payer-provider-collaboration

(6)
Company
Xsolis wants hospitals and insurers to stop arguing over the same patient
Ai · Saas · Health

Xsolis wants hospitals and insurers to stop arguing over the same patient

A hospital and a health plan can read the same chart and reach different conclusions. Xsolis sells them a shared view - and a way to stop reviewing the cases they already agree on.

healthcare-ai · utilization-managementRead →
Company
Vatica Health makes the paperwork worth a doctor's time
Health · Saas · Enterprise

Vatica Health makes the paperwork worth a doctor's time

Health plans pay. Clinicians prepare. Doctors decide. Vatica Health's wager is that better risk adjustment starts with making the primary care practice's day a little less maddening.

risk-adjustment · primary-careRead →
Company
NantHealth and the Trouble With Being Right
Health · Saas · Enterprise

NantHealth and the Trouble With Being Right

A cancer treatment can be supported by science and still get stuck in the machinery of insurance. NantHealth sells software for that awkward interval - and learned that the people using it need convincing, too.

healthcare-it · prior-authorizationRead →
Company
Vim
Health · Saas · Developer Tools

Vim

Vim is a healthcare technology company that builds a middleware and developer platform connecting data to clinical workflow at healthcare's 'last mile' - the point of care. Its EHR-agnostic Vim Connect layer sits on top of popular electronic health records, pulling in insights and applications from payers, health plans, and digital-health innovators and surfacing them directly inside a provider's existing workflow. By automating tasks such as care gap closure, diagnosis capture, prior authorization, referral management, and chart retrieval, Vim helps payers and providers align on value-based care while reducing administrative burden for clinicians.

healthcare · health-techRead →
Company
Cozeva
Health · Saas · Ai

Cozeva

Cozeva is a cloud-based, real-time data platform built by Applied Research Works that helps health plans, physician organizations, and their partners move from fee-for-service to value-based care. It unifies quality measurement (HEDIS, Medicare Stars, P4P), risk adjustment (HCC coding and recapture), and population health analytics in a single, EHR-interoperable system that lets clinicians act on care gaps at the point of care. Founded in 2012 and based in San Ramon, California, Cozeva serves 25M+ lives and 97,000+ providers, holds NCQA and HITRUST certifications, and earned Best in KLAS recognition in 2025 and 2026. In October 2025 it merged with Vatica Health to combine top-ranked quality and risk-adjustment platforms.

value-based-care · healthcare-analyticsRead →
Legend
Khanh Nguyen
Executive · Operator · Founder

Khanh Nguyen

Khanh Nguyen is the CEO of Cozeva, the operating system for value-based care that manages over 25 million lives across 97,000+ providers. A PharmD from UCSF with 15+ years pioneering payer-provider collaboration, she led Cozeva to a reported $480M merger with Vatica Health in 2025, combining the #1-rated Best in KLAS risk adjustment platform with Cozeva's #1 quality platform - creating the most comprehensive value-based care enablement company in the U.S.

ceo · healthcare-technologyRead →