MultiPlan
MultiPlan Corporation is a provider of data analytics and technology-enabled cost management solutions tailored for the U.S. healthcare industry. Established in 1980 and headquartered in New York, the company offers a range of services designed to reduce medical costs for consumers and payors. These include analytics-based services that utilize data-driven algorithms to identify claims anomalies, network-based services that leverage contracted discounts with healthcare providers, and payment integrity services that prevent improper and unnecessary charges before claims are processed. MultiPlan serves a diverse clientele, including national insurance companies, Blue Cross and Blue Shield plans, and other entities involved in paying medical bills across various sectors, such as commercial healthcare, government, and workers’ compensation. The company operates regional preferred provider organization (PPO) networks and emphasizes customized solutions to meet the specific needs of its clients.
Top Stages
7 past transactions
Benefits Science
Acquisition in 2023
Benefits Science LLC is a software company based in Waltham, Massachusetts, specializing in healthcare analytics for self-insured employers. Founded in 2012, the company offers a cloud-based platform that enables clients to make informed decisions regarding their healthcare expenditures. Benefits Science provides tools such as monthly individual member risk scores, automated reporting for tracking population and financial health, and advanced data visualization techniques. By employing proprietary machine learning algorithms and predictive modeling, the company enhances traditional actuarial science to optimize health plans tailored to employers’ budgets and workforce needs. Benefits Science aims to empower employers, brokers, and consultants by delivering actionable insights and recommendations that improve the quality of care while controlling costs.
Abacus Insights
Series C in 2022
Abacus Insights, established in 2017 with headquarters in New York City and an additional office in Boston, specializes in developing a cloud-based data integration platform tailored for healthcare companies. This platform organizes and exchanges data from diverse sources and formats, offering maintenance and support services to clients. By standardizing data across the healthcare ecosystem through a secure unified infrastructure, Abacus Insights enables healthcare providers to generate actionable insights, enhance member outcomes, and lower care costs.
Discovery Health Partners
Acquisition in 2021
Discovery Health Partners is a company that specializes in providing payment and revenue integrity solutions to healthcare payers. The organization focuses on delivering actionable analytic insights and technology-driven services aimed at enhancing financial outcomes and member experiences. Its offerings include a variety of services such as premium restoration, coordination of benefits, data mining, subrogation, and clinical audits. By leveraging these services, Discovery Health Partners assists healthcare payers in improving payment integrity, optimizing revenue, and maximizing operational efficiencies within government programs.
HST
Acquisition in 2020
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
Seed Round in 2013
DocASAP Inc. is a healthcare technology company that specializes in patient access and engagement solutions for health systems, health plans, and physician groups. Founded in 2009 and headquartered in Herndon, Virginia, with an additional office in Noida, India, DocASAP's platform facilitates the optimal matching of patients to providers, guiding them through their access journey. The software offers features such as care-driven engagement, appointment reminders, and data analytics on patient access and operational performance. By streamlining the complexities of patient-provider interactions, DocASAP aims to enhance care compliance, improve health outcomes, and reduce costs for healthcare organizations.
NCN
Acquisition in 2011
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
Acquisition in 2006
Private Healthcare Systems, Inc. is a leading medical cost management provider based in Waltham, Massachusetts. Established in 1985 through the collaboration of mid-sized commercial insurance companies, the company specializes in developing competitive managed care programs. PHCS operates the nation's largest proprietary primary PPO network and is recognized as the second largest independent care management provider in the United States. It contracts with nearly 450,000 healthcare providers and serves over 16 million health plan members, offering network and healthcare cost management services tailored to administrators, self-insured employers, and insurance companies.
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