PopHealthCare® Company Overview


PopHealthCare is an industry leader who partners with payers and providers to deliver proven risk adjustment, HEDIS, and high-risk population management programs. Through our robust suite of solutions, we offer both cutting edge analytics as well as the actual delivery of solutions, resulting in enhanced revenues, improved quality scores, lower medicals costs, and improved member satisfaction. PopHealthCare contracts on a value basis, driving rapid and demonstrable results, and delivering strong ROIs.

PopHealthCare has corporate offices in both Tempe, AZ and Nashville, TN. We currently serve over 40 health plan clients, impacting members in 49 states and Puerto Rico. Regional offices in multiple states, as well as operations in the Philippines, equip PopHealthCare to scale and innovate rapidly, and to meet the local needs of our clients.

Today, PopHealthCare supports clients in the Medicare Advantage, managed Medicaid, dual eligible, small group & individual/HIX, and managed long term care markets with dynamic products and services including:  

  • CareSight® – a field-based longitudinal high-risk population care product; and
  • RiskSight® – An end-to-end comprehensive risk adjustment product, including full retrospective and prospective offerings. 

PopHealthCare solutions can be employed individually, in bundles, and as a comprehensive, integrated system, based on the client’s needs.