MultiPlan
MultiPlan Corporation is a provider of data analytics and technology-driven cost management solutions for the U.S. healthcare industry. The company offers services that reduce medical costs for consumers and payors through analytics-based algorithms that identify claims anomalies, as well as network-based services that leverage contracted discounts with healthcare providers. MultiPlan also provides payment integrity services to identify and eliminate improper charges before claims are settled. Its clientele includes national insurance companies, Blue Cross and Blue Shield plans, provider-sponsored health plans, third-party administrators, and various entities involved in paying medical bills across commercial, government, and other markets. Founded in 1980, MultiPlan is headquartered in New York, New York.
Benefits Science LLC is a software company based in Waltham, Massachusetts, founded in 2012, that specializes in providing cloud-based solutions for self-insured employers to effectively manage healthcare costs. The company offers a comprehensive platform that includes tools for analyzing employee health insurance claims, generating individual member risk scores, and producing automated monthly reports to monitor population health and financial performance. By integrating advanced data science techniques, including machine learning and predictive modeling, Benefits Science enables clients to optimize their health plans according to their budgets and the health profiles of their employees. The company's services extend to employers, brokers, consultants, and carriers, allowing them to make informed decisions that enhance care quality while controlling costs.
Abacus Insights, Inc. is a company that develops a cloud-based data integration and interoperability platform tailored for the healthcare sector. Founded in 2017 and headquartered in New York City, Abacus Insights organizes and exchanges healthcare data from various sources and formats, both structured and unstructured. The platform provides a secure unified data infrastructure designed to enhance analytics capabilities, enabling healthcare providers to improve costs and patient outcomes. By offering intelligent data management solutions, the company helps healthcare organizations generate actionable insights, improve the consumer experience, and enhance care quality while lowering costs. In addition to its main office in New York, Abacus Insights also has a presence in Boston, Massachusetts, where it provides maintenance and support services to its clients.
Discovery Health Partners offers payment and revenue integrity solutions tailored for healthcare payers, focusing on enhancing financial and member outcomes. The company provides a range of services, including premium restoration, coordination of benefits, data mining, subrogation, and clinical audits. By leveraging analytic insights and technology-driven services, Discovery Health Partners aims to improve payment integrity, optimize revenue, and enhance efficiencies within government programs, ultimately supporting healthcare payers in achieving better operational performance.
HST is Value-Based Payments Plans - Revolutionizing Healthcare One Patient at Time. Since 2009, HST has been at the forefront of delivering Value-Based Payments (VBP) that reduce healthcare costs while establishing sustainable benefit plans. HST’s pricing technologies provide cost benchmarks to objectively determine the value of medical services and to introduce pricing accountability.
DocASAP Inc. develops a patient access and engagement software designed for health systems, health plans, and physician groups. The platform assists organizations in directing patients to the most suitable providers and care settings throughout their access journey. By providing care-driven engagement tools, reminders, and insights into patient access and operational performance, DocASAP enables healthcare organizations to manage provider information effectively. The intelligent matching capabilities of the platform facilitate connections between patients and providers, enhancing access and improving health outcomes while reducing costs. Founded in 2009 and headquartered in Herndon, Virginia, with an additional office in Noida, India, DocASAP aims to simplify patient access complexities and improve overall healthcare experiences.
NCN is an insurance company providing healthcare cost management software and solutions. NCN develops and deploys technology and software solutions to create powerful, data-driven tools to win fair reimbursements for those who pay for the delivery of healthcare in the United States.
Private Healthcare Systems, Inc. is a medical cost management provider. Established in 1985 as a collaboration of mid-sized commercial insurance companies seeking to develop competitive managed care programs, PHCS maintains the nation's largest proprietary primary PPO network and is the second largest independent care management provider in the country. The company contracts with nearly 450,000 providers and serves over 16 million health plan members.
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