Company profile: Highroads
1.1 - Company Overview
Company description
- Provider of a platform delivering a health plan enterprise-wide single source of truth to streamline product management, offering P2A modules for product lifecycle management, sales enablement integrated with CRM, automated compliant plan document generation (DocGen), and enterprise connectivity via APIs to enhance product data utility and operational efficiency.
Products and services
- P2A: Product Lifecycle Management: Enterprise-grade centralized platform establishes an enterprise-wide single source of truth, enabling creation and management of health plan portfolios while facilitating design, compliance, and rapid market adaptation
- P2A: Enterprise Connectivity: API-driven integration fabric links the enterprise ecosystem, enhancing product data utility and operational efficiency through API connectivity
- P2A: DocGen: Compliance-ready automation generates compliant, accurate plan documents, reducing manual effort and ensuring error-free documentation for health plans
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Highroads
Express Scripts
HQ: United States
Website
- Description: Provider of pharmacy benefit management services in the United States and Canada, including clinical solutions, specialized pharmacy care, home delivery and specialty pharmacy, retail network pharmacy administration, benefit design consultation, drug utilization review, and drug formulary management. Offerings include Express Scripts Pharmacy home delivery, electronic prior authorization, TRICARE Home Delivery, National Preferred Formulary, and Medicare Part D formularies.
- 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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Sempre Health
HQ: United States
Website
- Description: Provider of a behavior-based dynamic pricing platform for healthcare, offering a prescription discount program that increases with on-time refills via text reminders and automatic copay adjustments; SMS-based refill reminders and discount delivery; a real-time analytics dashboard for health plans to monitor enrollment, engagement, and outcomes; and de-identified data for research, analysis, and service improvement.
- 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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Nirvana Health
HQ: United States
Website
- Description: Provider of national full-service pharmacy benefit management, leveraging the Collaborative PBM Cloud™ to manage standard and specialty drug benefits.
- 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 →
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: ●●●●●●●●●●
- Acquisitions: ●●
View full Concuity 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 Highroads
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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 Highroads
2.2 - Growth funds investing in similar companies to Highroads
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4 - Top valuation comps for Highroads
4.2 - Public trading comparable groups for Highroads
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