HealthMine offers a dynamic member engagement solution that motivates members through multiple modalities to continuously complete health actions, while diligently monitoring them for continued satisfaction. Its powerful intelligence platform was originally built inside a Value-Based Insurance Design (VBID) health plan— designed to aggregate data and utilize advanced algorithms to combine population health and quality improvement disciplines to help plans thrive. Our personalized solution can help enhance or supplement targeted member engagement strategies through smart rewards distribution and fulfillment. www.healthmine.com
GHG Advisors is the leading solutions and consulting firm for government-sponsored health programs. Our experts consist of seasoned veterans who have served at every decision making level of leading health plans, PBMs and state and federal agencies. Collectively, our staff members have thousands of years of experience in every functional area of a health plan and their business partners. No other firm can boast of such a complete view of the industry from policy and politics to resolution to efficient and compliant private sector operations.
Grand Rounds Health and Doctor On Demand merged in 2021 to form the first of its kind integrated virtual care company to raise the standard of healthcare. Our personalized, longitudinal care services include primary care, specialty care, integrated behavioral health, everyday and urgent care, chronic condition management and prevention and 24/7 triage. We get members to the right care, at the right time through ongoing clinical navigation, expert medical opinions and care coordination.
Partnering with leading employers and health plans, we deliver unparalleled, end-to-end care. Our combined nationwide practice of dedicated clinicians and innovative data science and technology platforms provide better care experiences, better member satisfaction, and better outcomes and cost savings for our nearly 100 million covered lives across commercial, Medicare and Medicaid.
Headquartered in San Francisco, the combined company has been recognized as a 2020 UCSF Digital Health Award winner for
Employer Wellness and 2021 Best Workplaces in Healthcare and Biopharma™ by Great Place to Work and Fortune. Learn more at www.grandrounds.com and www.doctorondemand.com.
RxAnte is a leading predictive analytics and clinical services company located in Portland, Maine, and Washington, D.C., dedicated to improving medication use and health outcomes. By providing plans, providers, and manufacturers with actionable insights, strategies, and our own portfolio of interventions, RxAnte empowers clients with the resources necessary to help make medications work better for everyone.
Created by experts in advanced analytics, medication adherence, health IT, and quality improvement, the RxAnte portfolio of solutions includes patent-pending platforms that leverage predictive and decision analytics, advanced program evaluation methods, a web-based work flow solution, and an award-winning call center to provide clients with the insights they need and results they want in improving medication use.
Decision Point is a member engagement management company that brings holistic predictive analytics, artificial intelligence, and actionable insights to everyday health plan decision-making. Decision Point aims to change the fundamentals of patient and provider engagement by predicting and acting on the entire member health experience; delivering informed strategies to drive sustained improvements in outcomes across satisfaction, quality, utilization, and retention domains.
EnlivenHealth is the division of Omnicell that builds advanced patient engagement and communications solutions that enable retail pharmacies and health plans to improve the health outcomes of their patients, while strengthening the long-term health of their business.
Novillus was founded on the belief that it should be easier for health plans to better collaborate with both their partner provider groups and associated members to provide the data critical to driving improved outcomes and optimal health plan program performance. Novillus solves complex health plan data exchange challenges with digital solutions. We combine technology, data, and human intelligence to improve the workflow process to empower our partners to prosper by maximizing their revenue opportunities, optimizing care gap closure, and promoting quality outcomes and population health. Our product suite enables organizations to deliver provider and member-centric engagement at scale, through risk-managed, multimodal channels.
Enhanced Medication Services is the premier clinical services delivery channel with a mission to optimize medication use for people, health plans, and health systems. We combine our industry-leading clinical services call center with an expansive network of community pharmacies to provide high-quality clinical interventions. Our fully integrated, end-to-end dispensing and clinical platform connects health plans to community pharmacists, offering quality lift for our partners to achieve high-level performance on quality measures and improve health outcomes.
Magellan Rx Management, a division of Magellan Health, Inc., is shaping the future of pharmacy. As a next-generation pharmacy organization, we deliver meaningful solutions to the people we serve. As pioneers in specialty drug management, industry leaders in Medicaid pharmacy programs and disruptors in pharmacy benefit management, we partner with our customers and members to deliver a best-in-class healthcare experience.
Wakely Consulting Group, LLC (Wakely) is a limited liability company established in Florida in
1999. Our corporate office is located in Tampa, Florida. In addition, there are offices located in
Centennial, Colorado; Denver, Colorado; Minneapolis, Minnesota; Decatur, Georgia; Sandy
Springs, Georgia; Chandler, Arizona and Pleasantville, New York. Overall, Wakely has over 130
employees and 60 credentialed actuaries, with continuing growth in staff and revenue each
year. Wakely’s staff specializes in health care financing, working directly with provider and
commercial health insurance carriers on public and private program offerings. Wakely has
considerable experience in carrying out complex projects, yet its size and structure allow it to be
nimbler and more responsive than larger, national firms.
We are a team of diverse professionals with a comprehensive understanding of the entire
spectrum of healthcare, including substantive experience working with state agencies, health
insurance carriers, board of directors, advocacy groups, hospitals, and physicians. In addition to
many actuarial analyses for state programs and private payers, Wakely consultants have led
and supported efforts in health plan strategic and financial planning; public policy development;
health insurance product development; and development and administration of state-subsidized
health insurance programs for low income adults and health insurance exchanges.
Our staff are predominately credentialed actuaries (and analytical staff working to attain
credentials) who are experts in the quantification of business problems. They have familiarity
with health care data at a detailed level, understand the interaction of member behavior,
provider behavior, and financial incentives. They are able to build complex models to simulate
these interactions, and communicate these complex concepts in straightforward ways.
Wakely’s staff has extensive experience in working with health care data in support of key policy
initiatives, from establishing and manipulating large health care claims and enrollment datasets,
developing and maintaining reporting programs and structures, to marshaling sophisticated
analytics in support of key policy and strategic decision making. From medical claims,
enrollment, premium and budget data, to enrollee demographics and operational metrics,
Wakely staff are highly proficient in manipulating data, interpreting trends, and, most
importantly, using data to create meaningful and actionable information. Our extensive
experience presenting information to internal staff, senior leaders, boards of directors and
legislative and stakeholder groups means that we provide a comprehensive data analytics
solution – from manipulating data elements to creating useful reports and presenting results.
We have helped our clients succeed through disciplined and transparent analytic work, thorough
assessment of options, creative problem solving, attention to deadlines, and the ability to clearly
communicate and document complex issues. While success can be measured in a number of
different ways, we believe client satisfaction is the most important, and one in which we excel
based on the feedback received from clients. Our clients have renewed our contracts as needed
and have consistently referred us to other potential clients.
Joint Academy is a virtual clinic that connects patients with licensed physical therapists to deliver an online treatment for chronic joint pain. The clinically-proven treatment includes unlimited direct access to licensed physical therapists, an individualized exercise program, interactive education, and progress tracking.
Icario is the industry’s leading healthcare engagement company, using behavioral research, data science, and deep industry expertise to move people to better health. We develop personalized healthcare experiences that connect people to better health with every action, while reducing member abrasion through the use of extrinsic and intrinsic motivations.
Our solutions address the areas where engaging members is most critical for plans: quality & risk, connecting to care, and member experience.
It’s more accessible than ever to provide teleretinal exams to patients living with diabetes during a routine primary care visit or in mobile healthcare settings. Teleretinal programs can help health plans and providers more accurately document HCC risk adjustment factors for chronic conditions and complications in their populations and close gaps in care.
Visit us to learn more about the Welch Allyn® RetinaVue® care delivery model, a patient-centered solution to help eradicate diabetic retinopathy as the leading cause of blindness in American adults.
Insightin Health delivers the industry’s only single platform which provides complete personalized member engagement
for each step of the health care journey. The core platform inGAGE™ combines medical, clinical, cognitive, and social
determinants of health to recommend the Next Best Action (NBA) for each person. Health plans can improve quality measurements,
gain higher member satisfaction, and increase member retention. The simple integration and easy to use inGAGE™ creates an effective
shift towards a healthier population for health plans. For more information, visit www.insightinhealth.com