Healthcare Resource Directory · Curated by IHES
26 companies · 3 segments

Payer, Financial & Payment Solutions Companies

Health insurance companies, payment processors, revenue cycle services, patient financing, and the financial-technology vendors building infrastructure for healthcare claims, payments, and reimbursement. The financial plumbing of U.S. healthcare.

8 companies

Health Plans / Benefits

  • Aetna

    CVS Health subsidiary offering health insurance products including medical dental and pharmacy benefits.

  • Anthem Blue Cross Blue Shield

    Health benefits company providing medical insurance plans through the Blue Cross Blue Shield network.

  • Centene Corporation

    Diversified healthcare enterprise providing Medicaid managed care and specialty services to government-sponsored programs.

  • Cigna Healthcare

    Global health services company providing medical dental and behavioral health insurance plans.

  • Humana

    Health and wellness company specializing in Medicare Advantage and commercial health insurance plans.

  • Kaiser Permanente

    Integrated managed care consortium providing health plans and hospital-based care across multiple states.

  • Molina Healthcare

    Managed care company providing Medicaid and Medicare health plans to low-income individuals and families.

  • UnitedHealthcare

    Largest US health insurer offering commercial and government health plans to employers and individuals.

5 companies

Payment / Fintech

  • AccessOne

    Patient financing company providing flexible payment programs that help hospitals collect more while improving patient experience.

  • ClearBalance

    Zero-interest patient financing and loan programs that help hospitals reduce bad debt and improve patient satisfaction.

  • Flywire

    Patient payment technology that simplifies complex healthcare billing with flexible payment plans and price transparency.

  • Patientco

    Patient payments platform that consolidates hospital bills and offers digital payment options for consumers.

  • VisitPay

    Patient financial engagement platform offering personalized payment plans and billing transparency for health systems.

13 companies

Payment Integrity / Risk

  • 3M Health Information Systems

    Provides CDI coding and classification solutions that ensure accurate clinical documentation and revenue integrity.

  • Aledade

    Value-based care platform that helps physician practices build and manage accountable care organizations.

  • Arcadian

    Risk adjustment and quality analytics platform that enables providers to succeed in value-based payment arrangements.

  • Caravan Health

    ACO management services company that helps rural and community hospitals participate in Medicare shared savings programs.

  • Craneware

    Provides automated revenue integrity solutions including chargemaster management and charge capture for hospitals.

  • Dolbey

    Provides CDI and coding workflow solutions that help hospitals ensure documentation accuracy and compliant charge capture.

  • Evolent Health

    Clinical and administrative platform that enables health systems to transition to and succeed in value-based care models.

  • Iodine Software

    AI-powered clinical documentation integrity platform that improves coding accuracy and revenue capture for health systems.

  • Lumeris

    Value-based care management company providing population health analytics and ACO operating infrastructure to health systems.

  • Nuance Communications

    AI-powered clinical documentation and CDI solutions that improve physician documentation accuracy and hospital revenue.

  • Privia Health

    Technology-driven platform that helps physician groups operate high-performing accountable care organizations.

  • RevSpring

    Revenue integrity and patient engagement platform that optimizes billing communications and payment processes.

  • Signify Health

    Value-based care platform providing in-home health evaluations and risk adjustment analytics for health plans and providers.