Company profile: SamaCare
1.1 - Company Overview
Company 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.
Products and services
- Smart Submissions: Insurer-specific workflows tailored to each insurer’s requirements, increasing prior authorization success by ensuring submissions conform exactly to payer requirements
- Prior Authorization Platform: Automated platform that practices use to streamline the submission, tracking, and management of prior authorizations for medical benefit drugs, improving patients’ access to therapy
- Electronic Integration: EMR-integrated data pre-loading from EMR and Practice Management System to avoid mistakes in prior authorization workflows for medical benefit drugs
Key contacts
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Financial details
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1.2 - Competitors and similar companies to SamaCare
NexgenRx
HQ: Canada
Website
- Description: Provider of ASO drug, dental, and extended health benefit plans supported by technology, offering platforms for claim adjudication (NexSys), benefit plan administration (NexAdmin), pension administration (NexPension), Patient Support Program enrollment and claims adjudication (NexPSPAssist), and a mobile app (NexMobile) for plan details, claims submission, and benefits cards.
- 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
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Ika Systems
HQ: United States
Website
- Description: Provider of Web-based enterprise resource planning technology for process automation and intelligence management supporting health insurers’ commercial, Medicare, and Medicaid businesses, offering a member portal for administrative self-service and a provider portal that automates processes.
- 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 Ika Systems company profile →
Soda Health
HQ: United States
Website
- Description: Provider of healthcare technology addressing health inequities via social determinants of health. Solutions include Smart Benefits for instant benefit changes on member cards; an Engagement Platform for balances, locations, local resources, and personalized content; a Retail Network with exclusive discounts and access to dietitians and pharmacists; Moneyball tools to optimize benefit dollars and Stars; Uber Health transportation; and integrated data to personalize support.
- 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 Soda Health company profile →
Healthx
HQ: United States
Website
- Description: Provider of healthcare data and communications technology solutions with multi-channel Web and phone capabilities serving members, providers, brokers, and human resources professionals. Offers OpenX Web, a technology platform for payers.
- 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 Healthx 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 SamaCare
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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 SamaCare
2.2 - Growth funds investing in similar companies to SamaCare
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4 - Top valuation comps for SamaCare
4.2 - Public trading comparable groups for SamaCare
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