Company profile: Adaptive Software
1.1 - Company Overview
Company description
- Provider of software and services for pharmacy benefit plan design and health plan management, including Payer Insights Suite for centralized formulary management integrated with claims adjudication; RxFlex for creating and automating formularies and utilization edits; RxDesigner for drug lists, formularies, and compliance; Health Plan Analysis; Market Overviews; and Fingertip Formulary Suite with coverage, policy, and brand comparison tools.
Products and services
- RxFlex: Creates and maintains formularies and utilization management edits, automating configurations via an auto-rules engine, rules-driven platform enabling automated edit and formulary management
- Payer Insights Suite: Engineers pharmacy benefit plan design and management by centralizing formulary management activities and integrating with claims adjudication systems, enterprise-grade suite for plan administration
- RxDesigner: Develops, builds, and manages drug lists, formularies, and criteria with a focus on control and compliance, compliance-focused platform enhancing governance of coverage criteria
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Adaptive Software
Health Data Insights
HQ: United States
Website
- Description: Provider of technology-enabled healthcare services delivering fraud, abuse, and improper payment and overpayment identification and recoupment solutions for government payors, health plans, and employers, specializing in identifying and recouping claim overpayments to providers, including hospitals, physicians, DMEs, and others.
- 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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Concuity
HQ: United States
Website
- Description: Provider of revenue cycle management software and services specializing in contract profitability, contract compliance, denial management, and revenue process and lifecycle improvement. Delivers 100% web-based, highly scalable solutions that give healthcare organizations visibility and control.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
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Strenuus
HQ: United States
Website
- Description: Provider of healthcare provider network analysis and data management solutions, including the Network360 platform delivering actionable network intelligence services to payer clients nationwide with features for network analysis, reporting, and data validation, and TrueDisruption, an algorithm for matching healthcare providers with automated/manual matching, data validation, and comprehensive reporting.
- 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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Key Health
HQ: United States
Website
- Description: Provider of personal injury medical lien funding nationwide, offering MedLien Funding to convert receivables into cash flow and reduce reimbursement risks, personal injury servicing and collections, custom financial solutions, medical funding for healthcare providers and attorneys to enable care without upfront costs, and a provider network to locate medical providers accepting liens or letters of protection across the U.S.
- 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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Intelimedix
HQ: United States
Website
- Description: Provider of healthcare business intelligence and informatics.
- 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 Intelimedix 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 Adaptive Software
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Buyer group 2: ████████ ████████
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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 Adaptive Software
2.2 - Growth funds investing in similar companies to Adaptive Software
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4 - Top valuation comps for Adaptive Software
4.2 - Public trading comparable groups for Adaptive Software
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