Preferred Vendors

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

Members / Vendors Only (login): Preferred Vendor Education Series Videos | ICHRA Learning Series |  Connection Portal

Showcases: Interoperability and Prior Authorization | Community Engagement and Redetermination | AI and Data Tools | Member Engagement and Retention | D-SNP, MLTSS, MA | SDOH

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

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Our Strategic Allies


HealthEdge

ACAP Strategic Ally, Appeals & Grievances, Artificial Intelligence, Care Coordination / Management Technology Solutions, Care for High Risk Members, Care for High Risk Populations, Care Gap Closure Programs, Care Management, Caregiver Engagement, Claims, Clinical Operations, Core Administration Processing Solutions (CAPS), Core Claim Administration Software for all Lines of Business, Digital Engagement, Digital Engagement Platforms, Disease Management, DSNP Launch, Electronic Payments, HEDIS, HEDIS / Gaps in Care, HEDIS / Quality, HEDIS Compliance and Reporting, Integrated Care, Integrated Care / Case Management IT Platforms, Interoperability, Interoperability Compliance, Medical Management, Member Assessments, Member Engagement, Mobile Engagement, Modernization: Operations and Systems, Patient Engagement, Payment Automation, Payment Integrity Operations, Population Health, Population Health / Value Based Care Reporting, Population Health Management, Provider Data Curation & Management, Social Determinants of Health, Software Vendor, User Engagement Platforms, Utilization Management

Softheon

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

Foodsmart

ACAP Strategic Ally, Nutrition, Population Health Management, Social Determinants of Health, Telehealth

Abacus Insights

Data Sharing and Analytics, Enterprise Data, Interoperability

ACAP Advisors

Interim Staffing

Activate Care

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

Advocatia Solutions

Medicaid Retention, Member Engagement, Social Determinants of Health

Alaffia

Fraud Waste & Abuse, Payment Integrity Operations, Software Vendor

ALIGNMT AI

Analytics Business Intelligence and Performance Management, Artificial Intelligence and Machine Learning, Fraud Waste & Abuse

Anoteros

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

Ash

Care Gap Closure Programs, HEDIS / Gaps in Care, Remote Patient Monitoring (RPM), Social Determinants of Health

ATI Advisory

DSNP Launch, Policy and Regulatory Support, RFP Strategy and Response, Value-Based Contract Design and Performance

Autonomize AI

Artificial Intelligence and Machine Learning, HEDIS / Gaps in Care, Stars Improvement, Utilization Management

Azara

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

Cain Brothers

Capital Raises, Investment Banking, Valuation

Camber

Behavioral Health - ABA/Autism, Claims, Fraud Waste & Abuse

CaryHealth

AI Automations and Insights, Care Gap Closure Programs, Pharmacy Services, Stars Improvement

Catalyst Solutions

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

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

CureIS Healthcare

Analytics Business Intelligence and Performance Management, Artificial Intelligence and Machine Learning, Business Process & IT Services, Stars Improvement

DataLink

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

Delfina

Artificial Intelligence and Machine Learning, Disease Management, Maternal Health, Social Determinants of Health

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, Stars Improvement

Drive Health

AI and Tech Enablement, Operational Efficiencies, Social Determinants of Health

Edifecs

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

Emids Technology

IT Professional Services, Social Determinants of Health

Evernorth Health Services

Behavioral Health, Pharmacy Benefit Managers, Social Determinants of Health, Specialty Pharmacy, 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, RADV Audit, RFP Strategy and Response, Risk and Compliance

Good Leadership

Management Consulting, Strategic Consultants

Harmonetiks

Self Care, Social Determinants of Health

HealthCare Dynamics International (HCD International)

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

Healthcare Fraud Shield

ABA Fraud/Abuse, Fraud Waste & Abuse, Payment Integrity Operations

Helios Connect

Community-Based Organization Engagement, Member Engagement, Social Determinants of Health

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

Homestyle Direct

Home Delivered Meals, Nutrition, Social Determinants of Health

Imagenet

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

Incuvio

CSNP DSNP and ISNP Services, Population Health Management, Social Determinants of Health, Value Based Care Consulting

Integra Partners

DMEPOS Medical Benefit Management, DMEPOS Network & Utilization Management, Durable Medical Equipment Prosthetics Orthotics & Medical Supplies (DMEPOS)

Ironwood Health

DSNP Launch, Implementation Services, Management Consulting, Value Based Care Consulting

Kinetik

Interoperability, Non-Emergency Transportation Management, Social Determinants of Health

Me+U Care

CAHPS, Care Coordination / Management Technology Solutions, Caregiver Engagement, Caregiver Support, Member Engagement, Social Determinants of Health, Stars Improvement

Medical Review Institute of America

Appeals & Grievances, Utilization Management

MedImpact Healthcare Systems

Pharmacy Benefit Managers

MedScope, A Medical Guardian Company

Care Gap Closure Programs, Personal Emergency Response Systems, Social Determinants of Health

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

Mostly Medicaid

ABA Fraud/Abuse, Business Strategy and Development, Management Consulting, RFP Strategy and Response, Social Determinants of Health, Stars Improvement

mPulse

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

MTM Health

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

MySwaddle

Artificial Intelligence and Machine Learning, Maternal Health, Social Determinants of Health

Navitus Health Solutions

Pharmacy Benefit Managers

Nest Health

Behavioral Health, HEDIS / Gaps in Care, Maternal Health, Social Determinants of Health, Stars Improvement

Netmark Business Services

Business Process & IT Services, Business Process Outsourcing, Claims

Nokomis

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

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

Outcomes

Adherence Monitoring, HEDIS / Gaps in Care, Medication Management

Pallas Consulting Services

ABA Fraud/Abuse, Business Strategy and Development, Management Consulting, RFP Strategy and Response, Stars Improvement

Paytient

Electronic Payments, Member Engagement

Pear Suite

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

Perkins Coie

Legal Services

Pinnacle Brokers

Insurance/Reinsurance Brokerage & Consulting, Reinsurance

PPSV

Legal Services

PQS – Pharmacy Quality Solutions

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

ProgenyHealth

Care Coordination, Care for High Risk Populations, Maternal and Infant Health

Reeder and Associates

Executive Search & Recruitment, Interim Staffing

Risk Strategies

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

Rivera

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

Rovicare

ABA Fraud/Abuse, Care Coordination / Management Technology Solutions, Interoperability & Data Exchange, Provider Network Adequacy, Provider Network Development, Stars Improvement

Sellers Dorsey

Dual Eligible Strategy, RFP Strategy and Response, Stars Improvement, Strategic Consultants

Shield Healthcare

Disposable Home Medical Supply Benefit Management, Stars Improvement

Siftwell Analytics

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

SKYGEN

Core Administration Processing Solutions (CAPS), Dental, Vision

Smart Data Solutions

Claims, Clearinghouse, Intelligent Medical Records

Spiras Health

Care for High Risk Members, Care Gap Closure Programs, Disease Management, Social Determinants of Health

Spring Street Exchange

Management Consulting, Social Determinants of Health, Stars Improvement, Strategic Consultants

Syrtis Solutions

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

Telligen

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

TenderHeart Health Outcomes

Durable Medical Equipment, HEDIS / Gaps in Care, LTSS/Dual Eligible Clinical Services

The Menges Group

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

The Pharmacy Group

Business Development, Pharmacy Benefit Management Consulting, Predictive Analytics

TOG Network Solutions

Actuarial and Data Services, CMS Audit Support, Network Development

Toney Healthcare

Accreditation/Quality/Regulatory Consulting, CAHPS, Clinical Operations, DSNP Launch, Medical Management, RADV Audit, Stars Improvement

Trualta

Brain Health, Care for High Risk Members, Caregiver Support

UPMC Benefit Management Services

Business Process Outsourcing

Upstream USA

Contraceptive Care Services, Customized Training, Maternal Health

Upward Health

Behavioral Health, Care for High Risk Members, Dual Eligible Strategy, Social Determinants of Health, Stars Improvement

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

Voyageur Health Advisory

Actuarial and Data Services, Business Strategy and Development, Management Consulting, Stars Improvement

VSP Vision Care

HEDIS / Gaps in Care, Vision

Wakely

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

Wild Blue Health Solutions

ACA Marketplace and other new market entries, Social Determinants of Health, Strategic Consultants

ZAHealth

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

Zelis

Digital Engagement, Electronic Payments, Payment Integrity Operations

Zest Health

Cost Avoidance, Dermatology, Telehealth

Zyter | TruCare

Artificial Intelligence, Care Management, Social Determinants of Health, Utilization Management