Preferred Vendors

Specialized listings: D-SNP Services | Member Contact Update | Entering the Marketplace | AI Services

Preferred Vendor Connection Portal for Members and Preferred Vendors

Showcases: SDOH 2024 | SDOH 2023 | D-SNP, MLTSS, Medicare Advantage | Value-Based Payment

2024 ACAP Politics and Policy Update for Preferred Vendors: Video Slide Deck

Resources for Members (login required): Preferred Vendor Education Series Videos

Interested in becoming an ACAP Preferred Vendor? Contact Sherry Rohlfing.

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Our Strategic Allies

Belong Health

ACAP Strategic Ally, Care for High Risk Members, DSNP Launch, Dual Eligible Strategy, Health Plan Administration and TPA

CuraFi

ACAP Strategic Ally, Analytics Business Intelligence and Performance Management, Reinsurance

HealthEdge

ACAP Strategic Ally, Care Coordination / Management Technology Solutions, Digital Engagement Platforms, DSNP Launch, HEDIS / Gaps in Care, HEDIS Compliance and Reporting, Interoperability, Mobile Engagement Solutions, Social Determinants of Health

Softheon

ACAP Strategic Ally, Exchange Integration, Individual & Group Enrollment and Premium Billing, Individual & Group Private Exchange Portal, Interoperability, Interoperability & Data Exchange

AArete

Analytics Business Intelligence and Performance Management, Artificial Intelligence, Management Consulting, Payment Integrity Operations

ACAP Advisors

Interim Staffing

Activate Care

Care Coordination / Management Technology Solutions, Digital Engagement Platforms, Social Determinants of Health

Alaffia Health

Fraud Waste & Abuse, Payment Integrity Operations, Software Vendor

Alera Health

Behavioral Health, Integrated Care, Value-Based Contract Design and Performance

Alivi Health

Dental, Non-Emergency Transportation Management, Social Determinants of Health, Vision

Altarum

Behavioral Health, Care Coordination / Management Technology Solutions, LTSS Strategic Management & Clinical Services

Anoteros

Business Process & IT Services, Management Consulting, Operational Effectiveness & Technology Consulting

Attane Health

Disease Management, HEDIS, Nutrition, Social Determinants of Health

Azara

Data Sharing and Analytics, Payer / Provider Collaboration, Population Health Management, Social Determinants of Health

Beacon Healthcare Systems

Appeals & Grievances, CMS Audit Support, CMS Compliance and Operations Support, Compliance, Enrollment, Fraud Waste & Abuse, Social Determinants of Health

BrainHQ

Behavioral Health, Brain Health, Population Health

Cain Brothers

Capital Raises, Investment Banking, Valuation

CAQH

Payment Integrity Operations, Provider Credentialing, Provider Directory Solutions

CareBridge

Care for High Risk Members, DSNP Launch, Dual Eligible Strategy, LTSS Strategic Consultative and Clinical Services

Carelon Behavioral Health

Behavioral Health, Crisis Solutions, Specialty Population Management

Catalyst Solutions

Business Process & IT Services, Business Process Outsourcing, Contact Center

Cityblock Health

Behavioral Health, Care for High Risk Members, DSNP Launch, Dual Eligible Outreach, Social Determinants of Health

ClarisHealth

Fraud Waste & Abuse, Modernization: Analytics Operations and Systems, Payment Integrity Operations

Cody Consulting Group

Appeals & Grievances, CMS Audit Support, DSNP Launch, Member/Provider Communications Consulting and Software

Cognizant

Business Process Outsourcing, Core Administration Processing Solutions (CAPS), Software Vendor

Coordinated Transportation Solutions

Non-Emergency Transportation Management, Social Determinants of Health

COPE Health Solutions

Analytics Business Intelligence and Performance Management, Management Consulting, Population Health Management, Social Determinants of Health

Curatus LLC

Interoperability Compliance, Provider Data Curation & Management, Provider Directory Solutions, Provider Network Adequacy

DataLink

Analytics Business Intelligence and Performance Management, DSNP Launch, HEDIS / Gaps in Care, Interoperability

DeltaSigma

Business Development, Clinical Program Strategies, Strategic Consultants

DentaQuest

Dental, DSNP Launch, Vision

DRG Claims Management

CMS Audit Support, DSNP Launch, Fraud Waste & Abuse, Payment Integrity Operations

Edifecs

Data Sharing and Analytics, Interoperability, Population Health Management, Predictive Analytics, Risk Adjustment, Value-Based Contract Design and Performance

EX Program by Truth Initiative

Behavioral Health, Care for High Risk Members, Digital Engagement Platforms

Express Scripts by Evernorth

Behavioral Health, Pharmacy Benefit Managers, Social Determinants of Health, Specialty Pharmacy, Telehealth

Finity

Care for High Risk Members, Digital Engagement Platforms, HEDIS / Gaps in Care, Social Determinants of Health

First Databank

Analytics Business Intelligence and Performance Management, Medication Data, Member/Provider Communications Consulting and Software, Social Determinants of Health

Foodsmart

Nutrition, Population Health Management, Social Determinants of Health, Telehealth

Forvis Mazars

DSNP Launch, Provider Network Development, Social Determinants of Health, Telehealth, Value-Based Contract Design and Performance

Freespira

Behavioral Health, Care for High Risk Members, Social Determinants of Health

FTI Consulting

DSNP Launch, Operations Consulting, RFP Strategy and Response, Risk and Compliance

Good Leadership

Management Consulting, Strategic Consultants

Great Blue Research

Member Assessments, Non-Emergency Transportation Management, Patient Engagement

HealthAxis

Business Process Outsourcing, Core Administration Processing Solutions (CAPS), Health Plan Administration and TPA

HealthCare Dynamics International (HCD International)

Care Coordination / Management Technology Solutions, HEDIS / Gaps in Care, Population Health Management, Social Determinants of Health

Healthcare Fraud Shield

Fraud Waste & Abuse, Payment Integrity Operations

Healthmine

Digital Engagement Platforms, HEDIS / Gaps in Care, Patient Engagement, Social Determinants of Health, Value-Based Contract Design and Performance

HFI

Connecting Medicaid Members to SSI Benefits, SSI Reclassification for Revenue Enhancement

HMA – Health Management Associates

DSNP Launch, Management Consulting, Retention Services, RFP Strategy and Response, Social Determinants of Health, Value-Based Contract Design and Performance

Horman Actuarial Solutions

Actuarial and Data Services, Management Consulting, Quality and Regulatory Compliance Consulting, Value-Based Contract Design and Performance

Imagenet

Business Process & IT Services, Business Process Outsourcing, Contact Center

J2 Health

Provider Data Curation & Management, Provider Network Adequacy, Provider Network Development

Medicaid Learning Center

Medicaid Training, Training and Education

MedImpact Healthcare Systems

Pharmacy Benefit Managers

Merit Create

Marketing & Communications, Member Engagement, Social Determinants of Health, Stakeholder Engagement

Metre

Business Development, RFP Strategy and Response, Strategic Consultants

Milliman

Actuarial and Data Services, Analytics Business Intelligence and Performance Management, DSNP Launch, Pharmacy Benefit Management Consulting

Modivcare

DSNP Launch, Non-Emergency Transportation Management, Nutrition, Remote Patient Monitoring (RPM)

Mom’s Meals

DSNP Launch, Nutrition, Social Determinants of Health

Monroe Plan for Medical Care

Analytics Business Intelligence and Performance Management, Care for High Risk Members, DSNP Launch, Integrated Care / Case Management IT Platforms

Morgan Consulting Resources

Executive Search & Recruitment, Interim Staffing

mPulse

Digital Engagement Platforms, Interoperability, Member/Provider Communications Consulting and Software, Retention Services, Web Portals / SaaS

MTM

Care Coordination, Caregiver Engagement, DSNP Launch, Non-Emergency Transportation Management, Social Determinants of Health

NationsBenefits

Care Coordination / Management Technology Solutions, Nutrition, Social Determinants of Health, Transportation

Navitus Health Solutions

Pharmacy Benefit Managers

Nokomis

Analytics Business Intelligence and Performance Management, Fraud Waste & Abuse, Payment Integrity Operations

Noridian Healthcare Solutions

Business Process Outsourcing, CMS Compliance, Provider Credentialing

North Compass Solutions

Cultural Competency Services and Training, DSNP Launch, Management Consulting, Operational Effectiveness & Technology Consulting

NourishedRx

Disease Management, DSNP Launch, Nutrition, Social Determinants of Health

Online Business Systems

Business Continuity and Disaster Recovery, Business Process & IT Services, Cybersecurity

Optum Advisory

CMS Compliance and Operations Support, Core Administrative System Implementations, DSNP Launch, Operational Effectiveness & Technology Consulting, Retention Services, Social Determinants of Health, Value-Based Contract Design and Performance

Pair Team

Care Coordination / Management Technology Solutions, HEDIS / Gaps in Care, Population Health Management, Social Determinants of Health, Value-Based Contract Design and Performance

Pear Suite

Community Health Worker Management, Community-Based Organization Engagement, Social Determinants of Health

PerformRx

340B Drug Pricing, Pharmacy Benefit Managers, Specialty Pharmacy

Pinnacle Brokers

Insurance/Reinsurance Brokerage & Consulting, Reinsurance

PPSV

PQS – Pharmacy Quality Solutions

Analytics Business Intelligence and Performance Management, Data Sharing and Analytics, Performance Improvement

Quality Interactions

Cultural Competency Services and Training

Reeder and Associates

Executive Search & Recruitment, Interim Staffing

Risk Strategies

Cybersecurity, DSNP Launch, Insurance/Reinsurance Brokerage & Consulting, Reinsurance

Rovicare

Care Coordination / Management Technology Solutions, Interoperability & Data Exchange, Provider Network Adequacy, Provider Network Development

RxDiet

Disease Management, Nutrition, Patient Engagement, Social Determinants of Health

Sagitec

Digital Engagement Platforms, Medicaid Retention, Mobile Engagement Solutions

Sellers Dorsey

Dual Eligible Strategy, RFP Strategy and Response, Strategic Consultants

Siftwell Analytics

HEDIS / Gaps in Care, Population Health, Risk Adjustment & Predictive Modeling, Social Determinants of Health

SKYGEN

Core Administration Processing Solutions (CAPS), Dental, Vision

Spring Street Exchange

Management Consulting, Social Determinants of Health, Strategic Consultants

Strive Health

Care for High Risk Members, Disease Management, Population Health Management, Value-Based Contract Design and Performance

Syrtis Solutions

Coordination of Benefits, Cost Avoidance, Prospective Pharmacy and Medical TPL Identification Services

Tegria

Business Process & IT Services, Interoperability, Management Consulting, Operational Effectiveness & Technology Consulting, Telehealth

Telligen

Care for High Risk Members, LTSS Strategic Management & Clinical Services, Utilization Management

The Menges Group

Dual Eligible Strategy, RFP Strategy and Response, Strategic Consultants, Value-Based Contract Design and Performance

The Oncology Institute of Hope and Innovation – TOI

Care for High Risk Members, Provider Network Development, Social Determinants of Health, Specialty Pharmacy

The Pharmacy Group

Business Development, Pharmacy Benefit Management Consulting, Predictive Analytics

Toney Healthcare

Accreditation/Quality/Regulatory Consulting, Clinical Operations, DSNP Launch, Medical Management

UPMC Benefit Management Services

Business Process Outsourcing

Upstream USA

Contraceptive Care Services, Customized Training, Implementation Services

Vesta Healthcare

Caregiver Engagement, DSNP Launch, Home-based Monitoring (RPM & PERS), LTSS/Dual Eligible Clinical Services, Value-Based Contract Design and Performance

Violet

Cultural Competency Services and Training, Provider Network Development, RFP Strategy and Response, Social Determinants of Health

Virtix Health

Clinical Data Connectivity, Member Assessments, Social Determinants of Health, Telehealth

VSP Vision Care

HEDIS / Gaps in Care, Vision

Wakely

Actuarial and Data Services, DSNP Launch, Provider Network Development, Risk Adjustment

Waymark

Care for High Risk Members, HEDIS / Gaps in Care, Social Determinants of Health

Wellbridge Health

Care for High Risk Members, Digital Engagement, Disease Management, Social Determinants of Health

ZAHealth

Analytics Business Intelligence and Performance Management, Management Consulting, Policy and Regulatory Support

Zelis

Digital Engagement, Electronic Payments, Payment Integrity Operations

ZeOmega

Care Management, Interoperability, Population Health Management, Social Determinants of Health