2019 Partners

Educational Underwriters

Insightin Health is the industry’s only single platform which provides a complete personalized member engagement for each steps of the health care journey. The core platform combines medical, clinical, cognitive, and social determinants of health to recommend the Next Best Action (NBA) for each person. Health plans can improve quality measurements, gain higher member satisfaction, and increase member retention. The simple integration and easy to use platform creates an effective shift towards healthier population for the health plans.

RxAnte is a leading predictive analytics and clinical services company located in Portland, Maine, and Washington, D.C., dedicated to improving medication use and health outcomes. By providing plans, providers, and manufacturers with actionable insights, strategies, and our own portfolio of interventions, RxAnte empowers clients with the resources necessary to help make medications work better for everyone.
Created by experts in advanced analytics, medication adherence, health IT, and quality improvement, the RxAnte portfolio of solutions includes patent-pending platforms that leverage predictive and decision analytics, advanced program evaluation methods, a web-based work flow solution, and an award-winning call center to provide clients with the insights they need and results they want in improving medication use.

Hyperlift is the most comprehensive solution to Stars management and optimization. We offer a technology-enabled approach to Stars management that reduces uncertainty and delivers immediate results for all Stars teams regardless of size or performance.

Hyperlift’s Stars Management Suite (SMS) and Deliverables as a Service (DaaS) combine to offer a truly end-to-end Stars management solution made up of three core components: Measure Assessment, Performance Improvement, and Year-Round Management.

From setting the strategy to managing Stars performance throughout the year, Hyperlift offers an active collaboration of a Stars team's internal knowledge with our technology-enabled approach to avoid common pitfalls and deliver the most significant value overall.

Supporting Organizations

Decision Point is a member experience management company that brings holistic predictive analytics to everyday health plan decision-making. Our 360 Engagement Platform empowers health plans to understand and predict every facet of a member'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 member health experience, and delivering sustained improvements in outcomes across quality, utilization, satisfaction, and retention domains. For more information about Decision Point, please visit www.decisionpointhealth.com.

CipherHealth is a leading technology partner providing scalable member engagement solutions that span the member journey. Our solutions help health plans meet HEDIS benchmarks by engaging targeted members, proactively addressing members' clinical and non-clinical barriers, and driving improvements with actionable data.

Agadia is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, medication therapy management, part d star ratings & adherence, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability.  For more information, visit www.agadia.com.

Eighty percent of factors affecting health outcomes occur outside healthcare delivery. Patients can interact with Emmi® programs on the device of their choice, anytime and anywhere, in the format that works best for them (email, interactive voice, and videos). Using behavioral science, engaging design, and evidence-based content, Emmi programs help patients to take an active role in their health, while enabling care teams to track activity and adjust follow-up. Organizations who use Emmi programs report improved compliance and satisfaction.

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.