Educational Underwriters
Newton Smith Group is an expert advisory services firm providing consulting services to health plans, providers, vendors, VC/PE firms, associations and other professional service firms to help them optimize Medicare Advantage and Star Ratings performance. We provide an array of consulting services from strategic planning to tactical execution and fractional staff augmentation, aligning our services to each client's business preferences and objectives using a customized approach for every client.
Our team consists of experienced consultants with extensive experience in Medicare Advantage, Star Ratings and health plan leadership. We support defined projects, retained services and leadership development, with a goal of rapid success and long-lasting relationships. We combine our expertise with a forward-looking lens on regulatory and technical requirements to deliver effective, sustainable, future-proofed solutions to our clients.
BeneLynk is a national provider of Social Determinants of Health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. We serve plans and their members by creating a human-to-human connection and providing the assistance a member needs to get the benefits they deserve. By employing one dynamic conversation that flows organically to meet SDoH challenges, we build stronger human connections that are supported by innovative technology. Our mission is to improve lives and positively impact SDoH barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve.
mPulse, a leader in digital solutions for the healthcare industry, is transforming consumer experiences to deliver better, more equitable health outcomes. By combining AI-powered analytics, omnichannel outreach and digital health navigation technology, mPulse creates personalized health journeys and provides advanced insights to facilitate collaboration across the healthcare ecosystem.
Astrata is a digital quality company offering a suite of products and services for health plans and value-driven providers moving from paper-based clinical quality measures to digital clinical quality measures, as required by NCQA and CMS. Astrata’s products make it possible to better measure and improve healthcare quality, a foundation for moving to value-based care. Astrata’s value propositions include dramatic efficiency gains, higher clinical quality rates, and increased quality bonus payments.
Supporting Organizations
ProspHire is a national management consulting firm exclusively dedicated to healthcare. Specializing in project delivery and execution, we partner with healthcare organizations to streamline processes, optimize operations and implement transformative initiatives.
Our Medicare Stars experts seek to become an extension of your team, dedicated to helping you shine brighter in the Stars Program now and into the future. We will develop customized strategies to elevate your Star ratings that can lead to sustainable long-term 4.0+ performance. We are here to support your organization and partner with you to tackle your most pressing challenges.
Founded in 2003, ATTAC Consulting Group (ACG) has been recognized as a premier national consulting and auditing firm serving insurers, managed care and provider organizations on issues related to Medicare Advantage, Part D, Medicaid, Duals Programs, ACOs and Health Exchange products. ACG specializes in regulatory compliance, auditing, operations and business process, along with medical and pharmacy management. ACG also provides Network Development for nationwide builds and support to maintain the accuracy of your provider data. ACG has delivered solutions and provided support for many of the nation’s top 10 insurers, along with Blue’s organizations, regional health plans, special-needs organizations, specialty insurers, health systems, ACOs, drug plans and the regulatory agencies that oversee the industry. At ACG, we’re passionate about our industry and passionate about getting it right. We’re proud of our reputation among industry leaders to perform detailed operational analyses and to design and deliver rock-solid end-to-end solutions. Our clients count on ACG to provide expert regulatory advice, to implement robust compliance solutions and to perform efficient, expert auditing. Our medical and pharmacy groups are guiding organizations in adoption of new models to manage care in a cost-effective way.
PDHI's ConXus platform can revolutionize your population health management program with white-label digital solutions for incentive management, health assessments, and wellness. Our configurable solutions help clients meet critical quality measures by identifying health risks, promoting and rewarding gaps-in-care closure, and driving sustainable behavior change.
𝐅𝐥𝐞𝐱𝐢𝐛𝐥𝐞 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧: PDHI's white-label platform adapts to your specific needs and seamlessly integrates with your existing infrastructure.
𝐄𝐧𝐠𝐚𝐠𝐞, 𝐌𝐨𝐭𝐢𝐯𝐚𝐭𝐞, 𝐂𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞: We collaborate with top health plans and large employers to engage participants through effective health appraisals, self-management tools, and incentive programs.
𝐄𝐱𝐜𝐞𝐥𝐥𝐞𝐧𝐜𝐞 𝐢𝐧 𝐏𝐫𝐢𝐯𝐚𝐜𝐲 𝐚𝐧𝐝 𝐒𝐞𝐜𝐮𝐫𝐢𝐭𝐲 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞: PDHI applications are delivered using a software-as-a-service (SaaS) model, meeting industry standards for privacy and security compliance.
Axion Contact has been providing healthcare services for more than 40 years. Our organization is known for providing high quality interactive services, with specific regards to brand, performance, experience, compliance, and quality. We provide member engagement solutions with our staff of over 800 US Based agents and clinicians, helping close gaps in care, disease management, HRA’s, managed care programs, Stars, HEDIS, HOS and CAPS improvement measures. Our goal is to improve your member’s wellness, lower costs, and help you solve your business problems. YOUR SUCCESS IS OUR CALLING
The Wolters Kluwer Health Language platform ensures that anyone who relies on healthcare data can trust that it is accurate and fit-for-use. With the most robust data, AI-enabled technology and decades of experience working in healthcare, the Health Language platform ensures that the quality of your data is maintained to meet your needs, because good data powers better health. Leveraging a curated and continuously updated library of industry standards, organizations can maintain a single source of truth for their healthcare data, which can be easily accessed in the cloud. This trusted terminology foundation serves as the benchmark for managing all codes throughout the data value chain and helps identify and maintain relationships across data sets. From point of care documentation to data normalization, analytics, and risk adjustment, healthcare data is messy. Health Language can clean it up, ensuring that good data powers better health.
NationsBenefits®, a leading supplemental benefits company, provides managed care organizations customized healthcare management solutions based on clinically focused interventions that maximize quality and deliver value-based outcomes. The company's compliance-focused infrastructure, exclusive technology systems, and exceptional service delivery model enable NationsBenefits' health plan partners to deliver value-based care to millions of members.
Virtix Health is the leader in medical record retrieval and review, helping health plans maximize accuracy, efficiency, and financial performance. With the nation’s top retrieval network and our proprietary Linx platform, we achieve up to 50% higher retrieval rates and maintain exceeding 95% coding accuracy. Our team of 13,000+ certified coders, abstractors, and auditors delivers unmatched speed and transparency without compromising quality. Learn more at www.virtixhealth.com .
Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale. The Veradigm Network features a dynamic community of solutions and partners providing advanced insights, technology, and data-driven solutions, all working together to transform healthcare insightfully. For more information on Veradigm, visit http://www.veradigm.com , or find Veradigm on LinkedIn, Facebook, Twitter, and YouTube.
ReferWell is a leading health technology company committed to transforming access to care, eliminating barriers to care, and improving member experience and outcomes. The company’s cutting-edge Provider Match Scheduling platform and compassionate Care Navigators eliminate administrative complexities for health plans and providers by proactively connecting patients with the care they need, precisely when they need it. ReferWell’s comprehensive, year-round Care Access programs support every stage of the patient journey—from initial outreach and health assessments to closing care gaps and managing referrals. Headquartered in Stamford, Connecticut, ReferWell collaborates with national and regional health plans and providers, serving over 10 million covered lives.
We deliver actionable, data-driven insights that enable healthcare payers and providers to lead fact-based, knowledge-focused operations to manage members cost-effectively while providing a better experience.
At Annova Solutions, we empower healthcare payers, particularly Medicare Advantage plans, to optimize performance and achieve superior outcomes. With expertise in V28 coding, concurrent coding, and AI-driven solutions, we help organizations improve financial accuracy, elevate data quality, and ensure regulatory compliance with ease.
We enable healthcare payers to enhance the member experience, boost Star Ratings and achieve operational excellence. Our focus on efficiency and quality improvement equips Medicare Advantage plans with the tools and expertise needed to drive better financial performance, maintain compliance, and achieve long-term success.