacy. Health plans benefit from extremely high treatment plan adherence (90%), which drives key clinical improvements like HbA1C and cholesterol control, per member cost savings and a 6-8x ROI."

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.

Quality Health Partners supports Medical Groups, Health Plans, and Primary Care Physicians to achieve 5-star quality ratings. Our Clinical Quality Teams complete various types of Wellness Visits and screenings in provider practices, in patient’s homes, and via telehealth. We take care of the coding, documentation, and administrative functions necessary to close quality gaps in care and capture HCCs for Medicare, Medicaid, and Commercial lines of business.

For more information visit www.qualityhp.com

Quest Diagnostics is more than just a lab service provider. We have innovative solutions to help payers optimize initiatives across the organization. Stop by our booth during the conference or visit clinical.questdiagnostics.com/qualipalooza to learn how we can help:

• Close laboratory testing gaps by increasing member test compliance and filling in member data gap, which can improve quality performance measure scores (such as HEDIS)
• Assess risk factors caused by SDOH and provide local interventions and resources to get a head start on your health equity action plan

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.

Simple Healthkit

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.

The Helper Bees