Industry Niche Description
Technology solutions and services for health plans, providers and other healthcare payors.
Healthcare payors are responding to the increasing cost of medical care by more closely managing episodes of care and chronic conditions. In addition, the expansion of government coverage and increased access to commercial healthcare insurance is further highlighting the need to manage costs, improve outcomes and optimize healthcare delivery.
Attractive target companies within this niche may have the following attributes:
- SaaS and software-based solutions that identify network deficiencies and opportunities for network optimization.
- Specialty pharmacies and other providers of chronic disease management solutions.
- Leading technology and service solutions that enable outsourcing of administrative and other back office functions such as eligibility verification, code authentication, and claims processing solutions.
- Solutions that ensure compliance and manage risk within the complex healthcare regulatory environment.