Value-Based Care

Tellescope is a HIPAA-compliant platform offering integrated patient relationship management, including communication tools and healthcare CRM features for digital health providers.

Welkin Health is a customizable EHR and care management platform designed for automated care programs, multi-channel communication, and integrations with other EHRs.

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.

Ribbon Health offers a healthcare data platform that consolidates provider information, including location, insurance coverage, cost, quality, and experience, to improve care decision-making.

Serif Health provides healthcare price intelligence and contract management solutions.

Inferscience offers Infera, a clinical decision support tool, and HCC Assistant, a coding aid, both designed to integrate with EHRs for real-time, evidence-based patient care and coding suggestions.

Innovaccer is a data platform offering data integration and analytics solutions for value-based care.

Lightbeam Health Solutions is a population health management platform offering analytics, risk stratification, care management, and patient engagement tools.

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.

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.

agilon partners with primary care physicians to transition to VBC, primarily focused on Medicare Advantage populations, and provides technology and administrative services to support VBC performance.

Aledade partners with primary care practices to transition to VBC, primarily focused on the Medicare Shared Savings Program (MSSP), and provides technology and administrative support to support VBC outcomes.

Apixio is a data science company that helps healthcare organizations accurately document and code patient conditions for accurate risk adjustment and reimbursement under value-based contracts.

Santa Barbara Actuaries Inc. (SBA) is an actuarial consulting firm that works with health plans and providers and offers expertise in value-based care functions such as risk adjustment, pricing and regulatory compliance.

Arcadia is a health data platform that integrates clinical and financial data from various sources to generate actionable insights, improved care delivery, and patient engagement.

ApolloMed partners with primary care physicians to transition to VBC, primarily focused on Medicare Advantage populations, and provides technology and administrative services to support VBC performance.

Azara is a population health solutions company that provides a modular data analytics platform to support providers with population health management, care coordination and patient engagement.

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.

Better Health Group is a large value-based primary care practice that also supports independent practitioners transition to value-based care through its Management Services Organization (MSO), with focus on Medicare.

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.

CareAllies is a management services organization that partners with providers to enable success in value-based arrangements.

CareCentrix provides home-centered post-acute care solutions for payers and providers to manage care transitions and reduce unnecessary care.

CareJourney is a healthcare analytics platform offering pre-packaged claims data, as well as data integration, market analysis, network optimization, physician performance benchmarking, patient segmentation, and support for value-based care models.

CareMax is a value-based healthcare provider that delivers integrated services to the senior population in its medical centers and provides practice transformation services to its network of Community Partner clinicians to support their transition to value-based care.

Castell streamlines value-based care through consolidated payer contract management, practice assessments, and analytics for practice evolution.

Cedar Gate is a technology company that provides value-based care performance management solutions, from upfront contracting through population health analytics and performance measurement.

Chamber Cardio is value-based care enabler for cardiology practices that provides specialty-specific support in contracting, analytics and care delivery.

Clarify Advance is an incentive program for providers in at-risk arrangements.

Clarify Atlas is a health data platform that helps map patient journeys to provide actionable insights for health systems, ACOs, health plans, and life sciences companies.

Cognizant’s ClaimSphere is a data platform for monitoring and improving quality measure performance.

Collaborative Health Systems (CHS) supports independent physicians and providers transition to VBC through the development and management of Medicare ACOs and provides technology and services to support VBC performance.

Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes.

Credo is an automated medical record retrieval and pre-encounter diagnostic platform.

Curation Health offers a clinical decision support platform integrated with major electronic health records, providing analytics-driven insights to assist healthcare providers and plans in the transition to value-based care.

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.

DispatchHealth delivers medical care directly to patients' homes for urgent health concerns, enhancing healthcare accessibility and reducing the need for hospital visits.

Duo Health is a nephrology focused value-based care provider and practice enabler that helps practices transition to value-based care.

Edifecs is a healthcare data interoperability platform that integrates clinical and financial data and provides insights to drive performance in alternative payment models.

Embold Health is a provider data and analytics company that specializes in assessing physician performance and providing network design and care navigation services for employers and health plans.

Empassion is a Management Services Organization (MSO) that helps providers transition to VBC by bringing them into their Accountable Care Organizations (ACOs), as well as supporting them in serving their populations with advanced illness.

Engooden is a virtual care management provider that supports providers in caring for their patients with chronic conditions.

Eon Patient Management (EPM) by Eon Health is a platform that uses Computational Linguistics to scan radiology reports and identify incidental findings with high accuracy and precision. It supports multiple disease-specific modules and integrates with hospital IT systems to streamline patient tracking and communication.

Epic EHR is a versatile and scalable EHR platform designed for a wide range of healthcare settings, from individual practices to large healthcare systems.

Equality Health is a value-based care organization focused on health equity that 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.

Evergreen Nephrology is a nephrology focused value-based care organization that enables nephrology practices to take risk on their Medicare populations and provide clinical and administrative services to support care delivery.

Evolent is a value-based care organization that partners with health plans and providers across multiple specialties to establish and participate in value-based care arrangements.

Fold Health is a workflow automation and patient engagement platform for both primary and value-based care providers.

ForeSee Medical employs AI and NLP to enhance risk adjustment in healthcare for improved HCC coding and RAF score optimization within EHR systems.

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.

Greater Good Health is a value-based care organization that works 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.

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.

HarmonyCares is a provider of home-based services for older adults and those with complex medical needs.

Health Catalyst is a data and analytics services organization that helps healthcare organizations with data integration and population health analytics to evaluate value-based care performance.

HealthEC offers a data and analytics platform to support population health management, value-based care analytics and care management functions.

Healthmap is a value-based kidney care company that works with health plans and providers to manage populations impacted by kidney disease.

HealthSnap is a virtual care management platform that integrates data from monitoring devices and uses predictive analytics to customize interventions.

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.

Interwell Health is a value-based kidney care management company that manages a network of nephrologists, enables practices to participate in risk-sharing arrangements, and supports practices with analytics and services.

J2 Health is a provider analytics company that helps health plans design provider networks that meet network adequacy, quality and marketability standards.

Juxly is a software provider that integrates with EMRs and facilitates provider/payer data integration, and identification and closure of care gaps.

Karoo is a value-based cardiology enabler that provides technology and care team support for cardiology practices, health systems and health plans.

Laguna Health is a care management platform that uses conversational AI technology to analyze patient interactions and guide care manager interventions.

Lumeris is value-based care company that provides health systems, payers, and providers operational support, technology, and consulting services.

Main Street Health works with primary care practices in rural geographies to participate in Medicare’s value-based care programs. Main Street Health provides health navigators and data tools to support practices in delivering health outcomes.

Matrix Medical Network is a clinical services organization that conducts in-home visits to address care gaps and coding opportunities for health plans and providers in value-based care arrangements.

MDRevolution provides a remote patient monitoring and care management platform.

Memora Health is an AI-driven platform for complex care management with automated patient engagement and data analytics.

Milliman is a provider of actuarial products and services that can support payers and providers with value-based care contracting strategy, pricing and risk-adjusted performance evaluation.

Mirah offers a behavioral health solution for patients, combining both a collaborative care model with software-based patient assessments.

Monogram Health is a care management and in-home service provider for patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD).

myLaurel is a provider of home-based acute care that works 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.

naviHealth is a provider of virtual and in-person care coordination and care navigation services to improve post-acute care outcomes.

Navina is a clinical summarization platform for primary care and value-based care focused on pre-visit chart preparation, accurate risk adjustment, and closing care gaps. Navina converts fragmented patient data into clinical summaries, diagnostic codes, and possible care gaps using data from EHRs, HIE records, patient-provided documents, and scanned documents.

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, practice optimization, care management, and contract implementation.

NeueHealth is a network of owned and affiliated providers that also offers physician enablement solutions to support value-based care delivery.

Novocardia is the value-based care division of Cardiovascular Associates of America (CVAUSA) and provides cardiology-specific value-based care solutions for payers and providers.

Nuna is a data and analytics company that specializes in value-based care performance management and contract and payments administration.

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.

Oncology Care Partners is a value-based oncology enabler and medical practice serving Medicare Advantage members.

OneOncology is a network of oncology practices and value-based care enabler for partner practices.

Oracle Cerner is a major EHR vendor and healthcare IT company offering RCM and population health management solutions.

P3 Health Partners is a population health management company that supports providers with administrative services and care coordination for Medicare Advantage patients.

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.

Panoramic is a value-based kidney care organization that enables nephrology practices through contracting, data and analytics, and care delivery support.

Pearl Health is a physician enablement company that partners with primary care physicians to transition to VBC, primarily focused on Medicare’s ACO REACH program, and provides technology and services to support VBC outcomes.

Phamily offers a Chronic Care Management solution, combining text-based patient communication and automated care management for patient care and organizational efficiency.

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.

PointClickCare PAC Network Management and Intelligent Transitions solutions facilitate transitions of care from acute to post-acute settings.

Privia is a national physician organization comprised of regional physician groups, provider networks organized in ACOs and IPAs, and MSOs offering administrative services focused on value-based care.

Raapid.ai uses AI and NLP to enhance risk adjustment and coding accuracy in healthcare.

Referwell is a care coordination platform that facilitates patient referral processes for health plans and health systems.

Signify Health delivers software and services that enable providers, health systems and payers in value-based care arrangements.

Somatus is a value-based kidney care company that enables practices through contracting, technology and analytics, and local care teams.

Sprinter Health is an on-demand mobile health company that sends full-time nurses and phlebotomists into the home.

Stellar Health is a technology company that helps primary care providers achieve value-based care goals and improve patient outcomes through point-of-care incentives.

Strive Health is a value-based kidney care company that enables health systems, payers, nephology practices and at-risk medical groups through technology and services.

Syntax is a value-based care contracting company that provides modeling and negotiation support for health plans, providers and employers.

Thyme Care is a value-based oncology company that provides care management services and technology for health plans, primary care practices, and oncologists.

Trella Health is a healthcare analytics company that offers data, analytics and consulting solutions primarily geared towards post-acute care and referral management.

Turquoise Health is a data platform that provides price transparency data and payer-provider contracting solutions.

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.

Ursa Studio is a platform that enables provider and payers to develop customized analytics for value-based care.

US Heart & Vascular is an enabler for independent cardiologists and partners with cardiovascular practices with to provide administrative services and access to financial benefits.

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.

Vim is a technology company that specializes in surfacing data at point-of-care to drive provider performance and value-based care outcomes.

Vytalize Health is a physician enablement company that partners with primary care physicians to transition to VBC, primarily focused on Medicare’s ACO REACH program, and provides technology and services to support VBC outcomes.

Wakely is an actuarial consulting firm that provides strategic advisory and risk management services to healthcare organizations.

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.

Yuvo Health is a value-based care enabler for Federally Qualified Health Centers.