Centene

Wayspring, formerly known as Axial Healthcare, Inc., is a Nashville-based company that develops a cloud-based clinical decision support platform aimed at managing the cost and quality of patient care, particularly in the realm of substance use disorders (SUD). The platform connects patients, healthcare providers, and health plans, offering individualized solutions that span the entire spectrum of substance use, from risk assessment to recovery. It includes features such as predictive analytics and a decision-support system that provides insights into pain management and opioid-related risks. The technology facilitates data-driven decision-making at the point of care, equipping healthcare professionals with essential tools and information to identify at-risk patients and ensure continuity of care. Through its interactive platform, Wayspring aims to improve healthcare outcomes by mending fragmented care systems and supporting patients on their recovery journey.

Main Street Health is a value-based healthcare provider dedicated solely to rural America. The company was founded in 2021 and is headquartered in Nashville, Tennessee.

Vida Health is a virtual care platform designed from the ground up to treat multiple chronic health conditions simultaneously, through a balance of machine learning that personalizes each person’s treatment and a human connection with real life health coaches and therapists who bring the empathy and accountability people need to reach their goals.

Magellan Health is a healthcare management organization based in Avon, Connecticut, founded in 1969. The company specializes in managing behavioral healthcare, diagnostic imaging, and pharmacy benefit administration. It provides a range of managed care services to health plans, employers, labor unions, military and governmental agencies, and third-party administrators. In addition to its core offerings in behavioral healthcare and diagnostic imaging, Magellan Health also delivers employee assistance program services and specialty pharmaceutical services, aiming to enhance the quality and efficiency of healthcare for its diverse clientele.

Diameter Health, Inc. develops innovative software solutions aimed at enhancing data interoperability for healthcare organizations. The company's flagship product, Fusion, facilitates intelligent data exchange by normalizing and cleansing information from certified electronic health records (EHRs), thereby transforming it into clinically relevant data for point-of-care use and analytics. In addition to Fusion, Diameter Health offers various tools, including Data Dashboard, which provides instant data quality ratings and metrics for clinical document accuracy; Quality, which supports certified quality reporting of e-measures; and Payer Edition, designed for generating standard supplemental reporting data. Other offerings include Subscribe, which allows for automatic updates for specific patient populations, and a scalable Hosted Solution. Diameter Health serves a diverse clientele, including government agencies, health information exchanges, payers, healthcare IT vendors, life insurers, and health systems. Founded in 2013, the company operates from its offices in Farmington, Connecticut, and Wellesley, Massachusetts.

PANTHERx Rare, LLC is a pharmacy company dedicated to providing specialized medications and services for patients with rare diseases, including conditions such as HIV/AIDS, multiple sclerosis, and various transplant-related ailments. Founded in 2011 and based in Pittsburgh, Pennsylvania, the company partners with pharmaceutical and biotech manufacturers, as well as healthcare providers, to deliver comprehensive patient care. PANTHERx Rare offers a range of services, including patient and pharmacy information management, authorization support, financial assistance, and inventory management. By focusing on clinical excellence and access solutions, PANTHERx Rare aims to transform the lives of patients facing rare and severe health challenges. As of late 2020, PANTHERx Rare operates as a subsidiary of Centene Corporation.

Apixio, Inc. is a data science company focused on healthcare, providing a cognitive computing platform designed to enhance risk adjustment and care delivery. Founded in 2009 and based in San Mateo, California, Apixio offers several key solutions, including the HCC Profiler, a risk adjustment application that utilizes artificial intelligence to analyze medical charts and Medicare-reported chronic condition data. This tool improves the accuracy and efficiency of medical coding, addressing gaps and inaccuracies while enhancing financial reporting and care quality. Additionally, Apixio provides the Quality Identifier, which helps health plans and providers gain critical patient insights, and the Compliance Auditor, a solution for validating risk adjustment chart coding for insurers. By transforming unstructured clinical data into actionable information, Apixio's platform supports targeted care delivery and aids in determining payments for patients enrolled in Medicare Advantage.

Hazel Health, Inc. is a healthcare company focused on enhancing access to medical care for K-12 students. Founded in 2015 and headquartered in San Francisco, California, Hazel Health provides a telehealth platform that allows students to consult with doctors via live video, whether they are at school or home. By partnering with schools and school nurses, the company delivers both physical and behavioral healthcare services, ensuring that students receive timely medical attention. The platform enables healthcare professionals to address a variety of health concerns and, with parental approval, prescribe over-the-counter medications or call in prescriptions. This approach aims to support student health, ultimately keeping them healthy and ready to learn.

Quartet Health, Inc. is a healthcare technology company that operates a cloud-based platform designed to enhance communication and collaboration between medical and behavioral health providers. Founded in 2014 and based in New York, the company partners with health plans and health systems to deliver actionable insights and reports on behavioral health conditions, ultimately aiming to improve patient outcomes. Quartet's platform facilitates access to suitable mental health care tailored to individual preferences and clinical needs, ensuring that care is compatible with patients' insurance plans. By connecting physicians, mental health providers, and insurance companies, Quartet seeks to improve the overall health of patients while also reducing healthcare costs.

A leader in medical research, teaching and patient care, Washington University School of Medicine is currently ranked fourth in the nation by U.S. News & World Report. The School’s 2,100 employed and volunteer faculty physicians and clinicians -- known as Washington University Physicians -- are also medical staff members of Barnes-Jewish and St. Louis Children’s hospitals. The clinical practice group provides care to more than 430,000 children and adults at 49 clinical sites annually. Together, the institutions located on the Washington University Medical Center campus employ more than 21,000 clinicians, scientists, residents, fellows, administrators and support staff.

WellCare Health Plans, Inc. is a managed care organization that specializes in government-sponsored health services, operating primarily in Medicaid and Medicare programs. Founded in 1985 and headquartered in Tampa, Florida, the company serves a diverse membership base, focusing on families, children, seniors, and individuals with specific medical needs. WellCare operates through three main segments: Medicaid Health Plans, which cater to low-income families and individuals; Medicare Health Plans, providing services to eligible seniors and some disabled individuals; and Medicare Prescription Drug Plans (PDPs), offering comprehensive prescription drug coverage. The company's Medicaid segment represents the largest share of its membership and revenue, receiving funding from state premiums based on a per-member per-month model. As of December 31, 2018, WellCare served approximately 5.5 million members across the United States and is a subsidiary of Centene Corporation.

RubiconMD, Inc. is a New York-based company that provides an online platform designed to facilitate communication between primary care clinicians and specialists through its eConsult service. This platform enables primary care providers to discuss cases with top specialists, thereby improving patient care and reducing costs. In addition to eConsults, RubiconMD offers a range of services, including a continuing medical education (CME) credit program, live and on-demand CME webinars, and RubiconRx, a clinical pharmacy platform that supports medication access for patients. The company also provides integration services for electronic health records, onboarding and implementation support, and clinician engagement. Founded in 2013, RubiconMD serves a diverse clientele that includes employers, community health centers, correctional health clinicians, health plans, health systems, and direct primary care practices.

IDEAYA Biosciences is an oncology-focused biotechnology company based in South San Francisco, California, dedicated to the discovery and development of targeted therapeutics for genetically defined patient populations. The company specializes in precision medicine using molecular diagnostics and synthetic lethality approaches to address cancer treatment. Its lead product candidate, IDE196, is a protein kinase C inhibitor currently undergoing Phase 1/2 clinical trials for cancers associated with GNAQ or GNA11 gene mutations. IDEAYA's preclinical pipeline includes programs targeting various mechanisms related to DNA damage and repair, such as MAT2A for tumors with MTAP deletions, Pol-theta for homologous recombination deficiency, and PARG for BRCA2 mutation context. The company collaborates with Cancer Research UK and the University of Manchester to develop small molecule inhibitors of Poly (ADP-ribose) glycohydrolase, while also engaging in partnerships for clinical trials with Pfizer and GlaxoSmithKline. Founded in 2015, IDEAYA aims to advance innovative therapies for enhancing immunotherapy responses and improving patient outcomes in oncology.

RxAdvance Corporation is a pharmacy benefit management (PBM) company that specializes in managing standard and specialty pharmaceutical benefits. It facilitates collaboration among healthcare stakeholders, including members, caregivers, providers, and pharmacists, through its innovative Collaborative PBM Cloud™. This platform streamlines information sharing and decision-making at critical points of care and sale, improving overall drug benefit utilization. RxAdvance offers a comprehensive suite of administrative services, including formulary management, claims processing, and prior authorization, alongside clinical services such as medication therapy management and specialty management. The company also provides value-added services, including compliance management and global pharmacy risk management. By focusing on collaboration and leveraging technology, RxAdvance operates with significantly lower costs than traditional PBMs, allowing for reduced administrative fees and increased rebates for plan sponsors. Established in 2013 and headquartered in Southborough, Massachusetts, with an office in Noida, India, RxAdvance serves health plans, accountable care organizations, state Medicaid programs, and employer groups, and has strategic partnerships with Centene Corporation and Walgreens.

Community Medical Group operates medical centers in Miami-Dade County, Florida, specializing in Medicaid and Medicare services. Founded in 2003 and based in North Miami Beach, the organization offers a comprehensive range of medical care, including primary and specialty services. Its specialties encompass cardiology, gynecology, nutrition, podiatry, psychiatry, and orthopedics, along with diagnostic testing and laboratory services. The group emphasizes providing high-quality, accessible healthcare to improve patient health through dedicated and compassionate medical professionals. With multiple locations throughout the region, Community Medical Group is committed to delivering proactive and continuous medical care to meet the needs of the community.

MHM Services, Inc. provides health, medical, and dental specialty services to governmental agencies in the United States. It offers its services in a range of patient care settings, including correctional facilities, state hospitals, courts, juvenile facilities, and community clinics. The company was formerly known as Mental Health Management, Inc. MHM Services, Inc. was incorporated in 1981 and is based in Vienna, Virginia. As of April 2, 2018, MHM Services, Inc. operates as a subsidiary of Centene Corporation.

Fidelis Care works to be part of the social fabric of local communities, impacting people’s lives with access to quality, affordable health coverage in all 62 counties. Today, more than 2 million members across New York are covered by Fidelis Care, which has a statewide network of more than 80,000 providers. Fidelis Care provides coverage through Child Health Plus, Essential Plan, Medicaid, Health and Recovery Plan, Qualified Health Plans, Managed Long Term Care, Medicare and Dual Advantage, and Medicaid Advantage Plus. Fidelis Care received a full, three-year Health Plan Accreditation from the National Committee for Quality Assurance (NCQA) for Medicaid (HMO), Marketplace (HMO), and Medicare (HMO/POS combined) products in April 2018.

Health Net, Inc. is a health insurance provider that offers managed health care services through various health and government-sponsored managed care plans across the United States. The company operates primarily through its Western Region Operations and Government Contracts segments, providing a wide range of services, including ambulatory and outpatient care, hospital services, pharmacy services, and behavioral health. Health Net offers diverse health plans, allowing employers and members to choose from options like health maintenance organizations, preferred provider organizations, and Medicare products, including Medicare Advantage plans and supplements. Additionally, the company provides Medicaid products, life insurance, and other specialty services. Founded in 1979 and based in Woodland Hills, California, Health Net became a wholly owned subsidiary of Centene Corporation in 2015. The organization is dedicated to improving community health outcomes and has received multiple accolades for its health care coverage.

LifeShare Management Group, LLC is a nationally recognized organization dedicated to supporting individuals with intellectual and developmental disabilities. As a subsidiary of Centene Corporation, it offers a range of community-based support services designed to foster personal independence and community integration. These services include day support, residential support through a shared-living model, supported employment, case management, behavioral health, and specialized programs for children. LifeShare is committed to promoting civil rights and encouraging individuals to pursue their aspirations by dismantling barriers and influencing societal change.

Envolve Health, based in Bethesda, is a healthcare company that specializes in innovative health management programs tailored for individuals and corporations. The company offers a comprehensive range of employee wellness solutions designed to help businesses manage healthcare costs while enhancing employee productivity, job satisfaction, and morale. Envolve's platform integrates various medical service tools, including pharmacy benefit management, specialty pharmacy, and diabetes management, among others. By providing flexible and affordable medical services, Envolve aims to deliver customized and cost-effective healthcare solutions that meet the diverse needs of the healthcare industry.

Specialty Therapeutic Care Holdings is a company that was acquired by Centene Corporation in 2013.

Celtic Group is a prominent provider of individual health insurance services, targeting individuals, families, and the self-employed. The company focuses on delivering high-quality health insurance solutions designed to meet the needs of the uninsured population. By offering innovative and consumer-friendly products, Celtic Group aims to ensure that its customers can easily understand, access, and utilize the healthcare services they require. Through its commitment to providing necessary access to medically appropriate care, Celtic Group plays a significant role in the health insurance sector.

Cardium Health, an innovator in chronic disease management, focuses on individuals diagnosed with coronary artery disease, congestive heart failure and diabetes, among others; the company offers its services to self-insured employers and other benefit plan sponsors.

OptiCare Health Systems - Managed Vision Business operates a chain of eye health and vision centers.

US Script is a full-service Pharmacy Benefit Manager (PBM) that specializes in delivering flexible and personalized pharmacy benefit solutions aimed at enhancing member outcomes while controlling costs. By leveraging clinical expertise and a proprietary claims adjudication system, US Script offers tailored benefit management strategies that cater to the unique needs of its clients and their members. The company provides a range of services, including disease state management, member education, clinical consultancy, and formulary compliance, ensuring that clients can effectively navigate the complexities of pharmacy benefits. Committed to compliance and quality, US Script continues to invest in key areas such as Medicare Part D, home delivery, and clinical pharmacy solutions, ultimately striving to improve the quality of care while maximizing the value of health benefits for employees.

AirLogix, Inc., a disease management company, provides asthma management and chronic obstructive pulmonary disease management programs for health-plan customers in the United States.