managed-care

Managed Care Contracting Analytics report analyzing payer reimbursement performance using DAX time intelligence, Reimbursement Index, and Variance from Benchmark to support managed care contract negotiation strategy

CareBridge is a home and community-based healthcare company that delivers 24/7 virtual and in-home care coordination to high-risk, largely Medicaid populations on behalf of health plans.

Shurpa was a healthcare logistics startup and a Techstars 2019 portfolio company, building a medical transportation management software platform focused on the population health and managed care space (AI-enabled coordination of non-emergency medical transportation and in-home healthcare services).

Amerigroup is a US health insurance company specializing in publicly funded health care, offering Medicaid managed care coverage to low-income families, children, pregnant women, seniors, and people with disabilities.

Health Net is a managed care organization offering health benefits to individuals, families, businesses, and beneficiaries of government sponsored programs. Health Net is a wholly owned subsidiary of Centene Corporation, one of the largest managed care companies in the United States.

Triple-S Management Corporation is the largest managed care company in Puerto Rico in terms of membership, providing health, life, and property and casualty insurance. A subsidiary of GuideWell (parent of Florida Blue), Triple-S operates as an independent licensee of the Blue Cross Blue Shield Association for Puerto Rico and the U.S.

Ping An HealthKonnect (Ping An Healthcare Technology), founded in September 2016 and headquartered in Shanghai, is a technology-driven managed care platform in China. As an AI-powered big data platform it brings together patients with providers of health insurance and medical services, offering budget planning, precision healthcare, medical…

BrightSpring Health Services is a leading Fortune 500 provider of comprehensive home and community-based health services for complex populations. The company operates across three primary service lines: Provider Services (home health, rehabilitation, neurorehabilitation, personal care), Pharmacy Services (specialty infusion, home and…

Independence Health Group is the Philadelphia-headquartered parent holding company of Independence Blue Cross (the Blue Cross and Blue Shield licensee for southeastern Pennsylvania), AmeriHealth Administrators (a national third-party benefits administrator), and AmeriHealth New Jersey.

AmeriHealth Caritas is one of the largest Medicaid managed care organizations in the United States, serving roughly five million members across Medicaid, Children's Health Insurance Program (CHIP), dual-eligible Medicare-Medicaid (D-SNP), Medicare-Medicaid LTSS, and Marketplace lines of business across thirteen states plus the District of…

Centene Corporation is a leading managed care organization providing government-sponsored healthcare programs including Medicaid, Medicare, and Health Insurance Marketplace plans. Centene operates a developer portal at partners.centene.com publishing FHIR-based interoperability APIs under the 21st Century Cures Act and CMS Interoperability and…

Independence Blue Cross (IBX) is the Blue Cross Blue Shield Association licensee for southeastern Pennsylvania (Bucks, Chester, Delaware, Montgomery, and Philadelphia counties) and a subsidiary of Independence Health Group, Inc., the parent holding company that consolidated IBX, AmeriHealth (commercial, including AmeriHealth New Jersey and the…