Company profile: HealthEdge
1.1 - Company Overview
Company description
- Provider of benefits administration and care management software for healthcare payers, offering HealthRules Payer for claims and administration, GuidingCare for care management and coordination, Digital Engagement Solutions to enhance member experiences, Payment Integrity Solutions to ensure accurate payments and reduce fraud, and Transparency in Coverage Solutions to provide members clear cost information.
Products and services
- GuidingCare: A modern care management and coordination product engineered to support care management and coordination, improve outcomes, and connect everyone in healthcare delivery cycle for payors and care teams
- HealthEdge Digital Engagement Solutions: A disruptive digital member experience product that enhances interactions, connects payors and members across the care delivery cycle, and helps reduce administrative costs for health plans
- HealthRules Payer: An enterprise-grade claims and administration system for healthcare payers, recognized for performance, enabling new business models, improving outcomes, reducing administrative costs, and connecting stakeholders in healthcare delivery cycle
Key contacts
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Financial details
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1.2 - Competitors and similar companies to HealthEdge
Medxoom
HQ: United States
Website
- Description: Provider of a healthcare benefits engagement and cost management platform for employers, TPAs, brokers, and healthcare organizations, featuring mobile messaging, digital benefits wallet, e-payments and digital EOBs; personalized communications; simplified plan-to-provider payments and financing; coordinated care; and cost comparison tools.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
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- Total funding raised: $●●●m
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Alternate Solutions Health Network
HQ: United States
Website
- Description: Provider of in-home health and hospice care, including skilled nursing, physical, occupational and speech therapies, home health aides, and medical social work. Offers post-acute care partnerships, SNF-at-Home services, a centralized care coordination model, and high-risk population management (including COVID-19) to improve outcomes, reduce readmissions, shorten hospital stays, avoid SNF visits, and free hospital beds.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Alternate Solutions Health Network company profile →
Acclamation
HQ: United States
Website
- Description: Provider of technology solutions for employee benefits management, including LuminX, an automated system for organizations to administer health and other employee benefits, and Absence Management LX with short-term disability and long-term disability blocks providing eligibility and billing.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Complete Health Systems
HQ: United States
Website
- Description: Provider of information technology and health plan technology solutions for Health Plan Benefit Administrators, with nationwide clients and comprehensive solutions for Third Party Administrators administering self-insured Medical, Dental, Vision, Disability, and Taft-Hartley plans.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Complete Health Systems company profile →
IF Technologies
HQ: United States
Website
- Description: Provider of healthcare episode-of-care analytics and pricing transparency solutions to insurance and cost containment companies to measurably reduce healthcare costs.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full IF Technologies company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for HealthEdge
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to HealthEdge
2.2 - Growth funds investing in similar companies to HealthEdge
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4 - Top valuation comps for HealthEdge
4.2 - Public trading comparable groups for HealthEdge
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