Logo	Software	Description
	Akur8 Akur8	AI-powered insurance pricing and reserving platform that automates risk modeling with Transparent Machine Learning for actuaries.
	Alivia Analytics Alivia Analytics	AI-powered platform for healthcare payers to detect and prevent fraud, waste, and abuse (FWA), ensure payment integrity, and optimize claims processes.
	Apixio Apixio	AI-driven Connected Care Platform for health plans and providers, transforming unstructured clinical data into actionable insights for risk adjustment, payment integrity, and care delivery.
	Cohere Health Cohere Health	AI-driven clinical intelligence platform for health plans, automating prior authorization and utilization management to improve care access and reduce administrative costs.
	Cotiviti Quality Intelligence Cotiviti	A measurement and reporting software for health plans to streamline compliance with HEDIS, Star Ratings, and other complex quality metrics.
	Function Health Function Health	A membership platform providing 100+ proactive lab tests, personalized clinician insights, and a data dashboard for health optimization and longevity.
	HealthEdge HealthRules Payer HealthEdge	Next-generation core administrative processing system (CAPS) for health plans, driving automation, agility, and financial accuracy.
	Innovaccer Innovaccer	A Healthcare Intelligence Platform (Innovaccer Gravity™) that unifies clinical, financial, and operational data for AI-driven transformation and value-based care.
	Inovalon ONE Platform Inovalon	Integrated, cloud-based platform for data-driven healthcare, leveraging national-scale data and advanced analytics to improve clinical outcomes and economics.
	Medallion Medallion	The leading AI-powered provider network management platform that automates credentialing, licensing, and enrollment for healthcare organizations.
	MedInsight Milliman	Advanced healthcare data analytics and warehousing platform for payers, providers, and employers to drive cost efficiency and clinical outcomes.
	mPulse mPulse Mobile	Conversational AI and digital engagement platform for healthcare organizations to drive better health outcomes and operational efficiency.
	Netsmart Netsmart	Leading provider of software and technology solutions, including comprehensive Electronic Health Records (EHRs), for community-based healthcare.
	Oracle Health Oracle	A comprehensive suite of cloud-based solutions for providers, payers, and public health organizations, leveraging AI for connected, efficient care.
	PurpleLab PurpleLab	A no-code healthcare analytics platform, HealthNexus, that provides real-world evidence (RWE) from one of the largest US medical and pharmaceutical claims databases.
	RAAPID RAAPID	AI-powered risk adjustment platform using neuro-symbolic AI for defensible HCC coding, auditing, and clinical decision support in value-based care.
	RAAPID RAAPID	AI-powered risk adjustment platform using neuro-symbolic AI for defensible HCC coding, auditing, and clinical decision support in value-based care.
	ZeOmega SDOH Platform ZeOmega	SDOH analytics and workflow platform that aggregates data, uses AI to identify social risks, and automates closed-loop referrals for whole-person health management.

Payers, Health Plans & Population Health Software

BROWSE SUBCATEGORIES

ALL PAYERS, HEALTH PLANS & POPULATION HEALTH SOFTWARE (A-Z)