Company profile: Payer Compass
1.1 - Company Overview
Company description
- Provider of healthcare reimbursement technology and price transparency solutions, delivering cost containment services and tools including a rule-based payments engine (ZAPP), in-network pricing and contract modeling, out-of-network savings, reference-based pricing, payment integrity, and network solutions for self-insured employers, third-party administrators, and payers.
Products and services
- Payment Integrity: A pre-payment service that captures savings on every claim before payment is made, strengthening healthcare cost containment and reimbursement accuracy
- In-Network Pricing and Contract Modeling: An automated platform that delivers transparent, accurate pricing by automating claims pricing and enhancing provider contracting negotiations with rigorous contract modeling
- Out-of-Network Solutions: A layered approach that uncovers significant savings for out-of-network claims, advancing market-leading healthcare cost containment for self-insured employers, third-party administrators, and commercial payers
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Payer Compass
Inovalon
HQ: United States
Website
- Description: Provider of cloud-based data analytics and data-driven intervention platforms for healthcare, including the Inovalon ONE Platform for national-scale connectivity, real-time data access and advanced analytics; DataStream for point-of-care data integration; Converged Quality for predictive quality analytics and timely interventions; Claims Management Pro for multi-payer claims automation; and ScriptMed Specialty to improve medication adherence.
- 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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MajorBoost
HQ: United States
Website
- Description: Provider of AI-powered automation for voice calls to reimagine communication between doctors’ offices and insurance companies. Solutions include conversational AI for AR, claims follow-up, prior authorizations, credentialing, eligibility, and patient calls; smart member outreach; adaptive workflow automation; and data integration via APIs or secure uploads with a Customer Success Manager.
- 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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Glidian
HQ: United States
Website
- Description: Provider of authorization solutions that streamline communication between healthcare providers and payers. The platform offers suggestions to help ensure prior authorization approval on the first attempt, consolidates authorizations across insurers in one place, pre-populates forms, assists with supporting documentation, and supports manual entry or direct integrations with payors via X12 278, HL7, CSV, or API.
- 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 Glidian company profile →
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: ●●
View full Key Health company profile →
Decision Point Health
HQ: United States
Website
- Description: Provider of an analytics platform for healthcare plans to improve member and provider engagement, offering care and provider management, OPUS member profiling, CAHPS prediction and experience optimization, Provider Spotlight performance insights, machine learning-driven predictions for avoidable events, HEDIS engagement campaigns, and care coordination and management to forecast the member journey.
- 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 Decision Point Health 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 Payer Compass
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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 Payer Compass
2.2 - Growth funds investing in similar companies to Payer Compass
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4 - Top valuation comps for Payer Compass
4.2 - Public trading comparable groups for Payer Compass
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