Company Category: Medicare and Medicaid

MERGE

Merge empowers healthcare organizations with advanced medical imaging solutions to enhance workflows, optimize care delivery, and improve patient outcomes. Trusted by 6 of the 10 largest U.S. health systems, Merge’s portfolio includes: Vendor-Neutral Archive (VNA) for secure, enterprise-wide data management, PACS with multi-specialty support and advanced mammography capabilities, Workflow Orchestration to streamline radiology operations with AI-powered caseload management, Cardiology solutions for improved hemodynamics workflows and comprehensive CVIS support, Digital Pathology solutions, delivered with Indica Labs, for streamlined pathology study management, Cloud-native solutions, providing secure, scalable, and efficient deployments for seamless data migration and storage. Learn more at merative.com/merge-imaging. | MERGE, the 2025 Modern Healthcare Agency of the Year, is a marketing and technology agency that helps brands navigate complex consumer journeys through data-driven “Whole Human Marketing.” We combine deep expertise in health and consumer behavior with strategy, creativity, experience technology, and digital marketing to design personalized experiences that drive meaningful results. MERGE helps brands build trust and drive growth by treating every member and patient as an audience of one.

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Medicomp Systems, Inc.

Medicomp Systems delivers the industry’s only comprehensive clinical data foundation, powering intelligent systems through its evidence-based Clinical Intelligence Engine, Quippe®. Healthcare faces a widening gap between data and clinical understanding – putting patient safety, compliance, burnout, and lost revenue at risk. Quippe uniquely solves this by connecting information across domains, normalizing inputs, and validating AI outputs — for accurate coding, compliant data, and trustworthy decisions at every point of care. Quippe works seamlessly with any EHR or health tech, delivering proven clinical and financial ROI, improved productivity and outcomes, reduced risk, and accurate reimbursement. | Medicomp delivers the industry’s only comprehensive clinical data foundation, powering intelligent systems through its evidence-based Quippe® Clinical Intelligence Engine. The gap between data and understanding in health IT is a crisis that risks patient safety, compliance, burnout, and lost revenue. Quippe solves this by connecting information across domains, normalizing inputs, and validating AI outputs — for accurate coding, compliant data, and trustworthy decisions at every point of care.

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Medicomp Systems, Inc.

Medicomp Systems delivers the industry’s only comprehensive clinical data foundation, powering intelligent systems through its evidence-based Clinical Intelligence Engine, Quippe®. Healthcare faces a widening gap between data and clinical understanding – putting patient safety, compliance, burnout, and lost revenue at risk. Quippe uniquely solves this by connecting information across domains, normalizing inputs, and validating AI outputs — for accurate coding, compliant data, and trustworthy decisions at every point of care. Quippe works seamlessly with any EHR or health tech, delivering proven clinical and financial ROI, improved productivity and outcomes, reduced risk, and accurate reimbursement. | Medicomp delivers the industry’s only comprehensive clinical data foundation, powering intelligent systems through its evidence-based Quippe® Clinical Intelligence Engine. The gap between data and understanding in health IT is a crisis that risks patient safety, compliance, burnout, and lost revenue. Quippe solves this by connecting information across domains, normalizing inputs, and validating AI outputs — for accurate coding, compliant data, and trustworthy decisions at every point of care.

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Medallion

Medallion is the only AI-assisted credentialing and enrollment platform with expert oversight — built to deliver speed and accuracy at scale, with contract-backed performance. Healthcare organizations are empowered to manage and grow their provider networks with unparalleled speed, accuracy and elevated provider satisfaction levels with our AI-assisted model — freeing teams to focus on what matters most: delivering care. Through this, Medallion enables healthcare organizations to prioritize clinical excellence instead of admin overhead. | Medallion is the only AI-assisted credentialing and enrollment platform with expert oversight — built to deliver speed and accuracy at scale, with contract-backed performance. Healthcare organizations are empowered to manage and grow their provider networks with unparalleled speed, accuracy and elevated provider satisfaction levels with our AI-assisted model.

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Luro Health

Luro Health is raising the bar of obesity care for patients served by Community Health Centers. We partner with CHCs to deliver evidence-based, multidisciplinary weight management through a turnkey virtual center of excellence. Designed for Medicaid populations, our approach expands access, improves outcomes, and reduces operational burden so community providers can sustainably support patients with obesity within existing clinical workflows.

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Logical Health

The payer-member relationship is broken. Members hate calling and navigating portals despite payers spending $16B/yr. Logical Health helps payers support the entire member journey (coverage, cost, appointment booking, claims) with agentic AI over text channels (SMS/WhatsApp/iMessage). Using neurosymbolic AI developed via Stanford research, we deliver instant, explainable answers that build trust. Our approach saved a large carrier $16M/year while improving member experience. Backed by A16z

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Lightbeam Health Solutions

Lightbeam Health is a proven, AI-enabled platform, solutions, and services leader for population health management. Lightbeam’s AI-enabled population health platform arms payers and providers with the data-driven solutions and services they need to facilitate care orchestration and improve patient outcomes while finding success in all value-based arrangements. Lightbeam Health services ACO REACH, MSSP ACO, Medicare Advantage, traditional Medicare, Medicaid, and commercial populations across the country. For more information, visit www.lightbeamhealth.com and follow Lightbeam on LinkedIn. | Lightbeam Health is a proven, AI-enabled platform, solutions, and services leader for population health management. Lightbeam’s AI-enabled population health platform arms payers and providers with the data-driven solutions and services they need to facilitate care orchestration and improve patient outcomes while finding success in all value-based arrangements. Lightbeam Health services ACO REACH, MSSP ACO, Medicare Advantage, traditional Medicare, Medicaid, and commercial populations in the US.

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Kizen

Kizen is the first end-to-end AI acceleration platform that empowers enterprise teams to infuse AI into their most critical workflows. We make it simple to build AI agents and modernize applications by using talking, typing, or using drag-and-drop tools. As a leader in AI education for compliant and impactful use, Kizen is on a mission to create a more fulfilling future for humanity. | Kizen delivers a unified AI workflow automation platform for healthcare. It supports health plans, hospitals, provider groups, care management, and public health organizations. Kizen automates enrollment, eligibility, prior auth, clinical and admin workflows, claims, compliance, and communications, helping teams improve efficiency, reduce cost, and create better experiences for staff and patients.

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Kaizen

Kaizen is a platform for innovative healthcare organizations to deploy browser automations in minutes. Kaizen workflows can log into any website, fill out any form, and extract any data. Kaizen has achieved 90% automation rates across insurance verification, payer enrollment, and RCM work like prior authorization and denials management.

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Inovalon

Inovalon (fka VigiLanz) is a leading provider of cloud-based SaaS solutions empowering data-driven healthcare. The Inovalon ONE® Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved clinical outcomes and economics across the healthcare ecosystem. For more information, visit www.inovalon.com | Inovalon is a leading provider of cloud-based SaaS solutions empowering data-driven healthcare. The Inovalon ONE® Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved clinical outcomes and economics across the healthcare ecosystem. For more information, visit www.inovalon.com

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