PopHealthCare
PopHealthCare, established in 2012 and headquartered in Tempe, Arizona, specializes in data analytics solutions for the healthcare industry. The company offers RiskSight, a risk adjustment and revenue management tool, and CareSight, a high-risk population care program. Their services include member identification, outreach, health and risk assessments, care coordination, and longitudinal care for complex conditions. PopHealthCare serves a wide range of clients, including health plans, provider organizations, accountable care organizations, and hospitals, participating in various healthcare programs. The company aims to improve member health outcomes and satisfaction while helping partners enhance revenues, quality scores, and reduce medical costs. As of 2017, PopHealthCare operates as a subsidiary of GuideWell Mutual Holding Corporation.
Educerus Health
Acquisition in 2014
Educerus Health, LLC is a clinical services organization based in Lincolnshire, Illinois, specializing in targeted risk adjustment solutions for the Medicare Advantage industry. Founded in 2011, the company focuses on providing clinically-driven in-home screening programs that emphasize the evaluation and diagnosis of key chronic conditions, particularly chronic kidney disease. Its primary offering includes a member wellness and provider education program designed to facilitate early detection and diagnosis, thereby enhancing patient care and supporting healthcare providers in managing chronic conditions effectively.
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