Payer Compass, LLC

Payer Compass, LLC operates as a healthcare technology company focused on cost containment and price transparency. Founded in April 2013 by Greg Everett and Roman Gekhter, the company was established to address the escalating costs and lack of clarity in healthcare pricing. Everett, the CEO, brought over 26 years of experience in managed care and healthcare software, including a decade running claim operations at MedAssets. His background as a contract negotiator between payers and providers, combined with Gekhter's analytical tool, formed the company's foundation.

The firm's business model centers on its proprietary SaaS platform, VISIUM™, a healthcare reimbursement and analytical engine that manages complex pricing strategies. Payer Compass generates revenue by providing technology and services to a diverse client base that includes health plans, self-insured employer groups, third-party administrators (TPAs), and government entities. The company's solutions aim to bridge the gap between payers and providers by offering services such as reference-based pricing (RBP), patient advocacy, balance billing support, and claims administration. Its offerings cater to various healthcare programs, including Medicare, Medicaid, and commercial plans.

The VISIUM™ platform is the core of the company's product suite, designed to reprice claims with high accuracy and provide transparent, defensible pricing. Another key product, CompassConnect, is a transparency tool that allows health plan members to search for providers and compare prices. Through these technologies, Payer Compass has been instrumental in repricing over $200 billion in claims, achieving more than $1.5 billion in annual savings for its clients. A significant milestone in the company's history was its acquisition by Zelis, a healthcare payments and pricing company, a deal announced in August 2022 and completed in September 2022. This strategic move was intended to combine Payer Compass's platform with Zelis's network and payment integrity solutions to better manage rising healthcare claims costs.

Keywords: healthcare cost containment, reference-based pricing, healthcare reimbursement, price transparency, claims pricing, claims administration, Visium, self-insured employers, third-party administrators, health plans, balance billing support, patient advocacy, value-based payments, claims management, provider search, cost of care, healthcare analytics, payment integrity, healthcare financial solutions, payer solutions