Specialty Care Management (SCM) provides an innovative risk solution that normalizes claim costs and brings them back under control. Specializing in program designs for renal claims, cancer management, transplants, clinical underwriting consulting, and negotiation services, SCM helps clients reclaim their claim spend and experience maximized savings every time. When dealing with something as complex and confusing as high-cost insurance claims, simplicity is key. SCM’s solution is simple and straightforward, with a program that pays for itself the first time it is used. With no guesswork or games, clients experience normalized claim costs that are consistently under control. For more information, visit www.specialtycm.com.
Omada Health is a chronic care integrated healthcare provider. The company’s virtual-first, integrated care programs help people make lasting health changes that truly change their lives. That's why organizations choose its data-driven care solutions to drive lower costs and better outcomes. Omada aims to inspire people to make lasting health changes on their own terms: The company partners with health plans and employers to equip members with personalized tools, resources, and support to improve their health one step at a time. For more information, visit www.omadahealth.com.
Northwell Health provides care in hundreds of locations and within all Northwell Health hospitals throughout New York City and across Nassau, Suffolk, and Westchester counties. Experts in more than 100 specialties, Northwell works together as a medical group using the health system's leading resources and research. Bringing the most current advances to patients, it continually raises the standard of health care. Northwell believes every role, every person, and every moment matters. Northwell puts its patients at the center of everything it does while acting on core values: caring, excellence, innovation, and integrity. For more information, visit www.northwell.edu.
Nayya provides transparency and support with benefits, delivering a benefit experience your employees deserve. Its patented system uses machine learning to create a personalized benefits recommendation engine. No one can predict the future, but Nayya can paint a more complete picture so employees can feel confident in the benefits decisions they are making for themselves and their families — and knowing their data is safe. This is a game-changing solution for employers, carriers, brokers, benefits advisors, and ben-admin platforms seeking to drastically improve the employee benefits experience during open enrollment, new hire onboarding, QLEs, and all year. For more information, visit www.nayya.com.
LCMC Health is a New Orleans-based nonprofit health system on a mission to provide the best possible care for every person and parish in Louisiana and beyond — putting a little more heart and soul into healthcare along the way. Treating people like family is the LCMC Health way, and it always has been. Its healthcare system is built to serve the unique needs of communities and families across New Orleans, the Gulf Coast, and beyond. For more information, visit www.lcmchealth.org.
When selecting a pet insurance company as a partner in your pet’s care, you deserve a company that has your pet’s best interest at heart. Embrace Pet Insurance is a family, and when you Embrace your pet, you sign up for more than just insurance — you become part of the family. Embrace Pet Insurance promises to provide genuine support and certainty when pet parents need it most. For more information, visit www.embracepetinsurance.com.
As a direct-to-employer medical provider, Eden Health offers a new, collaborative approach to employee health. Its mobile app allows easy access to primary care, mental healthcare, and insurance navigation. Every employee population has different needs, so Eden Health customizes its offerings accordingly. It works with existing software and insurance plans to coordinate a seamless onboarding experience for its clients. For more information, visit www.edenhealth.com.
Beam Benefits is best-known for modernizing dental insurance with a first-of-its-kind connected toothbrush that allows groups to earn lower insurance rates based on their dental hygiene. Beam set out to modernize dental benefits, and they succeeded. Now they have turned their expertise to a full portfolio of ancillary employee benefits. For more information, visit www.beambenefits.com.
Accolade empowers doctors and providers to tailor their approach to each individual and make a difference in their lives, human to human. Their True Health Engine uses real-time data to detect important health events, flag life-saving early interventions and recommend the next best actions. Their 24/7 Care Team connects with each person to provide them with personalized support. The company gets your people and their families to the right care because they see them as they are, in all their humanity. The result? Better health outcomes. Greater job satisfaction. And lower costs for you. For more information, visit www.accolade.com.
Midi is a virtual clinic that provides specialty care for women 40-plus. It uses video visits to connect people with clinicians trained specifically in perimenopause, menopause, and other aspects of female midlife health. The company collaborates with patients to improve their symptoms with a care plan personalized to their medical history, genetics, and approach to health. Midi care is holistic, which means it may include prescription drugs, supplements and botanical remedies, wellness therapies, and lifestyle coaching. Midi orders any blood work or imaging needed to track and treat patients’ unique hormonal transition, referring patients to regular doctors or specialists for any necessary in-person care. For more information, visit www.joinmidi.com.
Carrot Fertility is the leading global fertility benefits provider for employers, built to support employees through their entire fertility health care journey. Companies use Carrot to customize a fertility benefit that provides employees financial, medical, and emotional support as they pursue parenthood, resulting in better clinical outcomes. Carrot’s program includes egg freezing, in vitro fertilization, donor and gestational carrier services, adoption, and many other services. Founded in 2016, Carrot has raised funding from U.S. Venture Partners, F-Prime Capital, CRV, Precursor Ventures, Maven Ventures, Sound Ventures, and Uncork Capital. For more information, visit www.carrotfertility.com.
Hinge Health is building the world’s most patient-centered Digital Musculoskeletal (MSK) Clinic™. It is now the leading Digital MSK Clinic, used by 4 in 5 employers and 90% of health plans with a digital MSK solution. Hinge Health reduces MSK pain, surgeries, and opioid use by pairing advanced wearable sensors and computer vision technology with a comprehensive clinical care team of physical therapists, physicians, and board-certified health coaches. Hinge Health’s HingeConnect integrates with nearly 1 million in-person providers and enables real-time interventions for elective MSK surgeries, driving proven medical claims reduction. Available to millions of members, Hinge Health is widely trusted by leading organizations such as Land O’Lakes, Salesforce, Self-Insured Schools of California, Southern Company, State of New Jersey, US Foods, and Verizon. For more information, visit www.hingehealth.com.
GoodRx is the first and only prescription drug price comparison tool created for consumers with prices from pharmacies nationwide. The company gathers current prices and discounts on medications to help members find the lowest-cost pharmacies for their prescriptions — all 100% free with no registration required. GoodRx’s founders are seasoned technology executives who were early employees at Facebook, Yahoo, and other successful companies. The company has received seed funding from Founders Fund, GRP Partners, Highland Capital, SV Angel, Lerer Ventures, and others. For more information, visit www.goodrx.com.
The Mark Cuban Cost Plus Drug Company aims to fundamentally change the way the pharmaceutical industry operates. As a public-benefit corporation, its social mission of improving public health is just as important as the bottom line. The company transparently charges a standard markup on every drug it sells. With the launch of its online pharmacy’s first inventory of 100 affordable generic drugs in January 2022, establishment as a vertically integrated pharmacy benefits manager, and construction of a state-of-the-art pharmaceutical factory in Dallas slated for completion by the end of 2022, the company is well on its way to making medication affordable for all. For more information, visit www.costplusdrugs.com.
Tuned is on a mission to empower hearing health for all. Why? They believe in the expertise of audiologists. They believe in the power of the audiology community. They believe the current model limits the value audiologists can bring. They believe in going beyond fitting and dispensing. They believe in the audiologist-patient relationship. They believe in personalizing the patient's hearing care experience. They believe in building the infrastructure for a new wave of hearing care. They believe in unlocking the scope of hearing care. They believe in hearing care for all. Visit www.tunedcare.com
Maven Clinic is focused on changing the health of the world — one woman and one family at a time. Its founders believe that improving care for women and families can help create a more equitable healthcare system and a better world for us all. Visit www.mavenclinic.com
NourishedRx is a passionate team of healthcare professionals, food entrepreneurs, and data scientists united by thier belief that nutritious food and social interaction are strong determinants of good health and a life well-lived. Visit www.nourishedrx.com
Plansight is a comprehensive RFP platform that fosters collaboration between brokers and carriers to create an efficient, dynamic, and transparent renewal experience. Visit www.plansight.com
Out-Of-Pocket is making the business of healthcare easy to understand. Sign up for Out-Of-Pocket’s free email to get analysis on healthcare trends as well as some solid industry memes. Visit www.outofpocket.health
Flossy is a team of dentists, technologists, and designers who were frustrated with the high cost of dental insurance that doesn’t actually cover much — and the tedious process of searching for and booking a high-quality dentist at an affordable price. Flossy eliminates the need for confusing dental insurance by offering a pay-as-you-go membership that delivers excellent dental care at up to 50% off what dentists normally charge. Visit www.flossy.com
Sano Surgery aims to make healthcare affordable and accessible globally. While some western governments have initiated single-payer or universal strategies, there is still an accounting of the ever-increasing expenses of medical treatments. Meanwhile, countries like the U.S. have a healthcare system that’s fraught with challenges brought on by regulatory, political, and corporate conflicts. Sano alleviates those challenges by direct contracting with physician-owned facilities and buyers of medical treatments. At Sano Surgery they believe medical treatments prices and high-quality outcomes are a result of transparent, all-inclusive, and consumable prices. Visit www.sano.healthcare
Big Tree Medical Home is a group of medical professionals who think of themselves as people who enjoy helping patients by hacking the healthcare system. The team at Big Tree leverages modern technology to help patients who have little access to care. Visit www.bigtreemedicalsolutions.com
Insurance Office of America (IOA), is a full-service insurance agency and one of the fastest-growing independent agencies in the United States. Headquartered in Longwood, Florida, IOA has more than 1,300 associates located in 60-plus office locations in the U.S. and the United Kingdom. Visit: www.ioausa.com
Health Transformation Alliance's purpose is to improve health outcomes for people and their families. Their Members’ healthcare benefits are more effective and affordable because they improve the quality and efficiency of care for their employees, retirees, and their families. Harnessing the power of data is essential to fixing our broken healthcare system, and aggregated data from HTA Member companies provide insights far beyond what a single company can produce. Visit htahealth.com.
The Surgery Center of Oklahoma is a 32,535 square foot, state-of-the-art multispecialty facility in Oklahoma City, owned and operated by approximately 40 of the top surgeons and anesthesiologists in central Oklahoma. If you have a high deductible or are part of a self-insured plan at a large company, you owe it to yourself or your business to take a look at our facility and pricing which is listed on this site. If you are considering a trip to a foreign country to have your surgery, you should look here first. Finally, if you have no insurance at all, this facility will provide quality and pricing is unmatched. Visit surgerycenterok.com.
Sesame is a marketplace with a full range of health services designed for value-conscious patients and patients who pay all or a lot of the health care directly out of pocket. Sesame is a marketplace where provider doctors, nurse practitioners, physician assistants, labs and outpatient clinics can offer services directly to those patients for fixed prices. Patients have the opportunity to do some shopping around and get to know the provider. Visit sesamecare.com.
Green Imaging is a full service virtual medical imaging network owned and operated by a group of board-certified radiologists. Green Imagine helps patients make the most informed decisions about MRIs, CTs, and other imaging procedures. Green Imaging believes that healthcare costs should be transparent. In addition to imaging, they provide a full complement of radiology services for physicians and other referral sources. Visit greenimaging.net.
Sidecar Health is working hard to create an insurance solution that, simply put, helps people get the health care they need. Sidecar Health is working toward their mission by introducing a new kind of insurance that puts members in the driver’s seat of their health care. Sidecar Health believes that by offering people complete transparency into coverage and costs, plus control over where they receive care, they can save the United States $1 trillion in health care costs annually. Visit Sidecarhealth.com.
Ro is the healthcare technology company building a patient-centric healthcare system. Ro’s vertically integrated primary care platform powers a personalized, end-to-end healthcare experience from diagnosis, to delivery of medication, to ongoing care. With a nationwide provider network, in-home care API, and proprietary pharmacy distribution centers, Ro seamlessly connects telehealth, diagnostics, and pharmacy services to provide high-quality, affordable healthcare without the need for insurance. Visit Ro.co.
Turquoise Health simplifies how healthcare gets paid. As it stands, healthcare revenue cycle is a zero sum game that results in higher prices. Turquoise Health is building software to make pricing clearer, simpler and lower cost. Turquoise Health engages with well-intentioned providers and payers that want to work together to create price transparency for patients and employers. Turquoise Health's vision is a not-so-distant future where prices have menu-like clarity at a fair market rate. Visit turquoise.health.
The idea of knowality began when the founder, Trent Haywood, MD, JD, experienced firsthand how difficult it can be for innovative companies to enter the complex and potentially strange world of healthcare. The labyrinth of providers, payers, and regulatory agencies entangled the best of startups and limited the ability to deliver value. If there could be a firm that specialized in venture services in the same manner that firms specialize in venture capital, healthcare startups could significantly enhance chances of success and reduce costs of market adoption. Visit knowality.com.
SimplePay reimagines the way healthcare works, removing the administrative, educational, and financial barriers that patients face today. How is that possible? Simple Pay makes it easy and affordable for people to choose the best care. That leads to better utilization, healthier outcomes, and lower costs for everyone. Simply put, Simple Pay brings health care together. Visit simplepayhealth.com.
Cocoon is the first full-suite software solution to remove the manual, heavy-lift from complex leave processes all HR departments must tackle. The Cocoon platform is designed to address every type of employee leave (i.e. parental, medical, bereavement, or any other type), across all 50 states, handling everything from compliance to claims management to payroll calculations. It factors in all state, federal, company, and insurance benefits to demystify, simplify, and streamline the leave experience for both employees and HR teams. Visit meetcocoon.com.
Olavi Group's focus is analytics, the simplest and most robust health insurance benchmarking. Olavi Group offers unique data sets and tools for startups and brokers. Visit olavigroup.com.
Paytient is an employer - or health plan - sponsored payment platform for medical expenses. Alongside any health plan, Paytient enables every member to access care earlier without financial harm. Paytient brings employees access to health care by helping them afford the out-of-pocket costs. Each time an employee uses their Paytient card, Paytient funds the transaction. The doctor’s office, hospital, or pharmacy gets paid in full at that time. Allowing the employees to get the care they need, without jeopardizing their financial wellbeing. Visit Paytient.com.
Founded in 1996, Competitive Health builds virtual health solutions, including its own customizable platform, ShowBenefits. Utilizing award-winning digital health programs and more than 22 telehealth specialties, Competitive Health provides unlimited access and unprecedented savings to its clients and their members. Last year, Competitive Health saved employer groups, insurance carriers, third-party administrators, and affinity groups more than $100 million dollars. The ShowBenefits platform is 100 percent configurable. Clients can customize their benefit packages and load them directly into an app for their members. From telehealth to advocacy and chronic care, each implementation is completely tailored to fit the client’s business. From there, members can access medical ID cards, copays, deductibles, and other benefit information in one tool. For more information, visit competitivehealth.com.
In the United States, medical expenses cause nearly two-thirds of personal bankruptcies. In these cases, approximately 75 percent of individuals have health insurance. To combat this, Redirect Health has reimagined the health care journey. They design, broker, and administer end-to-end group health care plans that help Americans make informed decisions on how to find the best solutions to their medical needs. Redirect Health’s data-driven technology and experienced team navigates the uncertainties of the health care system, empowers primary care practitioners, and eliminates unnecessary administrative costs, anytime and anywhere. For more information, visit redirecthealth.com.
Healthcare Bluebook, an industry leader in health care quality and price digital navigation is now tackling pharmacy costs with the recent launch of Bluebook RxSM, a new solution that helps employers and other health plan sponsors better understand and optimize their prescription drug spending. Bluebook Rx is an integrated solution that analyzes millions of pieces of pharmacy claims data to guide customers toward savings. Now, health plans, employers, and members can:
• Identify overpriced medications,
• Find clinically effective, lower-cost alternatives,
• Access personalized savings reports,
• Access concierge services, including Bluebook’s licensed pharmaceutical team, to help guide decisions.
For more information, visit healthcarebluebook.com.
Flume is the first ever platform built specifically to run plans in the modern, fragmented health care ecosystem. They make it easy for HR and financial leaders who are opinionated about their group’s health plan to build tailored benefit designs. Members have a single front door to all benefits and predictive care coordination (via the Flume Workflow Rules Engine®) that helps proactively drive utilization and mitigate risk. Employers have a single source of truth to monitor and control their plan. From design through launch and reporting, all data and financials are cleanly available so they can make actionable decisions year-over-year. For more information, visit flumehealth.com.
Prairie Health is a mental health company delivering highly advanced, personalized care. Prairie Psychiatry, Prairie’s medication management service, offers individuals two options to get started: QuickStart and PrecisionStart. QuickStart allows patients who know what medication works best for them to start care right away. PrecisionStart provides patients with a free genetics test, delivered to their door, to personalize care and help individuals find the right medication, faster. Both options allow patients to see an expert psychiatrist online, with appointments, medication delivery, refills, and progress tracking made easy. Eighty-five percent of people experience fewer symptoms just weeks after starting. Greater than 60 percent of members indicate they’d be “very disappointed” if Prairie were not to exist. Prairie offers a modern mental health care experience that patients, providers, health plans, and employers love. For more information, visit prairiehealth.co.
Gravie is a health benefits company that continues to push the status quo, offering disruptive, consumer-centric solutions such as Comfort, an innovative health plan that is changing the game for employers and their employees. Comfort provides 100 percent coverage on most common health care services, with no member cost-sharing for preventive care, urgent care, specialist visits, labs and imaging, generic prescriptions, and more. Employers save an average of 19 percent when making the switch to Gravie, and this year, so far, Comfort members have accessed more than 5,000 health care services without paying a dime out of pocket, putting them on a path toward better health and well-being. With competitive plan perks—online care, virtual fitness, and more—in combination with a unique customer service model and new flexible payment option powered by Paytient, Gravie offers a better health benefits experience that employers and employees love. For more information, visit gravie.com.