Altegra Health

In the evolving landscape of American healthcare, a new thesis emerged. The shift to value-based care created a complex web of data for health plans to manage. In 2011, a new company, Altegra Health, was formed to tackle this. Led by President and CEO Kevin Barrett, Altegra Health wasn't a startup in the traditional sense; it was the strategic integration of five specialized firms: The Coding Source, Dynamic Commerce Applications, Social Service Coordinators, Austin Provider Solutions, and Sinaiko Healthcare Consulting. This roll-up created a single entity designed to help health plans make sense of their members' health data to align benefits, care, and, crucially, reimbursement. The company's business was to provide technology and services that helped health insurance plans manage revenue and risk. They offered platforms for risk adjustment, ensuring plans were compensated accurately for the sickness of their members, and provided eligibility and enrollment services. Operating across all 50 states, Altegra became a key partner for Medicare Advantage, Managed Medicaid, and commercial health plans navigating the new data-intensive environment. The market saw the value in this consolidated approach. In July 2015, the major turning point arrived when Emdeon, a large provider of revenue and payment cycle management solutions, announced it would acquire Altegra Health. The all-cash deal was valued at approximately $910 million. This acquisition combined Altegra's analytics and member engagement platforms with Emdeon's vast healthcare network, positioning the new entity to better serve organizations in a healthcare system increasingly focused on value-based models. Shortly after, Emdeon rebranded itself, and Altegra became a part of the company now known as Change Healthcare.