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.

Gorman Health Group is a leading consulting and software solutions firm specializing in government health programs, including Medicare managed care, Medicaid, and Health Insurance Marketplace opportunities. Since 1996, our unparalleled teams of subject matter experts, former health plan executives and seasoned healthcare regulators have been providing strategic, operational, financial and clinical services to the industry across a full spectrum of business needs. Our mission as the industry’s most active professional services consultancy and provider of technology-based solutions is to empower health plans and providers to deliver higher quality care to beneficiaries at lower costs, while serving as valued, trusted partners to government health agencies. Gorman Health Group is also part of the Convey Health Solutions Family of Companies. To learn more, visit www.gormanhealthgroup.com

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.

Axion Contact is a Healthcare Services Company that creates customized member engagement, care and wellness touchpoints that increase STAR ratings, improve HEDIS/HOS scores as well as the overall member experience (Net Promoter Scores). We are comprised of healthcare and contact center industry leaders known for our dynamic and innovative approach which consistently exceeded our carrier’s expectations and key performance metrics.
Visit us at www.axioncontact.com to find out more!

Joint Academy, is a digital clinic for chronic joint pain which grew out of the world's most successful face-face clinically validated MSK program. (Better OA care or BOA) BOA successfully treated over 250,000 patients, and Sweden is the first country in the world with declining utilization in total joint replacements. Joint Academy has digitized BOA to make it even better. Joint Academy patients receive: A Personal Licensed Physical Therapist, interactive education, Individualized exercises, Data and progress tracking and the Leading Clinically validated Treatment

Joint Academy has treated 10,000 patients and their peer reviewed research and data shows: 31% reduction in Total Joint Replacements, 22% reduction in Medication use (Such as opioids) and an 88% improvement in Physical Function after 30 weeks • 46% in pain reduction after 20 weeks

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. mPulse Mobile is a team of seasoned healthcare experts from companies like Humana, Aetna, Medtronic, Amerigroup, Johnson & Johnson, Eliza, Magellan, and Anthem.

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.

Innovaccer Inc. is a leading healthcare data activation company committed to making a powerful and enduring difference in the way care is delivered. Innovaccer's aim is to make full use of all the data healthcare has worked so hard to collect by righting the wrongs of healthcare technology, doing away with long-standing problems and replacing them with ideal solutions. Its Gartner and KLAS-recognized products have been deployed all over the US across more than 500 locations, enabling over 10,000 providers to transform care delivery and work as one. Innovaccer's solutions have successfully activated data for several institutions, governmental organizations, and several corporate enterprises such as Mercy ACO, StratiFi Health, UniNet Healthcare Network, Catalyst Health Network, Hartford Healthcare, and Osler Health Network. Innovaccer is based in San Francisco and has offices all over the United States and Asia.

Media Partner

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.