Apixio is the data science company for health care. Apixio’s proprietary artificial intelligence platform extracts and analyzes clinical data in electronic and PDF records, generating deep insights into patient health. These insights feed applications such as HCC Profiler, which uncovers supported HCC codes with speed and accuracy, enabling comprehensive code identification and compliance auditing for Medicare Advantage and ACA programs.
Centauri Health Solutions is a risk adjustment, quality, and eligibility enrollment and billing solutions healthcare services company serving the government payor space. Centauri’s suite of products includes a comprehensive technology platform operating workflow of reporting and business intelligence software designed for efficient data integration and analytics. As a leading provider of technology-enabled analytics and services, Centauri helps health plans to manage their variable revenue linked to population health, quality, 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 specifically for quality-based revenue and risk adjustment programs. These efforts result directly in better-informed health care delivery, richer benefits and reduced out-of-pocket healthcare costs. Centauri boasts one of the few HEDIS programs in the nation that has been continuously certified by NCQA since 2006. Both our Medicare Advantage and Medicaid health plan eligibility/enrollment program infrastructure and our Risk Adjustment and Quality software and service platform have earned HITRUST Certified status for information security, demonstrating that we have met key regulations and industry-defined requirements and are appropriately managing risk. With nearly 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.
Episource reinvents risk adjustment program management across healthcare organizations. We empower the most recognizable names in healthcare with end-to-end risk adjustment solutions. From risk adjustment analytics, retrospective chart reviews, in-home assessments, encounter submissions and quality reporting, Episource simplifies healthcare with elegance and innovation.
Healthcare Data is meaningless – unless it can be visualized and integrated into Primary Care Provider’s existing workflows. iCare Intelligence’s unique platform, iMLR, is reducing costs, increasing quality, and improving provider engagement by simplifying clinical documentation workflows for HCC/Risk Adjustment, HEDIS, and Medication Adherence, enabling real-time communication between health plan staff and Primary Care Providers to close gaps in care, all while integrating customizable performance incentives and financial reporting. Come by and see it in action.
Pulse8 is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustment, Quality, and Pharmacy Benefit Management programs. We enable health plans and providers to eliminate waste and achieve the greatest financial impact in the Medicare Advantage, Medicaid, and ACA Commercial markets as well as with Value-Based Payment models for Medicare. Our advanced analytic methodologies and flexible business intelligence tools offer real-time visibility into member behavior and provider performance while also improving efficiency for payers and at-risk providers through high-speed clinical data exchange. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning to deliver the most cost-effective and appropriate interventions for closing gaps in documentation, coding, and quality.For more company information or to schedule a demo, please Info@Pulse8.com.
2020 Silver Sponsors
Advantasure is a health technology and business process services company that improves the performance of health plans and provider organizations in the delivery of government healthcare programs. Through a comprehensive portfolio of products and services, Advantasure enables clients to lower administrative costs, increase reimbursement accuracy and improve the quality of care for their members.
Blackhawk Network delivers branded payment solutions through the prepaid products, technologies and network that connect brands and people. We collaborate with our partners to innovate, translating market trends in branded payments to increase reach, loyalty and revenue. Serving 28 countries, we reliably execute security-minded solutions worldwide. Join us as we shape the future of global branded payments. Learn more at blackhawknetwork.com.
Change Healthcare is inspiring a better healthcare system. Working alongside our customers and partners, we leverage our software and analytics, network solutions, and technology-enabled services to enable better patient care, choice, and outcomes at scale. As a key catalyst of a value-based healthcare system, we are accelerating the journey toward improved lives and healthier communities. Learn more at www.changehealthcare.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.
As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 18 years. Proudly known in the industry as the “healthcare data plumbers,” we are the trusted resource for data connectivity, data conversion, integration, and more. We help payers navigate the recently updated interoperability rules and rethink their approach to data. We offer solutions that empower payers with bi-directional communication and data exchange with providers, supporting high-quality, value-based care. Our solutions empower payers to request and receive patient data—in any form, from any system. It provides a longitudinal view of patient health across disparate systems with standards-based connectivity to discrete EMR data, an OCR engine, and a centralized dashboard to request and review all documentation at the patient level. ELLKAY connects payers to over 300 hospitals, 55,000 practices, 500 laboratories, and 200 million patients, enabling them to support their physicians in delivering high-quality, value-based care.
EXL Health combines unmatched healthcare domain expertise with data-driven insights and technology-enabled services to transform how care is delivered, managed and paid. Leveraging human ingenuity, our team’s collaborate with our clients to solve their most complex problems and enhance their performance by employing nimble and scalable solutions. Covering more than 150 million lives, EXL partners with healthcare organizations across the healthcare spectrum including payers, providers, PBM and life sciences organizations.EXL’s proprietary Risk Adjustment analytics and quality platform and custom services support our clients in driving outcomes and maximize reimbursement. To learn more visit https://www.exlservice.com/health.
Hallmark greeting cards are custom designed for health plans and mailed to members throughout the year to help close gaps. Hallmark cards are proven to increase quality scores for Stars, HEDIS®, CAHPS®, and HOS. Hallmark cards also improve NPS, Member Satisfaction, Loyalty and Retention. As the business-to-business unit of Hallmark Cards, Inc., Hallmark Business Connections leverages more than 110 years of Hallmark heritage, creativity and innovation in the business arena to provide meaningful, memorable and measurable solutions that strengthen customer relationships. For case studies and information about Hallmark’s health plan offerings, visit HallmarkBusinessConnections.com/Customer-Experience/Health-and-Wellness or email Joe.Dahlkemper@Hallmark.com.
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.
With the shift to value-based care, the growth of consumerism and an increased focus on member satisfaction and retention, health plan performance today depends largely on successfully engaging and motivating members. NovuHealth is the industry’s leading consumer engagement company: We’ve worked with nearly 40 health plans and served nearly 15 million consumers across all 50 states.
We motivate consumers to complete high-value healthcare activities that improve both member health and health plan performance. Plans choose to work with us because: • We help them identify and prioritize the members and measure that matter most; • We apply proven loyalty and data science strategies to optimize performance; and • We leverage deep industry and regulatory expertise to ensure compliance and results
Our member engagement solutions enable plans to improve: • Quality • Satisfaction • Retention • Risk adjustment • Care coordination; and • Case, disease and medication management
Learn more about NovuHealth and our successful member engagement solutions at novu.com.
The Persivia platform – CareSpace™ – is a single integrated AI driven platform which supports all VBC models and integrates data from all sources through the entire care continuum. It includes a variety of AI driven workflow tools and data integration capabilities to establish a complete view of the patient and populations and manage cost effectively. Our industry leading capabilities in Artificial Intelligence and Risk Stratification simplify, combine and analyse data from all sources.
Talix provides risk and quality solutions to help providers, payers and accountable care organizations address the growing challenges of value-based health care. Its leading-edge SaaS applications leverage machine learning and advanced patient data analytics to transform complex data into actionable intelligence that drives improved coding efficiency and accuracy – leading to better patient outcomes, more accurate reimbursements and reduced costs.
2020 Bronze Sponsor
Revel is a next gen healthcare technology company using data science and behavioral research to move people to better health. Our health action platform, Revel Connect helps healthcare organizations improve member experiences, drive better outcomes, and redefine what’s possible. From closing gaps in care to boosting Medicare Star Ratings, our powerful approach using data science and behavioral research helps healthcare organizations create personalized connections that drive better experiences and improved health outcomes. To learn more about Revel, visit www.revel-health.com.