HealthEdge
HealthEdge provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect everyone in the healthcare delivery cycle. Their next-generation enterprise product suite, HealthRules, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. They enable their customers to radically innovate, drastically reduce costs, and efficiently address the business imperatives of the evolving healthcare economy. HealthEdge was founded by Albert Waxman of Psilos Group and Rob Gillette in December 2004. In January 2005, the company acquired over $125 million in intellectual property and other assets. This technology served as the foundation for the patented, award-winning HealthRules product suite. In December 2012, HealthEdge acquired Click4Care, a care management, and utilization management software company, adding next-generation clinical capabilities to the award-winning HealthRules product suite. HealthEdge is headquartered in Burlington, Massachusetts, and maintains an R&D center in Powell, Ohio.
Wellframe
Acquisition in 2021
Wellframe Inc. is a Boston-based company that specializes in digital care management solutions aimed at enhancing the relationship between health plans and their members. Founded in 2011, Wellframe develops a mobile patient engagement platform that utilizes real-time member-generated data and artificial intelligence to create personalized care protocols. Its offerings include a member mobile application for daily health tracking, a care team dashboard for prioritizing patient needs, and two-way communication solutions. The company also provides various services such as implementation, operational change management, and analytics. Additionally, Wellframe's digital health advocate solutions encompass intake assessments, concierge programs, and integrated workflows to enhance care management. The company's strategic partnerships with health plans nationwide allow it to deliver impactful health management solutions that empower patients and improve care outcomes.
Altruista Health
Acquisition in 2020
Altruista Health, Inc. is a provider of technology solutions designed to enhance population health management through data-driven and patient-centered approaches. The company's flagship product, GuidingCare, is a comprehensive web-based platform that supports various health management functions, including complex case management, chronic disease management, and care coordination. It integrates data from multiple sources, such as medical claims and electronic health records, enabling efficient workflow management and improved care transitions. Altruista Health also offers GuidingSigns, a clinical decision support system that provides actionable insights for healthcare payers and providers, and various portals for care coordination and member engagement. The company's solutions are tailored for Medicaid, Dual Eligibles, and other complex care populations, aiming to streamline processes, enhance patient outcomes, and reduce healthcare costs. Established in 2007 and headquartered in Reston, Virginia, with an additional office in Hyderabad, India, Altruista Health focuses on delivering customizable and effective care management solutions to health systems, payers, and care management organizations.
The Burgess Group
Acquisition in 2020
The Burgess Group, LLC is a specialized provider of claims reimbursement and modeling tools aimed at health plans, hospitals, and physician groups. Established in 1996 and based in Alexandria, Virginia, the company develops Medicare-based software and offers consulting and educational services. Its flagship product, the Burgess Reimbursement System, provides comprehensive coverage of current and historical Medicare data for various provider and payment systems. Additionally, the company's cloud-based platform, Burgess Source, integrates regulatory data, claims pricing, and real-time analytics, supporting clients in making informed payment decisions. The Burgess Group serves a diverse clientele, including commercial payers, Medicare Advantage plans, medical device and pharmaceutical companies, law firms, and venture capital firms. Since July 2020, it has operated as a subsidiary of HealthEdge Software, Inc.
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