INDIANAPOLIS & LOUISVILLE, Ky.--(BUSINESS WIRE)--Equian and Trover today announced the consummation of the merger of their respective businesses, marking a milestone in the evolution of payment integrity and cost containment solutions for the healthcare and property & casualty industries.
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The merger was facilitated by an investment from New Mountain Capital, a private equity firm that emphasizes business building and growth as it pursues long-term capital appreciation. It will create a new company with more than 1,100 professionals serving more than 300 healthcare and insurance customers across the U.S., including nine of the top 10 healthcare payers. The combination will benefit all constituents of the healthcare system, including payers, patients, healthcare providers, and other entities that are facing increasing pressure to reduce costs and improve efficiency. Estimates from the U.S. government and other industry sources suggest that errors and improper payments in healthcare in the U.S. exceed $100 billion each year. The combined company will be well-positioned to become a leader in solutions that ensure accurate payments for customers.
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“Bringing Equian and Trover together will accelerate innovation and allow us to serve our customers in new value-added ways,” said Rob Bader, CEO of Trover.
“This merger combines the strengths and capabilities of two highly complementary companies, resulting in a broader set of leading payment integrity services and creating an exciting company for further growth,” added Scott Mingee, CEO of Equian.
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Creation of leading technology-driven data analytics and payment integrity platform
The merger will create a leading provider of technology-enabled, data-driven solutions ensuring accurate payments across the healthcare and property & casualty industries. As pressure continues for managing costs in healthcare, the company’s technology and data capabilities will help customers capture value through increased savings and improved insights.
“We have been working to establish a new and better platform in the payer services and technology segments of healthcare. We believe the merger of Equian and Trover creates an industry leader that will set new standards for innovation and improve the efficiency of our healthcare system. We look forward to working with management to increase the company’s investment in technology and process automation for the benefit of our customers. We believe the company will play a critical role in the market for healthcare technology and services,” said Matt Holt, Managing Director of New Mountain Capital.
Continuity and improved service for current customers
The combined company will continue to offer a full range of services to existing customers including:
- Post-payment solutions (e.g. data mining, provider audit solutions, etc.)
- Pre-payment solutions (e.g. complex clinical coding review, bill review, network solutions, Rx, etc.)
- Subrogation solutions for healthcare, property & casualty and other risk-bearing entities
Throughout the integration process, Equian and Trover will continue to provide their current solutions and services to customers. In the months ahead, the company will introduce new offerings to help customers meet challenges posed by the continuing evolution of the healthcare and property & casualty industries.
New Mountain Capital was advised in the transactions by Eir Partners.
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About Trover Solutions
Trover Solutions, Inc. is a leading independent provider of comprehensive cost containment services and software to the private healthcare payer and property & casualty industries. Trover provides a wide range of cost containment solutions including insurance subrogation, overpayments recovery, clinical bill auditing, and litigation management. For more information on Trover Solutions, please visit www.troversolutions.com.
About Equian
Equian is a leading payment integrity platform providing solutions to facilitate and reconcile payments in the complex environments of healthcare and property & casualty. Equian provides a wide range of solutions including pre-payment accuracy and containment and post-payment reconciliation and recovery services, generating hundreds of millions in savings for customers. For more information on Equian, please visit www.equian.com.
About New Mountain Capital
New Mountain Capital is a New York-based investment firm that emphasizes business building and growth, rather than debt, as it pursues long-term capital appreciation. The firm currently manages private equity, public equity, and credit funds with over $15 billion in aggregate capital commitments. New Mountain seeks out what it believes to be the highest quality growth leaders in carefully selected industry sectors and then works intensively with management to build the value of these companies. For more information on New Mountain Capital, please visit www.newmountaincapital.com.
About Eir Partners
Eir Partners is a New York City based investment company and strategic partnership focused exclusively on the dynamic healthcare and technology marketplace. Eir’s flexible model allows for customized collaboration to accelerate disruption, innovation and growth through direct investment and the augmentation of strategic development and acquisition sourcing. The investment model allows for direct platform investments as the sole investor or alongside strategic or other blue chip private equity institutions. Targeted stages of investment include growth equity through control buyouts. For more information on Eir, please visit www.eirpartners.com.
LOUISVILLE, Ky.-( )-Trover Solutions, a leading independent provider of insurancesubrogation, claims recovery and cost containment solutions, todayannounced the official launch of its Payment Integrity Solutionsdivision. Trover Solution’s new suite of services will improve healthpayers’ ability to ensure that accurate payments are made to the correctproviders.Trover’s Payment Integrity Solutions cover a wide array of inpatient,outpatient, professional, pharmacy and ancillary queries on adjudicatedclaims data. Their Payment Integrity suite of solutions also includespost payment coordination of benefits, contract compliance, traditionaloverpayments (paid after term, duplicate payments, retroactivepayments), as well as auditing (HBA and DRG) services.“Recently, we have watched a wide range of solutions emerge in the arenaof payment integrity. At Trover, we have provided many of these sameservices to our clients for over 15 years.
Our deep experience workingwith health insurers, combined with the best professionals in theindustry, made enhancing Trover’s Payment Integrity division a smartbusiness decision,” said Gary Liter, Executive Vice President.Trover invests significantly in top of the line technologies, andapplies advanced analytics to review complex data to identify paymenterrors, coding errors and overpayments. Their straightforward approachto analyzing big data is a unique combination of leading-edgetechnologies, highly specialized people, and a proven process.To lead their efforts, Trover Solutions has tapped David Hochheiser tojoin the company as Senior Vice President, Payment Integrity Solutions.Mr. Hochheiser will have the responsibility to work with Trover’sclients and prospects to identify areas where Trover can deliver itsPayment Integrity services. In addition, he will be in charge of theexpansion of Trover’s next generation analytics and Payment Integrityplatforms.With more than 15 years of industry experience, Mr. Hochheiser’shealthcare knowledge focuses on Payment Integrity, Revenue CycleManagement, analytics, grouping methodologies (DRGs, APC and episodebased groupers) and prospective payment methodologies. Also, Davidbrings extensive experience in IT system implementation and integration,government payment regulations and data knowledge.
“What drew me toTrover Solutions was their extraordinary focus on creating partnershipswith clients to achieve the best results possible and their use ofindustry-leading technologies,” stated Mr. Hochheiser.“We are delighted that David has joined us to help lead the strategicdevelopment of our Payment Integrity Solutions division. David hasdemonstrated a solid track record of success, and we are confident thathe will deliver a value-added, high level approach to our clients’Payment Integrity needs,” said CEO Robert Bader.Mr. Hochheiser will join Trover Solutions from Optum, where he was theGeneral Manager and Product Development lead for both the revenue cyclemanagement and payment integrity business. He holds BS degrees inComputer Science and Mathematics as well as an MS degree in AppliedMathematics from the University of Vermont, and completed doctoral workin applied mathematics with a concentration in computer science at theUniversity of Arizona.About Trover Solutions, Inc.Trover Solutions, Inc. Is a leading independent provider ofcomprehensive cost containment services and software to the privatehealthcare payor and property and casualty industries. Among thecost containment services provided by Trover are insurance subrogation,payment integrity solutions such as overpayments and auditing, andlitigation management.
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