Preferred Vendor Topics

Topic Number of Vendors
340B Drug Pricing 1
ACAP Strategic Ally 4
Accreditation/Quality/Regulatory Consulting 1
Actuarial and Data Services 3
Analytics Business Intelligence and Performance Management 10
Appeals & Grievances 2
Artificial Intelligence 1
Artificial Intelligence and Machine Learning 0
Behavioral Health 8
Brain Health 1
Business Continuity and Disaster Recovery 1
Business Development 3
Business Process & IT Services 5
Business Process Outsourcing 6
CAHPS 0
Capital Raises 1
Care Coordination 1
Care Coordination / Management Technology Solutions 7
Care for High Risk Members 12
Care Management 1
Caregiver Engagement 2
Clinical Data Connectivity 1
Clinical Operations 1
Clinical Operations Optimizations 0
Clinical Program Strategies 1
CMS Audit Support 3
CMS Compliance 1
CMS Compliance and Operations Support 2
Community Health Worker Management 1
Community-Based Organization Engagement 1
Competitive Positioning/Bid and Procurement Support 0
Compliance 1
Connecting Medicaid Members to SSI Benefits 1
Contact Center 2
Contraceptive Care Services 1
Coordination of Benefits 1
Core Administration Processing Solutions (CAPS) 3
Core Administrative System Implementations 1
Core Claim Administration Software for all Lines of Business 0
Cost Avoidance 1
Crisis Solutions 1
Cultural Competency Services and Training 3
Customized Training 1
Cybersecurity 2
Data Sharing and Analytics 3
Dental 3
Digital Engagement 2
Digital Engagement Platforms 7
Disease Management 5
Doula Support 0
DSNP Launch 23
Dual Eligible Outreach 1
Dual Eligible Strategy 4
Durable Medical Equipment Benefit Management (DBM) 0
Electronic Payments 1
Enrollment 1
Exchange Integration 1
Executive Search & Recruitment 2
FHIR Implementation Services 0
Fraud Waste & Abuse 6
Health Equity 0
Health Plan Administration and TPA 2
Hearing 0
HEDIS 1
HEDIS / Gaps in Care 9
HEDIS / Quality 0
HEDIS Compliance and Reporting 1
Home-based Monitoring (RPM & PERS) 1
Implementation Services 1
Individual & Group Enrollment and Premium Billing 1
Individual & Group Private Exchange Portal 1
Insurance/Reinsurance Brokerage & Consulting 2
Integrated Care 1
Integrated Care / Case Management IT Platforms 1
Integration and Aggregation Services 0
Interim Staffing 3
Interoperability 7
Interoperability & Data Exchange 2
Interoperability Compliance 1
Investment Banking 1
Lactation Support 0
Legal Services 1
LTSS Strategic Consultative and Clinical Services 1
LTSS Strategic Management & Clinical Services 2
LTSS/Dual Eligible Clinical Services 1
Managed Hosting Provider 0
Management Consulting 10
Marketing & Communications 1
Medicaid Retention 1
Medicaid Training 1
Medical Management 1
Medication Data 1
Member Acquisition 0
Member Assessments 2
Member Engagement 1
Member Engagement (Unable to Contact) 0
Member Outreach 0
Member Outreach (Multi-Channel) 0
Member Retention/SSI Advocacy 0
Member/Provider Communications Consulting and Software 3
Mobile Engagement 0
Mobile Engagement Solutions 2
Mock Audits - Medicaid/Medicare 0
Modernization: Analytics Operations and Systems 1
Modernization: Operations and Systems 0
Non-Emergency Transportation Management 5
Nutrition 7
Operational Effectiveness & Technology Consulting 4
Operations Consulting 1
Patient Engagement 3
Payer / Provider Collaboration 1
Payment Automation 0
Payment Fraud Prevention 0
Payment Integrity Operations 8
Performance Improvement 1
Pharmacy Benefit Management Consulting 2
Pharmacy Benefit Managers 4
Policy and Regulatory Support 1
Population Health 2
Population Health / Value Based Care Reporting 0
Population Health Management 8
Predictive Analytics 2
Prospective Pharmacy and Medical TPL Identification Services 1
Provider Credentialing 2
Provider Data Curation & Management 2
Provider Directory Solutions 2
Provider Network Adequacy 3
Provider Network Development 6
Quality and Regulatory Compliance Consulting 1
Redetermination 0
Reinsurance 3
Remote Patient Monitoring (RPM) 1
Retention Services 3
RFP Strategy and Response 6
Risk Adjustment 2
Risk Adjustment & Predictive Modeling 1
Risk and Compliance 1
Social Determinants of Health 35
Software Vendor 2
Specialty Pharmacy 3
Specialty Population Management 1
SSI Reclassification for Revenue Enhancement 1
Stakeholder Engagement 1
Strategic Consultants 6
Subrogation 0
Telehealth 5
Training and Education 1
Transportation 1
User Engagement Platforms 0
Utilization Management 1
Valuation 1
Value-Based Contract Design and Performance 11
Vision 4
Web Portals / SaaS 1