Arine is the leading AI-powered medication optimization platform that improves patient outcomes and reduces healthcare costs by ensuring that patients receive the most effective and appropriate medications. By integrating advanced analytics with deep clinical expertise, Arine provides timely, personalized recommendations, enabling health plans and at-risk provider organizations to enhance medication safety, adherence, and effectiveness among their members. Learn more at arine.io or follow us on LinkedIn.

https://www.arine.io/

Align and amplify your behavioral health ecosystem with Lucet, the only end-to-end solution enabling connection to care across the acuity spectrum and supporting patient-provider matching. Our people, expertise and technology are changing how health plans manage networks, providers manage care, and members manage health. Powered by a team of care navigators and case managers and a technology platform built upon 20+ years of research, Lucet connects people with the right care in under ~5 days.

lucethealth.com

Quest Analytics® provider network design and management solutions and services are trusted by 400+ clients — including all 8 of the nation’s largest health plans, many of the nation’s largest health systems and provider groups, multiple state regulatory agencies, and CMS — to manage, model, and monitor 7K+ provider networks. Our platform processes 150B+ provider records monthly and supports 700K+ healthcare professionals from 360K+ locations in attesting their data. We help 90% of healthcare networks deliver differentiated member experiences, thereby improving access to quality care for 90% of Americans. Learn more at Quest Analytics.

https://questanalytics.com

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

www.abbott.com

Cohere Health connects health plans and providers through clinically trained AI solutions that streamline prior authorization and UM. By combining clinical expertise with advanced technology, Cohere accelerates appropriate care, reduces administrative burden, and improves outcomes. Our platform delivers a smarter, more efficient approach that drives better payer-provider collaboration.

www.coherehealth.com

CVS Healthspire Payor Solutions brings together actionable insights and smart engagement strategies that complement your business goals and create enduring value. By offering programs designed to improve member health outcomes and experiences, we help payors lower total cost-of-care. Simply put, healthier members are better for your business — whether you’re an employee benefits sponsor or a health insurance provider. And that’s why we offer programs that you can easily integrate with your benefits to address chronic conditions, manage specialty and rare conditions, and deliver quality-improvement strategies.

https://www.cvshealthspire.com/payor-solutions.html

Cylinder is a virtual solution that delivers individualized, expert-backed care and support for the full spectrum of gastrointestinal issues.

www.cylinderhealth.com

Evernorth Health Services is committed to enhancing the lives of our clients, customers and patients. Through our virtual health care solution, MD Live, we offer 24/7 convenient and affordable virtual healthcare services.

https://www.mdlive.com/

Fabric expands access to care with intelligently connected care solutions that standardize, automate, and unify experiences—delivering seamless consumer interactions and empowering clinicians to provide faster, higher-quality care. Its solutions encompass Intelligent Patient Acquisition, Proactive Care Automation, and Complete Virtual Care designed to streamline care delivery. The health tech company also delivers flexible virtual staffing models through its 50-state clinical network, leveraging Fabric's technology for virtual urgent and behavioral care.

Fabric serves over 30,000 employers, payers, and health systems, including Intermountain Health, OSF HealthCare, MUSC Health, and Highmark. Investors include General Catalyst, Thrive Capital, GV (Google Ventures), and Salesforce Ventures.

https://www.fabrichealth.com

HiLabs is transforming healthcare by harnessing AI to extract value from healthcare data, solving one of the industry's most persistent challenges—provider data inaccuracy. Featured in BBC’s Human Component series, its MCheck™ Provider Suite is driving industry-wide change by eliminating errors that contribute to surprise billing, suboptimal provider data management, network inefficiencies, and care delays. This ensures accurate data, reduced costs for health plans, and improved access to care for patients. The product suite includes four key modules: Roster Automation, Provider Directory Accuracy, NetworkIQ, and ContractsAI—offering an end-to-end solution that infuses SME-level AI into all aspects of provider data management.

https://www.hilabs.com/

Huron is a global professional services firm that collaborates with clients to put possible into practice by creating sound strategies, optimizing operations, accelerating digital transformation, and empowering businesses and their people to own their future. By embracing diverse perspectives, encouraging new ideas, and challenging the status quo, we create sustainable results for the organizations we serve.

https://www.huronconsultinggroup.com

Medecision offers data-driven solutions that empower risk-bearing organizations to effectively manage care, utilization, and population health. Serving over 10% of the U.S. population, the Medecision platform delivers real-time insights, automation, seamless interoperability, and scalable engagement tools. These features help customers enhance outcomes and reduce costs and complexity. Trusted by top healthcare organizations, health plans, third-party administrators, and government entities, Medecision’s flagship products form the market's most adaptable clinical data platform, currently supporting the care of over 42 million individuals across the U.S. Medecision operates as a subsidiary of Health Care Services Corporation (HCSC).

https://www.medecision.com/

Raport is a data intelligence platform that transforms unstructured clinical data into structured, searchable formats. It surfaces context-specific insights at every stage of care delivery — enabling real-time decision support, efficient documentation, and faster clinical review.

www.raport.health

Transcarent partners with health plans to strengthen and scale your existing ecosystems. Our AI Care Assistant guides Members to high-quality clinicians and Care Experiences, including Cancer Care, Surgery Care, Weight Health, Pharmacy, virtual primary care, and expert medical opinion. Serving 18 health plan partners and 11.5M lives, we deliver scale, trust, and proven innovation to improve outcomes and reduce costs.

https://transcarent.com/insights/health-plan-reasons-ai-guide-the-next-era

For more than 24 years, UST has worked side by side with the world’s best
companies to make a real impact through transformation. Powered by technology,
inspired by people and led by our purpose, we partner with our clients from design to
operation. Through our nimble approach, we identify their core challenges, and craft
disruptive solutions that bring their vision to life. With deep domain expertise and a
future-proof philosophy, we embed innovation and agility into our clients’
organizations—delivering measurable value and lasting change across industries,
and around the world. Together, with over 30,000+ employees in 30+ countries, we
build for boundless impact—touching billions of lives in the process. Visit us at
ust.com.

ust.com

WellSky is one of America’s largest and most innovative healthcare technology companies leading the movement for intelligent, coordinated care. Our proven software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum.

https://www.wellsky.com

West Monroe’s Payer Team is a specialized division within our leading digital services firm. Our industry experts advise health and dental insurers on strategy, operations, data, and digital transformation. With first-hand experience assessing 300+ benefit technologies, we help payers enhance member engagement, modernize systems, automate workflows, improve analytics, and navigate regulatory change—driving growth in a digital-first healthcare landscape.

https://www.westmonroe.com/industries/healthcare

ZS is a management consulting and technology firm focused on transforming global healthcare and beyond. We leverage our leading-edge analytics, plus the power of data, science and products, to help our clients make more intelligent decisions, deliver innovative solutions and improve outcomes for all. Founded in 1983, ZS has more than 12,000 employees in 35 offices worldwide. To learn more, visit https://www.zs.com/or follow us on Twitter and LinkedIn.

https://www.zs.com/

Certify is revolutionizing the healthcare industry by laying the infrastructure upon which the next generation of provider-centric applications (network adequacy, accuracy, provider utilization, etc.) will be built. As innovative digital health plans and provider care models continue to scale and challenge traditional care models, the need for a centralized data infrastructure has never been greater. Our platform will support the future of healthcare innovation by becoming the source of truth of provider data, and making that data easily accessible and actionable for the entire healthcare ecosystem.

We have built an API-first, UI-agnostic, end-to-end provider network management platform automating licensing, enrollment, credentialing, and network monitoring. With direct integrations into 100's of primary sources, we are uniquely positioned to enhance visibility into the entire provider network management process. Our team has more than 25+ years of combined experience building provider data systems at Oscar Health and are backed by top-tier VC firms who share our vision of creating a one-of-a-kind healthcare cloud that removes the friction surrounding provider data.

www.certifyos.com

Elligint Health is the leader in innovative, comprehensive, and dynamic care management and population health. Established in 2024, our technology platform, Helios®, delivers intelligent healthcare solutions and empowers and supports users in the delivery of proactive, whole-person care across the entire healthcare continuum. Focused on enabling actionable intervention and whole-person care, Elligint Health helps healthcare organizations navigate complexity, and turn insights into strategies that benefit providers, payers, and members and patients alike. With Elligint Health, the future of healthcare is simpler, smarter, and more effective.

Elliginthealth.com

ELLKAY is a trusted enterprise data management partner driving innovation and connectivity across healthcare. Since 2002, ELLKAY has empowered hospitals, labs, payers, and health IT vendors with unmatched data expertise. With connections to 58,000+ practices and interoperability with 750+ EHR/PM systems, ELLKAY streamlines data exchange, supports value-based care, and enables smarter, faster decision-making.

https://www.ellkay.com

With a unifying focus on better health outcomes, Evolent works across specialties and primary care to improve the care journey for patients diagnosed with cancer, cardiovascular diseases, musculoskeletal disorders, and other conditions.

www.evolent.com

Microsoft, together with its partner network, offers payors a comprehensive portfolio of solutions to meet their strategic goals. Leveraging Microsoft’s AI, data, and security capabilities, payors can improve analytics, collaboration, compliance, and innovation—transforming operational efficiency and member satisfaction while developing advanced, customized solutions for the evolving healthcare landscape.

https://www.microsoft.com/en-us/industry/health/payors?msockid=266f6645a8eb6aaa37b57329a9646b4e

Oshi Health is the only nationwide multidisciplinary GI clinic combining specialized medical, dietary, and behavioral health interventions proven to get patients better, faster. Rooted in accountability to patient outcomes, Oshi's virtual clinic accelerates the speed to diagnosis and symptom control - significantly reducing medical costs within a year. Clinical trials and real-world data from the nation’s leading health plans demonstrate why partners trust us as an in-network provider for over 63M covered lives.

www.oshihealth.com

Oshi Health is the only nationwide multidisciplinary GI clinic combining specialized medical, dietary, and gut-brain interventions proven to get patients better, faster. Rooted in accountability to patient outcomes, Oshi's clinic accelerates the speed to diagnosis and symptom control - significantly reducing medical costs within a year. Clinical trials and real-world data from the nation’s leading health plans demonstrate why partners trust us as an in-network provider for over 63M covered lives.

https://oshihealth.com/for-health-plans/

Paytient is a healthcare company on a mission to help people better access and afford care—without the stress. Our Health Payment Account (HPA) is a smart way to pay for out-of-pocket medical, dental, vision, pharmacy, and veterinary expenses—turning unexpected costs into manageable, paycheck-friendly payments. There’s no interest and no fees, ever. We make affordability certain and payments predictable, keeping teams healthier and happier.

www.paytient.com

Protera Health helps health plans lower MSK costs through an in-network, digital approach, requiring no PMPM or administrative expenses. Protera's physician-led, multidisciplinary team provides comprehensive digital clinical and physical therapy care, delivered through medical claims and billing. Interested health plans can schedule a demo at www.proterahealth.com/start

https://www.proterahealth.com/

Founded in 1981, RAM Technologies is a leader in enterprise solutions for healthcare payers, delivering comprehensive SaaS and BPaaS solutions. Specializing in Medicare Advantage, Managed Medicaid, and Special Needs plans, we ensure seamless integration and operational ease, allowing health plans to focus on what matters most – their members. Visit www.ramtechinc.com.

https://www.ramtechnologiesinc.com/

Stellar Health is a healthcare technology company redefining value-based care delivery for primary care teams. Through their industry-leading micro-incentive platform, providers and their care teams receive in-workflow prompts to close care and quality gaps efficiently. Every value-based care activity is rewarded monthly, real-time feedback loops are realized, and overall patient care is enhanced. By shifting the existing financial model, Stellar Health is ushering in a new era of shared accountability for primary care networks everywhere.

www.stellarhealth.com

Virtix Health is the leader in medical record retrieval and review, helping health plans maximize accuracy, efficiency, and financial performance. With the nation’s top retrieval network and our proprietary Linx platform, we achieve up to 50% higher retrieval rates and maintain exceeding 95% coding accuracy. Our team of 13,000+ certified coders, abstractors, and auditors delivers unmatched speed and transparency without compromising quality. Learn more at www.virtixhealth.com.

virtixhealth.com

Advanced Medical Pricing Solutions (AMPS) delivers smarter, data-driven solutions to help payers manage healthcare costs with confidence. Our ClaimInsight solution powers automated rules-based claim auditing and editing, ensuring accuracy, compliance, and defensibility in every payment decision. Backed by deep industry expertise, advanced analytics, and a people first approach, AMPS helps organizations optimize financial and clinical outcomes. Visit www.claiminsight.com.

https://www.claiminsight.com

Bracewell’s healthcare team counsels hospital, medical, pharmaceutical, and life science clients on complex healthcare regulatory and reimbursement issues. We are one of the few national law firms that has a policy of solely representing healthcare providers and not insurance companies or payors. Therefore, Bracewell will not have conflicts being adverse to any payor in managed care negotiations or reimbursement disputes.

https://www.bracewell.com/

HealthEdge® is building a future without limits for health plans, where they can deliver better service and care, make more informed decisions and streamline operations. Through an integrated platform of solutions for core administration (HealthRules® Payer), payment accuracy (HealthEdge Source™), care management (GuidingCare®) and member experience (Wellframe™), health plans can converge their data and harness automation to drive more informed decisions, improve touchless transaction processing and payment accuracy, foster meaningful collaboration and enhance service and care delivery. HealthEdge is trusted by over 130 health plans, covering more than 81 million lives across 48 states. See what it means to converge without limits at HealthEdge.com and follow us on LinkedIn.

https://www.healthedge.com/

Hello Heart provides the first app and connected heart monitor that helps people track and manage their heart health. High-risk users of Hello Heart have seen meaningful drops in blood pressure, cholesterol and even weight. Hello Heart is trusted by more than 120 national employers, health plans, and labor organizations, and is a best-in-class solution on the American Heart Association’s Innovators’ Network and CVS Health Point Solutions Management platform. Learn more at www.helloheart.com.

www.helloheart.com

HighRoads is a leading SaaS provider helping health plans reduce administrative costs and grow revenue by transforming product, plan, and benefit data into a single source of truth. Our platform, P2A, centralizes and standardizes critical data, ensuring it's accurate, accessible, and ready to power operations across the health plan—from claims to customer service. Because the platform is API-ready, it can seamlessly integrate with internal and external systems — including, TriZetto® ’s Facets® and QNXT™ claims platforms, CRM systems, and HPMS. By eliminating manual processes and data silos, HighRoads enables payers to work smarter, move faster, and deliver better experiences for both members and employees.

https://www.highroads.com

MedWatchers is redefining medication management and clinical services supporting STAR/HEDIS measures through tech-enabled solutions that drive better patient outcomes and lower healthcare costs while maximizing ROI. Our end-to-end, vertical model combines high-quality clinical services, multilingual pharmacist-led engagement, and agile technology - enabling us to reach high-risk members with precision, deploy high-touch pharmacist-led interventions, and measurably reduce avoidable healthcare costs

https://www.medwatchers.com/

MyndYou provides safe, compliant, hallucination-free AI to deliver better outcomes for payers and their members. MyndYou’s empathetic conversational voice AI assistant Eleanor calls members and discovers their needs, organizing insights and delivering prioritized encounters to clinicians. Eleanor augments your team, supporting programs like care management, member engagement, and Stars/quality, empowering your clinicians to focus on delivering exceptional member care.

www.myndyou.com

Ovia Health by Labcorp is reimagining women’s healthcare. By combining Ovia’s personalized digital health platform of evidence-based programs and high-touch knowledgeable support with Labcorp’s leading diagnostic test solutions and data-rich insights, we give women the tools they need to confidently navigate their health journey at every age and stage of life.

https://www.oviahealth.com/

Relay is the innovator of a new B2C channel designed for healthcare organizations to create healthier and more compliant members. Our HIPAA-compliant, personalized channel combines the timeliness of SMS with the multifaceted experience of scrolling social feeds. By delivering exactly what members need, when they need it, in a format they’re comfortable with, we help organizations drive the outcomes important to them like lowering cost of care, lowering cost to serve, and improving member health outcomes while enhancing your existing channels.

https://www.relaynetwork.com/

Reperio Health is the only provider of comprehensive at-home health screenings with instant results. An innovation in preventive care, Reperio’s patented technology pairs a mobile app with FDA-cleared devices, bringing a next-gen, consumer-grade experience to biometric screenings. Clients are empowered by metrics-driven insights and HIPAA-compliant data integration to bolster their wellness, benefits, and population health management offerings. Clients working with Reperio have increased screening participation rates by more than 200 percent and achieved a 95 percent satisfaction rate, driving four to eight times the cost-savings and return-on-investment. Reperio is headquartered in Portland, OR, with partners and clients nationwide. For more information, visit www.reperiohealth.com.

www.reperiohealth.com

Specialist Management Solutions (SMS) helps connect members to specialty and outpatient surgical care using a concierge model that supports the member throughout their care journey. SMS Advocates serve as a single point of contact and are available to help members navigate the healthcare space, including evaluating care options, locating a provider and scheduling consults, surgeries, procedures and follow-up.

www.specialistmanagementsolutions.com

Verifiable is a credentialing and network monitoring platform built to help healthcare organizations optimize operations with error-free, fast verifications and to stay compliant with ease. Backed by their in-house NCQA certified credentialing team that bring a combined 60+ years of experience, Verifiable’s innovation supports managing trusted networks at scale through 97% verification automation in seconds with millions processing each month.

https://verifiable.com/

Verily is an Alphabet health technology company focused on research, care, and public health to deliver on the promise of precision health and help people live healthier lives.
Verily’s chronic condition management solution, Lightpath, offers virtual care enhanced by AI, delivering personalized pathways to support people living with diabetes, obesity and other metabolic conditions.

https://www.verily.com

Zerigo Health is reinventing treatment for chronic skin conditions by harnessing the proven power of narrowband UVB phototherapy in a portable, handheld device backed by a holistic care program. With Zerigo, you have the power to achieve clear skin—from anywhere.

https://zerigohealth.com/

Amwell provides payers and healthcare systems with a single technology-based care platform. Working with our clients, we help people get easier access to care across the continuum. This includes many healthcare programs from Amwell and our growing list of partners.

https://business.amwell.com/

Automation Anywhere's Agentic Process Automation (APA) offers a new class of AI-powered software agents that autonomously manage complex business processes. APA combines generative AI with enterprise-grade automation and orchestration to handle dynamic tasks, accelerate decision-making, and deliver measurable results. Designed with built-in governance and security, APA helps to unlock new levels of agility, productivity, and scalability in healthcare.

https://www.automationanywhere.com/solutions/healthcare

Cecelia Health is a national virtual specialty medical practice. We address the whole person with proactive, personalized support focused on clinical, behavioral, social, and emotional needs across a range of care and cardiometabolic conditions.

www.ceceliahealth.com

Color’s fully-integrated Virtual Cancer Clinic provides full-spectrum care that supports members at every step of their journey — for earlier detection, better treatment outcomes, and a successful transition back to health.

https://www.color.com/

HealthLink Dimensions provides the healthcare industry’s most accurate provider data and multi-channel marketing solutions. Trusted by hospitals, life sciences, payers, and agencies, our services support targeted outreach, compliant directory management, and measurable engagement across digital channels. With continuously validated data and privacy-safe processes, HealthLink helps you connect with the right providers efficiently and effectively.

www.healthlinkdimensions.com

Helix is the leading population genomics and precision health organization. Helix enables health systems, life sciences companies and payers to accelerate the integration of genomic data into patient care and therapeutic development. Learn more at www.helix.com.

https://www.helix.com/

Lightbeam sets the standard for transformative healthcare performance by improving quality, outcomes, and cost-of-care through proven, AI-enabled solutions. A pioneer in AI, Lightbeam’s platform supports every value-based arrangement. By equipping organizations with a unified population view, its platform transforms fragmented data into prescriptive insights and automated workflows to close care gaps, engage patients, and boost performance in risk-based contracts.

https://lightbeamhealth.com/