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.
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
Series C in 2022
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
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. 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
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 prominent medical cost management provider based in Waltham, Massachusetts. Established in 1985 through a collaboration of mid-sized commercial insurance companies, PHCS aims to develop competitive managed care programs. The company boasts the largest proprietary primary Preferred Provider Organization (PPO) network in the United States and ranks as the second largest independent care management provider in the country. With contracts in place with nearly 450,000 healthcare providers, PHCS serves over 16 million health plan members, offering comprehensive healthcare management services to administrators, self-insured employers, and insurance companies.
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