Company profile: Discovery Health Partners
1.1 - Company Overview
Company description
- Provider of payment and revenue integrity solutions and analytics-driven services for healthcare payers. Offerings include pre- and post-payment integrity to prevent overpayments; out-of-network reference-based pricing, negotiation services, and pricing strategies; data and decision science for benefit plan design, outcomes improvement, and total cost of care reduction; and custom PPO and specialty networks for commercial and government payors.
Products and services
- Analytics-Based Services: Analytics-driven components that architect out-of-network reference-based pricing, conduct negotiation services, and compute optimized pricing strategies for healthcare cost management across payer portfolios
- Data & Decision Science Services: Statistical services that apply data science to architect optimal benefit plan design, improve healthcare outcomes, and reduce total cost of care for payers
- Payment and Revenue Integrity Services: Enterprise-grade services that identify errors on healthcare claims to prevent overpayments, executing pre-payment and post-payment integrity reviews to strengthen payer payment integrity
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Discovery Health Partners
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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Eldorado
HQ: United States
Website
- Description: Provider of a platform for paying out and managing insurance services.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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SoftCare
HQ: United States
Website
- Description: Provider of customizable health information solutions delivering seamless data integration and improved business processes, offering creative solutions to complex problems so clients can focus on growing their business.
- 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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Citizens Rx
HQ: United States
Website
- Description: Provider of pharmacy benefit management services to public and private companies and health plans in the United States, offering claims processing and real-time adjudication, formulary and Rx network management, clinical programs (MTM, disease and utilization management, prior authorization), rebate administration, and advanced analytics, predictive modeling, ad hoc reporting and decision support tools.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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- Acquisitions: ●●
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Wellthy
HQ: United States
Website
- Description: Provider of a family care concierge service that brings relief to families managing complex or ongoing care situations, including aging-related concerns, childcare, special needs, and health conditions.
- 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 Discovery Health Partners
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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 Discovery Health Partners
2.2 - Growth funds investing in similar companies to Discovery Health Partners
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4 - Top valuation comps for Discovery Health Partners
4.2 - Public trading comparable groups for Discovery Health Partners
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