Healthcare funds and pricing firm Zelis is ready to amass reimbursement and claims platform Payer Compass in a transfer designed to streamline the claims administration course of, in line with a Monday (Aug. 1) press launch.
Zelis and Payer Compass will “leverage superior know-how and best-of-breed approaches to create reference-based pricing options to handle rising healthcare claims price for purchasers and their members,” the discharge said.
The transaction is anticipated to shut within the third quarter, in line with the discharge. Phrases of the deal weren’t disclosed.
Zelis CEO Amanda Eisel mentioned within the launch that the acquisition will assist the corporate in its mission to make healthcare extra reasonably priced and clear.
“By way of our mixed belongings, we’ll have the individuals, know-how and shared power to generate extra financial savings for our purchasers and proceed to positively impression healthcare’s rising prices and complexity,” she mentioned, per the discharge.
Final September, Zelis introduced an settlement to amass Sapphire Digital, a platform for supplier choice, affected person entry, value transparency and digital client navigation for healthcare. The purpose was to assist clients extra readily “harmonize the entire healthcare fee course of by pricing, paying and explaining healthcare,” Eisel mentioned on the time.
Learn extra: Healthcare Funds Agency Zelis Buys Sapphire Digital
The acquisition was anticipated assist Zelis streamline operations by “integrating Zelis’ funds and communications capabilities with Sapphire’s market-leading client navigation instruments,” Eisel mentioned on the time.
In 2019, Zelis merged its fee programs with these of RedCard Techniques to create a healthcare optimization platform.
See extra: RedCard, Zelis Merge to Optimize Healthcare Funds
The platform deliberate to make use of the businesses’ know-how to cost, pay and clarify claims. The businesses collectively labored with 700 payer purchasers, which included the highest 5 nationwide well being plans together with round 600,000 suppliers.
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