Company profile: Elevance Health
1.1 - Company Overview
Company description
- Provider of integrated whole-health solutions and insurance, including commercial plans via employers or marketplaces, Medicaid, and Medicare (including Medicare Advantage). Focuses on healthcare spending and value, transforming care by integrating behavioral, social, and physical health with technology, and conducts health policy research through its Public Policy Institute.
Products and services
- Medicaid: Offers health insurance coverage to individuals with limited incomes, administered by states with federal guidelines and often delivered through managed care organizations—state-administered
- Medicare: Delivers federal health insurance for people aged 65 or older, certain younger individuals with disabilities, and those with End-Stage Renal Disease, including Medicare Advantage plan options—federal program
- Commercial Insurance: Offers financial protection by covering a portion of medical expenses through employer-sponsored or individual health insurance marketplace plans for employers and individuals—marketplace-based
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Elevance Health
SamaCare
HQ: United States
Website
- Description: Provider of a prior authorization automation platform for medical benefit drugs, helping practices streamline submission, tracking, and management with insurer-tailored workflows; electronic benefit verifications for step therapy and requirements; EMR/PM data integration; aggregated, de-identified data shared with drug companies to identify barriers to patient access; and concierge prior authorization support with denials assistance.
- 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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- Acquisitions: ●●
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Truveris
HQ: United States
Website
- Description: Provider of technology solutions that drive transparency, access, and lower costs in the prescription drug ecosystem, including Truveris Marketplace, a procurement platform linking plan sponsors and benefits brokers with 60+ PBMs and pharmacy providers for competitive pharmacy benefits contracts; oneRx, a tool for personalized medication price comparisons; and truGuard, analyzing all pharmacy claims for PBM compliance and savings.
- 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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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
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Sempre Health
HQ: United States
Website
- Description: Provider of a behavior-based dynamic pricing platform for healthcare, offering a prescription discount program that increases with on-time refills via text reminders and automatic copay adjustments; SMS-based refill reminders and discount delivery; a real-time analytics dashboard for health plans to monitor enrollment, engagement, and outcomes; and de-identified data for research, analysis, and service improvement.
- 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 Sempre Health company profile →
Cotiviti
HQ: United States
Website
- Description: Provider of analytics-driven payment accuracy and insight solutions for healthcare payers and retailers, reducing medical and administrative costs across the payment lifecycle. Offers risk adjustment, quality and performance analytics, consumer engagement, retail supplier audit reviews, contract compliance and overpayment recovery, and medical intelligence to inform risk management and improve healthcare utilization and outcomes.
- 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 Cotiviti 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 Elevance Health
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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 Elevance Health
2.2 - Growth funds investing in similar companies to Elevance Health
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4 - Top valuation comps for Elevance Health
4.2 - Public trading comparable groups for Elevance Health
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