Rise

Luna

Advantmed is a healthcare solutions company dedicated to helping health plans, provider groups, and risk-bearing entities optimize revenue and improve quality outcomes. We achieve industry leading results through a suite of integrated prospective and retrospective solutions that support Medicare, Commercial, and Medicaid populations. Our solutions include:
• Health Assessments (virtual and in-home)
• Risk Adjustment Analytics
• Medical Record Retrieval
• Risk Adjustment Coding
• Second Level Coding Review
• Claims and Data Validation
• Clinical Abstraction
• NCQA-certified HEDIS measure software (certified since 2007)
• Provider Portal
For more information, visit www.advantmed.com or email marketing@advantmed.com.

Episource is a leading provider of risk adjustment services, software, and solutions for health plans and provider groups. As an integrated platform, Episource empowers Commercial, Medicare, and Medicaid payers and providers with end-to-end risk adjustment solutions, including risk adjustment analytics, medical record retrieval, medical chart coding, and encounter submissions.

To learn more, visit episource.com

Nelson Mullins Riley & Scarborough LLP is a multi-office professional services organization providing traditional legal services along with state and federal government contracts consulting and government relations services. The firm is organized as a South Carolina limited liability partnership and has a long history both in the courtroom and the boardroom. We have more than 1,000 attorneys and government relations professionals practicing in 33 offices. We are ranked 68th in the American Lawyer (Am Law) 100, and our client base includes Fortune 500 as well as mid-cap and small-cap companies. Nelson Mullins’ Healthcare Team provides legal representation attune to the sensitive nature and intensity involved in healthcare transactions, litigation, and regulatory matters.

Wakely is the premier source for healthcare actuarial consulting, helping clients understand the complex and evolving world of healthcare, using the best tools, talent, and data. Our consultants have substantive experience working with payers, purchasers, and healthcare providers. We help our clients succeed through disciplined and transparent work, assessment of options, creative problem solving, attention to deadlines, and the ability to clearly communicate and document complex issues. Wakely goes beyond the numbers.

AristaMD is a clinical services company that enables primary care providers to manage risk and deliver excellent patient care. AristaMD’s clinical care coordination services and network of specialists empower PCPs to deliver rapid access to specialty care, enhance population health management, and reduce costs. The company's innovative approach to risk management includes offering providers the ability to conduct eConsults or video consultations with board-certified specialists covering more than 70 specialties and subspecialties, ensuring that patients receive the right care at the right time, often with results delivered within a few hours.

Equality Health is a technology-enabled primary care platform that leverages the proven capabilities of value-based payment models to transform healthcare for diverse and often marginalized populations. From predictive modeling to advanced care-tracking tools, utilizing Equality Health's proprietary software, participating PCPs can streamline value-based administration and stay one step ahead of a patient's journey. Equality Health's care model is Medicaid-first in design, partnering with over 3,200 PCPs and 700,000 lives across Arizona, Texas, Tennessee and now both Louisiana and Virginia. Equality Health partners with practices to close care gaps, optimize performance, increase compliance, and improve profitability. Members engage with holistic and personalized programs delivered through the lens of social and cultural needs. Equality Health is revolutionizing how care is delivered by establishing critical linkages with payers, providers, members, and community resources.

For more information about Equality Health, visit equalityhealth.com or follow @EqualityHealth on Facebook, @EqualityHealth on Twitter, and @EqualityHealth on LinkedIn.

At On Belay, we believe that fixing healthcare starts with primary care. That’s why we are supporting primary care teams in delivering the best possible care for all their patients, while also ensuring their own well-being and sustainability. A strong and vibrant practice means better patient health and experience.

https://www.onbelayhealthsolutions.com

https://www.linkedin.com/company/on-belay-health-solutions/

Founded in 1998, PINNACLE has achieved incredible success and seen explosive growth over the past two and a half decades. With a team of more than 200 talented professionals, PINNACLE has become a well-recognized healthcare consulting firm delivering industry-leading solutions to hospital systems, medical practices, healthcare technology companies, value-based entities, ambulatory enterprises, nonprofit organizations, and life science companies nationwide.

While PINNACLE’s footprint has significantly changed over the past 25 years, its mission and vision remain the same. Mission: deliver healthcare advisory, consulting, and focused operational support services to manage risk, improve performance, and create innovative solutions. Vision: invest in people who create a dynamic organization exceeding client expectations.

Some of our Healthcare Consulting Solutions include:

• Business Valuation & Co-Branding FMV
• Clinical Affairs & Compliance Services
• Coding, Compliance & Revenue Cycle Services
• Compensation Valuation & Provider Arrangements
• Enterprise Risk & Healthcare Operations Management Support
• KOL Certification & Rate Sheet Development
• Medical Group Operational Assessment
• Performance Improvement
• Physician, Hospital Alignment & Integration
• Quality Management Systems
• Real Estate Consulting
• Regulatory & Submission Services
• Rural Hospital Nephrology Partner
• Strategy, Operations & Marketing Support
• Supply Chain, Operational and Cost Reduction
• Transaction Support Services & Valuation
• Value-Based Care & ACO Development

SpectraMedix delivers the complete picture of value-based performance to drive operational excellence and accelerate performance improvement for health plans and health systems across the spectrum of value-based contracts. Our comprehensive, end-to-end platform empowers organizations with transparency into financial performance, quality, risk and utilization to help them establish trust with providers, maximize revenue and scale their value-based arrangements. 

Biomedix features a range of diagnostic device technologies designed for point-of-care testing for prospective risk assessments and closing HEDIS measures. All technologies automatically sync results to a web-based population health management tool called Biomedix Xchange.

Our portfolio of diagnostic capabilities include:
1. Peripheral Artery Disease detection with our PADnet Xpress
2. Diabetic retinopathy screening with the IRIS platform
3. Osteoporosis screening with the BeamMed MiniOmni
4. Peripheral neuropathy detection with the NeuroMetrix DPNCheck
5. COPD detection with ndd Medical
6. Depression screening
7. Screening for personality disorder
8. Fall risk assessments
9. Social Determinants of Health assessments

Leveraging a history of more than 1 million peripheral vascular disease tests and artificial intelligence technology, we offer PADnet Xpress, the fastest and most accurate way to diagnose peripheral vascular disease. For more information, visit biomedix.com.

Digital Scientists, a US-based healthcare technology consulting and delivery firm, specializes in value-based care. Leveraging data, analytics, and AI, we empower organizations by facilitating successful transition from fee-for-service to value-based care. Post-transition, we provide assistance in optimizing reimbursement, risk management, streamlining provider-patient interaction, and cost reduction, all while upholding high standards of care and compliance. With a skilled team of senior experts, our technology services span enhancing care coordination to implementing patient risk stratification and harnessing AI in coding, HEDIS, MDS, CMS-audits for actionable insights.

Edifecs provides market-leading technology to its payer and health system customers, which serve nearly 300 million people in the U.S. healthcare market. Edifecs solutions enable customers to aggregate, normalize, and unify data with its Best in KLAS interoperability platform. Edifecs’ solutions incorporate natural language processing, machine learning, and artificial intelligence to provide deeper insights into patients, populations, and processes. Edifecs customers include 24 of the 25 top commercial health plans in the country, 27 out of 34 of the Blue Cross Blue Shield payers, 35 of the 50 Medicaid programs, and 5 out of 10 of the largest health systems.

Want to improve Risk Adjustment coding speed and accuracy, minimize risk of coding errors, and boost productivity and efficiency? Consider HCC Coder™ - the only software available for Risk Adjustment coding that was built from the ground up by medical coders, for medical coders. HCC Coder boosts productivity and efficiency using an interface that is intuitive; one that has been refined to move step-by-step along with your coding/auditing process. It’s packed with all of the content you need and eliminates everything else. You won’t have to wade through irrelevant information to find the Hierarchical Condition Category codes most relevant to your work.

Interwell Health

Medline takes pride in bringing together products, processes and people to deliver fully functional medical supply solutions. As your partner, our goal is to provide a positive experience and optimal health for your members. We strive to assist your organization with maintaining or improving your HEDIS Scores and Star Ratings through our numerous supplemental benefit solutions including, OTC, Food, Member Kits, At-Home Testing, and more.

As the largest privately owned manufacturer and distributor of medical products, we offer a large selection of products and brands in the areas of wound care, incontinence, diabetes, urology, ostomy, diagnostics and more. We are strategically partnered with industry leading food, hearing, and at-home testing companies to bring the highest quality of care to your members. We have nationwide experience leveraging agility and scale to provide best in class service with an industry leading network of 45+ privately owned distribution and warehousing solutions that are strategically located to offer unsurpassed service.

We’re evolving health care so everyone can have the opportunity to live their healthiest life. Together, for better health.

Syntax Health revolutionizes value-based care with the first and only two-sided actuarial platform for modeling and contracting incentive arrangements. Syntax is an enterprise SaaS-based solution that accelerates alignment between payors and providers. The dynamic platform removes friction from contracting using analytics, automation, and a collaborative workspace. The team-centric solution drives transparency and facilitates best-fit model design in real-time. Syntax clients are seeing quantifiable results–including faster time to contract and more equitable and achievable VBC agreements.

Access exclusive content including previous newsletters, recordings of roundtable discussions, and more at https://www.thebusinessofprimarycare.com/