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® is the leading provider of supplemental benefits and fintech solutions and outcomes to the healthcare industry. NationsBenefits partners with managed care organizations to provide innovative healthcare, data analytics, gap closure, and fintech solutions aimed at driving growth, reducing costs, and delighting members. Combining its cutting-edge technology with targeted retailer partnerships, NationsBenefits empowers health plans to deliver impactful supplemental benefits to optimize member experiences and drive better health outcomes. By simplifying processes to make smarter choices and expanding access to benefits solutions, NationsBenefits aims to improve each of its members’ quality of life through its revolutionary and comprehensive suite of offerings. To learn more, visit NationsBenefits.com .
Virtix Health is the leader in medical record retrieval and review, helping health plans maximize accuracy, efficiency, and financial performance. With the nation’s top retrieval network and our proprietary Linx platform, we achieve up to 50% higher retrieval rates and maintain exceeding 95% coding accuracy. Our team of 13,000+ certified coders, abstractors, and auditors delivers unmatched speed and transparency without compromising quality. Learn more at www.virtixhealth.com .
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.
SNT Biotech is a national provider of comprehensive at-home screening solutions, helping Medicare Advantage and Medicaid health plans close care gaps, improve HEDIS® scores, boost compliance rates, and advance health equity. Our offerings include colon cancer (FIT), diabetes (HbA1c), kidney evaluation (KED), and cervical cancer screening—all designed to reach hard-to-engage members with ease and compassion.
We support end-to-end execution—from custom kitting, multilingual member outreach (SMS, email, phone, and mail), to CLIA- and COLA-certified in-house lab testing and real-time reporting. Our AI-powered technology platform ensures full transparency with engagement metrics, compliance tracking, and tailored dashboards to support quality and risk teams.
SNT Biotech is proud to be SOC 2 certified, and our lab offers the flexibility to perform claims-based billing to streamline reimbursement for health plans. We are committed to delivering compliant, cost-effective, and culturally sensitive solutions that drive measurable improvements in care and outcomes.
Pareto Intelligence is an analytics and technology solutions company that supports healthcare plans and providers with revenue, cost, quality, and risk adjustment payment models. Pareto was forged to help our clients navigate the most dynamic and critical times in healthcare, and we continue to bring innovative solutions to meet unmet market needs. Pareto acts as a trusted partner, helping clients make key decisions with big data analytics, easy-to-use technology, and expert advisory support. Our award winning suite of technology solutions and services help our clients harness the power of data science and develop actionable insights. We show you what to do with the insights you've acquired and give you direction for tomorrow.
Carallel helps Medicare Advantage plans turn caregiver support into measurable impact. Leading plans use our award-winning model—which combines personal connection, expert guidance, and digital tools—to engage caregivers, close care gaps, and support independent aging at scale. The result: improved member outcomes, reduced avoidable utilization, and stronger Stars performance. With a 96% Customer Satisfaction Score, an 80 NPS, and consecutive MedTech Breakthrough Awards, Carallel is the trusted partner to unlock the power of caregiving.
Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure— extending the human touch in healthcare. For more information, visit innovaccer.com
Curant Health is a proven adherence organization that specializes in clinician empowered & tech-enabled medication adherence and utilization management support to maximize Medicare program Stars performance and minimize commercial plan Total Cost of Care (TCoC).
Curant Health’s solutions for Health Plans include products focused on Stars Adherence Improvement, HEDIS Gap Closure, Medication Reconciliation Post-Discharge, High Cost & Complex Care Monitoring, and Total Cost of Care Reduction. Curant Health leverages member risk stratification/segmentation and enhanced member engagement services to deliver optimal member and partner outcomes while providing real-time insights and program strategy through dynamic business reviews.
To schedule a demo, visit www.curanthealth.com/healthplans
Everly Health Solutions (EHS) is the enterprise division of Everly Health, operating as Everlywell for businesses. Everly Health is a digital health company providing virtual-first disease prevention, diagnosis, and treatment that has served over 56 million people to date. Our mission is to eliminate barriers, close care gaps, and improve access to affordable and actionable healthcare.
We collaborate with health plans, employers, and pharmaceutical companies to bridge care gaps through at-home diagnostics and virtual care for major health challenges facing Americans today. Supporting over 340 programs, we empower enterprise clients with tailored, data-driven solutions to improve patient outcomes and streamline care delivery.
Kaizen Health is a healthcare logistics platform - removing transportation as a barrier to living a healthy life. Kaizen Health serves healthcare providers (safety net hospitals, FQHCs and large health systems), Medicaid, Medicare Advantage, senior living, home health, clinical trials, non-profits, etc.
Kaizen Health brings together all levels of transportation (inclusive of courier/delivery services) to ensure a full offering for their clients across the social determinants of health (accessing healthcare, food, pharmacy, education, employment, housing, social services and social activities).
Bold is the leading healthy aging platform, offering personalized, evidence-based exercise programs for Medicare members that help prevent falls, reduce musculoskeletal pain and disability, and increase physical activity levels. Innovative Medicare Advantage plans and provider groups rely on Bold to deliver engaging, clinically sound exercise programs that members love to use and that achieve significant outcomes. Bold is backed by Andreessen Horowitz, GingerBread Capital, Khosla Ventures, Maveron, Primetime Partners, Samsung Next, and Rethink Impact. To learn more about Bold, please visit agebold.com