Like Lorica Health

closed 1/13/2021 via BNC Analysis

HMS, acquired Lorica Health

synopsis: HMS, a healthcare analytics and technology company, has acquired Lorica Health, a payment accuracy solutions providers in Australia. Lorica Health's HIBIS (Health Insurance Business Intelligence System) software allows healthcare payers to accurately and efficiently prevent and recover inappropriate claiming.
buyer: HMS (HMSY:$642.75)
HMS advances the healthcare system by helping payers reduce costs and improve health outcomes. HMS provides a broad range of coordination of benefits, payment integrity, population risk analytics, care management, and member engagement solutions that help move the healthcare system forward. "
target: Lorica Health
Lorica Health is a payment accuracy solutions providers in Australia. Lorica Health powers better healthcare by enabling transparency in healthcare markets. Their HIBIS (Health Insurance Business Intelligence System) software allows healthcare payers to accurately prevent inappropriate claiming.
price ($mm)
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closed 3/22/2019 via BusinessWire

QualMetrix merged with Clinigence, LLC.,

synopsis: Clinigence, LLC and QualMetrix, Inc., two pioneering healthcare information technology companies providing advanced, cloud-based platforms that enable healthcare organizations to shift to value-based care reimbursements and to provide population health management, have completed their merger.
buyer: Clinigence, LLC. (OTCPK:IGMB.D:$1.37)
Clinigence Holdings is a leading healthcare information technology company providing an advanced, cloud-based platform that enables healthcare organizations to provide value-based care and population health management. "
target: QualMetrix
QualMetrix, founded in 2013 and based in Miramar, Florida, is a population health analytics company that provides turnkey solutions that enable connected intelligence across the care continuum by transforming massive amounts of clinical and claims data into actionable insights.
price ($mm)
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closed 2/7/2018 via BusinessWire

Verscend Technologies, purchased Commercial Health Insurance Payer Products Business from General Dynamics Information Technology

synopsis: Verscend, a leader in data-driven healthcare solutions, has acquired the commercial health insurance payer products business of General Dynamics Information Technology, a provider of IT, systems engineering, and professional services. The business includes products that help healthcare payers better manage healthcare fraud, waste, and abuse.
buyer parent: Veritas Capital Partners
buyer: Verscend Technologies
Verscend Technologies drives better healthcare outcomes through data analytics. Their payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently succeed in the new era of healthcare. "
seller parent: General Dynamics
seller: General Dynamics Information Technology
The commercial health insurance payer products business of General Dynamics Information Technology includes products that help healthcare payers better manage healthcare fraud, waste, and abuse. General Dynamics Information Technology provides IT, systems engineering, and professional services.
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closed 4/1/2014 via BusinessWire

3M Health Information Systems, Inc., acquired Treo Solutions

synopsis: 3M announced that it has entered into an agreement to acquire Treo Solutions, a leading provider of data analytics and business intelligence to healthcare payers and providers. They deliver analytics on data and use data analytics to redesign payment structures and transition payer and provider clients to value-based care models.
buyer parent: 3M
buyer: 3M Health Information Systems, Inc.
3M Health Information Systems, a business of 3M Health Care, delivers intelligent software and consulting services that are used by hospitals and health systems, commercial payers, and federal and state agencies to compile, classify, and analyze health information. "
target: Treo Solutions
Treo is a leading provider of data analytics and business intelligence to healthcare payers and providers. They deliver analytics on data from more than 60 health plans and use data analytics to redesign payment structures and transition payer and provider clients to value-based care models.
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closed 10/30/2020 via PR Newswire

ISG, acquired Social Detection, Inc

synopsis: Insight Service Group (ISG) has acquired Social Detection LLC., the world’s most powerful anti-fraud platform, to expand its Social Media Technology platform. Together, ISG and Social Detection will provide a more expansive and integrated combination of investigation, medical and record management solutions to the insurance and legal industries.
buyer: ISG
ISG is a national market leader and technology driven service provider delivering a unique combination of investigation, medical, and record management as well as legal investigation solutions that offer claim and litigation support to both insurance and legal communities. "
target: Social Detection, Inc
Social Detection is the world’s most powerful anti-fraud platform. Used by thousands of investigative professionals across various industries, the Social Detection platform offers a self-serve search engine, on-demand concierge analysts, and next-generation medical canvassing.
price ($mm)
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closed 3/19/2020 via BNC Analysis

Thomson Reuters, acquired Pondera Solutions

synopsis: Thomson Reuters announced that it has acquired Pondera Solutions, a leading provider of technology and advanced analytics to combat fraud, waste and abuse in healthcare and large government programs. Their core detection system, FraudCaster, helps prevent hundreds of millions of dollars in improper payments in health plans and government programs.
buyer: Thomson Reuters (TRI:$5,921.00)
Thomson Reuters is a leading provider of business information services. Their products include highly specialized information-enabled software and tools for legal, tax, accounting, and compliance professionals combined with the world's most global news service—Reuters. "
target: Pondera Solutions
Pondera Solutions leverages advanced analytics, AI, and human intelligence to help government and commercial healthcare programs maintain compliance and detect fraud, waste, and abuse. Their core detection system, FraudCaster, prevents hundreds of millions of dollars in improper payments.
price ($mm)
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closed 4/28/2014 via BusinessWire

Truven Health Analytics, acquired Fortel Analytics

synopsis: Truven Health Analytics, a leading provider of healthcare analytics and data solutions and services, acquired Fortel Analytics’ healthcare fraud technology, which provides a suite of predictive solutions and analytic technology designed to quickly identify suspicious patterns in healthcare insurance claims data before claims are ever paid.
buyer parent: Veritas Capital Partners
buyer: Truven Health Analytics
Truven Health Analytics delivers unbiased information, analytic tools, benchmarks, and services to the healthcare industry. Their customers include hospitals, government agencies, employers, health plans, clinicians, and pharmaceutical and medical device companies. "
target: Fortel Analytics
Fortel Analytics is the developer of healthcare fraud technology. Fortel’s patent-pending predictive analytics quickly scour vast insurance claims data sets for statistical anomalies that are consistent with patterns of fraud and abuse.
price ($mm)
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closed 3/10/2014 via GlobeNewswire

Altegra Health, acquired Outcomes Health

synopsis: Altegra Health, a leading provider of business, technology and consulting solutions for healthcare organizations, announced the acquisition of Outcomes Health Information Solutions, a leading provider of risk adjustment, quality measurement and data analytics services to government-sponsored health plans and other healthcare organizations.
buyer parent: Parthenon Capital Partners
buyer: Altegra Health
Altegra Health is a leading provider of business, technology, and consulting solutions that improve healthcare organization performance by aligning the company's best-in-class capabilities with health plan and provider clients' existing capabilities. "
target: Outcomes Health
Outcomes Health is a technology-enabled healthcare services provider focused on advancing the collection and analysis of health care data to improve care, quality, information accuracy and security, and financial performance for its healthcare partners.
price ($mm)
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closed 1/8/2013 via PR Newswire

Blue Health Intelligence, acquired Intelimedix, LLC

synopsis: Blue Health Intelligence, a leading healthcare data and analytics company, has announced that it has acquired Intelimedix, a healthcare analytics firm specializing in employer group and payer reporting solutions. Intelimedix provides a complete analytics and business intelligence environment.
buyer: Blue Health Intelligence
Blue Health Intelligence is the nation's premiere health intelligence resource, delivering data-driven insights about healthcare trends and best practices, resulting in healthier lives and more affordable access to safe and effective care. "
target: Intelimedix, LLC
Intelimedix is the leader in healthcare business intelligence and informatics. Their groundbreaking technology empowers health plans, healthcare providers and employers to elevate the quality of care while simultaneously gaining unprecedented cost savings.
price ($mm)
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closed 4/9/2020 via BusinessWire

Blackstone Group LP, acquired HealthEdge

synopsis: Blackstone announced that funds managed by Blackstone have completed their previously announced acquisition of a majority stake in HealthEdge Software, a leading healthcare technology company that delivers next generation Core Administrative Processing Systems (CAPS) solutions to customers across the healthcare ecosystem.
buyer: Blackstone Group LP (BX:$17,325.04)
Blackstone is one of the world's leading investment firms. Their asset management businesses, with over $450 billion in assets under management, include investment vehicles focused on private equity, real estate, public debt and equity, non-investment grade credit, real assets and secondary funds. "
target parent: Psilos Group
target: HealthEdge
HealthEdge is a cutting edge software company focused on providing next-generation core administration and care coordination for transformative health plans. Their patented, language-based technology platform, HealthRules®, is delivered to customers via the HealthEdge Cloud or on-site deployment.
price ($mm)
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closed 1/4/2019 via PR Newswire

Health Enterprise Partners, L.P., Spectrum Equity, acquired Payer Compass, LLC

synopsis: Spectrum Equity, a growth equity firm focused on the information economy, has led a majority recapitalization of Payer Compass. Payer Compass is a leading provider of healthcare reimbursement technology and price transparency solutions. Health Enterprise Partners (HEP) is a healthcare-focused investment firm also participated in the investment.
buyer: Spectrum Equity
buyer: Health Enterprise Partners, L.P.
Spectrum Equity is a growth equity firm focused on the information economy, and Health Enterprise Partners (HEP) is a healthcare-focused investment firm. "
target: Payer Compass, LLC
Payer Compass is an innovative healthcare technology company providing the most trusted healthcare reimbursement technology and price transparency solutions utilizing both proprietary technology and unsurpassed customer service.
price ($mm)
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announced 10/31/2018 via PR Newswire

Conduent, Inc., will acquire Health Solutions Plus

synopsis: Conduent, the world's largest provider of diversified business process services, will acquire Health Solutions Plus (HSP), a provider of core administration software solutions for healthcare payers. HSP’s comprehensive core claims administration solution speeds up the process of complicated healthcare claims by utilizing embedded automated tools.
buyer: Conduent, Inc. (NYSE:CNDT:$5,780.00)
Conduent is the world's largest provider of diversified business process services with leading capabilities in digital processing, automation and analytics. They work with companies and governments to help them deliver quality services to the people they serve. "
target: Health Solutions Plus
Health Solutions Plus (HSP) is a provider of core administration software solutions for healthcare payers. HSP’s comprehensive core claims administration solution speeds up the process of complicated healthcare claims by utilizing a broad range of embedded automated tools.
price ($mm)
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announced 1/17/2017 via BusinessWire

Jellyvision, will acquire FlexMinder

synopsis: Jellyvision, maker of industry-leading employee communications platform ALEX®, announced that is has entered into an asset purchase agreement with FlexMinder, a Techstars company that automates the healthcare reimbursement process for third-party administrators (TPAs), making it easier for their participants to manage medical spending.
buyer: Jellyvision
Jellyvision is an award-winning technology company whose interactive software talks people through important, complex and potentially snooze-inducing life decisions - like choosing a healthcare insurance plan, saving for retirement or managing finances - in simple, fun and engaging ways. "
target: FlexMinder
FlexMinder is a technology startup that automates costly manual healthcare reimbursement processes, a $190B problem in the US. FlexMinder is committed to helping businesses and consumers save time and money on healthcare costs.
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closed 12/15/2016 via BNC Analysis

Origami Risk, acquired Claimwire

synopsis: Origami Risk has acquired Kaysville, Utah-based Claimwire, a provider of automated workers’ compensation forms, compliance resources and regulatory information to the insurance industry.
buyer: Origami Risk
The Origami Risk risk management, claims management and policy management platform was designed by industry veterans committed to helping clients streamline the collection, analysis and reporting of risk, insurance and claims information. "
target: Claimwire
Claimwire provides consulting and software services for the workers’ compensation, risk and insurance industries.
price ($mm)
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closed 4/20/2016 via GlobeNewswire

RJD Green, Inc., acquired Iosoft Inc.

synopsis: RJD Green announced the completion of the acquisition of Iosoft Inc. Iosoft was formed in 1998 to provide proprietary software for medical billing, Healthcare claims adjudication, automotive warranty payments, and electronic payments between healthcare Payers and Providers, and several other platform developments.
buyer: RJD Green, Inc. (OTCPK:RJDG:$2.92)
RJD Green is a holding company focused in green environmental services, healthcare technology and services, and manufacturing/distribution of construction and industrial products. RJD focuses on economically advantageous acquisitions within emerging growth entities or companies needing restructure. "
target: Iosoft Inc.
IoSoft provides proprietary software for medical billing, Healthcare claims adjudication, automotive warranty payments, and electronic payments between healthcare Payers and Providers, and several other platform developments.
price ($mm)
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closed 5/7/2012 via PR Newswire

Emdeon, Inc., acquired TC³ Health, Inc.

synopsis: Emdeon Inc. announced its acquisition of TC3™Health, Inc. The acquisition of TC3 expands Emdeon's already robust Payment Integrity solutions for healthcare payers to include new claims analytics tools from pre-adjudication through post-payment, as well as access to a broad out-of-network claims cost management solution.
buyer parent: Blackstone Group LP
buyer: Emdeon, Inc.
Emdeon, Inc. is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. "
target parent: JMI Equity
target: TC³ Health, Inc.
TC3 Health is a leading provider of cost containment solutions, including payment integrity and out-of-network claims cost management, to U.S. healthcare payers. It provides healthcare payers a total claims management solution that provides payment integrity and enables cost savings.
price ($mm)
$61
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 1/5/2012 via Company Press Release

TriZetto Group, Inc., acquired Medical Data Express, LLC

synopsis: The TriZetto Group, Inc., a provider of premier information technology solutions to the healthcare industry, announced the acquisition of Medical Data Express, a provider of technology consulting and solutions to the healthcare market.
buyer parent: Apax Partners
buyer: TriZetto Group, Inc.
TriZetto is Powering Integrated Healthcare Management™. The company provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers. "
target: Medical Data Express, LLC
Health plans use Medical Data Express' technology and services to meet federal and state mandates for claim submissions that require medical encounter data formats.
price ($mm)
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closed 1/5/2012 via Company Press Release

OpenSpan, acquired Triangle BPA, LLC

synopsis: OpenSpan, Inc. has signed a definitive agreement to acquire Triangle BPA, LLC, provider of solutions to automate claims processing tasks based on business rules.
buyer: OpenSpan
OpenSpan software is used as part of a continuous improvement process to discover, measure and improve the productivity of front and back office workers. "
target: Triangle BPA, LLC
Triangle BPA, LLC. was formed to help payers and providers automate the manual activities required to process healthcare claims. Utilizing proven automation concepts, Triangle BPA designed and developed the Claim Control Engine™ (CCE) to quickly build claims automation.
price ($mm)
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closed 6/26/2007 via BNC Analysis

inVentiv Health, Inc., acquired Innovative Health Strategies, Inc.

synopsis: inVentiv Health, Inc. announced that it has signed a definitive agreement to acquire Innovative Health Strategies, Inc. and the related AWAC.MD business (collectively "AWAC"), a leading provider of proprietary IT-driven cost containment and medical consulting solutions to third party administrators and insurance carriers.
buyer: inVentiv Health, Inc.
inVentiv Health, Inc. is the leading provider of commercialization and complementary services to the global pharmaceutical, life sciences and biotechnology industries. inVentiv delivers its customized clinical, sales, marketing and communications solutions. "
target: Innovative Health Strategies, Inc.
AWAC(R), Innovative Health Strategies' core proprietary software platform, utilizes over 60,000 unique algorithms applied to client provider claims, pharmacy data, pre-certification and related data to uncover opportunities for cost reductions.
price ($mm)
$75
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 10/23/2018 via BusinessWire

CoreLogic, Inc., acquired Symbility Solutions Inc.

synopsis: CoreLogic, a leading global provider of property information, insight, analytics and data-enabled solutions, announced the closing of its acquisition of Symbility Solutions, a global software company focused on modernizing the insurance industry.
buyer: CoreLogic, Inc. (CLGX:$1,642.38)
CoreLogic is a leading global property information, analytics and data-enabled services provider. They combine data from public, contributory and proprietary sources, providing coverage of property and other encumbrances, consumer credit, tenancy, location, hazard risk and performance information. "
target: Symbility Solutions Inc. (AUT.V:$33.06)
Symbility Solutions provides cloud-based and smartphone-enabled claims technology for the insurance industries. Their products, Symbility Property and Symbility Health, empower insurers to collaborate across the claims processing workflow and reduce costs while delivering a claims experience.
price ($mm)[EV]
$107 [$85]*
rev ($mm)
$43
EBITDA ($mm)
$4
EV / rev
3.0x
EV / EBITDA
33.7x
closed 1/13/2021 via BNC Analysis

HMS, acquired Lorica Health

synopsis: HMS, a healthcare analytics and technology company, has acquired Lorica Health, a payment accuracy solutions providers in Australia. Lorica Health's HIBIS (Health Insurance Business Intelligence System) software allows healthcare payers to accurately and efficiently prevent and recover inappropriate claiming.
buyer: HMS (HMSY:$642.75)
HMS advances the healthcare system by helping payers reduce costs and improve health outcomes. HMS provides a broad range of coordination of benefits, payment integrity, population risk analytics, care management, and member engagement solutions that help move the healthcare system forward. "
target: Lorica Health
Lorica Health is a payment accuracy solutions providers in Australia. Lorica Health powers better healthcare by enabling transparency in healthcare markets. Their HIBIS (Health Insurance Business Intelligence System) software allows healthcare payers to accurately prevent inappropriate claiming.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 1/13/2021 via BNC Analysis

HMS, acquired Lorica Health

synopsis: HMS, a healthcare analytics and technology company, has acquired Lorica Health, a payment accuracy solutions providers in Australia. Lorica Health's HIBIS (Health Insurance Business Intelligence System) software allows healthcare payers to accurately and efficiently prevent and recover inappropriate claiming.
buyer: HMS (HMSY:$642.75)
HMS advances the healthcare system by helping payers reduce costs and improve health outcomes. HMS provides a broad range of coordination of benefits, payment integrity, population risk analytics, care management, and member engagement solutions that help move the healthcare system forward. "
target: Lorica Health
Lorica Health is a payment accuracy solutions providers in Australia. Lorica Health powers better healthcare by enabling transparency in healthcare markets. Their HIBIS (Health Insurance Business Intelligence System) software allows healthcare payers to accurately prevent inappropriate claiming.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 12/21/2020 via GlobeNewswire

Gainwell Technologies, will acquire HMS

synopsis: Veritas Capital-backed Gainwell Technologies, a leading provider of solutions that are vital to the administration and operations of health and human services programs, is to acquire HMS, an industry-leading technology, analytics and engagement solutions provider helping organizations reduce costs and improve health outcomes.
buyer parent: Veritas Capital
buyer: Gainwell Technologies
Gainwell Technologies is a leading provider of solutions that are vital to the administration and operations of health and human services programs. They offer services in Medicaid Management Information Systems, fiscal agent services, care management, immunization registry and eligibility services. "
target: HMS (HMSY:$642.75)
HMS advances the healthcare system by helping payers reduce costs and improve health outcomes. HMS provides a broad range of coordination of benefits, payment integrity, population risk analytics, care management, and member engagement solutions that help move the healthcare system forward.
price ($mm)[EV]
$3,329 [$3,377]
rev ($mm)
$643
EBITDA ($mm)
$123
EV / rev
5.3x
EV / EBITDA
27.8x
closed 9/17/2019 via GlobeNewswire

HMS, acquired VitreosHealth

synopsis: HMS has acquired VitreosHealth, a company offering predictive and prescriptive health insights for population risk models. Prior to the acquisition, VitreosHealth served as a partner for HMS as the predictive analytics engine for HMS’ Elli, a risk intelligence solution that is part of the company’s integrated Population Health Management portfolio.
buyer: HMS (HMSY:$642.75)
HMS advances the healthcare system by helping payers reduce costs and improve health outcomes. HMS provides a broad range of coordination of benefits, payment integrity, population risk analytics, care management, and member engagement solutions that help move the healthcare system forward. "
target: VitreosHealth
VitreosHealth offers the first Insights-as-a-Service delivery model for advanced population health analytics. They leverage Big Data and predictive and prescriptive health insights for population risk models that provide a complete view into the healthcare continuum.
price ($mm)
$37
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 3/13/2017 via GlobeNewswire

HMS, will acquire Eliza Corporation

synopsis: HMS Holdings, a provider of coordination of benefits, payment integrity and care management solutions for payers, is to acquire Eliza Corporation, a health engagement management and member analytics firm providing comprehensive and personalized member-centric outreach and engagement solutions to improve quality of care and clinical outcomes.
buyer: HMS (HMSY:$642.75)
HMS provides the broadest suite of healthcare cost containment solutions to help payers and at-risk providers improve performance. We deliver coordination of benefits, payment integrity, and data solutions to state agencies, federal programs, health plans, and employers. "
target: Eliza Corporation
Eliza is the only single-vendor healthcare engagement management solution capable of delivering a truly personalized conversation with the modern healthcare consumer –at an enterprise scale.
price ($mm)
$170
rev ($mm)
$60
EBITDA ($mm)
$12
EV / rev
2.8x
EV / EBITDA
14.2x
closed 9/7/2016 via GlobeNewswire

HMS, acquired Essette Inc

synopsis: HMS Holdings Corp announced the acquisition of Essette, a web-based care management platform which helps risk-bearing healthcare organizations identify, engage, and manage at-risk patient populations to improve outcomes while managing costs. The current Essette customer base includes managed care organizations and care delivery organizations.
buyer: HMS (HMSY:$642.75)
HMS Holding Corp. is the nation's leader in coordination of benefits and program integrity services for healthcare payers. Its clients include health and human services programs; commercial programs; the Centers for Medicare & Medicaid Services; and Veterans Administration facilities. "
target: Essette Inc
Essette is a web-based care management platform that helps risk-bearing healthcare organizations identify, engage, and manage at-risk patient populations to improve outcomes while managing costs. The software offers a robust alternative to ‘shrink wrapped’ applications for healthcare organizations.
price ($mm)
$20
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 12/16/2011 via BusinessWire

HMS, acquired HealthDataInsights Inc.

synopsis: HMS Holdings Corp., the nation's leader in coordination of benefits and program integrity services for healthcare payers, has completed the acquisition of privately-held HealthDataInsights, a leading provider of improper payment identification services for government and commercial health plans.
buyer: HMS (HMSY:$642.75)
HMS Holding Corp. is the nation's leader in coordination of benefits and program integrity services for healthcare payers. Its clients include health and human services programs; commercial programs; the Centers for Medicare & Medicaid Services; and Veterans Administration facilities. "
target parent: Ticonderoga Capital Inc.
target: HealthDataInsights Inc.
HealthDataInsights (HDI) is the industry leader in healthcare claims integrity: fraud, waste, abuse, errors and improper payment identification and recoupment solutions. The company specializes in the identification and recoupment of claim overpayments to providers.
price ($mm)
$327
rev ($mm)
$85
EBITDA ($mm)
EV / rev
4.5x
EV / EBITDA
closed 9/7/2010 via BusinessWire

HMS, acquired Chapman Kelly

synopsis: HMS announced it has acquired privately-held Chapman Kelly. Based in the metropolitan Louisville, Kentucky area, Chapman Kelly provides dependent eligibility audits to large, self-insured employers, as well as plan and claims audits to both employers and managed care organizations.
buyer: HMS (HMSY:$642.75)
HMS is the nation's leader in coordination of benefits and program integrity services for healthcare payors. HMS's clients include health and human services programs, commercial programs, including commercial plans, employers, and over 100 Medicaid managed care plans. "
target: Chapman Kelly
Chapman Kelly provides health care cost-containment services to organizations of all sizes and across multiple sectors. Organizations turn to Chapman Kelly to help lower their health care costs and increase compliance through health care claim audits, dependent audits and other related services.
price ($mm)
$13
rev ($mm)
$4
EBITDA ($mm)
EV / rev
3.3x
EV / EBITDA
announced 7/2/2010 via BusinessWire

HMS, will acquire Allied Management Group

synopsis: HMS announced it has signed a definitive agreement to acquire privately-held Allied Management Group (AMG-SIU), a leading provider of fraud, waste, and abuse prevention and detection solutions for healthcare payors, in an all-cash transaction.
buyer: HMS (HMSY:$642.75)
HMS is the nation’s leader in coordination of benefits and program integrity services for payors of healthcare services. "
target: Allied Management Group
Established in 1972, AMG-SIU provides audit and consulting services to both government and commercial healthcare payors. The company has developed a proprietary forensic claim editing system to analyze claim data for patterns of fraud, waste, and abuse.
price ($mm)
$13
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 10/1/2009 via Company Press Release

HMS, acquired IntegriGuard

synopsis: HMS announced that it has acquired the business of IntegriGuard LLC, an ISO-certified and URAC-accredited organization devoted to the prevention and detection of fraud, waste, and abuse in the healthcare system. The company is based in Omaha, Nebraska and will operate as a wholly-owned subsidiary of HMS Holdings Corp.
buyer: HMS (HMSY:$642.75)
HMS is the nation's leader in coordination of benefits and program integrity services for healthcare payors. HMS's clients include health and human services programs, commercial programs, including commercial plans, employers, and over 100 Medicaid managed care plans. "
target: IntegriGuard
IntegriGuard, LLC provides medical record reviews, financial reviews, and education activities for benefit programs and payment systems. IntegriGuard offers audit, investigation, medical review, data aggregation and analysis, enrollment and eligibility verification, and compliance services.
price ($mm)
$5.13
rev ($mm)
$12
EBITDA ($mm)
EV / rev
0.4x
EV / EBITDA
announced 12/21/2020 via GlobeNewswire

Gainwell Technologies, will acquire HMS

synopsis: Veritas Capital-backed Gainwell Technologies, a leading provider of solutions that are vital to the administration and operations of health and human services programs, is to acquire HMS, an industry-leading technology, analytics and engagement solutions provider helping organizations reduce costs and improve health outcomes.
buyer parent: Veritas Capital
buyer: Gainwell Technologies
Gainwell Technologies is a leading provider of solutions that are vital to the administration and operations of health and human services programs. They offer services in Medicaid Management Information Systems, fiscal agent services, care management, immunization registry and eligibility services. "
target: HMS (HMSY:$642.75)
HMS advances the healthcare system by helping payers reduce costs and improve health outcomes. HMS provides a broad range of coordination of benefits, payment integrity, population risk analytics, care management, and member engagement solutions that help move the healthcare system forward.
price ($mm)[EV]
$3,329 [$3,377]
rev ($mm)
$643
EBITDA ($mm)
$123
EV / rev
5.3x
EV / EBITDA
27.8x
announced 8/24/2015 via BusinessWire

Xerox Corporation, will acquire RSA Medical

synopsis: Xerox, a global business services, technology and document management company, announced a definitive agreement to acquire RSA Medical, a leading provider of medical assessment and medical management for patients interacting with life and health insurance companies.
buyer: Xerox Corporation (XRX:$10,610.00)
Xerox is a global business services, technology and document management company helping organizations transform the way they manage their business processes and information. Headquartered in Norwalk, Conn., Xerox has more than 140,000 Xerox employees and do business in more than 180 countries. "
target: RSA Medical
RSA Medical is a leading provider of medical assessment and medical management for patients interacting with life and health insurance companies.
price ($mm)
rev ($mm)
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closed 6/18/2020 via GlobeNewswire

Bravo Wellness, acquired PUSH Wellness Solutions, Inc.

synopsis: Bravo Wellness, one of the nation’s top employee wellness solution providers, has acquired PUSH Wellness, the first fair and effective progress-based corporate wellness incentive program. PUSH’s sophisticated technology platform and talented team will immediately enhance Bravo’s ability to meet or exceed its customer demands.
buyer: Bravo Wellness
Bravo is a national provider of employee well-being solutions that empower employers and health plans with configurable wellness plans that strengthen employee benefits and drive down the long-term claims trend. "
target: PUSH Wellness Solutions, Inc.
PUSH leverages technology and behavioral economics to motivate people to improve their health, producing benefits for health plans, employers, and their valued members. PUSH specializes in developing and managing programs for groups with diverse populations, including Managed Care Organizations.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 8/13/2015 via PR Newswire

Emdeon, Inc., acquired Altegra Health

synopsis: Emdeon Inc. announced that it has closed its previously announced acquisition of Altegra Health, a national provider of technology and intervention platforms that combine data aggregation and analytics with unique member engagement and reporting capabilities to achieve actionable insights and improved management for value-based healthcare.
buyer parent: Blackstone Group LP
buyer: Emdeon, Inc.
Emdeon provides software and analytics, network solutions and technology-enabled services that optimize communications, payments and insights by leveraging its healthcare platform, which includes one of the largest financial and administrative networks in the United States healthcare system. "
target parent: Parthenon Capital Partners
target: Altegra Health
Altegra Health is a national provider of technology-enabled, next generation payment solutions that enable health plans and other risk-bearing healthcare providers to generate, analyze and submit the data needed to successfully manage member care and ensure appropriate reimbursement.
price ($mm)
$910
rev ($mm)
$193
EBITDA ($mm)
EV / rev
4.7x
EV / EBITDA
closed 8/16/2010 via PE Hub

Parthenon Capital, acquired The Coding Source

synopsis: The Coding Source LLC, a leading provider of clinical coding, audit and compliances services to health plans and healthcare providers, announced the completion of a growth investment by Parthenon Capital Partners, a growth oriented private equity firm with offices in Boston and San Francisco.
buyer: Parthenon Capital
Parthenon Capital Partners is a leading mid-market private equity firm that utilizes niche industry expertise and a deep execution team to invest in growth companies in service industries. Parthenon seeks to be an active and aligned partner to management. "
target: The Coding Source
The Coding Source, a leader in medical coding and education, provides outsourced coding, physician and staff coding training, compliance program development and Medicare risk adjustment services to health plans, providers and hospitals.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 2/28/2019 via BNC Analysis

QRails, acquired RetePay

synopsis: QRails, Inc., a financial technology company offering a sophisticated payments platform with integrated processing and program management services, announced that it has completed the purchase of Rete+Pay, a provider of integrated electronic healthcare and insurance payments solutions.
buyer: QRails
QRails, Inc. is a financial technology company offering a sophisticated payments platform with integrated processing and program management services. Their ‘one stop shop’ service includes program design and marketing and card design, manufacturing, personalization and fulfillment. "
target: RetePay
Rete+Pay is a provider of integrated electronic healthcare and insurance payments solutions. It enables more efficient and cost-effective management of settlement of medical claims between insurance companies, patients and healthcare providers and offers a secure, policy compliant environment.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 2/3/2021 via Company Press Release

Edgewood Partners Insurance Center, Inc., will acquire Pharmaceutical Strategies Group, LLC

synopsis: EPIC announced that it has agreed to acquire Pharmaceutical Strategies Group (PSG). The move incorporates the expertise and resources of the nation’s largest independent pharmacy benefit consulting firm into the EPIC Employee Benefits Consulting practice.
buyer: Edgewood Partners Insurance Center, Inc.
Edgewood Partners Insurance Center, Inc. (EPIC) is an innovative retail property & casualty and employee benefits insurance brokerage and consulting firm, headquartered in San Francisco. EPIC Brokers has a nationwide presence with a depth of industry expertise across key lines of insurance. "
target parent: Blue Wolf Capital Management, LLC.
target: Pharmaceutical Strategies Group, LLC
Pharmaceutical Strategies Group (PSG) advocates for clients as they navigate the challenges of drug cost management. PSG’s innovative consulting and technology solutions, including its data and analytics platform Artemetrx, deliver actionable insights with exceptional financial and clinical value.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 6/27/2018 via PR Web

United Claim Solutions, acquired Zebu Compliance Solutions

synopsis: United Claim Solutions (UCS), a Great Point Partners II portfolio company, has acquired Portsmouth, Ohio-based Zebu Compliance Solutions (Zebu), a software enabled business, providing payment integrity and ongoing credentialing solutions to payors, clearinghouses, and provider organizations across the United States.
buyer parent: Great Point Partners
buyer: United Claim Solutions
United Claim Solutions (UCS) is an innovative payment integrity solutions company providing cutting edge and customizable solutions for TPAs, self-insured groups, labor and trust organizations, stop-loss carriers and health plans. "
target: Zebu Compliance Solutions
Zebu Compliance Solutions improves medical coding efficiency, reimbursement assurance, auditing toolsets, claim accuracy, and staff licensing/exclusion monitoring. Their clients reduce labor costs, increase revenue, and maintain audit-readiness.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 6/12/2019 via PE Hub

LLR Partners, acquired CareATC, Inc.

synopsis: LLR Partners, a middle market private equity firm committed to creating long-term value by growing its portfolio companies, has acquired CareATC, a leading innovator in the employer-sponsored healthcare marketplace. CareATC offers customized population health management solutions for employers that reduce healthcare costs.
buyer: LLR Partners
LLR Partners is a middle market private equity firm committed to creating long-term value by growing its portfolio companies. LLR invests in several industries, including Education, FinTech, Healthcare, Industrial Tech, Software and Security, with a focus on technology and services businesses. "
target: CareATC, Inc.
CareATC, Inc. is a leading innovator in the employer-sponsored healthcare marketplace. CareATC offers customized population health management solutions for employers that reduce healthcare costs by promoting health, preventing disease and providing a shorter path to care.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 4/3/2018 via BusinessWire

Hinduja Global Solutions, acquired AxisPoint Health

synopsis: Hinduja Global Solutions Limited has announced that its subsidiary, HGS Population Health LLC, USA, has acquired AxisPoint Health, a leading population health management company. AxisPoint leverages predictive analytics, case management programs, and consumer engagement technology to guide the care experience.
buyer parent: Hinduja Group
buyer: Hinduja Global Solutions (BSE:532859:$582.43)
Hinduja Global Solutions (HGS) is a global leader in business process management and optimizing the customer experience lifecycle. HGS combines automation, analytics and digital with domain expertise focusing on back office processing and HRO solutions to deliver transformational impact to clients. "
target: AxisPoint Health
AxisPoint Health is a population health management company that combines innovative technology with care management services to reduce costs and boost consumer satisfaction. They leverage predictive analytics, case management programs, and consumer engagement technology to guide the care experience.
price ($mm)
$14
rev ($mm)
$60
EBITDA ($mm)
EV / rev
0.2x
EV / EBITDA
announced 5/17/2017 via PR Newswire

Express Scripts Inc., will acquire myMatrixx

synopsis: Express Scripts announced it is taking an important step in expanding its customized workers' compensation pharmacy solutions by acquiring myMatrixx, a pharmacy benefit solutions provider for the workers' compensation industry.
buyer: Express Scripts Inc. (ESRX:$100,275.80)
Express Scripts provides integrated pharmacy benefit management services, including network-pharmacy claims processing, home delivery pharmacy care, specialty benefit management, benefit-design consultation, drug utilization review, formulary management, and medical and drug data analysis services. "
target: myMatrixx
myMatrixx is a full-service workers compensation pharmacy benefit management company focused on patient advocacy. By combining agile tech, clinical expertise, & business analytics, myMatrixx simplifies workers' compensation claims management while providing safer medication therapy management.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 1/7/2021 via BusinessWire

Change Healthcare Corporation will be merged with Optum,

synopsis: Optum, a diversified health services company, and Change Healthcare, a health care technology leader, are to merge. Change Healthcare will join with OptumInsight to provide software and data analytics, technology-enabled services and research, advisory and revenue cycle management offerings to help make health care work better for everyone.
buyer parent: UnitedHealth Group
buyer: Optum
Optum is a health services and innovation company on a mission to help make the health system work better for everyone. They combine data and analytics with technology and expertise to power modern health care. "
target: Change Healthcare Corporation (CHNG:$1,646.91)
Change Healthcare is a leading independent healthcare technology company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system.
price ($mm)[EV]
$8,616 [$13,440]
rev ($mm)
$2,432
EBITDA ($mm)
EV / rev
5.6x
EV / EBITDA
closed 8/26/2015 via BNC Analysis

Cardinal Health, Inc., acquired Navihealth, Inc.

synopsis: Cardinal Health Inc. is acquiring NaviHealth, a software and analytics company that helps health systems and insurers better manage the care of patients after discharge to keep them from returning to the hospital.
buyer: Cardinal Health, Inc. (CAH:$141,935.00)
Cardinal Health, Inc. improves the cost-effectiveness of the health care industry. Cardinal Health helps pharmacies, hospitals, ambulatory surgery centers and physician offices focus on patient care while reducing costs, improving efficiency and quality, and increasing profitability. "
target parent: Welsh, Carson, Anderson & Stowe
target: Navihealth, Inc.
NaviHealth is a leader in managing post-acute care (PAC) through its software that helps health systems and insurers better manage the care of patients after discharge to keep them from returning to the hospital.
price ($mm)
$290*
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 8/3/2021 via PR Web

GeBBS Healthcare Solutions, acquired Aviacode Incorporated

synopsis: GeBBS Healthcare Solutions, Inc., a leading provider of technology enabled Revenue Cycle Management (RCM) & Risk Adjustment Solutions for Healthcare Providers and Payers, has acquired Aviacode, a Salt Lake City, UT based provider of medical coding and compliance services to Hospitals and physician groups.
buyer parent: ChrysCapital
buyer: GeBBS Healthcare Solutions
GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management services and Risk Adjustment solutions. GeBBS’ technology, combined with over 9,500-strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient experience. "
target: Aviacode Incorporated
Aviacode provides medical coding and compliance services to large-scale healthcare systems, individual hospitals, physician groups, surgery centers, imaging centers, and payers. Aviacode's workflow helps improve coding quality, reduce risk, accelerate the revenue cycle, and optimize reimbursements.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 8/26/2020 via BusinessWire

ConsumerMedical, acquired InfiniteMD, Inc.

synopsis: ConsumerMedical, a clinical advocacy, decision support and expert second opinion company, has acquired InfiniteMD, a technology-leading virtual Expert Medical Opinion (EMO) firm. InfiniteMD provides consumers from around the world with direct access to the best physicians via remote video and written consultations using its proprietary platform.
buyer: ConsumerMedical
ConsumerMedical is a leading clinical advocacy, decision support and expert second opinion company. ConsumerMedical guides participants throughout their healthcare journey. They help individuals and families navigate the healthcare system while improving outcomes and reducing costs. "
target: InfiniteMD, Inc.
InfiniteMD is a technology-leading virtual Expert Medical Opinion (EMO) firm. InfiniteMD provides consumers from around the world with direct access to the best physicians via remote video and written consultations using its proprietary platform.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 2/2/2020 via Company Press Release

Frazier Healthcare Partners, The Edgewater Funds, acquired MedData, Inc.

synopsis: The Edgewater Funds and growth capital firm Frazier Healthcare Partners completed the acquisition of revenue cycle management services company MedData from parent company, MEDNAX, Inc. MedData is a national provider of technology-enabled revenue cycle management solutions for hospitals, health systems and healthcare providers.
buyer: The Edgewater Funds
buyer: Frazier Healthcare Partners
The Edgewater Funds is a Chicago-based private equity firm with $2.6 billion in committed capital. Through Edgewater Growth Capital Partners, they partner with management to help accelerate growth in their businesses. Frazier Healthcare Partners is a growth capital firm in the healthcare industry. "
target parent: MEDNAX, Inc.
target: MedData, Inc.
MedData is a national provider of technology-enabled revenue cycle management solutions for hospitals, health systems and healthcare providers. MedData provides eligibility and enrollment services, complex AR services, patient responsibility services, billing and coding.
price ($mm)
$250
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 10/21/2015 via BusinessWire

PatientSafe Solutions, acquired Vree Health LLC

synopsis: PatientSafe Solutions, a leader in connected workflow and care coordination solutions for healthcare, announced it has acquired all assets of Vree Health, a wholly owned subsidiary of Merck and a provider of service-enabled care coordination technology designed to influence positive behavioral change and enhance the patient experience.
buyer parent: Camden Partners Holdings, LLC
buyer: PatientSafe Solutions
PatientSafe Solutions is leading in connected workflow and care coordination solutions for healthcare. PatientSafe Solutions is committed to the care delivery throughout the patient experience, from the hospital, to the home, to the human, to deliver measurable safety and quality improvements. "
target parent: Merck & Co., Inc.
target: Vree Health LLC
Vree Health operates within the Healthcare Services and Solutions business. Healthcare Services and Solutions is organized and managed independently from the traditional pharmaceutical business and is focused on improving the value of care delivered to patients through services and solutions.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 1/21/2015 via Market Wire

Equian, acquired The Assist Group

synopsis: Equian, a healthcare information services company, completed the acquisition of The Assist Group, a pre-payment technology and solutions company with extensive clinical and claim resolution processes that identify improper costs and yield significant savings to payers.
buyer parent: Great Point Partners
buyer: Equian
Equian is a healthcare information services company providing solutions throughout the United States -- and around the world -- that ensures each healthcare interaction is paid accurately, and at the lowest possible cost. "
target: The Assist Group
Based in Lakewood, Colorado, The Assist Group ("TAG") is a pre-payment technology and solutions company with extensive clinical and claim resolution processes that identify improper costs and yield significant savings to payers.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 6/16/2014 via Market Wire

Health Systems International, acquired AfterMath Claim Science, Inc.

synopsis: Equian completed the acquisition of AfterMath Claim Science, Inc. effective June 16, 2014. Based just outside of Chicago, IL, AfterMath Claim Science is a post-payment recovery services company that identifies and eliminates medical claim payment errors.
buyer parent: Great Point Partners
buyer: Health Systems International
Equian is a healthcare information services company focused on lowering the cost of care by eliminating waste. It provides pre-payment solutions, post-payment solutions, and data analytics methodology. "
target: AfterMath Claim Science, Inc.
AfterMath Claim Science is a specialized overpayment recovery company, with data mining techniques aimed at specific claim types not detected by traditional claims overpayment services. Its Member Eligibility Overpayment (MEO) recovery program is the highest performing recovery program of its kind.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 2/4/2013 via Company Press Release

Telefonica Digital, acquired AxisMed

synopsis: Telefónica Digital has acquired a controlling stake in Axismed, Brazil’s largest chronic care management company. The deal will enable Telefónica Group to accelerate the development of a complete end-to-end service proposition in the fast growing Brazilian e-health market.
buyer parent: Telefonica S.A.
buyer: Telefonica Digital
Telefónica Digital's mission is to seize the opportunities within the digital world and deliver new growth for Telefónica through research & development, venture capital, global partnerships and digital services such as cloud computing, mobile advertising, M2M and eHealth. "
target: AxisMed
AxisMed is the largest chronic care management provider in Brazil. AxisMed’s services have been used to monitor more than 180,000 patients across the country using a proprietary system that was based on advanced clinical guidelines.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA

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