Advantmed

Advantmed provides integrated healthcare solutions designed to enhance the performance of healthcare organizations through risk adjustment, quality improvement, and health assessments. Founded in 2005 in Santa Ana, US, Advantmed specializes in healthcare solutions. The company was established by Akash Patel, who has a history in healthcare operations. In December 2016, Advantmed received an investment from Bison Capital, the financial terms of which were not disclosed.

Advantmed specializes in providing integrated solutions aimed at enhancing the performance of healthcare organizations through its core offerings in risk adjustment, quality improvement, and health assessments. Their flagship platform, Elevate^, allows clients to gain real-time visibility into processes and actionable insights that support risk adjustment initiatives. The company serves a diverse clientele, including over 45 health plans and more than 1 million providers, enabling them to close care gaps, improve coding accuracy, and manage health assessments effectively. These solutions are designed to meet the needs of both health plans and healthcare providers across various geographical markets, including the United States, where they address specific challenges related to Medicare Advantage programs and overall patient care management.

Advantmed's revenue generation model primarily revolves around providing subscription-based services and partnerships with health plans and healthcare providers. Clients engage with the company through structured transactions that facilitate access to their proprietary tools and platforms for risk adjustment and quality improvement services. These services are typically bundled within comprehensive plans tailored to the specific needs of the clients, ensuring they receive significant value in their operational processes. Key products include risk adjustment solutions that enhance coding accuracy and health assessment services aimed at identifying chronic conditions and improving patient outcomes.

The pricing structure encompasses various tiers depending on service complexity and organizational requirements, thereby optimizing financial performance for both Advantmed and its clients. Advantmed plans to launch upcoming products within its Elevate^ platform, enhancing functionalities in risk adjustment and quality improvement, although specific release dates have yet to be announced. The company aims to expand its presence in additional U. S.

markets, targeting specific regions for growth by 2025. The investment from Bison Capital in December 2016 will support these initiatives, allowing Advantmed to further develop its product offerings and enhance its service delivery capabilities.