Value-Based Care
The Value-Based Care (VBC)category encompasses solutions that support healthcare organizations in transitioning to and succeeding within value-based care models. VBC Contracting and Enablementtools facilitate the negotiation and management of value-based agreements between providers, payers, and other stakeholders, ensuring alignment on performance metrics, payment models, and care standards. These solutions help organizations navigate the complexities of shared savings programs, bundled payments, and risk-sharing arrangements.
VBC Operationsfocuses on the day-to-day management of value-based care workflows, including care coordination, gap closure, and patient engagement. These tools streamline clinical and administrative processes to meet quality benchmarks and improve outcomes. VBC Data and Analyticsplatforms provide insights into population health trends, financial performance, and clinical outcomes, enabling healthcare organizations to make data-driven decisions and optimize care delivery. Together, these components empower organizations to improve patient outcomes, reduce costs, and achieve financial sustainability under value-based care models.
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Welkin Health
Claimed
Welkin Health
Company Info
Founded: 2013
Headcount: 11-50
Customers
Verified Customers: 10
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
5 ReviewsSecurity and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Welkin Health provides a customizable EHR and care management platform, focusing on automation and coordination of care. It offers features like API-first design, HIPAA-compliant communication tools (including email, phone, video, SMS/MMS, and in-app chat), and secure patient management.
Tellescope
Claimed
Tellescope
Company Info
Founded: 2020
Headcount: 1-10
Customers
Verified Customers: 10
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
4 ReviewsSecurity and Compliance Certifications: SOC 2 Type 2, HIPAA
Tellescope serves as a HIPAA-compliant digital health platform, combining CRM capabilities with patient management, including multi-channel communication, care coordination, and progress tracking. It integrates with a variety of healthcare tools and provides additional workflow automation for provider organizations.
Accorded
Claimed
Accorded Tech-Enabled Services
Company Info
Founded: 2019
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Hospital / Health System, Risk-Bearing Providers, Employers, Life Sciences
Product Overview
2 ReviewsSecurity and Compliance Certifications: SOC 2 Type 1, HIPAA
Accorded provides technology-enhanced actuarial services tailored to the specific needs of specialty care models with services including Cost & Utilization Reports, Financial Business Cases, Pricing Models, and conducting Retrospective Claims Analysis. Accorded's actuaries leverage their advanced technology platform to deliver services, ensuring that their solutions are customized to address the unique challenges and requirements of their clients.
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Serif Health
Claimed
Serif Health
Company Info
Founded: 2020
Headcount: 1-10
Customers
Verified Customers: 7
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Employers, Life Sciences
Product Overview
2 ReviewsSerif Health provides healthcare pricing intelligence through APIs and self-serve analytics tools. Their platform processes machine-readable pricing data from health plans to deliver clean, actionable insights. These tools help provider organizations benchmark reimbursements, optimize pricing strategies, and improve contract negotiations. Health plans use Serif Health for network management and cost-effective care guidance, while employers and innovators utilize their data for plan audits, direct contracting, and integrating cost data into new healthcare products.
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Autonomize AI
Claimed
Autonomize AI HEDIS Care Gaps Copilot
Company Info
Founded: 2022
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
AutonomizeAI's HEDIS Care Gaps Copilot is designed to identify and address care gaps based on HEDIS measures- it extracts and contextualizes information from patient charts to create concise summaries that help healthcare providers quickly recognize and close these gaps.
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Denniston Data
Claimed
Denniston Data Provider Ranking System
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Employers, Government
Product Overview
The Denniston Data Provider Ranking System ranks healthcare providers based on data such as procedure volume and geographic comparisons. It helps users identify high-volume, experienced providers for specific procedures and make informed decisions within a given area. The system uses transparent grading criteria based on provider experience and other relevant metrics.
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Diagnostic Robotics
Claimed
Intelligent Care Journeys
Company Info
Founded: 2017
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Life Sciences, Health Plan
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA, ISO 27001, ISO 27799
Intelligent Care Journeys by Diagnostic Robotics is an AI-powered solution designed to assist care teams in preventing adverse health events, such as hospitalizations, emergency department visits, and the worsening of chronic conditions. It employs predictive models to manage conditions like COPD, diabetes, musculoskeletal issues, and heart failure. The platform also alerts care teams about care gaps, helps prepare for annual wellness visits, and provides data-driven insights for improving care management and spending.
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Laguna Health
Claimed
Laguna Health
Company Info
Founded: 2020
Headcount: 11-50
Customers
Verified Customers: 7
Customers Served: Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Laguna Health offers Conversational AI care management solutions that improve care manager efficiency and performance. Laguna solutions include a browser extension and integrated platform that provide live transcriptions and structured summaries, conversation tips, suggested insights and pathways, as well as training and quality reviews. It supports out-of-the-box integrations with cloud based CRMs/EHRs and call center software like Salesforce and Pega.
Notable
Claimed
Notable Care Gap Closure
Company Info
Founded: 2017
Headcount: 201-500
Customers
Verified Customers: 6
Customers Served: Hospital / Health System, Health Plan, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA, PCI DSS
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.
Notable
Claimed
Notable HCC Chart Review
Company Info
Founded: 2017
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Health Plan, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA, PCI DSS
Notable HCC Chart Review uses AI to analyze patient histories – including clinical notes, claims, and other data sources – to identify new and recapture hierarchical condition category (HCC) codes. This system provides evidence-based recommendations to providers during patient visits through EHR integration and supports medical coders, helping improve the accuracy of risk adjustment in both prospective and retrospective HCC workflows.
Ventricle Health
Claimed
Ventricle Health
Company Info
Founded: 2021
Headcount: 11-50
Customers
Customers Served: Hospital / Health System, Health Plan, Digital Health Provider, Ambulatory Practice, Employers
Product Overview
Ventricle Health is a value-based care cardiology provider that helps close care gaps through health coaching, remote patient monitoring and lab work, nutrition and home exercise guidance, and digital touchpoints with both cardiologists and nursing staff. Ventricle Health employs general cardiologists and heart failure-trained cardiologists, who leverage evidence-based treatment protocols to titrate heart failure patients on guideline-directed medical therapies (GDMT).
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Ribbon
Ribbon
Company Info
Founded: 2016
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
2 ReviewsSecurity and Compliance Certifications: SOC 2 Type 2, SOC 2 Type 1, HIPAA
Ribbon Health offers a healthcare data platform that consolidates provider information, including location, insurance coverage, cost, quality, and experience, to improve care decision-making. It integrates with existing systems, offering automation and data management solutions to maintain accurate provider directories and support informed healthcare decisions.
Inferscience
Inferscience
Company Info
Founded: 2014
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
1 ReviewsSecurity and Compliance Certifications: SOC 2 Type 2, HIPAA
Inferscience's Infera is a clinical decision support system that integrates with EHRs to provide real-time, evidence-based care recommendations, while their HCC Assistant aids in identifying and documenting HCC diagnoses for improved coding accuracy and maximized Medicare funding
Innovaccer
Innovaccer
Company Info
Founded: 2014
Headcount: 1001-5000
Customers
Verified Customers: 18
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
1 ReviewsSecurity and Compliance Certifications: SOC 2 Type 2, HITRUST R2, HIPAA
Innovaccer offers a health data platform that centralizes healthcare data and analytics, focusing on patient-centric care. It offers a range of pre-packaged, customizable solutions called Accelerators, as well as applications for improving clinical and financial outcomes. It also provides developer tools for building on the platform.
Lightbeam Health Solutions
Lightbeam Health Solutions
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Government
Product Overview
1 ReviewsSecurity and Compliance Certifications: SOC 2 Type 2, HIPAA
Lightbeam Health Solutions is a population health management platform offering analytics, risk stratification, care management, and patient engagement tools.
1Health
1Health
Company Info
Founded: 2016
Headcount: 51-200
Customers
Verified Customers: 2
Customers Served: Hospital / Health System, Health Plan, Life Sciences
Product Overview
Security and Compliance Certifications: HIPAA
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.
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Affirm Health
Affirm Health
Company Info
Founded: 2016
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice
Product Overview
Affirm Health offers technology to facilitate pre-visit planning and care team collaboration and to support providers in managing care gaps to drive value-based contract performance. They have two primary products, The Huddle and Care Gap Manager. The Huddle is a pre-visit planning tool that synthesizes data for care team collaboration and surfaces opportunities to address care gaps. Care Gap Manager is a tool for analyzing and managing care gaps. These tools support clinics in improving patient outcomes, increasing performance incentives, and lowering medical costs by creating a more efficient workflow. Additionally, Affirm Health customizes its software to align with clinic-specific goals, payer contracts, and workflow needs.
agilon
agilon
Company Info
Founded: 2016
Headcount: 501-1000
Customers
Customers Served: Risk-Bearing Providers
Product Overview
agilon partners with primary care physicians to facilitate the shift from traditional fee-for-service models to value-based care for their senior patients. They primarily focus on Medicare Advantage members enrolled with private health plans, but are growing in the Medicare ACO REACH program. They provide a technology platform enabling doctors to monitor patient outcomes and healthcare utilization and support care coordination across different healthcare providers. They also offer financial management tools for risk management, revenue cycle management tools, and support in meeting regulatory compliance and quality improvement standards. Additionally, the platform includes patient engagement strategies to foster adherence to care plans and promote healthy behaviors.
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Aidin
Aidin
Company Info
Founded: 2011
Headcount: 11-50
Customers
Verified Customers: 7
Customers Served: Hospital / Health System, Ambulatory Practice, Digital Health Provider
Product Overview
Aidin provides a cloud-based referral management platform designed to enhance care transitions and discharge planning for hospitals and healthcare systems. The platform consolidates requests, documents, and workflows into a unified communication hub, aiming to reduce patient length of stay and readmission rates. Features include real-time assignment alerts, patient checklists, and a referral marketplace that allows providers to bid on referral opportunities, facilitating the selection of appropriate post-acute care for patients.
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Aledade
Aledade
Company Info
Founded: 2014
Headcount: 1001-5000
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Aledade partners with primary care practices to transition them to value-based care models for their Medicare populations through Accountable Care Organizations (ACOs). They primarily focus on the Medicare Shared Savings Program (MSSP), and increasingly are contracting directly with Medicare Advantage and commercial health plans. They provide a tech platform for data integration and analytics to identify patient care gaps and monitor population health, and support care coordination and chronic disease management. They also offer administrative support, including regulatory compliance and financial management.
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Alvee.io
Alvee.io
Company Info
Founded: 2021
Headcount: 1-10
Customers
Customers Served: Hospital / Health System, Community Health Center, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Alvee helps identifying and measuring health disparities, predicting and tracking social needs, and providing real-time insights to promote health equity. It is an AI-driven platform that integrates with existing CRM and EHR systems, pulling relevant data and helping surface important SDoH information to clinicians at the point of care, as well as offering tools for demographic data collection, health equity dashboards, and compliance with regulatory requirements.
Amino Health
Amino Health
Company Info
Founded: 2013
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Employers, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 1, HIPAA
Amino Health provides a digital platform that helps members make informed healthcare decisions by guiding them to cost-effective, high-quality care options. It integrates with existing health solutions to enhance engagement and reduce unnecessary healthcare spending. Amino Health is used by self-insured employers, health plans, third-party administrators, brokers, and HR technology providers to improve health outcomes and ensure plan members receive the right care at the right time.
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AnalyticsIQ
AnalyticsIQ
Company Info
Founded: 2007
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
AnalyticsIQ provides data and analytics services to healthcare organizations, focusing on social determinants of health (SDoH) data. Their platform offers insights into patient demographics, behaviors, and health factors, including physical and mental health metrics, lifestyle choices, and access to medical care.
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Apixio
Apixio
Company Info
Founded: 2009
Headcount: 201-500
Customers
Customers Served: Risk-Bearing Providers
Product Overview
Apixio is a data science company specializing in the analysis of clinical healthcare data and the use of AI to interpret information from various healthcare documents, including unstructured clinical notes. Their platform helps healthcare organizations accurately document and code patient conditions for accurate risk adjustment and reimbursement under value-based contracts. Apixio also aids in quality measure reporting and care gap identification based on healthcare programs.
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Santa Barbara Actuaries
Arbital Health / Santa Barbara Actuaries
Company Info
Founded: 2014
Headcount: 11-50
Customers
Customers Served: Health Plan, Risk-Bearing Providers, Hospital / Health System, Ambulatory Practice
Product Overview
Santa Barbara Actuaries Inc. (SBA) is an actuarial consulting firm that works with health plans, providers, government entities, and employers. Their expertise includes risk adjustment to determine expected healthcare costs, pricing and rate setting for insurance products, calculating necessary financial reserves, and forecasting healthcare utilization and expenses. Additionally, SBA helps clients navigate regulatory compliance requirements in value-based care. SBA was acquired by Arbital Health in January 2024. Arbital Health is a technology and services company specializing in the adjudication of value-based contracts.
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Arcadia
Arcadia
Company Info
Founded: 2002
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Arcadia is a health data platform designed for population health management. It specializes in organizing and analyzing clinical and financial data to support improved care delivery and decision-making. The platform features a connectivity layer that manages data inputs from providers and administrators. Additionally, Arcadia provides patient engagement tools, including AI-driven campaign management and outreach programs. With its dual focus on clinical outcomes and financial utilization, Arcadia serves both healthcare providers and payers aiming to optimize population health. Arcadia’s value-based care division was acquired by Guidehealth in December 2023.
AssureCare
AssureCare MedCompass
Customers
Customers Served: Health Plan, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
MedCompass by AssureCare is a population health management platform designed to help healthcare providers, payors, and pharmacies manage patient care efficiently. It supports modules for care management, utilization management, medication management, and quality reporting. The platform allows for real-time communication, treatment planning, and the management of preventive care interventions. It is compliant with CMS regulations, enabling interoperability and streamlining tasks such as prior authorization requests directly from EHR systems.
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Astrana Health
Astrana Health
Company Info
Founded: 1992
Headcount: 501-1000
Customers
Verified Customers: 1
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
ApolloMed works with physicians to deliver integrated care and manage value-based arrangements, with a focus on Medicare Advantage plans. They assume the financial risk for patient outcomes and support practices through technology and services such as care coordination to meet quality metrics and manage cost of care.
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Azara Healthcare
Azara Healthcare
Company Info
Founded: 2011
Headcount: 51-200
Customers
Verified Customers: 11
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, PCI DSS
Azara is a population health solutions company that supports provider groups and health centers. Azara DRVS is a data analytics platform that centralizes data and can be customized with different modules and applications to meet different use cases. The platform can also facilitate cost & utilization analysis, care coordination and patient engagement.
Belong Health
Belong Health
Company Info
Founded: 2021
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Health Plan, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Belong Health is a health plan and provider enabler focused on enabling health plans to cover complex Medicare and dual eligible populations and enabling providers to participate in ACO REACH.
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Better Health Group
Better Health Group
Company Info
Founded: 2006
Headcount: 501-1000
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Better Health Group is a large value-based primary care practice that also supports independent practitioners through its Management Services Organization (MSO). They focus on senior populations under Medicare and their services include technology and operational support to help practices perform in value-based care models.
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The Garage In
Bridge
Company Info
Founded: 2012
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, ONC Health IT (2015 Edition)
Bridge is a population health management platform that aggregates data from EHRs, health information exchanges, and social determinants of health to provide a unified view of patient information. Key capabilities include real-time patient information exchange, referral management, secure messaging, patient tracking, clinical integration, and advanced analytics.
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Calcium
Calcium
Company Info
Founded: 2018
Headcount: 51-200
Customers
Verified Customers: 15
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Calcium is a digital health platform designed to empower both patients and healthcare providers through personalized care pathways and health data integration. It combines EHR data, device inputs, and behavioral science to offer real-time insights, patient engagement tools, and health management features. Providers can use the platform for better decision-making, while patients receive personalized care guidance through the mobile app. Calcium aims to improve health outcomes by enhancing patient-provider collaboration and data-driven care.
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CardioOne
CardioOne
Company Info
Founded: 2022
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
CardioOne is an enabler for cardiology practices that enables independent practices to participate in value-based care arrangements and provides technology and services to support performance. Their solutions include a technology platform encompassing EHR, patient portal, clinical tools and RCM functionality, practice optimization tools, strategic support, and HR systems.
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Care Continuity
Care Continuity
Company Info
Founded: 2014
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST R2, HIPAA
Care Continuity offers a cloud-based platform focused on patient navigation and care coordination. Their services include an Emergency Discharge Program to ensure timely follow-up care, Inpatient Discharge Services, High Touch Care Management Support and Referrals Workflow to improve care continuity within provider networks.
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Care Allies
CareAllies
Company Info
Founded: 2016
Headcount: 501-1000
Customers
Verified Customers: 3
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
CareAllies is a management services organization that partners with providers to enable success in value-based arrangements. CareAllies supports practices with services include contracting and network optimization, patient engagement, and analytics. CareAllies is a subsidiary of Cigna.
CareCentrix
CareCentrix
Company Info
Founded: 1996
Headcount: 1001-5000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
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.
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CareJourney
CareJourney
Company Info
Founded: 2014
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Life Sciences
Product Overview
Security and Compliance Certifications: HITRUST CSF
CareJourney is a healthcare analytics platform that specializes in offering pre-packaged claims data alongside data integration capabilities. The platform features advanced tools for benchmarking physician performance, providing insights into cost, quality, referral patterns, and patient volume. CareJourney provides analytics for patient segmentation and other value-based care models, helping organizations adapt to evolving payment structures.
CareMax
CareMax
Company Info
Founded: 2009
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
CareMax is a value-based healthcare provider that delivers integrated primary, specialty and urgent services to the senior population through its network of medical centers. CareMax also provides practice transformation services to its network of Community Partner clinicians, helping them transition to value-based care through deploying practice transformation specialists and integrate technology into practice workflow.
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Castell
Castell
Company Info
Founded: 2019
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Castell is a healthcare platform designed to facilitate the transition to and management of value-based care by consolidating and managing payer contracts. Castell performs an assessment of current practice operations, then creates a roadmap to transition to value-based care. Castell provides access to clinical and claims data, paired with machine learning and analytics. Additionally, the platform offers ongoing support, including care coordination, coding, documentation expertise, and best practice guidance. Castell is a subsidiary of Intermountain Healthcare.
Cedar Gate Technologies
Cedar Gate
Company Info
Founded: 2014
Headcount: 501-1000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Cedar Gate is a technology company that provides value-based care performance management solutions, from upfront contracting through population health analytics and performance measurement. Cedar Gate provides actuarial services to support with contracting and administration of value-based reimbursement structures such as bundled payments. Their data and analytics solutions integrate data from multiple sources and generate insights to drive care management activities. They work with payers and providers across many specialties and different populations.
Chamber Cardio
Chamber Cardio
Company Info
Founded: 2022
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Chamber Cardio is value-based care enabler for cardiology practices. They provide a technology platform to support practices with specialty-specific data and analytics, practice guidelines and contracting support. They also staff care teams to extend their practices’ services and support implementation of value-based contracts.
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Clarify Health
Clarify Atlas
Company Info
Founded: 2015
Headcount: 201-500
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Life Sciences
Product Overview
Clarify Health's Atlas platform is an enterprise analytics solution with over 15 billion claims in its dataset that can be used for price transparency in contract negotiations, building higher quality networks, reducing spend, and optimizing referrals. The platform aids in optimizing provider performance, reducing medical costs, and improving patient outcomes by integrating social determinants of health and detailed patient data.
Cognizant
Cognizant ClaimSphere
Company Info
Headcount: 5001-10000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Cognizant’s ClaimSphere is a data platform for monitoring and improving quality measure performance. It is an NCQA certified solution for HEDIS reporting and also supports a range of other quality measures. Its products include ClaimSphere Clinical+ for point-of-care supplemental data collection and ClaimSphere QaaS for quality analytics.
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Collaborative Health Systems
Collaborative Health Systems
Company Info
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Collaborative Health Systems (CHS) supports independent physicians and providers transition to VBC through the development and management of Medicare Accountable Care Organizations (ACOs). CHS provides a suite of services, including data analytics, administrative support, network building, and regulatory compliance assistance, to support provider performance. CHS is a subsidiary of Centene Corporation.
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Conifer Health Solutions
Conifer Health Solutions
Company Info
Founded: 2008
Headcount: 5001-10000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes. Conifer’s value-based care solutions include data and analytics tools to support population health management, risk analysis and outcome measurement. They also offer care navigation, care management and utilization management services provided by registered nurses. Conifer Health Solutions is a subsidiary of Tenet Healthcare Corporation.
Counterpart Health
Counterpart Assistant
Company Info
Founded: 2024
Headcount: 51-200
Customers
Verified Customers: 7
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Counterpart Assistant, developed by Counterpart Health, is an AI-powered platform originally incubated by Clover Health as Clover Assistant. It integrates with EHRs to provide clinicians with data-driven insights at the point of care, leveraging over 100 machine learning models. The platform helps healthcare providers identify and manage chronic conditions earlier, supporting value-based care by offering prioritized clinical actions and improving outcomes for Medicare members. It is designed for use by payors, accountable care organizations (ACOs), and healthcare practices, with flexible deployment options.
COZEVA
COZEVA
Company Info
Founded: 2008
Headcount: 51-200
Customers
Verified Customers: 2
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA, ONC Health IT (2015 Edition)
Cozeva provides a comprehensive operating system for value-based healthcare, supporting the integration of quality, risk, and utilization management. It serves ACOs, IPAs, payers, and providers with tools for predictive analytics, risk adjustment, and real-time data insights to improve healthcare outcomes. Cozeva's platform includes features like CozevaConnect for EHR integration and supports performance metrics like HEDIS and MACRA.
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Credo
Credo
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Health Plan, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Credo automates the retrieval of medical records for providers and payers. A key feature of Credo is its PreDx service, a pre-encounter medical record and diagnostic tool specifically designed for value-based care providers, particularly in the Medicare Advantage sector. It provides pre-encounter risk analysis and clinical summaries through an AI-enabled analysis of digital medical records, which helps in identifying and closing HEDIS gaps.
Curation Health
Curation Health
Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF
Curation Health offers a clinical decision support platform tailored for the transition from fee-for-service to value-based care models. Designed to integrate with EHRs like Allscripts, athenahealth, and Epic, the platform delivers in-EHR insights to healthcare providers and plans for more accurate risk adjustment and improved performance in quality programs.
Definitive Healthcare
Definitive Healthcare
Company Info
Founded: 2011
Headcount: 501-1000
Customers
Customers Served: Life Sciences, Health Plan, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 1, HIPAA
Definitive Healthcare is a data and analytics platform that provides detailed profiles of healthcare providers, market level data on providers, and trends in healthcare utilization and outcomes. Their platform serves a variety of uses cases, most notably life sciences marketing functions.
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DispatchHealth
DispatchHealth
Company Info
Founded: 2013
Headcount: 1001-5000
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
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.
Duo Health
Duo Health
Company Info
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Health Plan
Product Overview
Duo Health is a nephrology focused value-based care provider and practice enabler that helps practices transition to value-based care. Duo Health facilitates fully capitated risk contracting and supports practices with services and technology including their Health Mobilization platform that uses AI to predict adverse events and engage directly with patients and providers.
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Edifecs
Edifecs
Company Info
Founded: 1996
Headcount: 501-1000
Customers
Customers Served: Health Plan, Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Edifecs is a healthcare data interoperability platform that integrates clinical and financial data and provides insights to drive performance in alternative payment models. They also support risk adjustment and prior authorization processes. Edifecs provides solution for health plans, providers and government agencies.
Embold
Embold Health
Company Info
Founded: 2017
Headcount: 51-200
Customers
Customers Served: Health Plan, Employers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Embold Health is a provider data and analytics company that specializes in assessing physician performance. Embold evaluates physician adherence to evidence-based medicine, patient outcomes, and cost-effectiveness. They are primarily used by employers and health plans for network design and care navigation tools and services. Additionally, they offer provider engagement tools to provide feedback to physicians on value-based care performance.
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Empassion
Empassion
Company Info
Founded: 2022
Headcount: 11-50
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
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 Health
Engooden
Company Info
Founded: 2016
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
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.
Episource
Episource
Company Info
Founded: 2006
Headcount: 5001-10000
Customers
Customers Served: Risk-Bearing Providers, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
The Episource Clarity Platform is a solution for risk adjustment and quality initiatives for health plans and risk-bearing providers. It supports aspects such as analytics, program management, gap closure, reporting, and CMS submissions. Key components are risk adjustment analytics, a cloud-based data retrieval platform using NLP technology, and tools for accurate coding. The platform aims to enhance performance, compliance, and streamline data management, providing insights for Medicare Advantage, Medicaid, and ACA health plans.
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Equality Health
Equality Health
Company Info
Founded: 2015
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice, Health Plan
Product Overview
Equality Health is a value-based care organization focused on health equity and meeting the needs of diverse and historically underserved populations. Equality Health manages an integrated provider network and works with participating providers to access value-based reimbursement structures, manage the health of their populations, and deliver culturally competent care. Equality Health is primarily focused on Medicaid populations and also participates in Medicare’s value-based care programs including ACO REACH.
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Evergreen Nephrology
Evergreen Nephrology
Company Info
Founded: 2021
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice
Product Overview
Evergreen Nephrology is a nephrology focused value-based care organization that works with nephrology practices to deliver value-based care for patients with kidney disease. They enable nephrology practices to take risk on their Medicare populations and provide services to enable VBC performance, including interdisciplinary clinical teams that support patients in the home and tools to support care management activities.
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Evidently
Evidently Population Health Management
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Evidently's Population Health Management solution is designed to improve the health outcomes of specific patient groups by utilizing comprehensive data integration and analysis. The platform aggregates data from various sources, including electronic health records (EHRs), claims data, and social determinants of health (SDoH), to identify at-risk populations and implement targeted interventions. Evidently's PHM tools support risk stratification, care gap identification, and patient engagement, enabling healthcare providers to deliver proactive, personalized care.
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Evolent Health
Evolent Health
Company Info
Founded: 2011
Headcount: 501-1000
Customers
Customers Served: Health Plan, Hospital / Health System, Risk-Bearing Providers, Ambulatory Practice
Product Overview
Evolent is a value-based care organization that partners with health plans and providers. They help primary care practices participate in the Medicare Shared Savings Program (MSSP) through the Evolent Care Partners ACO and they support specialty practices including oncology, cardiology and musculoskeletal to transition to value-based care. They also provide analytics and administrative services to support both providers and payers in value-based care delivery.
Fold Health
Fold Health
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Fold Health is a workflow automation and patient engagement platform for both primary and value-based care providers. Features include tools for automating panel management, collaborative care, and patient engagement.
ForeSee Medical
ForeSee Medical
Company Info
Founded: 2017
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
ForeSee Medical employs AI and NLP to enhance risk adjustment in healthcare for improved HCC coding and RAF score optimization within EHR systems.
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Garner Health
Garner Health
Company Info
Founded: 2019
Headcount: 51-200
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Employers, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Garner Health uses a claims database with over 60 billion records from 320 million patients to identify healthcare provider quality for use in care navigation. They offer products for care navigation, as well as the dataset for use in other applications.
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Greater Good Health
Greater Good Health
Company Info
Founded: 2021
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
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.
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Guidehealth
Guidehealth
Company Info
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
GuideHealth is a value-based care platform that uses AI to predict which patients will need specific care and monitor patient status to avoid preventable events, with virtual health guides to support patient care.
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HarmonyCares
HarmonyCares
Company Info
Founded: 1993
Headcount: 1001-5000
Customers
Customers Served: Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
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.
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Health Catalyst
Health Catalyst
Company Info
Founded: 2008
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Health Catalyst is a provider of data and analytics technology and services to healthcare organizations. They provide a data and analytics platform that integrates data from multiple sources and delivers insights to support organizations in population health management, patient engagement, quality and safety measure performance, and financial outcomes.
Health Cost Labs
Health Cost Labs
Company Info
Headcount: 1-10
Product Overview
Health Cost Labs offers a data-driven platform that provides access to comprehensive healthcare cost information. It features a cost comparison tool mandated by the 2021 Consolidated Appropriations Act, which helps users identify the most affordable providers. The platform is used by employers, health plans, hospitals, and consumers. Subscriptions to these rates are available to a variety of stakeholders, including brokers and self-funded businesses.
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HealthEC
HealthEC
Company Info
Founded: 2010
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
HealthEC offers a suite of data integration and population health management solutions to help healthcare organizations succeed in value-based care. Their platform aggregates data sources to provide comprehensive patient views, support analytics for risk adjustment and care management, and streamline quality reporting. They also provide tools to support care coordination, care management, and patient engagement.
Healthmap Solutions
Healthmap Solutions
Company Info
Founded: 2007
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice, Health Plan, Hospital / Health System
Product Overview
Healthmap is a value-based kidney care company that works with health plans and providers to manage populations impacted by kidney disease. Healthmap’s solutions for providers include Compass, a technology platform to support early identification of high risk patients and implementation of clinically appropriate interventions.
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HealthSnap
HealthSnap
Company Info
Founded: 2015
Headcount: 201-500
Customers
Verified Customers: 11
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
HealthSnap is virtual care management and remote patient monitoring platform includes remote monitoring of vital signs, predictive analytics for early intervention, and integration with existing healthcare systems. HealthSnap also facilitates patient engagement to decrease the need for frequent in-person visits.
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Honest Medical Group
Honest Medical Group
Company Info
Headcount: 201-500
Customers
Verified Customers: 7
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Honest Medical Group is a provider enabler that works with physicians, health systems and IPAs to participate in value-based models for their Medicare populations. They focus on both Medicare Advantage and ACO REACH.
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HSBlox
HSBlox
Company Info
Founded: 2017
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
HSBlox provides a platform designed to support value-based care through end-to-end administration of various payment models. It facilitates communication between stakeholders, ensures transparency, and manages complex contracts, enabling healthcare organizations to transition smoothly between fee-for-service and value-based reimbursement structures.
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i2i Population Health
i2i Population Health
Company Info
Founded: 2000
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, ONC Health IT (2015 Edition)
i2i Population Health is a healthcare technology company specializing in population health management solutions. Their platform integrates clinical and administrative data to support care coordination, quality management, and analytics. Key offerings include i2iTracks, a care coordination tool with pre-built quality measures, and PRiZiM, an analytics platform for reporting and performance tracking.
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Innovaccer
Innovaccer Care Management Copilot
Company Info
Founded: 2014
Headcount: 1001-5000
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HITRUST R2, HIPAA
Innovaccer Care Management Copilot is an AI-driven tool designed to help care managers reduce administrative burdens by automating key tasks like documentation, patient record reviews, and care plan creation. It provides real-time patient data summaries, identifies care gaps, and suggests next steps based on patient conversations. The Copilot also integrates with EHRs, ensuring data updates and reducing the risk of errors.
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Interwell Health
Interwell Health
Company Info
Founded: 2019
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Interwell Health is a value-based kidney care management company that partners with providers to improve patient outcomes. They manage a network of nephrologists, enable practices to participate in risk-sharing arrangements, and support practices with a value-based care program that includes analytics and care management services. Interwell also provide a nephrology-specific EHR, Acumen Epic by Interwell.
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J2 Health
J2 Health
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Health Plan
Product Overview
J2 Health is a provider analytics company that helps health plans design provider networks that meet network adequacy, quality and marketability standards.
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Juxly
Juxly
Company Info
Founded: 2015
Headcount: 11-50
Customers
Customers Served: Health Plan, Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF
Juxly is a software provider that integrates with EMRs and facilitates provider/payer data integration, and identification and closure of care gaps. Juxly’s EMR app, Juxly Vault, integrates with the provider’s EMR and provides clinical decision support and quality reporting support within the EMR.
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Lightbeam Health Solutions
Jvion
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 5
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Jvion provides an AI platform that helps healthcare providers find patients at risk for preventable health issues and suggests ways to intervene. The platform analyzes clinical records and social factors to identify risks that can be addressed to prevent negative outcomes like hospital readmissions. It focuses on practical use cases like chronic disease management and improving care quality.
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Karoo
Karoo
Company Info
Founded: 2021
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Karoo Health is a healthcare company specializing in value-based cardiovascular care. They offer a hybrid care model that combines dedicated on-site and virtual care teams with proprietary digital technology to assist cardiology networks, health systems, and health plans in transitioning to and succeeding in value-based care initiatives. Their services aim to improve patient health outcomes and reduce overall costs in cardiology by providing comprehensive support throughout the patient care journey.
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Lumeris
Lumeris
Company Info
Founded: 2000
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Lumeris is value-based care company that provides health systems, payers, and providers operational support, technology, and consulting services. Lumeris advises on VBC contracting and offers risk-sharing options to strengthen its partnerships. They also provide technology, analytics and operational support to enable performance in VBC models.
Main Street Health
Main Street Health
Company Info
Founded: 2021
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice
Product Overview
Main Street Health specializes in value-based care for rural communities. Main Street Health partners with primary care practices serving rural populations and enables them to participate in value-based programs for their Medicare populations, including the Medicare Shared Savings Program (MSSP) as well as Medicare Advantage contracts. They provide health navigators who support practices with care coordination and access to data tools.
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Matrix Medical Network
Matrix Medical Network
Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
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.
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MD Revolution
MDRevolution
Company Info
Founded: 2011
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
MDRevolution provides a remote patient monitoring and care management platform.
Memora Health
Memora Health
Company Info
Founded: 2017
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Memora Health is a care management platform that offers customizable, condition-specific care plans to help patients after diagnosis and through acute procedures. Integrating directly into the EHR, it supports two-way conversational texting, automated adherence checking, care plan education, appointment management, symptom monitoring and triage, patient-reported outcomes, remote patient monitoring, and NLP-based Q&A.
Milliman
Milliman
Company Info
Founded: 1947
Headcount: 1001-5000
Customers
Customers Served: Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA, GDPR
Milliman is a provider of actuarial products and services. Milliman’s healthcare division offers data analytics, consulting and actuarial services. Payers and providers work with Milliman on value-based care contracting strategy, pricing and risk-adjusted performance evaluation.
Mirah
Mirah
Company Info
Founded: 2015
Headcount: 11-50
Customers
Verified Customers: 8
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
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.
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Monogram Health
Monogram Health
Company Info
Founded: 2019
Headcount: 501-1000
Customers
Customers Served: Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
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
myLaurel
Company Info
Founded: 2023
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
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
naviHealth
Company Info
Founded: 2012
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
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.
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Navina
Navina
Company Info
Founded: 2018
Headcount: 51-200
Customers
Verified Customers: 10
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Navina is an AI-powered platform designed to assist healthcare providers by transforming complex patient data into actionable insights at the point of care. It integrates information from various sources, including electronic health records (EHRs), health information exchanges (HIEs), and insurance claims, to create a comprehensive patient profile. Navina's capabilities include efficient chart reviews, accurate risk adjustment through AI-powered hierarchical condition category (HCC) recommendations, and streamlined quality management by identifying care gaps based on clinical evidence. The platform aims to reduce administrative burdens, enhance patient care, and improve value-based care outcomes.
Navvis
Navvis
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Navvis is a population health company that supports health systems, health plans, and physicians with a range of value-based care solutions including data & analytics, in-person practice optimization support, virtual care coordination and care management services, technology, and contract implementation. Navvis is a subsidiary of Surround Care, which was formed through the merger of Navvis and Esse Health, a value-based primary care organization.
NeueHealth
NeueHealth
Company Info
Headcount: 1001-5000
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
NeueHealth is a network of owned and affiliated providers that also offers physician enablement solutions to support value-based care delivery. NeueHealth formerly operated as Bright Health.
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Novocardia
Novocardia
Company Info
Founded: 2020
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Novocardia is the value-based care division of Cardiovascular Associates of America (CVAUSA). They work with risk-bearing providers, payers, physicians groups and health systems and they provide a spectrum of services including customized risk-sharing arrangements and care navigation support through their cardiovascular care network.
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Nuance
Nuance Performance Analytics
Company Info
Founded: 1992
Headcount: 5001-10000
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Nuance Performance Analytics is a web-based solution designed to improve clinical and financial outcomes by providing real-time data analytics and decision support. It helps healthcare organizations monitor and analyze performance metrics, including readmissions, patient safety indicators, and physician performance, through customizable reporting and dashboards. The system integrates inpatient and outpatient outcomes to optimize major complications and comorbidities (MCC) and hierarchical condition categories (HCC) capture. It is used by quality management, clinical documentation improvement (CDI) leaders, and patient safety teams to enhance decision-making across healthcare enterprises
Nuna
Nuna
Company Info
Founded: 2010
Headcount: 201-500
Customers
Customers Served: Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA, ISO 27001
Nuna is a data and analytics company that specializes in value-based care performance management and contract and payments administration.
On Belay Health Solutions
On Belay Health Solutions
Company Info
Headcount: 51-200
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
On Belay is primary care enabler that works with primary care practices, federally qualified health centers (FQHC) and integrated provider networks to participate in Medicare’s valued-based care programs. On Belay primarily focuses on ACO REACH and on the Medicare Shared Savings Program (MSSP), but also manages Medicare Advantage and Commercial risk contracts. They support providers with clinical services and performance analytics.
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Oncology Care Partners
Oncology Care Partners
Company Info
Founded: 2022
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Oncology Care Partners is a value-based oncology enabler and medical practice serving Medicare Advantage members. In addition to managing its own provider practice, Oncology Care Partners offers management services to support patient experience through patient advocacy services and 24/7 support.
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OneOncology
OneOncology
Company Info
Founded: 2018
Headcount: 1001-5000
Customers
Verified Customers: 21
Customers Served: Ambulatory Practice
Product Overview
OneOncology is a network of oncology practices and value-based care enabler for partner practices. Their solutions for practices including OneAnalytics, an analytics platform to help practices measure financial, operational and clinical performance, and OneCouncil, a physician executive board to advise on clinical practice.
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Oracle
Oracle Cerner
Company Info
Headcount: 5001-10000
Customers
Verified Customers: 4
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA, ISO 27001
Oracle Cerner is a major EHR vendor and healthcare IT company offering RCM and population health management solutions. They offer solutions targeted for both fee-for-service providers and value-based care, including population health analytics services and care management services. Oracle Cerner was formed after Oracle Corporation’s acquisition of Cerner Corporation in 2022.
P3 Health Partners
P3 Health Partners
Company Info
Founded: 2015
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
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.
Pack Health
Pack Health
Company Info
Founded: 2014
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2
Pack Health is a patient engagement platform that offers personalized health coaching to assist individuals in managing chronic conditions. Members are paired with certified Health Advisors who provide weekly support through calls, texts, and emails, focusing on behavior modification and addressing social determinants of health. The platform integrates with over 450 devices, including smart scales and glucometers, to facilitate remote patient monitoring.
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Pager Health
Pager Health
Company Info
Founded: 2014
Headcount: 51-200
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Pager Health is a virtual care platform that brings together care and service teams, allowing for unified communication with consumers. It offers a cloud-based Command Center that supports chat, voice, and video interactions to assist members in making health and benefits decisions.
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Panoramic Health
Panoramic Health
Company Info
Founded: 2017
Headcount: 1001-5000
Customers
Verified Customers: 6
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Panoramic is a value-based kidney care organization that enables nephrology practices through contracting, data and analytics, and care delivery support. They manage a network of nephrologists and support practices through analytics tools including a chronic kidney disease database and predictive analytics for end stage kidney disease, patient facing tools to support patient engagement, care management, and care coordination, and workflow automation tools to support provider engagement.
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Pearl Health
Pearl Health
Company Info
Founded: 2020
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Pearl Health is a physician enablement company that helps primary care physicians engage in Medicare’s value-based care programs, such as the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (REACH) model.
Pearl Health aggregates practices in ACOs and supports practices as a risk-bearing partner that administers contracts and payments. Pearl Health is also a technology company that supports practices with population health analytics, contract performance measurement, and care recommendations.
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Phamily
Phamily
Company Info
Founded: 2013
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Phamily offers a Chronic Care Management solution, combining text-based patient engagement and automated care management for patient care and organizational efficiency. It enables medical groups to manage larger patient volumes effectively for improved patient outcomes and revenue generation.
Pluto
Pluto
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
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.
Company Info
Founded: 2000
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA, ONC Health IT (2015 Edition)
PointClickCare’s solutions for hospitals and risk-bearing providers support effective care navigation and coordination to facilitate transitions of care from acute to post-acute settings.
PointClickCare PAC Network Management is a data exchange platform that facilitates clinical data sharing between hospitals and risk-bearing providers with post-acute partners.
PointClickCare Intelligent Transitions is a data and analytics platform for hospital case managers to support care collaboration and monitoring of post-acute outcomes through insights such as encounter notifications and predictive readmission scoring.
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Privia
Privia
Company Info
Founded: 2007
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Privia is a national physician organization focused on administrative, financial and clinical outcomes in value-based delivery structures. Privia’s operations are structured regionally and encompass employed physician practices, physician networks aggregated through ACO and IPA structures, and MSOs that provide administrative services to medical groups. They can support providers along the spectrum of independence and risk ownership in value-based care structures. They also offer population health management tools to support. Privia also provides contracting and network design services for health plans and larger risk-bearing health systems.
RAAPID.AI
RAAPID
Company Info
Founded: 2022
Headcount: 201-500
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Raapid.ai
uses AI and NLP to enhance risk adjustment and coding accuracy in healthcare.
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Signify Health
Signify Health
Company Info
Founded: 2017
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
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.
Somatus
Somatus
Company Info
Founded: 2016
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Somatus is a value-based kidney care company that enables practices to participate in value-based care arrangements. They provide contracting support, risk and population health analytics customized to populations with kidney disease, and local care teams that deliver services in the home.
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Spect
Spect
Company Info
Founded: 2017
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Spect is a healthcare technology company specializing in portable retinal imaging solutions aimed at early detection of eye diseases such as diabetic retinopathy, glaucoma, and age-related macular degeneration. Their platform includes a handheld retinal camera that enables medical staff to perform retinal exams in various settings, including clinics and patients' homes. Captured images are uploaded to Spect's telemedicine platform, where board-certified ophthalmologists provide diagnostic reports, typically within 24 hours.
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SpectraMedix
SpectraMedix
Company Info
Founded: 2009
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
SpectraMedix provides a platform designed to support health plans and health systems in managing value-based payment (VBP) models. Its solutions include VBP Financial Reconciliation for monthly contract reconciliation, VBP Contract Modeler for developing value-based contracts, VBP Analytics Suite for performance insights, and a VBP Provider Portal for providers to track performance and optimize care quality.
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Sprinter Health
Sprinter Health
Company Info
Founded: 2021
Headcount: 51-200
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Life Sciences, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
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.
Stellar Health
Stellar Health
Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Stellar Health is a technology company that helps primary care providers achieve value-based care goals and improve patient outcomes, such as improving quality scores and optimizing the patient care journey through transitions of care and high-value referrals. The Stellar platform is based on incentivizing providers to take real-time actions to improve the quality of care and is designed to facilitate performance in value-based care contracts.
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Story Health
Story Health
Company Info
Founded: 2018
Headcount: 11-50
Customers
Verified Customers: 5
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Story Health provides a technology-enabled platform for heart failure management with combined virtual and asynchronous care, continuous home data collection, and intelligent clinical pathways to streamline workflows for clinicians. Key features include automated patient engagement, personalized care plans, and on-demand health coaches who address social determinants of health barriers. This integrated approach aims to improve patient outcomes and access to care while reducing the burden on healthcare providers.
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Strata Health
Strata Health
Company Info
Founded: 2012
Headcount: 11-50
Customers
Verified Customers: 12
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Strata Health offers a comprehensive transitions of care management platform designed to optimize patient flow and enhance care coordination. Its software uses real-time data and intelligent algorithms to match patients with the most appropriate post-acute care providers. The platform supports case managers by automating the referral process, managing provider networks, and ensuring compliance with patient choice regulations. It also features integrated patient-facing tools for better communication and data sharing among all parties involved in the care transition.
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Strive Health
Strive Health
Company Info
Founded: 2018
Headcount: 501-1000
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Strive Health is a value-based kidney care company that supports health systems, payers, nephology practices and at-risk medical groups. Their solutions include CareMultiplier, kidney disease-specific technology that aggregates data and generates population health insights, and Kidney Heroes, care teams including NPs, RNs, care coordinators and dietitians to extend the reach of their practices.
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Syntax Health
Syntax
Company Info
Headcount: 1-10
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Health Plan, Employers
Product Overview
Security and Compliance Certifications: HIPAA
Syntax is a value-based care contracting company that provides modeling and negotiation support for health plans, providers and employers. Their services include contract analytics to support evaluation of different reimbursement models and guidance on negotiating contract terms such as attribution and carve-outs.
ThoroughCare
ThoroughCare
Company Info
Founded: 2013
Headcount: 11-50
Customers
Customers Served: Accountable Care Organizations, Hospital / Health System, Long-Term Care Facility
Product Overview
Security and Compliance Certifications: HIPAA
ThoroughCare provides a digital platform for healthcare providers to enhance care delivery through comprehensive care coordination. The platform supports various programs, including Chronic Care Management, Remote Patient Monitoring, Behavioral Health Integration, Transitional Care Management, Annual Wellness Visits, and Advance Care Planning. It offers features such as personalized care plans, evidence-based assessments, patient engagement tools, and automated billing reports. ThoroughCare integrates with EHRs and health information exchanges to facilitate data interoperability.
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Thyme Care
Thyme Care
Company Info
Founded: 2020
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Thyme Care is a value-based oncology company that provides care management services and technology to support clinical outcomes and cost reduction. They have virtual care teams that provide navigation and coordination services and a care management platform to deliver data and analytics on population risk and care plan guidance. They work with health plans, primary care practices and oncologists, and support practices in participating in value-based reimbursement for their populations impacted by cancer.
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Transtreme
Transtreme
Company Info
Founded: 2007
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
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.
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Trella Health
Trella Health Marketscape
Company Info
Founded: 2015
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA, ISO 27001
Trella Health is a healthcare analytics company that offers data, analytics and consulting solutions primarily geared towards post-acute care and referral management. Their Marketscape strategy solutions include analytics to support network design and cost reduction and their platform solutions include EHR data integration services and a CRM to manage patient relationships and grow patient volume.
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Turquoise Health
Turquoise Health
Company Info
Founded: 2020
Headcount: 51-200
Customers
Verified Customers: 4
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Employers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Turquoise Health is a data platform that provides price transparency data and payer-provider contracting solutions. Their price transparency data platform enables pricing through competitive benchmarking and customized rate setting, particularly for value-based reimbursement structures such as bundled rates. Their managed care contracting software enables more efficient rate negotiations.
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UpStream
UpStream
Company Info
Founded: 2018
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice
Product Overview
UpStream is a physician enabler that works with primary care practices to transition to value-based reimbursement structures for their Medicare populations, primarily under the ACO REACH program, and provides technology and services to support outcomes. UpStream brings physicians into its ACOs and offers a structured reimbursement solution, Guaranteed Advanced Payments for Quality (GAP-QTM). Their enablement solutions include data integration, population health analytics, and embedded clinical teams including nurses and pharmacists to extend each practice’s service delivery.
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Ursa Health
Ursa Studio
Company Info
Founded: 2015
Headcount: 11-50
Customers
Verified Customers: 5
Customers Served: Hospital / Health System, Health Plan, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Ursa Health offers Ursa Studio, a no-code analytics development platform designed for healthcare. It enables healthcare providers, specialty care companies, and health plans to integrate, manage, and analyze data across clinical, financial, and operational domains. Ursa Studio includes pre-built data models and reference data sets, allowing users to quickly derive insights and customize analytics for their specific needs. The platform supports the full data workflow from ingestion to visualization, aiming to enhance decision-making and innovation in healthcare settings.
US Heart & Vascular
US Heart & Vascular
Company Info
Founded: 2021
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice
Product Overview
US Heart & Vascular is an enabler for independent cardiologists and partners with cardiovascular practices with to provide administrative services and access to financial benefits.
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Vatica Health
Vatica Health
Company Info
Founded: 2011
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Digital Health Provider
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Vatica Health provides a provider-centric solution for risk adjustment and quality of care, pairing clinical teams with technology to enhance coding accuracy and compliance at the point of care.
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Vesta Healthcare
Vesta Healthcare
Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
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.
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Vim
Vim
Company Info
Founded: 2015
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Vim is a technology company that specializes in surfacing data at point-of-care to drive provider performance and value-based care outcomes. Vim’s platform integrates with the provider EHR and surfaces insights such as diagnosis opportunities for risk adjustment, care gaps for quality scoring, and referral opportunities. Their solutions are also built on provider-payer connectivity, optimizing processes such as eligibility and prior authorization.
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Vytalize Health
Vytalize Health
Company Info
Founded: 2014
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Vytalize is a physician enabler that helps primary care practices transition to Medicare’s value-based care programs. Vytalize provides physicians in its ACO with value-based incentive payments as well as technology and services to drive performance and outcomes. Their services include analytics on care gaps and virtual clinical services to extend each practice’s reach.
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Wakely Consulting Group
Wakely Consulting Group
Company Info
Founded: 1999
Headcount: 51-200
Customers
Customers Served: Health Plan, Risk-Bearing Providers, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Wakely is an actuarial consulting firm that works with healthcare organizations. They provide strategic advisory and risk management services for health plans and providers, including value-based care payment model definition and pricing, contract negotiation support, utilization and cost measurement, risk adjustment, and contract reconciliation activities. Wakely is a subsidiary of Health Management Associates (HMA).
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Wellvana
Wellvana
Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Wellvana is a value-based care enabler that helps physicians and health systems participate in value-based contracts and provides technology and services to support performance. Wellvana helps providers participate in Medicare’s value-based care programs as well as Medicare Advantage and commercial value-based care contracts. Wellvana’s services include a care management team of RNs and care coordination to address gaps in care. Their technology includes an EMR overlay that provides point-of-care insights to help close gaps in care.
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Wildflower
Wildflower
Company Info
Founded: 2012
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Wildflower is an enabler of value-based maternity care. They provide software and services to providers and payers, from upfront advisory on value-based contracting for obstetric and maternity care through on-going performance analytics solutions and workflow integration to drive outcomes.
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Yuvo Health
Yuvo Health
Company Info
Founded: 2021
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Yuvo Health is a value-based care enabler for Federally Qualified Health Centers (FQHC). Yuvo Health accepts risk on behalf of community health centers and also partners with IPAs, offering additional revenue through value-based contracts and more favorable contracts as part of a larger provider network. Health centers have access to Yuvo’s Population Health team that provides analytics and advisory support in achieving quality targets.
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Zyter TruCare
Zyter TruCare
Company Info
Founded: 2002
Headcount: 501-1000
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Zyter TruCare offers a value-based care management platform for healthcare payers, providers, and public health organizations. It includes features like care coordination, case and disease management, medication management, and virtual health services, all aimed at improving patient outcomes and reducing costs. The platform integrates with existing EHR systems and supports telehealth for coordinated care delivery and real-time patient engagement.
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