The 8th Annual
Medicare Advantage Leadership Innovations

Strategic Initiatives & Targeted Interventions to Boost Competitiveness as Dramatic Changes in Demographics, Member Preferences, & Regulations Sweep the MA Market in 2025

2025 Partners

EDUCATIONAL UNDERWRITERS

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Newton Smith Group is an expert advisory services firm providing consulting services to health plans, providers, vendors, VC/PE firms, associations and other professional service firms to help them optimize Medicare Advantage and Star Ratings performance. We provide an array of consulting services from strategic planning to tactical execution and fractional staff augmentation, aligning our services to each client's business preferences and objectives using a customized approach for every client.
Our team consists of experienced consultants with extensive experience in Medicare Advantage, Star Ratings and health plan leadership. We support defined projects, retained services and leadership development, with a goal of rapid success and long-lasting relationships. We combine our expertise with a forward-looking lens on regulatory and technical requirements to deliver effective, sustainable, future-proofed solutions to our clients.

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BeneLynk is a national provider of Social Determinants of Health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. We serve plans and their members by creating a human-to-human connection and providing the assistance a member needs to get the benefits they deserve.
By employing one dynamic conversation that flows organically to meet SDoH challenges, we build stronger human connections that are supported by innovative technology. Our mission is to improve lives and positively impact SDoH barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve.

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Birdsong Hearing Benefits™ LLC, is a hearing benefits manager that views hearing care as total care. We provide hearing benefits to Health Plans, Employers and Unions. Products include benefits for Medicare Advantage and Commercial lines of business. Through listening to health plans and groups, Birdsong has designed and built its products and services focused on you and your member’s experience. Birdsong delivers a whole health focus that helps plans and groups differentiate themselves from their competition. We provide superior quality of hearing care by being a provider partner of choice to a nationwide hearing care network of providers. Through partnering with Birdsong, a plan or group can gain valuable insights through Birdsong’s rich Hearing Health Intelligence Platform. Are you ready to hear more? Stop by our booth or go to BirdsongHearing.com. We would love to discuss how we can help you achieve your hearing benefit goals.

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Posit Science is the leading provider of clinically proven brain fitness training. Its exercises, available online at www.BrainHQ.com, have been shown to significantly improve brain speed, attention, memory and numerous standard measures of quality of life in multiple studies published in more than 100 peer-reviewed articles in leading science and medical journals. Three public television documentaries as well as numerous stories on news programs, in national magazines, and in major newspapers have featured Posit Science’s work. The company’s science team is led by renowned neuroscientist Michael Merzenich, PhD.

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Quest Analytics’ provider network decisioning platform and services are trusted by more than 400 clients, including all eight of the nation’s largest health plans, regulators, including the Centers for Medicare and Medicaid Services (CMS) and multiple state regulatory agencies, and many of the nation’s leading health systems and provider groups to measure, manage, monitor, and model provider networks with unparalleled precision and insights. Their mission is to elevate the health of communities across the nation through superior provider networks. The company helps 90% of all healthcare networks deliver differentiated member experiences, thereby impacting 90% of Americans’ ability to access quality healthcare. For more information, please visit Quest Analytics. 


SUPPORTING ORGANIZATIONS

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Why do marketers love using Hallmark cards? Because they’re opened, read, understood and acted upon better than any other marketing format. In a world where most marketing is largely ignored, Hallmark cards break through the online and offline advertising clutter, foster loyalty and increase ROI with your critical audiences. As the business-to-business unit of Hallmark Cards, Inc., Hallmark Business Connections focuses on ever-evolving cultural and relationship needs and helps companies leverage the unique permissions given to a Hallmark card to make deep emotional connections that influence behaviors and build lasting loyalty. Just like you rely on Hallmark to strengthen your personal relationships, you can count on us to keep your business going and growing.

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As Medicare health plans strive to improve outcomes and lower costs, they often overlook a critical element: the caregivers who play a pivotal role in members' health. With 85 to 95% of care occurring outside of clinical settings, the clinical education and support of caregivers have a significant impact on everything from medication adherence to readmission rates to end of life care. Family First provides the first claims validated ROI, expert-led, and clinically-proven caregiving solution for health plans, working closely with members and their families to uncover and resolve caregiving challenges. This approach not only lowers claim costs but also enhances outcomes and member satisfaction.

Family First's best-in-class Care Experts have decades of experience integrating clinical and social data to address barriers to care, ensuring that members receive holistic and comprehensive support. Our solutions are designed to reduce medical spend, boost member satisfaction, close care gaps, and improve Star Ratings and HEDIS measures. Partner with us to lead the way to better outcomes through caregivers.

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At Annova Solutions, we empower healthcare payers, particularly Medicare Advantage plans, to optimize performance and achieve superior outcomes. With expertise in V28 coding, concurrent coding, and AI-driven solutions, we help organizations improve financial accuracy, elevate data quality, and ensure regulatory compliance with ease.

We enable healthcare payers to enhance the member experience, boost Star Ratings and achieve operational excellence. Our focus on efficiency and quality improvement equips Medicare Advantage plans with the tools and expertise needed to drive better financial performance, maintain compliance, and achieve long-term success.

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EyeMed Vision Care is a leader in vision insurance benefits.1 We deliver stand-out vision benefits centered around an outstanding member experience focused on choice, convenience and savings. Our unmatched value helps offset rising healthcare costs and lowers member out-of-pocket costs. EyeMed boasts America’s largest vision network2 with a diverse network of independent ODs, retail and online providers, including LensCrafters, Pearle Vision and Target Optical. No wonder 99% of clients agree we deliver value, that’s why nearly 98% of EyeMed members use their benefits in network.1 EyeMed is a Top-Tier Partner of the OneSight EssilorLuxottica foundation, a registered charitable organization that helps create access to vision care for people in need globally. EyeMed is based in Cincinnati, Ohio. Learn more ateyemed.com or LinkedIn .

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Astrata is a digital quality company offering a suite of products and services for health plans and value-driven providers moving from paper-based clinical quality measures to digital clinical quality measures, as required by NCQA and CMS. Astrata’s products make it possible to better measure and improve healthcare quality, a foundation for moving to value-based care. Astrata’s value propositions include dramatic efficiency gains, higher clinical quality rates, and increased quality bonus payments.

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Better Health is transforming the way people manage chronic conditions through a support and supplies platform built on peer-to-peer connection. Connecting people with the right medical supplies and a peer coach who shares their medical condition, Better Health guides people through personalized support so they can age and thrive at home. The program drives engagement and adherence, improved health outcomes, and a lower cost of care, showing reduction in overutilization for 62% of members and improved mental health for 47%, while earning a 97% customer satisfaction rating. Operating in 48 states, Better Health is a trusted partner of top healthcare payers and providers including Medicare, Medicaid, Cigna, Humana, Florida Blue, and Oscar, among others. To learn more, visit joinbetter.com.

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Over The Counter Health Solutions (OTCHS) by CVS Health help consumers connect with their supplemental benefits, lower the cost of care and drive value for health plans and their members. With various products available, including our newly launched Flex Card which consolidates multiple benefit needs across a broad spectrum of services like healthy foods, dental, vision and hearing services, home health care, transportation, and more, OTCHS by CVS Health is able to customize a program to satisfy any plan’s need.

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Hello Heart provides the first app and connected heart monitor that helps people track and manage their heart health. High-risk users of Hello Heart have seen meaningful drops in blood pressure, cholesterol and even weight. Hello Heart is trusted by more than 120 national employers, health plans, and labor organizations, and is a best-in-class solution on the American Heart Association’s Innovators’ Network and CVS Health Point Solutions Management platform. Learn more at www.helloheart.com.

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Nokomis Health – together, we can make a difference

Imagine a payment integrity vendor that not only doubles your claims expense savings, but also partners with you to invest in your local community initiatives. With the lowest provider abrasion in the industry and a complete service that fits into your organizations process, what’s stopping you from talking to us? Nokomis Health is a post-adjudication prepayment vendor for payment integrity.Nokomishealth.com

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The Helper Bees is a nationwide leader of advanced technology solutions, providing Medicare Advantage plans with access to an innovative and scalable digital ecosystem. The homeAlign® platform automates provider credentialing, fulfillment, invoicing, and payment, enabling seamless administration of supplemental benefits. Through this platform, we connect millions of families with transformative non-medical in-home services. We facilitate payments for eligible products and services through the helpful™ card, a first-of-its-kind flexible spending card for members.

We partner with the world's largest Medicare Advantage plans, Long-Term Care Insurance carriers, and PACE providers to improve in-home care delivery and serve member populations regardless of need, geography, or regulatory climate. Find out more at thehelperbees.com..

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American Specialty Health Incorporated (ASH) is one of the nation’s premier independent and privately-owned specialty health organizations offering technology-enabled services for benefits management and administrative services for health plans, employers, associations, and others. ASH currently covers more than 60.1 million members nationwide. With offices in California, Indiana, and Texas, ASH has more than 1,700 employees. For more information about ASH, visit ASHCompanies.com. follow us on LinkedIn and Facebook ; or call 800-848-3555.

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Cecelia Health is a national virtual specialty medical practice. We address the whole person with proactive, personalized support focused on clinical, behavioral, social, and emotional needs across a range of care and cardiometabolic conditions. Our data-enabled integrated care solution is scalable for health plans, providers, health systems, and life sciences.

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Audicus is a leading Tele-audiology solution for health plans and payors. Over the past 12 years we have pioneered the process of remotely testing for hearing loss, customizing hearing aids and providing telecare support - all at a fraction of the cost, time and complexity of traditional network models.

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WEX is a global leader in financial technology solutions. We simplify the complexities of payment systems and account administration across continents and industries—including Fleet, Corporate Payments, and Benefits. With 16 million accounts managed on the WEX benefits platform and $10 billion in transactions processed during 2021, WEX is a leading benefits administrator. Our service teams are staffed with benefits experts, and we also provide a wide array of resources to help employers and plan participants understand and make the most of their benefit plans. More information can be found at www.wexinc.com.

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Founded in 2003, ATTAC Consulting Group (ACG) has been recognized as a premier national consulting and auditing firm serving insurers, managed care and provider organizations on issues related to Medicare Advantage, Part D, Medicaid, Duals Programs, ACOs and Health Exchange products. ACG specializes in regulatory compliance, auditing, operations and business process, along with medical and pharmacy management. ACG also provides Network Development for nationwide builds and support to maintain the accuracy of your provider data. ACG has delivered solutions and provided support for many of the nation’s top 10 insurers, along with Blue’s organizations, regional health plans, special-needs organizations, specialty insurers, health systems, ACOs, drug plans and the regulatory agencies that oversee the industry. At ACG, we’re passionate about our industry and passionate about getting it right. We’re proud of our reputation among industry leaders to perform detailed operational analyses and to design and deliver rock-solid end-to-end solutions. Our clients count on ACG to provide expert regulatory advice, to implement robust compliance solutions and to perform efficient, expert auditing. Our medical and pharmacy groups are guiding organizations in adoption of new models to manage care in a cost-effective way.

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Evolve partners with Medicare Advantage and Medicaid health plans for complete delegation of Home Modifications, Vehicle Modifications, Asthma Remediation, Assistive Technology, and Pest Control. Partnership includes network development, provider credentialing, provider relations, Fraud Waste and Abuse monitoring, and service coordination addressing the safety and accessibility issues in and around the member's home/environment. We take care management out of construction!

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Papa is a new kind of care, built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained and vetted companions, who provide a helping hand and an open ear, resulting in less loneliness and better health. Furthered by its remote team of social care navigators, Papa also offers ancillary outcomes-driven impact programs designed to help health plans improve health equity, enhance Star Ratings, and reduce costs. Learn more at papa.com

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