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.
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.
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.
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.