https://www.arine.io

Arine's software platform integrates AI, clinical expertise, and predictive analytics to predict and prevent utilization and waste caused by medication-related problems.

Over 35 health plans, covering 20+ million members rely on Arine to ensure their members are on the right medications—improving outcomes and reducing costs with unparalleled precision and efficiency.

https://www.andros.co

Andros is transforming provider network management for healthcare organizations with a data-driven, integrated approach that delivers high-performing networks optimized for better care and efficiency.

With a proven track record of building over 200 networks nationwide, Andros offers comprehensive solutions that support every stage of the provider network management lifecycle, from strategy to execution.

At the heart of our innovation is Andros Arc™, the leading Network Lifecycle Platform. By leveraging precision and actionable insights, Arc empowers health plans and providers to unlock the hidden potential of their networks, driving measurable outcomes and lasting impact.

https://www.calm.com/

Calm is on a mission to support everyone on every step of their mental health journey. With the #1 app for sleep, meditation and relaxation as well as a growing library of digital, evidence-based mental health programs, Calm offers trusted support for individuals and organizations alike.

https://www.delfina.com

Delfina is transforming pregnancy care by partnering with payors, providers, and community organizations to deliver equitable, data-driven maternal health support. Through its innovative AI-powered care platform, Delfina empowers prenatal care teams with actionable insights, reducing disparities and improving outcomes for moms and babies. To learn more about Delfina’s mission and solutions, visit delfina.com.

https://www.evernorth.com

Evernorth Health Services brings the power of wonder and relentless innovation to create world-class pharmacy, care and benefit solutions. We make the treatment, prediction and prevention of health care’s most complex conditions easier and more accessible as we drive organizations and people forward. Our capabilities work seamlessly together to create innovative pharmacy, care and benefit solutions for today and tomorrow. We’ve designed them to work together in new and expanded ways to better anticipate and deliver what you need.

Evernorth Home-Based Care provides value-based care that helps patients with multiple chronic conditions and Social Determinant of Health barriers get the care they need and the personalized experience they deserve. We serve patients who struggle to navigate the healthcare system by bringing high-quality primary and preventive care services to the home.By providing clinical care and support services that provide whole-person care, we improve health equity, access, and outcomes for the populations we serve.

MD Live by Evernorth is a leading telehealth provider, offering solutions designed to increase access to high-quality care, improve health outcomes, and reduce the total cost of care for patients, employer groups, and health plans. We offer best-in-class core virtual care solutions including primary care, urgent care, behavioral health, employee assistance programs, and dermatology.

https://www.exlservice.com/industries/health-and-life-sciences

Applying our expertise in AI, analytics and cloud, we make sense of your health-related data, enabling you to improve outcomes, optimize revenue, and maximize profitability across the care continuum. At EXL, we accelerate your ability to transform how healthcare is delivered, managed and paid. We amplify how quickly, efficiently and affordably you deliver quality care—enhancing your performance with nimble, scalable solutions.

https://www.healthmapsolutions.com/

Healthmap Solutions is an industry-leading, NCQA-accredited Kidney Population Health Management company serving health plans, health systems, ACOs, and provider groups in need of value-based solutions for their high-risk, high-cost chronic kidney disease (CKD) and end-stage renal disease (ESRD) populations. Using advanced technology, predictive analytics, and clinical expertise, Healthmap delivers improved care, outcomes, and patient satisfaction while lowering the total cost of care.

https://www.intersystems.com

InterSystems is a leader in healthcare data interoperability, empowering payers with seamless access to integrated clinical and claims data. Our advanced technology streamlines prior authorization, enhances regulatory compliance, and improves decision-making with real-time insights.

https://www.itilitihealth.com

Through our innovative solutions, Itiliti Health is at the forefront of transforming the prior authorization landscape. By eliminating unnecessary manual processes, implementing automation, and streamlining operations, we significantly reduce administrative burdens and operational and clinical costs. Our approach not only enhances efficiency and creates significant cost savings for payers but also improves the satisfaction of healthcare providers and patients alike, making the entire healthcare delivery system more transparent, effective, and responsive.

https://www.kinetik.care

Kinetik’s platform connects members, health plans, and transportation providers, streamlining non-emergency medical transportation. It offers trip transparency, improved access to care, automated claims, and reduced fraud while ensuring timely payments for providers.

https://www.kyruushealth.com

Kyruus Health is the leading care access platform on a mission to connect people to the right care. The company connects more than 150 million health plan members across 100 health plan brands and 425,000 providers across more than 1,000 hospitals and 500 medical groups, so every stakeholder can access and harness the most accurate, comprehensive, and contextually relevant information.

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

Microsoft enables digital transformation for the era of intelligent cloud and AI. Our mission is to empower every person and every organization on the planet to achieve more. Together with our industry-leading healthcare partner ecosystem, we believe investments in healthcare and life sciences solutions can play a key role in helping your organization deliver meaningful outcomes across the entire healthcare journey

https://www.noom.com/health/

Noom Health works with leading health plans and employers offering Noom Med with SmartRx, Noom GLP-1 Companion, Noom Weight with GLP-1Rx, and Noom Diabetes Prevention to millions of covered lives. The company has been awarded multiple grants from the National Institutes of Health and was the first mobile application to be recognized by the Centers for Disease Control and Prevention as a certified diabetes prevention program. With offices in New York City and Princeton, NJ, Noom has been named one of Inc.’s Best Places to Work, Quartz’s Best Workplaces for Remote Workers, and Fortune’s Best Workplaces in Technology. For more information, please visit noom.com/health.

https://www.pega.com/

Pega is The Enterprise Transformation Company™ that helps organizations Build for Change® with enterprise AI decisioning and workflow automation. Many of the world’s most influential businesses rely on our platform to solve their most pressing challenges, from personalizing engagement to automating service to streamlining operations. Since 1983, we’ve built our scalable and flexible architecture to help enterprises meet today’s customer demands while continuously transforming for tomorrow.

https://www.questanalytics.com/

Quest Analytics® is trusted by more than 400 clients, including all eight of the nation’s largest health plans, regulators, including CMS and multiple state regulatory agencies, and many of the nation’s leading health systems to measure, manage, monitor, and model provider networks through its decisioning platform and services. The company helps 90% of all healthcare networks deliver differentiated member experiences.

https://www.reveleer.com

As the industry's pioneering value-based care (VBC) enablement platform, Reveleer is purpose-built to solve the most pressing real-world challenges faced by provider and health-plan organizations today. By unifying retrieval, clinical intelligence, risk adjustment, quality improvement, and member management solutions into one intelligent, AI-powered system, Reveleer streamlines fragmented workflows to supercharge productivity, enhance care quality, and optimize performance on high-priority value-based care initiatives.

https://www.solunaapp.com

Soluna by Kooth is a leader in digital mental healthcare, dedicated to helping youth live healthier, happier lives. Soluna by Kooth provides digital tools and interventions, counseling and coaching, allowing individuals to choose early intervention options without the barriers of assessment and diagnosis. This stigma-free, low-barrier approach empowers 17 million users worldwide to manage their mental health with culturally relevant, evidence-based tools and techniques.

Soluna by Kooth’s mission is to build mentally healthier populations, ensuring no one is left behind. The platform offers professional mental health support, educational resources, and a supportive community, enabling young people to build better lives. Over 40 peer-reviewed studies demonstrate our therapeutic, social, and economic benefits. For more information, visit solunaapp.com.

https://www.springhealth.com/solutions/for-health-plans

Spring Health is the leading, global behavioral health solution proven to change people’s lives and deliver net-positive financial return for organizations. Through Spring Health’s Precision mental Healthcare, individuals and families are connected with personalized interventions and compassionate, culturally-responsive mental health care. Certified by the Validation Institute for demonstrating net savings for customers, Spring Health also equips global business leaders with intelligent technology, real-time insights, and clinical expertise to support diverse and evolving organizational needs.

Today, more than 10 million people worldwide have access to Spring Health. We’re trusted by leading employers, health plans and channel partners, including Adobe, Bumble, Delta, General Mills, Moda Health, Wellstar, and Guardian, to drive cultural impact at scale. For more information, please visit https://www.springhealth.com.

https://www.coherehealth.com

Cohere Health is a clinical intelligence company delivering AI-powered intelligent prior authorization solutions, which streamlines patients’ access to quality care by aligning their physicians and health plans for improved collaboration, transparency, and care coordination.

https://www.corrohealth.com

Clinically Led Healthcare Analytics. Intelligent Technology to Improve Your Financial Health.

https://www.crediblemind.com/

Leading health plans, program providers, and over 100 communities across the U.S., rely on CredibleMind to empower member mental health anytime, anywhere. Our evidence-based, AI-infused population digital mental health platform scales screening, prevention, referral, and early intervention. Using rules and resources customized for your plan and tailored for each member, we create a better front door to behavioral health. We achieve "better" by blending your clinical services with the world's largest collection of evidence-rated mental health self-care resources, curated by our Expert System, and matched to each member's unique needs, learning style, and preferences. The result: a simpler, more engaging member experience with smart navigation that builds skills, boosts resilience, earns rave reviews, and helps people flourish -- all while reducing access bottlenecks, network leakage, risks, and costs. Let us show you how CredibleMind can integrate your member experience and level up your team's impact on measures that matter.

https://www.headspace.com

Headspace is your trusted partner in lifelong mental well-being. We make mental health support accessible to everyone, regardless of background or experience. Our enterprise solutions integrate therapy, coaching, psychiatry, and EAP services into a seamless, human-centered model of care. With award-winning content, we offer practical tools for daily life, such as meditations, sleepcasts, mindful movement, and focus exercises. Our diverse team of experts—spanning mental health clinicians, Emmy-winning producers, and data scientists—works collaboratively to empower millions worldwide to lead healthier, more productive lives.

https://www.matrixmedicalnetwork.com/

Matrix Medical Network is an independent, at scale provider of home-based health services. Through comprehensive assessments, we focus on the core pillars of health: physical, emotional, spiritual and social. Our network of 3,000 nurse practitioners acts as a bridge to care that’s above and beyond annual primary care physician visits and helps connect patients to the resources and support needed.

https://www.medinsight.com/

Founded in 1998, Milliman MedInsight® is a leading provider of healthcare data and analytics, trusted by over 300 payers, providers/ACOs, employers, and government agencies worldwide. Our comprehensive suite of analytics and data solutions empowers organizations to leverage healthcare data for informed decision-making and improved clinical and financial outcomes. With deep industry expertise and advanced technology, we deliver actionable insights into healthcare utilization, costs, quality, and performance. From risk management to value-based care, Milliman MedInsight empowers stakeholders to navigate the complexities of the healthcare landscape and achieve sustainable success.

https://www.sas.com/en_us/home.html

The future of health starts with trusted data and AI. SAS allows you to unlock insights and drive innovation to improve health outcomes and program integrity, enhance operational efficiency, optimize costs and resources, and foster collaboration across providers, insurers and public health agencies through a unified, shared platform.

https://www.home.tomorrowhealth.com/

Tomorrow Health builds technology that improves the way home-based care is ordered, delivered, and paid for. Today, the home-based care ecosystem is fragmented, confusing, and expensive, costing the healthcare system billions of dollars annually. Tomorrow Health manages and improves every step of the process, using technology-driven matching and considering quality, specialization, insurance coverage, and geography to pair patients with appropriate suppliers of more than 40,000 products and services. As a result, Tomorrow Health reduces the time it takes to coordinate and deliver home-based care for the one in four Americans who need it, from prescription, to reimbursement, to patient outcomes - ultimately leading to improved patient health results and lowered costs.

https://www.veradigm.com

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 for the healthcare provider, payer, and biopharma markets. For more information about how Veradigm is fulfilling its mission of Transforming Health, Insightfully, visit www.veradigm.com, or find Veradigm on LinkedIn, Facebook, Twitter, and YouTube.

https://www.catalight.org/

The Catalight family of companies is one of the largest behavioral health networks in the nation with more than 14,000 practitioners serving 20,000 clients and families every day. Backed by more than a decade of experience and a multidisciplinary team of clinicians, we are reimagining the way people with developmental disabilities and their families experience healthcare.

https://www.cylinderhealth.com

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

https://www.formhealth.co

Form Health is the leader in science-based obesity care. Patients receive 1:1 personalized care from a dedicated ABOM physician and CSOWM RD who develop individualized comprehensive treatment plans. Form Health keeps safety and efficacy at the forefront as we incorporate the latest science into our approach. The result is life-changing patient outcomes and meaningful ROI for our enterprise partners.

https://www.healthedge.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.highroads.com

HighRoads offers a product data management solution to healthcare payers. Our SaaS platform, P2A, manages product portfolios with a single source of truth and automation so you can configure, sell, and create documents faster while reducing effort and errors. Our health plan customers boost accuracy, compliance, and revenue while lowering costs – gaining more time for innovation and delivering superior service to their members.

https://www.inspiresleep.com

Inspire Medical Systems, Inc. is the leading developer of implantable neurostimulation systems to treat moderate-to-severe Obstructive Sleep Apnea. Utilizing well-established technologies from cardiac pacing and neurostimulation, Inspire developed a proprietary Upper Airway Stimulation (UAS) therapy designed to improve sleep and enrich the lives of people suffering from this challenging condition.

https://www.macrohealth.com

MacroHealth, the leader in Intelligent Health Market-as-a-Service (IHMaaS) solutions, seamlessly connects payers to their entire ecosystem of health solutions partners through our innovative platform, the MacroHealth Intelligent Exchange™. These Intelligent Health Markets provide a holistic view of real-time data, intelligence, and transparent pricing information- creating efficiency for healthcare buyers and new revenue opportunities for sellers.

https://www.mobeforlife.com/businesses/health-plans

MOBE is the whole-person, cross-condition solution that goes further to guarantee reductions in cost of care by millions of dollars in year one and delivers better health outcomes for your members. Working with health plans, we find an overlooked, rising risk population who are continually seeking solutions in the health care system and driving up costs. Our proven approach achieves results through personalized lifestyle guidance and medication optimization.

https://www.mossadams.com

Moss Adams LLP elevates business with our assurance, tax, and consulting insights to public, private, and not-for-profit health care enterprises. We serve more than 4,100 clients across the health care continuum, from large health systems, hospitals, health plans and long-term care organizations to clinics, medical groups, and physician practices. Visit www.mossadams.com/healthcare.

https://www.myndyou.com

MyndYou develops AI solutions that deliver better outcomes for health plans, health systems, and their patients. Through its virtual assistant Eleanor, MyndYou employs empathetic conversational AI to connect with patients and discover patient needs, organizing insights and summarizing patient-clinician encounters so that clinicians can focus on top-of-license care.

https://www.oshihealth.com

Oshi Health is the first and only virtual digestive health center of excellence, delivering comprehensive gastrointestinal (GI) care. Through a multidisciplinary care team of GI specialists—including physicians, nurse practitioners, dietitians, behavioral health providers, and care coordinators—Oshi provides diagnosis, treatment, and ongoing care for the full spectrum of GI conditions.

https://www.oviahealth.com/

Ovia Health is a proactive family building, maternal health, and parenting benefits solution. Our mobile app and clinical solutions enable employees to improve fertility, have a healthy pregnancy and thrive as working parents. Built using 10+ years of proprietary claims data, our solution delivers evidence-backed predictive risk identification, evidence-based condition management, intensive return-to-work programming, care navigation, and concierge health coaching services delivered by board-certified clinicians. We also offer support and guidance for all pathways to parenthood - including surrogacy and adoption resourcing. Ovia enables employers to provide employees a path to grow their family, have better health outcomes, and, ultimately, ensures your talent won't have to choose between their family and their career.

https://www.pelagohealth.com

Pelago, is the world’s leading virtual clinic for substance use management. We are transforming substance use support—from prevention to treatment—delivering education, management skills, and opportunities for positive change to members struggling with substance use, most commonly tobacco, cannabis, alcohol, or opioids.

https://www.podimetrics.com/

Podimetrics provides a virtual care solution combining advanced remote monitoring with personalized support empowering individuals with complex diabetes to reduce complications, lower costs, and improve outcomes. Our approach begins with diabetic foot health and addresses the broader health challenges faced by people with diabetes. At the core of our solution is the SmartMat™—a scientifically validated technology integrating clinical intelligence and real-time monitoring to detect complications before they start. By enabling timely, targeted interventions, we help payors, providers, and patients prevent serious complications, saving lives and limbs.

https://www.reperiohealth.com

Reperio Health offers the world's only comprehensive at-home and onsite health screening kit with instant results. An innovation in preventive care, Reperio’s patented technology pairs a mobile app with FDA-cleared devices, bringing a consumer-grade experience to biometric screenings. The solution modernizes the costly and inconvenient screening processes deployed today in brick-and-mortar settings and reaches every corner of the healthcare industry. For more information, visit www.reperiohealth.com.

https://www.saferidehealth.com/

SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation (NEMT) to people nationwide. SafeRide Health leverages proprietary technology and a nationwide network of vetted transportation providers to elevate human dimensions of care and close the gap between need and access for the nation’s most vulnerable populations. SafeRide’s scalable and intuitive platform gives payers and health systems a more intelligent way to deliver cost-effective, on-demand transportation that connects health plan members to critical healthcare services. SafeRide serves the country’s largest Medicare Advantage, Medicaid, and provider programs.

https://www.skan.ai/

Skan AI is the leader in AI-powered Process Intelligence, redefining process and task mining in the agentic AI era. By leveraging AI/ML, Skan AI captures real-time work telemetry to provide unmatched visibility into human and digital operations. This empowers organizations to reduce cost, drive efficiency, and enable intelligent automation. Trusted by top enterprises, our platform delivers up to 8-figure ROI.

https://www.visanahealth.com/

Visana is a comprehensive virtual women's health clinic providing whole-person medical care through our 50-state medical group. We diagnose and treat all women's health conditions from menstruation to menopause. Through personalized care plans and preventive treatment, we deliver better clinical outcomes while reducing medical costs by $2,434 per enrollee, based on rigorous analysis by a national health plan.

https://www.vyncacare.com/

Vynca is a palliative care provider that specializes in high-quality, home-based palliative care for adults and children with serious illnesses and complex needs. Its care is delivered using an interdisciplinary team-based approach and a hybrid visit model specializing in rural and underserved populations. Vynca's experience with value-based care models and advance care planning allows the organization to extend high-quality care to complex patient populations, enabling more quality days at home for patients and their families.

https://www.bestbuyhealth.com

Best Buy Health is creating a future where delivery of healthcare in the home is tech-enabled and human-centered, by developing solutions for consumers to get well and stay well on their own, or with the support of trusted healthcare providers. We curate the right technology, delivered at the right time, and connect it with a layer of value added services to deliver personalized care in the home – at scale.

https://www.bloomthrives.com/

Bloom is a third-party insurance services provider that partners with Medicare health plans to deliver High Value Enrollment and Engagement for people with Medicare. Founded in 2007, Bloom has partnered with national and regional payers to implement solutions for every step of the member journey, from telesales and quote & enroll to health activation outreach. Supported by its Ascend technology platform, Bloom produces closer connections and better outcomes for Medicare beneficiaries and health plan stakeholders. To learn more, visit www.BloomThrives.com.

https://www.brightside.com

Brightside Health delivers life-saving mental health care to people with mild to severe clinical depression, anxiety, and other mood disorders, including those with elevated suicide risk and substance use disorder. Powered by proprietary AI, purpose-built technology, and a world-class clinician network, Brightside Health combines precision psychiatry and leading-edge therapeutic techniques to improve patient outcomes and quality measures, affordably and at scale. Brightside Health is in network for 150m+ Americans including those with most major insurance, Medicare and Medicaid, and ensures timely access to appointments in all 50 states and DC.

https://www.gsk.com/en-gb/

We are a focused biopharma company with strong momentum and big ambitions, to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive.

https://www.irhythmtech.com/us/en/healthcare-professionals/health-plans

As a market leader in cardiology diagnostics and arrhythmia detection, iRhythm has served more than ~8 million patients and analyzed 1.5 billion hours of heartbeat data through our Zio service (1,2). We’re on a mission to address the future of healthcare, partnering with risk-based organizations to detect and prevent cardiovascular disease - all while helping you save money and save lives.

Data on file. iRhythm Technologies. 2023.
Form 10-K 2023. iRhythm Technologies, 2023. Retrieved from https://s201.q4cdn.com/653785554/files/doc_financials/2022/ar/Annual-Report.pdf

https://www.komodohealth.com

Komodo is a healthcare technology company that delivers the evidentiary standard for real-world data and analytics. By pairing the industry’s most complete, unbiased view of patient encounters with AI-enabled and fit-for-purpose software, Komodo connects the dots between patient journeys and large-scale health outcomes. Across life sciences, payers, providers, and developers, Komodo delivers a velocity advantage by helping its customers accurately and efficiently access patient-centric insights at scale to drive faster decision-making, optimize workflows, close gaps in care, and help reduce the burden of disease. For more information, visit komodohealth.com.

https://www.lilacsoftware.com

Lilac revolutionizes Payer data analytics with a cloud-native platform that automates data aggregation, cleansing, and normalization. Our seamless, end-to-end platform turns complex data into actionable insights, leading to more profitable plans and healthier members.

https://www.magellanhealth.com/

Magellan Health is a behavioral health, wellness and productivity services company leading humanity to healthy, vibrant lives. We specialize in evidence-based, human-centered solutions with quality focus and employ mission-driven employees with a partnership mindset. With 54 years leading the behavioral healthcare industry, Magellan makes the complex easy from care to administration.

https://www.sevencornershealthcare.com

Seven Corners Healthcare is the #1 third-party administrator of correctional health services in the country, working to meet the healthcare needs of inmate populations since 2006. It also provides mobile MRI services, improving rural healthcare access and making patient care more cost effective and efficient in underserved areas. Today, Seven Corners administers healthcare services for 27 Federal Bureau of Prisons facilities and a variety of other community facilities across the U.S. Learn more at SevenCornersHealthcare.com.

https://www.clinicbyclevelandclinic.com/impact

The Clinic by Cleveland Clinic delivers priority access to Cleveland Clinic’s world-renowned medical expertise, with 3,500 expert physicians in more than 550 advanced subspecialties. Enabling improved health outcomes, lower costs, and a pathway to peace of mind, our virtual second opinions solutions for health plans, employers, and consumers incorporate secure video consultations, digital record collection, and concierge-level service.

https://www.thecranewaregroup.com

The Craneware Group (AIM:CRW.L), the leader in healthcare financial and operational transformation, delivers innovative solutions that drive measurable impact. Our Trisus® cloud ecosystem integrates data, value cycle intelligence, and analytics to optimize financial sustainability and strategic growth. As a trusted Microsoft partner, we provide future-ready technologies, including the Best-in-KLAS Trisus Chargemaster. Recognized for our industry excellence, we empower organizations with award-winning solutions to achieve financial success while improving outcomes for the communities they serve.