Everside Health is a direct primary care provider offering convenient on-site, near-site, and virtual care for its members. Everside’s data-driven, patient-centric healthcare delivery model aligns incentives to benefit the patient, the physician, and the benefit provider, all while reducing the total cost of care.
CareBridge provides technology and services that assists health plans and states in caring for individuals receiving long-term support services. The company services include electronic visit verification (EVV), data aggregation, 24/7 member support and benefit management. CareBridge was founded in 2009 and is based in Nashville, Tennessee.
Reveleer is a healthcare software and services company that empowers payers in all lines of business to take control over their risk adjustment and quality improvement programs. The Reveleer platform enables payers to independently execute and manage every aspect of provider outreach, retrieval, coding, abstraction and reporting – all under one single platform. Leveraging its technology, proprietary data sets, and subject matter expertise, Reveleer also assists payers with full record retrieval and review services to support financial performance and improved member outcomes.
Quartet Health, Inc. is a healthcare technology company that operates a cloud-based platform designed to enhance communication and collaboration between medical and behavioral health providers. Founded in 2014 and based in New York, the company partners with health plans and health systems to deliver actionable insights and reports on behavioral health conditions, ultimately aiming to improve patient outcomes. Quartet's platform facilitates access to suitable mental health care tailored to individual preferences and clinical needs, ensuring that care is compatible with patients' insurance plans. By connecting physicians, mental health providers, and insurance companies, Quartet seeks to improve the overall health of patients while also reducing healthcare costs.
U.S. Medical Management, LLC provides comprehensive home-based healthcare services. It offers primary and short term care, skilled home health care, hospice and palliative care, and diagnostic services. The company also provides home-based specialty programs that facilitates care, promote coordination of resources, reduce medical expenditures, and increase patient satisfaction. It offers durable medical equipment as a service. The company caters to health care partners, including health plans, hospital systems, assisted/independent living communities, home health/hospice agencies, pharmaceutical companies, skilled nursing/rehab facilities. U.S. Medical Management, LLC was founded in 1993 and is based in Troy, Michigan. As of January 6, 2014, U.S. Medical Management, LLC operates as subsidiary of Centene Corporation (NYSE:CNC).
Infusion for Health, Inc. is a network of ambulatory infusion centers based in Thousand Oaks, California, specializing in infusion therapy for patients with complex and chronic conditions. The company offers a range of services, including treatments for multiple sclerosis, rheumatoid arthritis, Crohn’s disease, ulcerative colitis, chronic anemia, and various autoimmune and immunodeficiency disorders. Additionally, Infusion for Health provides hydration therapy for conditions such as morning sickness and influenza, along with antibiotic therapy. By leveraging modern medical technology, the company aims to effectively address the needs of patients suffering from these challenging health issues.
Private Equity Round in 2021
TurningPoint Healthcare Solutions, LLC, founded in 2014 and based in Lake Mary, Florida, specializes in managing high-cost surgical procedures involving implantable devices. The company offers a comprehensive suite of innovative management solutions aimed at health plans, employers, and accountable care organizations, focusing on improving patient care while significantly reducing costs. With a leadership team composed of experienced clinical and administrative executives, TurningPoint is committed to enhancing the quality and affordability of healthcare. The organization effectively manages billions of dollars in surgical procedure charges annually, demonstrating proven results in cost reduction and improved care outcomes.
Main Street Health is a value-based healthcare provider dedicated solely to rural America. The company was founded in 2021 and is headquartered in Nashville, Tennessee.
AllyAlign Health, Inc. is a care management company dedicated to supporting patients with chronic and complex medical conditions. Founded in 2013 and based in Glen Allen, Virginia, the company utilizes an active care management platform that facilitates real-time, collaborative care across various boundaries. This platform connects patients with care teams, providers, and home and community-based services, ensuring access to vital health information, care plans, and benefits needed for informed decision-making. Users can easily view, share, create, and update information according to their roles, with mobile and web-based options available for convenient access. The company maintains a central, HIPAA-compliant database that integrates information from diverse sources, such as electronic health records, lab tests, and pharmacy data, while employing semantic data modeling to present meaningful clinical insights.
Main Street Health is a value-based healthcare provider dedicated solely to rural America. The company was founded in 2021 and is headquartered in Nashville, Tennessee.
Firefly Health, Inc. is a healthcare company based in Wellesley, Massachusetts, that specializes in primary health care services through an artificial intelligence-based platform. Founded in 2016, the company aims to redefine patient care by providing a virtual-first approach that combines advanced technology with a dedicated care team. Firefly Health offers services for common health conditions such as back pain, stomach flu, and women's health issues, facilitating live video appointments with primary care physicians without any membership fees. This model allows patients to navigate their health more effectively and make informed decisions, while enabling healthcare professionals to deliver consistent and proactive care.
Advise Insurance is a Medicare concierge agency dedicated to assisting seniors in their communities with health insurance selection and enrollment. The agency offers comprehensive services that promote healthy living for seniors, focusing on maintaining strong connections between patients and their healthcare providers. Advise Health Holdings, the parent company, also oversees Bloom Insurance, which is a Medicare enrollment platform that operates with licensed agents throughout the contiguous United States. Through partnerships with healthcare professionals, Advise Insurance provides informative seminars on Medicare and facilitates a transparent comparison of various Medicare plans, ensuring that elderly individuals receive the necessary guidance to choose the healthcare options that best suit their needs.
DispatchHealth Management, LLC is a provider of on-demand mobile and virtual healthcare services based in Denver, Colorado. Founded in 2013, the company offers a wide range of services including acute injury and illness evaluations, laceration repair, splinting of injured extremities, treatment for nosebleeds, placement of Foley and G-tubes, medication administration, laboratory testing, and coordination with primary care physicians and home health agencies. By delivering care in the comfort of patients' homes, DispatchHealth aims to reduce unnecessary emergency room visits and hospitalizations, improve clinical outcomes, and lower overall healthcare costs. The organization focuses on creating an integrated and convenient healthcare solution that enhances the capabilities of patients' care teams and ensures high-quality care.
Circulo Health is a Medicaid insurance company based in Columbus, Ohio, focused on delivering technology-enabled care to underserved populations. The company operates a medical insurance platform that collaborates with hospitals to provide affordable healthcare services to the sickest and poorest individuals. By leveraging technology, Circulo aims to improve access to proper healthcare for underprivileged communities, ensuring that those in need receive essential medical support.
DispatchHealth Management, LLC is a provider of on-demand mobile and virtual healthcare services based in Denver, Colorado. Founded in 2013, the company offers a wide range of services including acute injury and illness evaluations, laceration repair, splinting of injured extremities, treatment for nosebleeds, placement of Foley and G-tubes, medication administration, laboratory testing, and coordination with primary care physicians and home health agencies. By delivering care in the comfort of patients' homes, DispatchHealth aims to reduce unnecessary emergency room visits and hospitalizations, improve clinical outcomes, and lower overall healthcare costs. The organization focuses on creating an integrated and convenient healthcare solution that enhances the capabilities of patients' care teams and ensures high-quality care.
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.
CLARA Analytics, Inc. specializes in developing analytical tools and software solutions for workers' compensation and workplace injury claims. Founded in 2016 and based in Santa Clara, California, the company offers a suite of products, including PUMA and CATT, which leverage artificial intelligence and machine learning to enhance claims management. These tools assist claims adjusters by identifying suitable medical providers, minimizing claim escalations, and reducing the need for attorney involvement. CLARA's technology utilizes image recognition and natural language processing to extract insights from medical documents and bills, enabling clients to implement cost-effective settlement strategies and proactively manage potentially costly claims. The company's customer base includes some of the largest global insurance carriers, third-party administrators, and self-insured organizations, all benefiting from improved claims outcomes and reduced costs.
CareBridge provides technology and services that assists health plans and states in caring for individuals receiving long-term support services. The company services include electronic visit verification (EVV), data aggregation, 24/7 member support and benefit management. CareBridge was founded in 2009 and is based in Nashville, Tennessee.
Firefly Health, Inc. is a healthcare company based in Wellesley, Massachusetts, that specializes in primary health care services through an artificial intelligence-based platform. Founded in 2016, the company aims to redefine patient care by providing a virtual-first approach that combines advanced technology with a dedicated care team. Firefly Health offers services for common health conditions such as back pain, stomach flu, and women's health issues, facilitating live video appointments with primary care physicians without any membership fees. This model allows patients to navigate their health more effectively and make informed decisions, while enabling healthcare professionals to deliver consistent and proactive care.
VillageMD is a healthcare management service provider that partners with primary care physicians to enhance clinical outcomes in a rapidly evolving healthcare environment. Founded in 2013 and headquartered in Chicago, Illinois, the company offers a comprehensive suite of tools and services, including technology, operations, staffing support, clinical innovation, and analytics. VillageMD aims to help physicians and healthcare organizations transition to a primary care-led, value-based care model. It collaborates with physician groups, independent practice associations, and health systems to improve patient care quality, optimize the patient experience, and reduce costs. The company serves various markets across the United States, including cities like Chicago, Houston, and Indianapolis, positioning itself as a leader in developing a high-performing primary care network.
Quartet Health, Inc. is a healthcare technology company that operates a cloud-based platform designed to enhance communication and collaboration between medical and behavioral health providers. Founded in 2014 and based in New York, the company partners with health plans and health systems to deliver actionable insights and reports on behavioral health conditions, ultimately aiming to improve patient outcomes. Quartet's platform facilitates access to suitable mental health care tailored to individual preferences and clinical needs, ensuring that care is compatible with patients' insurance plans. By connecting physicians, mental health providers, and insurance companies, Quartet seeks to improve the overall health of patients while also reducing healthcare costs.
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.
Devoted Health is a new healthcare company serving seniors. Aiming to launch Medicare Advantage plans in 2019, their mission is to build a healthcare solution good enough for Mom. They will be devoted to the health and wellness of their members by helping them navigate the health care system with personal guides, by utilizing world-class technology to enable a simplified experience, and by partnering with top providers for better health outcomes.
Devoted Health is a new healthcare company serving seniors. Aiming to launch Medicare Advantage plans in 2019, their mission is to build a healthcare solution good enough for Mom. They will be devoted to the health and wellness of their members by helping them navigate the health care system with personal guides, by utilizing world-class technology to enable a simplified experience, and by partnering with top providers for better health outcomes.
Everside Health is a direct primary care provider offering convenient on-site, near-site, and virtual care for its members. Everside’s data-driven, patient-centric healthcare delivery model aligns incentives to benefit the patient, the physician, and the benefit provider, all while reducing the total cost of care.
OODA Health, Inc., founded in 2017 and based in San Francisco, California, specializes in payment administration solutions for the healthcare sector. The company aims to create a more efficient healthcare system by utilizing an intelligent, cloud-based technology platform that facilitates instantaneous data sharing, adjudication, and payment. By integrating machine learning and modern technology, OODA Health seeks to transform healthcare administration into a more streamlined retail experience. Its platform fosters real-time payment interactions among service providers, payers, and members, thereby reducing administrative burdens and enhancing the overall experience for users. This approach allows patients to concentrate on their recovery rather than navigating complex medical billing processes.
CLARA Analytics, Inc. specializes in developing analytical tools and software solutions for workers' compensation and workplace injury claims. Founded in 2016 and based in Santa Clara, California, the company offers a suite of products, including PUMA and CATT, which leverage artificial intelligence and machine learning to enhance claims management. These tools assist claims adjusters by identifying suitable medical providers, minimizing claim escalations, and reducing the need for attorney involvement. CLARA's technology utilizes image recognition and natural language processing to extract insights from medical documents and bills, enabling clients to implement cost-effective settlement strategies and proactively manage potentially costly claims. The company's customer base includes some of the largest global insurance carriers, third-party administrators, and self-insured organizations, all benefiting from improved claims outcomes and reduced costs.
Quartet Health, Inc. is a healthcare technology company that operates a cloud-based platform designed to enhance communication and collaboration between medical and behavioral health providers. Founded in 2014 and based in New York, the company partners with health plans and health systems to deliver actionable insights and reports on behavioral health conditions, ultimately aiming to improve patient outcomes. Quartet's platform facilitates access to suitable mental health care tailored to individual preferences and clinical needs, ensuring that care is compatible with patients' insurance plans. By connecting physicians, mental health providers, and insurance companies, Quartet seeks to improve the overall health of patients while also reducing healthcare costs.
Devoted Health is a new healthcare company serving seniors. Aiming to launch Medicare Advantage plans in 2019, their mission is to build a healthcare solution good enough for Mom. They will be devoted to the health and wellness of their members by helping them navigate the health care system with personal guides, by utilizing world-class technology to enable a simplified experience, and by partnering with top providers for better health outcomes.
Private Equity Round in 2016
Leehar Distributors, Inc. provides pharmacy benefits services for health insurance agents, brokers, and consultants; third party administrators; and self-insured organizations in the United States. It offers disease management, therapeutic substitution, mail order convenience and support products, an integrated specialty bio-injectable program, medical pharmacy claims re-pricing, oncology center support, and home infusion therapy. The company’s services include specialty pharmacy cost management, mail-order pharmacy, generic drug education, step therapy, and formulary design. It also administers prescription drug programs for unions, HMOs, brokers, and self-funded employers. The company, through its online RxPortal and Health Envelope programs, provides plan information, patient education, and wellness programs to enhance the health and well-being of prescription plan members. Leehar Distributors, Inc. was founded in 1967 and is based in Creve Coeur, Missouri. It also has satellite offices in Kansas City, Missouri; Phoenix, Arizona; and Tulsa, Oklahoma.
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.
Quartet Health, Inc. is a healthcare technology company that operates a cloud-based platform designed to enhance communication and collaboration between medical and behavioral health providers. Founded in 2014 and based in New York, the company partners with health plans and health systems to deliver actionable insights and reports on behavioral health conditions, ultimately aiming to improve patient outcomes. Quartet's platform facilitates access to suitable mental health care tailored to individual preferences and clinical needs, ensuring that care is compatible with patients' insurance plans. By connecting physicians, mental health providers, and insurance companies, Quartet seeks to improve the overall health of patients while also reducing healthcare costs.
Maestro Health is an employee benefits company that specializes in providing integrated solutions for brokers, small employers, and Fortune 1000 organizations. Founded in 2013 and based in Chicago, Illinois, the company offers a comprehensive platform known as maestroEDGE, which includes benefits administration, enrollment, self-insurance, and healthcare savings account management. By operating a proprietary private exchange and medical third-party administrator (TPA), Maestro Health enables employers to streamline care management, ultimately reducing costs associated with employee benefits. The company was previously known as Maestro Healthcare Technology, Inc. and rebranded to Maestro Health in April 2014. As of early 2018, it operates as a subsidiary of AXA US Holdings Inc.
Insureon is an independent online marketplace specializing in small business insurance. Founded in 1997 and based in Chicago, Illinois, Insureon aggregates insurance options from over 50 carriers, allowing small and medium-sized business owners to compare quotes and purchase various types of commercial insurance, including cyber liability, errors and omissions, workers' compensation, and general liability. The platform facilitates the management of insurance coverage online, streamlining the process for business owners. Additionally, Insureon licenses its proprietary technology to other distributors, enhancing their capabilities in delivering commercial insurance to small businesses.
VillageMD is a healthcare management service provider that partners with primary care physicians to enhance clinical outcomes in a rapidly evolving healthcare environment. Founded in 2013 and headquartered in Chicago, Illinois, the company offers a comprehensive suite of tools and services, including technology, operations, staffing support, clinical innovation, and analytics. VillageMD aims to help physicians and healthcare organizations transition to a primary care-led, value-based care model. It collaborates with physician groups, independent practice associations, and health systems to improve patient care quality, optimize the patient experience, and reduce costs. The company serves various markets across the United States, including cities like Chicago, Houston, and Indianapolis, positioning itself as a leader in developing a high-performing primary care network.
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.
Quartet Health, Inc. is a healthcare technology company that operates a cloud-based platform designed to enhance communication and collaboration between medical and behavioral health providers. Founded in 2014 and based in New York, the company partners with health plans and health systems to deliver actionable insights and reports on behavioral health conditions, ultimately aiming to improve patient outcomes. Quartet's platform facilitates access to suitable mental health care tailored to individual preferences and clinical needs, ensuring that care is compatible with patients' insurance plans. By connecting physicians, mental health providers, and insurance companies, Quartet seeks to improve the overall health of patients while also reducing healthcare costs.