Discovery Health Partners
Information-driven healthcare cost containment solutions.
| Date | Investors | Amount | Round |
|---|---|---|---|
| N/A | €0.0 | round | |
| investor | €0.0 | round | |
N/A | Acquisition | ||
| Total Funding | 000k | ||
| USD | 2017 |
|---|---|
| Revenues | 0000 |
| EBITDA | 0000 |
| Profit | 0000 |
| EV | 0000 |
| EV / revenue | 00.0x |
| EV / EBITDA | 00.0x |
| R&D budget | 0000 |
Source: Company filings or news article
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Discovery Health Partners, founded in 2008, operates as a provider of analytic insights and technology-powered services focused on healthcare payment and revenue integrity. The company's core mission is to offer actionable analytics and tech-driven solutions that assist healthcare payers in enhancing payment integrity, optimizing revenue, and maximizing efficiencies. Discovery Health Partners was acquired by MultiPlan Corporation, a provider of healthcare cost management solutions, in a deal that closed on March 1, 2021, for approximately $155 million. This acquisition was a strategic move for MultiPlan to extend the reach of its program integrity solutions across the claims value chain and various payor lines of business.
The firm primarily serves healthcare payer customers, including those in the Medicare Advantage, Medicaid, and commercial markets. At the time of its acquisition, the company worked with about 80 healthcare payers, including nine of the ten largest in the United States. The business model is centered on deploying a data-driven technology platform, sophisticated analytics, and deep healthcare expertise to address challenges such as regulatory changes, complex reimbursement models, and poor data quality that lead to administrative waste. Its services aim to help clients improve operational efficiency and achieve financial integrity.
The company's suite of solutions encompasses premium restoration, coordination of benefits, data mining, subrogation, and clinical audits. These offerings are designed to help healthcare payers improve the integrity of their payment and revenue processes, spanning the entire claims lifecycle to ensure the legitimacy of payment requests and premium collections. Over the years, Discovery Health Partners expanded its capabilities through strategic acquisitions, including HealthMind in 2019 to add secondary code edit and provider audit functionalities, and Consova's payment integrity business in 2020 to bolster its data mining expertise.
Keywords: healthcare payment integrity, revenue optimization, healthcare analytics, cost management solutions, healthcare payers, Medicare Advantage, Medicaid, premium restoration, coordination of benefits, subrogation, clinical audits, claims processing, data mining, healthcare technology, payment accuracy, MultiPlan, revenue integrity