America’s Health Insurance Plans (AHIP)

America’s Health Insurance Plans (AHIP ) is a national association representing nearly 1,300 member companies providing health insurance coverage to more than 200 million Americans. Our member companies offer medical insurance, long-term care insurance, disability income insurance, dental insurance, supplemental insurance, stop-loss insurance and reinsurance to consumers, employers and public purchasers. »

Casenet

At Casenet®, we believe all individuals should be able to achieve maximum health with the right coordinated health management. We deliver unmatched flexibility to coordinate care management programs using our comprehensive and extensible, enterprise care management platform – TruCare®. TruCare includes case, disease, utilization and home and community-based services management as well as online and mobile tools for individual health and total population management. »

Change Healthcare

Change Healthcare is inspiring a better healthcare system. Working alongside our customers and partners, we leverage our software and analytics, network solutions and technology-enabled services to help them improve efficiency, reduce costs, increase cash flow and more effectively manage complex workflows. Together, we are accelerating the journey toward improved lives and healthier communities. »

Dell

Dell is an end-to-end service provider of IT and business solutions for health plans. Our level of service differentiates us from other companies with a business model that emphasizes listening to and engaging with our customers. We are equipped to partner with health plans, enabling payers to address their strategic vision of being a member-centric organization while remaining competitive in the evolving consumer-driven market. »

Dynamic Healthcare Systems

Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid, and Marketplace lines of business striving to succeed amid new and evolving regulatory requirements. Headquartered in Irvine, California, the company brings world-class innovations to companies serving the government-regulated healthcare populations. Our deep experience in government healthcare, coupled with a proven track record, makes Dynamic a premier solutions provider that you can count.  »

HealthCare Information Management, Inc. (HCIM)

Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered technology solutions and consulting services to health care payers and managed care organizations.  HCIM’s innovative products augment your existing core claims transaction system and streamline your claims and authorizations operations through business process automation. Our leading edge products greatly improve turnaround times, reduce inventories, and optimize accuracy, which results in a rapid return on investment and significant time and cost savings.  »

HealthDay

HealthDay is a leading producer and syndicator of health news and is the largest syndicator of that news to Internet sites. HealthDay’s news service is helping managed care organizations encourage members to take charge of their health by featuring health tips containing practical advice for living a healthier lifestyle, FDA approvals, as well as helpful news. »

Healthwise

Reach more members with consistent health education from Healthwise. Healthwise solutions extend across the entire care continuum for cost-effective care management and shared decision making. Healthwise products, integrated within HealthTrio Connect, contribute to better outcomes and lower costs. Healthwise, a nonprofit organization, helps people make better health decisions. 1.800.706.9646. For more information, please visit: www.healthwise.org »

McKesson

McKesson Corporation, currently ranked 11th on the FORTUNE 500, is a healthcare  services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. »

Payspan

PaySpan is the market leader in healthcare payment and reimbursement automation, representing more than 700 payers and 700,000 provider payees that deliver care and benefits to more than 94 million covered lives. With more than 25 years of expertise, PaySpan is a trusted source of innovative healthcare solutions that are Empowering the Healthcare Economy®. »

PCG Software, Inc

Virtual Examiner® is a cost-containment software with over 30 million AMA and CMS based rules and 2 million MediCal edits. Virtual Examiner enhances recovery and fraud and abuse detection. Open architecture facilitates customization. Virtual Examiner provides the information necessary for your organization to reach financial success and meet health care compliance requirements. »

PDHI

PDHI is a technology services organization that licenses the ConXus Platform for delivering workplace wellness and population-health-management programs. ConXus solutions are integrated, flexible, and secure. Built from a single database and common platform, the ConXus Platform provides seamless data integration and a consistent user interface across multiple devices.  The platform supports multiple branding and service-level options. »

RAM Technologies

RAM Technologies is the leading provider of customized enterprise software solutions for healthcare payers.

For over 30 years RAM Technologies has led the way in the creation of superior software solutions for health plans serving Managed Medicaid, Medicare Advantage, Commercial, and Federal Employee Health Programs. For more information, please visit: www.ramtechnologiesinc.com »

QualMetrix

QualMetrix is a leading provider of healthcare analytics and actionable insights driven by the intellectual capital of our team of medical directors and experts. We drive cloud-based solutions driven innovative reports to payers, providers, employers and risk- based entities. Our platform is user friendly, intuitive, and driven to support lower costs, higher quality and client satisfaction. »

Visual Vault

Secure, store, track and connect information across networks, departments, systems and throughout your entire medical enterprise.  Offered as a robust, document content digital storage/retrieval system or a complete Healthcare Information Management platform utilizing workflow automation tools, VisualVault integrates healthcare data with all digital assets—including unstructured data—across the enterprise. »