Notable's Care Gap Closure uses AI and automation to analyze patient records via direct EHR and other data source integrations, identify and engage patients to schedule needed care through personalized texts and emails, and prepare pre-visit provider notes, all while reducing manual workflows for healthcare staff.

1health offers turnkey, no-code solutions for at-home testing, patient engagement, and population health management. Their platform facilitates seamless integration with EHRs, lab information systems, and lab networks, enabling efficient data flow and improved care coordination.

CareCentrix provides home-centered post-acute care solutions. They work with payers and providers to manage care transitions and reduce unnecessary care. They help at-risk providers to extend care into the home and support value-based care outcomes such as reduced readmissions and a reduction in the cost of care.

DispatchHealth is designed to bring medical care to patients dealing with serious injuries or illnesses in their own homes. Patients can book appointments online or over the phone, and the care team, comprising a physician assistant or nurse practitioner, medical technician, and sometimes remote support from an emergency medicine physician, arrives to treat the patient. Following the appointment, DispatchHealth handles prescription needs, updates the patient's primary doctor, and manages billing with insurance companies. DispatchHealth also partners with risk-bearing entities to support value-based care outcomes, such as reducing costs related to readmissions.

Empassion is a Management Services Organization (MSO) that works with providers on delivering value-based care to seniors with advanced illness. They work with providers by bringing them into their Accountable Care Organizations (ACO) to participate in Medicare’s ACO REACH model and they support practices in serving their populations with advanced illness through care models, care navigation, and analytics services.

Engooden is a virtual care management provider that supports physicians, health systems, payers and ACOs in caring for their patients with chronic conditions. Their services include fully staffed chronic care management services, preventative care solutions including annual wellness visit support, and data and analytics to support risk adjustment.

Greater Good Health is a value-based care organization that focuses on enabling Nurse Practitioners (NPs). They partner with health plans and providers in value-based care arrangements to expand access to primary care services and close care gaps through their team of NPs and clinical support staff. Their services include primary care, risk adjustment programs, transitions or care, and high risk programs.

HarmonyCares is a provider of home-based services for older adults and those with complex medical needs. HarmonyCares’ services include primary care services, home health services such as skilled nursing and therapies, home hospice services, and diagnostics including laboratory and mobile radiology. They also conduct home health assessments to close care gaps.

Matrix Medical Network is a clinical services organization that conducts in home visits to address care gaps. They staff a national network of Nurse Practitioners (NP) that conduct annual wellness visits and risk assessments to support health plans and providers in value-based care arrangements address care gaps and coding opportunities.

Mirah offers a behavioral health solution for patients, combining both a collaborative care model with software-based patient assessments. It offers both collaborative care for primary care providers as well as a software platform for collaborative behavioral health providers.

Monogram Health is a care management and in-home service provider for patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Monogram partners with health plans and risk-bearing providers to provide services aimed at reducing cost of care, including in-home dialysis, care coordination and care management.

myLaurel is a provider of home-based acute care. They partner with payers, at-risk providers and health systems to reduce unnecessary utilization of care and improve the comfort, safety, and quality of care for patients. Their Recovery at Home model is a care transitions program designed to reduce readmissions and their Rapid Advanced Care model is an on-demand response program designed to reduce preventable acute utilization such as ER visits.

naviHealth is a provider of virtual and in-person care coordination and care navigation services to improve post-acute care outcomes. naviHealth partners with health plans, health systems, post-acute care providers, and at-risk physician groups to support patients and reduce unnecessary care and readmissions. naviHealth is a subsidiary of Optum.

P3 Health Partners is a population health management company that supports providers with administrative services and care coordination for Medicare Advantage patients. P3 Health Partners supports its providers with care delivery services including access to Nurse Practitioners (NP) in P3 wellness centers and care teams of RNs and other professionals that provide preventive care coordination, care navigation, medication management, transitions of care services, and care management for chronic conditions. They also work with health plans and have capabilities to take delegation of certain payer function such as network management and utilization management.

Pluto collects and integrates patient data from health information exchanges, summarizing the data and identifying care gaps, then works to help close those gaps with the care team.

Signify Health is a health services company that delivers a range of value-based care services and software to providers, health systems and health plans. They manage Accountable Care Organizations (ACO) and serve as a risk-sharing partner for providers and health systems to participate in value-based care arrangements. Signify also provides direct services including in-home health evaluations and care coordination services aimed at addressing gaps in care and improving patient experience. Signify is a subsidiary of CVS Health.

Sprinter Health is an on-demand mobile health company that sends full-time nurses and phlebotomists (“Sprinters“) into the home. They partner with health plans and health systems to close care gaps, improve quality outcomes, and extend resources. Their technology platform and infrastructure supports scheduling, coordination, and reporting.

Transtreme specializes in healthcare risk assessment, focusing on comprehensive services like annual health assessments, patient care coordination, and specialized services in areas like chronic care management and telemedicine. They emphasize a flexible, accountable, and patient-focused approach, striving for high-quality, results-driven care.

Vesta Healthcare provides a 24/7 support system focused on enhancing care for patients at home. Their services integrate real-time clinical support, proactive monitoring through digital tools, and coordination with healthcare providers and plans. This approach helps improve patient outcomes and reduces hospital visits, by managing and supporting patients and their caregivers effectively.