Aetna Inc. is a leading health care benefits company based in Hartford, Connecticut, founded in 1853. It operates through three main segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides a variety of services, including medical, pharmacy benefit management, dental, behavioral health, and vision plans, catering to both insured and employer-funded clients. This segment also offers Medicare and Medicaid products, as well as additional services such as medical management and data analytics. The Group Insurance segment encompasses life insurance, disability insurance, and long-term care products, while the Large Case Pensions segment manages pension and annuity products primarily for tax-qualified plans. Aetna serves a diverse clientele, including employer groups, individuals, college students, and health care providers, aiming to deliver innovative benefits and resources to approximately 46.7 million people. As a subsidiary of CVS Pharmacy, Aetna continues to focus on enhancing accessibility and quality of health care services.
MAP Health Management, LLC, founded in 2011 and based in Austin, Texas, specializes in healthcare technology solutions tailored for addiction treatment facilities. The company provides a range of services, including telehealth support, recovery support programs, and revenue cycle management, aimed at enhancing treatment outcomes for individuals facing substance use disorders. MAP's offerings include relapse prevention tools for adults and adolescents, as well as comprehensive data insights that empower clients to collect and analyze treatment outcomes effectively. By promoting extended treatment support and a continuum of care for patients, MAP Health Management seeks to improve recovery rates while simultaneously reducing overall healthcare costs. Recognized as a leader in data-driven technology within the behavioral health sector, the company is committed to advancing the effectiveness of addiction treatment and behavioral health services nationwide.
AbleTo
Series D in 2017
AbleTo, Inc. is a provider of virtual behavioral healthcare services in the United States, focusing on conditions such as depression, anxiety, and stress. Established in 2008 and based in New York, the company utilizes a technology-enabled platform to connect patients with a nationwide network of licensed therapists and coaches. AbleTo delivers tele-behavioral health programs aimed at improving health outcomes for individuals with high-risk medical conditions, including heart disease and diabetes. The organization's structured therapy programs are designed to engage those with unmet behavioral health needs, strengthening recovery and self-care for members with chronic or complex clinical issues. AbleTo's commitment to virtual care addresses barriers to access, ensuring that patients receive high-quality support tailored to their needs. The company has demonstrated success in enhancing clinical outcomes while reducing healthcare costs, earning high satisfaction ratings from its users.
bswift
Acquisition in 2014
bswift is a technology company founded in 1996 with the aim of simplifying health care administration and empowering consumers through innovative solutions. Originally established as Platinum Healthcare, the company gained recognition for creating the first web-based Consumer-Driven Health plan. Recognizing a significant market need, bswift developed an online benefits enrollment and administration system that garnered accolades, including being a finalist in Microsoft's e-commerce competition. The company's cloud-based platform streamlines payroll, benefits, and human resources administration for employers and health-insurance exchanges, ultimately reducing costs and enhancing the decision-making process for employees regarding their benefits and healthcare options. By focusing on technology and information, bswift continues to transform the landscape of health care administration.
InterGlobal
Acquisition in 2013
InterGlobal is a provider of health and private medical insurance services. The company offers a range of coverage options, including inpatient and daycare treatment, outpatient consultations, and various medical tests. Additionally, InterGlobal provides essential services such as evacuation and repatriation, along with specialized care for cancer treatment.
Coventry Healthcare
Acquisition in 2013
Coventry Health Care, Inc. is a national managed health care company headquartered in Bethesda, Maryland. It operates various health plans, insurance services, network rental services, and workers’ compensation services. The company offers a comprehensive range of risk and fee-based managed care products, including HMO, PPO, POS, Medicare Advantage, Medicare Prescription Drug Plans, Medicaid, and workers’ compensation services. These offerings cater to a diverse clientele, including employer-sponsored groups, government agencies, and other insurance carriers across all 50 states, the District of Columbia, and Puerto Rico. Coventry is committed to delivering value in health care by facilitating collaboration among members, employers, and providers, ensuring access to essential information, and developing solutions aimed at promoting optimal health outcomes.
iTriage
Acquisition in 2011
iTriage is an application that offer symptom navigator features to help users find nearby health facilities or physicians that could help them with their specific health issue. It also allows users to explore trending conditions based on a geographic map of most-searched conditions. The company is based in Denver, Colorado and operates as a subsidiary of Aetna Health Holdings, LLC.
Healthagen
Acquisition in 2011
Healthagen is a company that develops technology solutions tailored for the healthcare and health insurance industries. It specializes in creating products that enhance care management, cost management, price transparency, and healthcare payer management. Additionally, Healthagen offers a mobile and web platform that provides users with valuable information about disease symptoms, causes, treatment options, and nearby healthcare providers. The platform also includes a directory of hospitals and real-time data on emergency room wait times, aiming to improve patient access to essential healthcare information.
PayFlex Systems, USA
Acquisition in 2011
PayFlex®, an Aetna company is one of the leading benefit administrators within the Account Based Health Plan sector. Processing over $1 billion dollars annually in Account Based Health Plan claims, PayFlex pioneered the first platform that combines benefit financial accounts, wellness and eligibility management all in one, aptly branded as “HealthHub”. The HealthHub® platform, which houses nearly one million participants and several million eligible lives, combines over two decades of tax-advantaged account administration experience with a suite of wellness and engagement services that is integrated together to form a powerful solution. Our complete solution is designed to educate employees on healthcare issues, engage them in wellness through customized programs and incentives, and empower employees to make their own healthcare decisions. With PayFlex, you can decrease your healthcare costs through increased engagement in wellness solutions…all with one vendor for completely simplified administration. PayFlex, the first choice among Fortune 1000 HR managers for FSAs has also emerged as the leader for HSA administration. Leveraging our 20+ years of experience reconciling over several billion dollars of claims along with an innovative, unique HSA platform featuring the industry’s only dual account model, employer HR staffs most frequently chose PayFlex for HSA management this past year as Account Based Health Plan adoption began to flourish. Besides being the largest HSA benefit administrator, and offering wellness products and incentive-based reward programs, PayFlex makes it easy for a Human Resource team with a wide range of related products, such as Commuter Benefits, Dependent Care Reimbursement Benefits, Direct Billing, COBRA, Leave of Absence and Tuition Reimbursement.
Prodigy Health Group
Acquisition in 2011
Prodigy Health Group is a provider of healthcare management services in the United States, specializing in benefits management, integrated health management, and provider network services. The company caters to self-funded employers, managed care organizations, and insurers, delivering a range of services including plan administration, wellness programs, medical management, and disease management. Prodigy Health Group also offers utilization and case management, along with cost management services. Additionally, it provides stop-loss managing general underwriting services. The company operates several subsidiaries, including Meritain Health, American Health Holding, Niagara Re, and Scrip World, and serves over 4 million members across various industry sectors.
Medicity
Acquisition in 2011
Medicity, Inc. is a health management company that specializes in developing software solutions aimed at enhancing health information exchange, business intelligence, and patient engagement. Founded in 1998 and based in Salt Lake City, Utah, Medicity offers a range of tools designed to facilitate collaboration among healthcare professionals and improve patient care. Its key products include Medicity Connect, which supports referral management and care transitions; Medicity Notify, providing automated event notifications; and Medicity Exchange, enabling data sharing through clinical summaries and reports. Additionally, Medicity offers solutions for organizing patient populations, improving care management through evidence-based standards, and empowering patients in their healthcare journey. The company serves a diverse clientele, including physicians, hospital systems, healthcare organizations, and government agencies, both domestically and internationally. As of 2018, Medicity operates as a subsidiary of Health Catalyst, Inc.
Vericare
Series B in 2007
Vericare Management Inc. specializes in providing behavioral healthcare and wellness programs tailored for elderly patients in skilled nursing facilities and long-term care environments across the United States. Founded in 1991 and based in San Diego, California, the company offers a range of services including neuropsychological assessments, individual psychotherapy, psychotropic medication management, behavior management, rehabilitation support, family therapy, and group therapy. Vericare operates in several states, including California, Pennsylvania, Texas, New Jersey, Florida, Indiana, Delaware, Tennessee, and North Carolina, by partnering with long-term care facilities to deliver compassionate, multidisciplinary behavioral interventions. Formerly known as Senior Psychology Services Inc., Vericare is a subsidiary of Med Options, Inc.
Goodhealth Worldwide
Acquisition in 2007
Goodhealth Worldwide is a general underwriter specializing in international private medical insurance, focusing on expatriate benefits. The company provides medical insurance underwriter services that cater to individuals, families, groups, and companies, ensuring that expatriates can access the necessary medical treatment whenever and wherever required. Through its comprehensive offerings, Goodhealth Worldwide aims to support the healthcare needs of those living abroad, facilitating peace of mind for its clients by addressing their unique medical insurance requirements.
Schaller Anderson
Acquisition in 2007
Schaller Anderson is Phoenix-based company that manages health care for Medicaid plans and administers employers’ self-funded health plans.
Active Health Managment
Acquisition in 2005
ActiveHealth Management is a national leader in population health management and passionate about helping every person achieve his or her best health. They deliver personalized guidance through their analytics and insights, care management, health, lifestyle and wellness programs to help their customers improve quality of care, lower healthcare costs, and drive sustained member engagement and behavior change. ActiveHealth® collaborates with employers, health plans, governments and providers currently helping more than 20 million people live their healthiest lives. ActiveHealth Management is an independent subsidiary of Aetna (NYSE: AET)
Sloan Lake
Acquisition in 2005
Sloan Lake is managed Care Provider.
StatementOne
Series B in 2001
In 1993, StatementOne originated to fill a critical need within the financial services industry. Until then, no practical solution existed to provide Financial Institutions and Advisors with a platform for consolidated statements and performance reporting for their clients.
Open Solutions
Venture Round in 2000
Open Solutions offers collaborative core account processing technology tailored for banks, thrifts, and credit unions, alongside a comprehensive suite of supporting services. The company's software-enabled outsourcing solutions enhance various operational functions, including data processing, document management, transaction information, and client reporting. Additionally, Open Solutions provides tools for cash management, general ledger operations, profitability analysis, loan origination, payroll processing, electronic bill payment, and funds transfer services. This diverse range of offerings positions Open Solutions as a key partner for financial institutions seeking to improve efficiency and streamline their operations.
Prudential HealthCare
Acquisition in 1998
Prudential HealthCare operates managed health care plans in more than 40 metropolitan locations serving 5M health plan members nationwide.
NYLCare Health Plans
Acquisition in 1998
NYLCare Health Plans
U.S. Healthcare
Acquisition in 1996
U.S. Healthcare Inc., a leader in what is known as managed health care, creating the nation's single biggest medical benefits company.
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