Company profile: American Healthcare Alliance
1.1 - Company Overview
Company description
- Provider of fully outsourced end-to-end claims management and PPO network access, serving payers, employers, networks, and brokers. Leveraging proprietary software to route and process pre-adjudicated claims. Services include primary PPO access, nationwide travel/wrap/reciprocity access, out-of-network fee negotiation, claim repricing, outsourced mailroom claim intake, and provider data and reporting.
Products and services
- Repricing Services: Reprices medical claims for member networks or on a standalone basis using a sophisticated system that adapts to varied pricing arrangements, system-based
- Primary PPO Access: Delivers comprehensive coverage via contracts with local and regional networks, including First Health Network, for employees within 20 miles of hospitals and AHA-member physicians, contract-based
- AHA-USA Travel, Wrap, Reciprocity Access: Supplies nationwide access to participating providers for employees and dependents outside home networks, maintaining in-network rates and reducing out-of-network claims, nationwide-scale
Key contacts
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Financial details
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1.2 - Competitors and similar companies to American Healthcare Alliance
South Metro Anesthesia
HQ: United States
Website
- Description: Provider of gastroenterology anesthesia services in Georgia.
- 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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VetComm
HQ: United States
Website
- Description: Provider of support services for veterans in filing VA disability claims, preparing for exams, and accessing educational benefit resources.
- 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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AFAA
HQ: United States
Website
- Description: Provider of certification for group exercise instructors and personal trainers.
- 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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IPA NY
HQ: United States
Website
- Description: Provider of multi-specialty, physician-led services supporting independent providers, offering delegated credentialing to speed health plan enrollment, practice management including payor negotiation, value-based care contracting, billing, collections, clinical care management, and a physician network of over 2,200 independent physicians across specialties.
- 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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Impact Network
HQ: United States
Website
- Description: Provider of market research opportunities for physicians and healthcare professionals.
- 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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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for American Healthcare Alliance
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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 American Healthcare Alliance
2.2 - Growth funds investing in similar companies to American Healthcare Alliance
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4 - Top valuation comps for American Healthcare Alliance
4.2 - Public trading comparable groups for American Healthcare Alliance
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