First Dollar, Inc. is a healthcare savings platform based in Austin, Texas, that specializes in health savings accounts (HSAs). Founded in 2019, the company aims to enhance the management of healthcare and retirement planning for its users, particularly targeting millennials and Gen Z. The platform offers a range of services, including administration for HSAs and flexible infrastructure for health spending benefits. By providing education on HSAs and facilitating higher funding and investment rates, First Dollar helps employees better utilize their accounts and save on out-of-pocket expenses. Additionally, the company offers a variety of health care products and services, which encompass health plans, prescriptions, primary care, urgent care, dental, vision, and wellness services.
Contessa Health, Inc., based in Nashville, Tennessee, specializes in home hospitalization programs designed to enhance patient care while managing episodic risk. The company is recognized as a pioneer in Home Recovery Care, a risk-based model that integrates essential components of inpatient hospital care within patients' homes. Contessa employs a proprietary health informatics platform to support this model, ensuring that care is safe, affordable, and effective in improving patient outcomes. Additionally, Contessa offers solutions such as ContessaCare, which empowers healthcare providers to deliver hospital-level care at home, and ContradoClaim, a claims analytics tool that assists partners in managing prospective payments. The company also provides bundled payment managed services, enabling health plans and systems to optimize their care delivery without the need for hospital admissions. Contessa Health was founded in 2015 and continues to lead innovations in home-based healthcare.
Healthify, Inc. specializes in developing software solutions that address social determinants of health for healthcare organizations, including health plans, hospitals, and provider networks. Founded in 2013 and headquartered in New York, the company offers a comprehensive platform that includes tools for searching community resources, tracking population needs and referrals, coordinating efforts among key partners, and measuring health outcomes. By fostering collaboration among community-based organizations and streamlining the referral process, Healthify aims to improve the overall health of populations, particularly in low-income communities. The platform supports accountable networks and is designed to demonstrate the return on investment for social service interventions, ensuring that families receive essential services to thrive.
Solera Health, Inc. operates a technology platform that connects patients, payers, and healthcare providers with community organizations and digital therapeutics focused on addressing chronic conditions such as hypertension, obesity, and tobacco use. Founded in 2015 and based in Phoenix, Arizona, Solera consolidates a fragmented landscape of healthcare programs into a single marketplace, enabling health plans and medical providers to enhance consumer engagement and participation. The platform facilitates patient identification, referrals, and reimbursement processes while proactively matching individuals with appropriate non-clinical healthcare providers based on their specific needs and preferences. This integrated approach aims to improve health outcomes and reduce healthcare costs through lifestyle and behavioral interventions.
Verata Health, Inc. specializes in developing artificial intelligence-driven software solutions aimed at streamlining the prior authorization process in healthcare. The company's platform synthesizes clinical documentation and medical necessity rules to provide real-time decision recommendations, effectively reducing the administrative burdens associated with prior authorizations. By serving private practices, pharmacies, and health systems, Verata Health enhances the efficiency of healthcare delivery, ensuring that patients receive timely and appropriate care. Founded in 2017 and headquartered in Bloomington, Minnesota, with additional offices in Minneapolis, Boston, and Orlando, Verata Health was acquired by Olive, Inc. in December 2020.
Private Equity Round in 2019
Ideal Option PLLC is a healthcare provider specializing in medication-assisted treatment (MAT) and behavioral counseling for individuals struggling with substance use disorders, including opioid addiction. Founded in 2012 and headquartered in Kennewick, Washington, the company operates a network of 60 clinics across ten states, including Alaska, Idaho, and Minnesota. Ideal Option offers a range of medications such as Suboxone, Vivitrol, and Acamprosate, complemented by on-site behavioral health services like counseling and case management. The organization emphasizes personalized treatment programs tailored to individual patient needs and leverages telemedicine technology to extend its reach to underserved areas. With a team of over 90 medical providers, Ideal Option is committed to delivering compassionate and effective care to more than 20,000 patients.
OncoHealth specializes in oncology benefits management solutions, offering services such as prior authorization, clinical decision support, physician education, expert peer review, and performance reporting. The company also features MATIS, a clinical decision support software designed for healthcare plans and providers, which enhances the analysis of cancer treatment and benefits management. Founded in 2009 and headquartered in Atlanta, Georgia, with an additional location in Plantation, Florida, OncoHealth employs a data-driven approach to help health plans, providers, and patients navigate oncology care. Its prior authorization platform supports approximately 5 million health plan members across the United States and Puerto Rico, addressing a comprehensive range of cancer treatments, including chemotherapy, radiation therapy, precision medicine, targeted therapy, and supportive care.
Contessa Health, Inc., based in Nashville, Tennessee, specializes in home hospitalization programs designed to enhance patient care while managing episodic risk. The company is recognized as a pioneer in Home Recovery Care, a risk-based model that integrates essential components of inpatient hospital care within patients' homes. Contessa employs a proprietary health informatics platform to support this model, ensuring that care is safe, affordable, and effective in improving patient outcomes. Additionally, Contessa offers solutions such as ContessaCare, which empowers healthcare providers to deliver hospital-level care at home, and ContradoClaim, a claims analytics tool that assists partners in managing prospective payments. The company also provides bundled payment managed services, enabling health plans and systems to optimize their care delivery without the need for hospital admissions. Contessa Health was founded in 2015 and continues to lead innovations in home-based healthcare.
Picwell Inc. operates an online predictive recommendation engine that assists consumers in selecting appropriate health plans. By analyzing lifestyle, behavioral, and financial data alongside health claims, the company forecasts individual healthcare needs. Founded in 2013 and based in Philadelphia, Pennsylvania, Picwell serves a diverse range of clients, including exchanges, benefit platforms, agents, brokers, retail pharmacies, and employers. Its software streamlines the benefits purchasing process, enabling users to confidently choose plans based on future care considerations and estimated out-of-pocket expenses. This approach not only aids consumers in making informed decisions but also enhances efficiency and cost-effectiveness for businesses involved in selling health plans.
Solera Health, Inc. operates a technology platform that connects patients, payers, and healthcare providers with community organizations and digital therapeutics focused on addressing chronic conditions such as hypertension, obesity, and tobacco use. Founded in 2015 and based in Phoenix, Arizona, Solera consolidates a fragmented landscape of healthcare programs into a single marketplace, enabling health plans and medical providers to enhance consumer engagement and participation. The platform facilitates patient identification, referrals, and reimbursement processes while proactively matching individuals with appropriate non-clinical healthcare providers based on their specific needs and preferences. This integrated approach aims to improve health outcomes and reduce healthcare costs through lifestyle and behavioral interventions.
Healthify, Inc. specializes in developing software solutions that address social determinants of health for healthcare organizations, including health plans, hospitals, and provider networks. Founded in 2013 and headquartered in New York, the company offers a comprehensive platform that includes tools for searching community resources, tracking population needs and referrals, coordinating efforts among key partners, and measuring health outcomes. By fostering collaboration among community-based organizations and streamlining the referral process, Healthify aims to improve the overall health of populations, particularly in low-income communities. The platform supports accountable networks and is designed to demonstrate the return on investment for social service interventions, ensuring that families receive essential services to thrive.
Higi SH LLC is a population health enablement company that operates self-screening health stations across the United States. Founded in 2012 and based in Chicago, Illinois, with additional offices in Monrovia, California, and Seattle, Washington, Higi's health stations provide free screenings for blood pressure, weight, pulse, and body mass index. Located in pharmacies, grocery stores, and club stores, these stations connect healthcare organizations with consumers, allowing for effective monitoring of health data and identification of health risks. Higi aims to encourage consumers to adopt small yet significant health habits and offers a platform for collecting and sharing health and activity data with trusted partners, enhancing engagement in health and wellness initiatives.
Solera Health, Inc. operates a technology platform that connects patients, payers, and healthcare providers with community organizations and digital therapeutics focused on addressing chronic conditions such as hypertension, obesity, and tobacco use. Founded in 2015 and based in Phoenix, Arizona, Solera consolidates a fragmented landscape of healthcare programs into a single marketplace, enabling health plans and medical providers to enhance consumer engagement and participation. The platform facilitates patient identification, referrals, and reimbursement processes while proactively matching individuals with appropriate non-clinical healthcare providers based on their specific needs and preferences. This integrated approach aims to improve health outcomes and reduce healthcare costs through lifestyle and behavioral interventions.
Contessa Health, Inc., based in Nashville, Tennessee, specializes in home hospitalization programs designed to enhance patient care while managing episodic risk. The company is recognized as a pioneer in Home Recovery Care, a risk-based model that integrates essential components of inpatient hospital care within patients' homes. Contessa employs a proprietary health informatics platform to support this model, ensuring that care is safe, affordable, and effective in improving patient outcomes. Additionally, Contessa offers solutions such as ContessaCare, which empowers healthcare providers to deliver hospital-level care at home, and ContradoClaim, a claims analytics tool that assists partners in managing prospective payments. The company also provides bundled payment managed services, enabling health plans and systems to optimize their care delivery without the need for hospital admissions. Contessa Health was founded in 2015 and continues to lead innovations in home-based healthcare.
Solera Health, Inc. operates a technology platform that connects patients, payers, and healthcare providers with community organizations and digital therapeutics focused on addressing chronic conditions such as hypertension, obesity, and tobacco use. Founded in 2015 and based in Phoenix, Arizona, Solera consolidates a fragmented landscape of healthcare programs into a single marketplace, enabling health plans and medical providers to enhance consumer engagement and participation. The platform facilitates patient identification, referrals, and reimbursement processes while proactively matching individuals with appropriate non-clinical healthcare providers based on their specific needs and preferences. This integrated approach aims to improve health outcomes and reduce healthcare costs through lifestyle and behavioral interventions.
Private Equity Round in 2016
Healthspring is a personalized healthcare services company located in Mumbai, India, specializing in a network of primary healthcare clinics. It aims to address the existing gaps in healthcare by providing a range of services that cater to various health needs. These services include mental wellness support, diagnostics, dental care, diet and nutrition counseling, emergency services, and insurance products. By offering comprehensive and tailored healthcare solutions, Healthspring strives to meet the diverse requirements of its clients effectively.
OncoHealth specializes in oncology benefits management solutions, offering services such as prior authorization, clinical decision support, physician education, expert peer review, and performance reporting. The company also features MATIS, a clinical decision support software designed for healthcare plans and providers, which enhances the analysis of cancer treatment and benefits management. Founded in 2009 and headquartered in Atlanta, Georgia, with an additional location in Plantation, Florida, OncoHealth employs a data-driven approach to help health plans, providers, and patients navigate oncology care. Its prior authorization platform supports approximately 5 million health plan members across the United States and Puerto Rico, addressing a comprehensive range of cancer treatments, including chemotherapy, radiation therapy, precision medicine, targeted therapy, and supportive care.
Picwell Inc. operates an online predictive recommendation engine that assists consumers in selecting appropriate health plans. By analyzing lifestyle, behavioral, and financial data alongside health claims, the company forecasts individual healthcare needs. Founded in 2013 and based in Philadelphia, Pennsylvania, Picwell serves a diverse range of clients, including exchanges, benefit platforms, agents, brokers, retail pharmacies, and employers. Its software streamlines the benefits purchasing process, enabling users to confidently choose plans based on future care considerations and estimated out-of-pocket expenses. This approach not only aids consumers in making informed decisions but also enhances efficiency and cost-effectiveness for businesses involved in selling health plans.
Contessa Health, Inc., based in Nashville, Tennessee, specializes in home hospitalization programs designed to enhance patient care while managing episodic risk. The company is recognized as a pioneer in Home Recovery Care, a risk-based model that integrates essential components of inpatient hospital care within patients' homes. Contessa employs a proprietary health informatics platform to support this model, ensuring that care is safe, affordable, and effective in improving patient outcomes. Additionally, Contessa offers solutions such as ContessaCare, which empowers healthcare providers to deliver hospital-level care at home, and ContradoClaim, a claims analytics tool that assists partners in managing prospective payments. The company also provides bundled payment managed services, enabling health plans and systems to optimize their care delivery without the need for hospital admissions. Contessa Health was founded in 2015 and continues to lead innovations in home-based healthcare.
Solera Health, Inc. operates a technology platform that connects patients, payers, and healthcare providers with community organizations and digital therapeutics focused on addressing chronic conditions such as hypertension, obesity, and tobacco use. Founded in 2015 and based in Phoenix, Arizona, Solera consolidates a fragmented landscape of healthcare programs into a single marketplace, enabling health plans and medical providers to enhance consumer engagement and participation. The platform facilitates patient identification, referrals, and reimbursement processes while proactively matching individuals with appropriate non-clinical healthcare providers based on their specific needs and preferences. This integrated approach aims to improve health outcomes and reduce healthcare costs through lifestyle and behavioral interventions.
Allay Inc. is a benefits consulting company that focuses on providing an online platform for small to medium-sized businesses to manage their employee benefits and health insurance purchasing in a paperless manner. The company allows businesses to collaborate with their preferred brokers to purchase, fund, and administer health insurance plans effectively. Allay specializes in self-funded and level-funded insurance products and assists benefits advisors in modeling various healthcare vendor options and stop-loss insurance contracts. This capability enables consultants to recommend the most cost-effective vendor combinations tailored to specific populations and locations, ultimately leading to improved quality of care and reduced costs for clients. Incorporated in 2014 and based in San Francisco, California, Allay operates as a subsidiary of Novo Benefits, LLC.
BeneStream, Inc. is a New York-based company that specializes in facilitating access to government benefits for employees, including food stamps, Medicaid, and child health programs. Established in 2013, BeneStream offers a web-based platform designed for brokers and human resource departments, leveraging employee payroll data to assess eligibility for various government assistance programs. The company streamlines the enrollment process by providing completed applications for individuals to sign and submit. Additionally, BeneStream conducts Medicaid screenings and enrollments to identify employees who qualify for Medicaid, thereby assisting employers in complying with the Affordable Care Act (ACA). By outsourcing enrollment in Medicaid, BeneStream helps employers manage costs associated with providing health insurance to low-income employees, offering a solution that not only avoids penalties but also ensures free, comprehensive coverage for qualifying individuals and their families.
Aspire Health, Inc. is a healthcare company based in Nashville, Tennessee, that operates a network of outpatient palliative care practices for patients with serious illnesses. Established in 2012, the company focuses on providing relief from symptoms, pain, and stress associated with conditions such as cancer, congestive heart failure, chronic obstructive pulmonary disease, kidney failure, liver failure, advanced dementia, and amyotrophic lateral sclerosis. Aspire Health supports patients and their caregivers by navigating the healthcare system, aiding in complex treatment decisions, and offering emotional and spiritual guidance. The organization delivers home-based and outpatient clinical services across several Middle Tennessee counties, including Davidson, Robertson, Rutherford, Sumner, Williamson, and Wilson. Aspire Health operates as a subsidiary of Nash Holding Company and emphasizes disease management and care coordination across various settings, including outpatient clinics and assisted living centers.
Essence Group Holdings
Private Equity Round in 2014
Essence Group Holdings Corporation, through its subsidiaries, offers health insurance and software. The company was incorporated in 2007 and is based in Maryland Heights, Missouri.
MedSave has been a leader in a wide range of healthcare services since 1985. They have applied innovative thinking, proprietary technology and a client-focused business model in order to serve their clients with a suite of services that include: Risk Adjustment, Managed Care Administration, Medical Record Retrieval & Coding Services, Third Party Administration for Employer Health Plans, International healthcare cost management services as well as Administrative Back-Office solutions for Hospice Organizations. They are a TPA (Third Party Administrator) for hospitals, healthcare systems and public entities.
ZeOmega, founded in 2001, provides a powerful population health management platform for payers, providers and value-based care organizations. Our high-value, strategic solution is designed to integrate workflow, analytics, content and communication capabilities. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega delivers solutions to facilitate collaboration among stakeholders—which in turn enables clients to implement disparate health care management strategies for overall improvement in quality of care, provider performance, individual patient and member satisfaction, and cost savings. Reliable, responsive and dedicated to meeting customer expectations and project benchmarks, ZeOmega is the right technology partner for health plans, disease management organizations, patient-centered medical homes, medical management organizations, third-party administrators, and other organizations providing medical and care management services.
Change Healthcare Inc. is an independent healthcare technology platform that offers data and analytics-driven solutions aimed at enhancing clinical, financial, administrative, and patient engagement outcomes within the U.S. healthcare system. The company operates through three primary segments: Software and Analytics, Network Solutions, and Technology-Enabled Services. The Software and Analytics segment focuses on solutions for financial performance, payment accuracy, and clinical decision management. The Network Solutions segment facilitates various transactions, including electronic payments and the aggregation of clinical and financial data. Lastly, the Technology-Enabled Services segment provides support for financial management, value-based care, and healthcare consulting. Founded in 2016 and headquartered in Nashville, Tennessee, Change Healthcare originated from a spinoff of healthcare processing and consulting services previously acquired by McKesson, which has since divested its interest in the company.
naviHealth, Inc. specializes in providing and managing post-acute healthcare services in the United States. The company partners with health plans, hospitals, and post-acute care providers to manage the entire continuum of post-acute care. It develops post-acute care management software and offers clinical support services that include care coordination and data analysis to enhance patient outcomes. By utilizing evidence-based protocols and technology-enabled services, naviHealth aims to optimize care plans, reduce hospital readmissions, and increase patient satisfaction. The company employs proprietary tools to deliver customized, patient-centric care plans and develops strategic insights to improve workflows and provider relationships. Founded in 2011 and headquartered in Brentwood, Tennessee, naviHealth also has offices in Newton, Massachusetts, and Conshohocken, Pennsylvania. As of May 2020, it operates as a subsidiary of OptumHealth, Inc.
naviHealth, Inc. specializes in providing and managing post-acute healthcare services in the United States. The company partners with health plans, hospitals, and post-acute care providers to manage the entire continuum of post-acute care. It develops post-acute care management software and offers clinical support services that include care coordination and data analysis to enhance patient outcomes. By utilizing evidence-based protocols and technology-enabled services, naviHealth aims to optimize care plans, reduce hospital readmissions, and increase patient satisfaction. The company employs proprietary tools to deliver customized, patient-centric care plans and develops strategic insights to improve workflows and provider relationships. Founded in 2011 and headquartered in Brentwood, Tennessee, naviHealth also has offices in Newton, Massachusetts, and Conshohocken, Pennsylvania. As of May 2020, it operates as a subsidiary of OptumHealth, Inc.
Change Healthcare Inc. is an independent healthcare technology platform that offers data and analytics-driven solutions aimed at enhancing clinical, financial, administrative, and patient engagement outcomes within the U.S. healthcare system. The company operates through three primary segments: Software and Analytics, Network Solutions, and Technology-Enabled Services. The Software and Analytics segment focuses on solutions for financial performance, payment accuracy, and clinical decision management. The Network Solutions segment facilitates various transactions, including electronic payments and the aggregation of clinical and financial data. Lastly, the Technology-Enabled Services segment provides support for financial management, value-based care, and healthcare consulting. Founded in 2016 and headquartered in Nashville, Tennessee, Change Healthcare originated from a spinoff of healthcare processing and consulting services previously acquired by McKesson, which has since divested its interest in the company.
Essence Group Holdings
Private Equity Round in 2011
Essence Group Holdings Corporation, through its subsidiaries, offers health insurance and software. The company was incorporated in 2007 and is based in Maryland Heights, Missouri.
Essence Group Holdings
Private Equity Round in 2011
Essence Group Holdings Corporation, through its subsidiaries, offers health insurance and software. The company was incorporated in 2007 and is based in Maryland Heights, Missouri.
Healthspring is a personalized healthcare services company located in Mumbai, India, specializing in a network of primary healthcare clinics. It aims to address the existing gaps in healthcare by providing a range of services that cater to various health needs. These services include mental wellness support, diagnostics, dental care, diet and nutrition counseling, emergency services, and insurance products. By offering comprehensive and tailored healthcare solutions, Healthspring strives to meet the diverse requirements of its clients effectively.
Capson is a company based in Austin, Texas, that is transforming the medical malpractice insurance industry. Established in 2010, Capson emphasizes not only the policy aspects of medical insurance but also the overall experience for physicians and their patients. This approach allows clients to secure medical insurance at lower premiums while facilitating quicker claims resolutions. By prioritizing both coverage and user experience, Capson aims to enhance the relationship between medical professionals and their insurers.
Bloom Health is a benefits company that offers agencies and employees with insights to predict and manage benefits costs. Bloom Health offers employees with benefits options, compensation management solutions, and consulting services. They also provides a cloud-based solution to predict and manage costs. Bloom Health is acquired by Empyrean Benefit Solutions, Inc. Bloom Health was founded in 2009 and is based in Minneapolis, Minnesota.