Benefit Design

Benefit Design Strategies for Employers

June 20-22, 2023 | Grand Hyatt, Washington, DC

Hello Heart

Founded in 2013, Hello Heart is the only digital therapeutics company to focus exclusively on heart disease, the leading cause of death worldwide. Through a connected mobile device that uses AI, behavioral science, and personalized digital coaching to drive lifestyle changes, Hello Heart empowers people to reduce blood pressure and predicts serious heart issues before they occur. Validated in peer-reviewed studies, Hello Heart is easy to use and works alongside an employer?s benefits ecosystem. Leading Fortune 500 employers are realizing immediate and sustained results for member engagement, clinical outcomes, and reduced cost of unnecessary cardiac procedures. Visit www.helloheart.com.

WebMD Health Services

WebMD Health Services has 17 years of experience driving positive behavior changes. Consumers trust WebMD for reliable, accurate and clear answers to their most pressing health-related questions. At WebMD Health Services, we tap into these valuable consumer insights to design and implement successful, engaging solutions to help individuals meet their well-being needs. We understand that there are numerous paths to reach well-being goals. Our expertise, combined with a variety of third-party partner integrations, enables us to deliver unique and personalized experiences across a wide range of industries. See how we support these diverse populations at webmdhealthservices.com.

Tria Health

Tria Health was founded on the belief that pharmacists play a vital role in the management of high-risk patients that drive the majority of health care spend. Medications treat chronic conditions, but research shows that 50% of patients do not take their medication as prescribed. Sixteen percent of US health care spend is related to non-optimized medication use. Tria’s Chronic Condition Management (CCM) is an effective and proven solution to uncover the “why” behind non-optimized drug use and prevent unnecessary health care claims from occurring.

Tria Health’s pharmacists work one on one with patients and their physician(s) to improve the patient’s health. This personalized approach is enhanced with technology using instantaneous readings from remote monitoring devices and intelligent data analysis to make sure the right patient is getting the right care at the right time. Without an effective CCM strategy, an employer’s high-risk population will continue to face wellness and financial obstacles.

Tria Health’s mission is to develop and maintain a partnership of trust with patients and their health care providers to deliver patient-centered, pharmacist-led, and technology-enable chronic condition management that results in optimal health outcomes.

Simplify Healthcare

Simplify Healthcare is one of the leading and fastest-growing healthcare technology solutions provider offering end-to-end solutions to address the pain points within health insurers. The company is one of the largest players in the benefit plan management vertical with deep expertise for Large/Small Groups, and Individual benefit plan management across all lines of business (Commercial, Medicaid, Medicare, and ACA QHPs).

Simplify Healthcare is also quickly emerging as a player in other areas including Provider Data, Directory, and Contract Management; Client Setup, Onboarding, and Enrollment Management; Member and Provider Benefit Inquiry; and Value-Based Payment Reconciliation.

The company also tripled its CMS PBP bid submissions for Medicare Advantage plans using Medicare Advantage plan management solution eMedicareSync™ and accounted for 25% of the total PBPs and 20% of the total EGWPs filed with CMS for 2021. In 2020, the company was ranked 164 in the Deloitte?s Technology Fast 500™ list and 645 in the Inc. 5000 America?s fastest-growing private companies list and was also recognized in Gartner’s 2020 Hype Cycle for U.S. Healthcare Payers report.

Quantum Health

Quantum Health is an award-winning consumer healthcare and benefits navigation company that delivers an unparalleled consumer experience based on empathy and trust, enabling employers to achieve industry-leading satisfaction rates and independently validated claim savings. Launched in 1999, Quantum Health?s model is based on years of consumer research and the insights learned from guiding millions of consumers and their providers through their healthcare journey. Based in Columbus, Ohio, Quantum Health has earned numerous awards and honors, including being named a Fastest-Growing Privately Held Company for the past nine years by Inc. 5000; one of the 50 Fastest-Growing Women-Owned/Led Companies for the past four years by the Women Presidents? Organization; a Best Place to Work for the past 13 years by Columbus Business First; and a Great Place to Work? Best Small & Medium Workplaces by FORTUNE Magazine and Entrepreneur Magazine. Learn more at Quantum-Health.com, and connect with us on Twitter (@QuantumHealth1), and LinkedIn (Company: Quantum Health).

Quantum?s unique ability to engage the member on average 60 days in advance of the first claim, together with our intense focus on the provider relationship as part of the healthcare journey, make us unique within the market.

Payer Compass

Payer Compass is restoring rationality to the cost of care. We tackle the most elusive problems in healthcare: spiraling costs and lack of price transparency. For health plans, we are minimizing overall spend on claims pricing, administration, and processing. For self-funded organizations, our solutions drive down healthcare claims reimbursement costs.

Lyra

Lyra is the leading mental health benefit partner for influential and innovative companies. Supporting 1 million members nationwide, Lyra brings together technology and an elite provider network to improve access, quality, and outcomes for your employees.

Green Imaging

Green Imaging is a full service medical imaging network owned and operated by a group of board-certified radiologists. Green Imaging operates in 40 states and helps patients make the most informed decisions about MRIs, CTs, and other imaging procedures. Unlike other imaging facilities, the cash-pay price Green Imaging provides is the final price you pay. There is no extra charge for the radiologist fee. Green Imaging believes that healthcare costs should be transparent.

Cariloop

Cariloop provides the world’s first human-powered Caregiver Support Platform to help working caregivers and families plan for and manage the care of their loved ones. The Platform pairs caregivers with a dedicated, experienced Care Coach who guides families through the many decisions they make over the length of their caregiving journey, all while collaborating on a digital care portal that helps families securely communicate across all their devices and store important health, financial and legal documents.