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Emdeon Closes Acquisition of Altegra Health

Dear Altegra Customers: On August 13, 2015, Emdeon Inc. announced that it has closed its previously announced acquisition of Altegra Health. The acquisition combines Altegra Health’s risk adjustment and quality analytics platform with Emdeon’s Intelligent Healthcare Network™, revenue cycle technology and payment solutions, enabling the delivery of innovative products designed to help customers elevate care quality, optimize financial performance and improve the member and patient experience. With this acquisition, Emdeon is better positioned to support healthcare organizations as they navigate unprecedented marketplace disruption, including the growth in Medicare Advantage, Managed Medicaid, exchange-based insurance markets and the transition to value-based care models. The combination of the two companies is expected to strengthen the existing capabilities of both organizations and create new, innovative platforms that will address the opportunities and challenges created by the evolution of a more dynamic healthcare marketplace and regulatory landscape. It is critically important to us that you continue to have the very best products and services at your fingertips, along with the same exceptional customer service you’ve come to expect. We believe that becoming part of the Emdeon family will help us accelerate innovation, providing additional value to you with an enhanced and expanded suite of products and services. We know you have questions and we want to address them as quickly and thoroughly as possible. We’ve included a list of Frequently Asked Questions to help you better understand what this acquisition means to you. We are confident that our collective capabilities, knowledge and experience will provide more robust and effective solutions to our customers. While we are excited about the announcement, continuing to serve your needs remains our top priority. Should you have any questions or need additional information, please do not hesitate to contact us.

Press Releases

To view the Emdeon Closes Acquisition of Altegra Health press release, please click here. To view the Emdeon to Acquire Altegra Health press release, please click here.

General Questions

Q: Why did Altegra Health sell its business to Emdeon? The acquisition combines Altegra Health’s risk adjustment and quality analytics platform with Emdeon’s Intelligent Healthcare Network™, revenue cycle technology and payment solutions, enabling the delivery of innovative products designed to help customers elevate care quality, optimize financial performance and improve the member and patient experience. With this acquisition, Altegra Health is better positioned to support healthcare organizations as they navigate unprecedented marketplace disruption, including the growth in Medicare Advantage, Managed Medicaid, exchange-based insurance markets and the transition to value-based care models. The combination of the two companies is expected to strengthen the existing capabilities of both organizations and create new, innovative platforms that will address the opportunities and challenges created by the evolution of a more dynamic healthcare marketplace and regulatory landscape. Q: Who is Emdeon? Emdeon is a provider of software and analytics, network solutions and technology-enabled services that optimize communications, payments and actionable insights by leveraging Emdeon’s intelligent healthcare platform, which includes the single largest financial and administrative network in the United States healthcare system. Emdeon’s platform and solutions integrate and automate key functions of its payer, provider and pharmacy customers throughout the patient encounter, from consumer engagement and pre-care eligibility and enrollment through payment. By using Emdeon’s comprehensive suite of solutions, their customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage complex workflows. Emdeon’s Intelligent Healthcare Network™, which reaches 750,000 physicians, 105,000 dentists, 60,000 pharmacies, 5,000 hospitals, 600 vendors, 450 laboratories and 1,200 government and commercial payers and processed approximately 8.1 billion transactions in 2014, allows Emdeon to bring actionable data, analytics and insights to its customers. The combination of Altegra Health and Emdeon provides improved value to customers by:
  • Offering a more comprehensive set of solutions that will better meet the evolving needs of our customers
  • Strengthening both Altegra Health’s and Emdeon’s existing offerings through the integration of our complementary capabilities and the power of Emdeon’s Intelligent Healthcare Network™
  • Powering new innovations to address market needs in some of our customers’ priority focus areas, including risk adjustment and coding accuracy, value-based payment models and member engagement
Q: Where is Emdeon located? Emdeon’s corporate offices are located at 3055 Lebanon Pike, Suite 1000, Nashville, TN, 37214. Emdeon also operates out of more than 30 offices throughout the United States, including offices in San Mateo, Boston, Seattle, Chicago, Atlanta, Tampa, Toledo, St. Louis and Minneapolis. Q: Will Kevin Barrett remain with the company? Kevin Barrett has been appointed EVP, Emdeon and President, Altegra Health and will continue to lead Altegra Health. Q: What will happen with my Account Manager? The Altegra Health sales organization continues to report to Mark Fabiano, SVP-Chief Sales Officer, Altegra Health, who continues to report to Kevin Barrett. There are no further changes to the sales organization at this time. As we proceed, we will do everything possible to ensure that any transition is as seamless as possible for our customers. That includes working to ensure continuity of your service, maintaining our performance, continuing our performance metric reviews and meetings and remaining on task with other routine deliverables. In situations where you are a customer to both Altegra Health and Emdeon, we look forward to finding ways to simplify your interaction with both organizations, with the goal of enhancing your service experience. Q: Is there anything we need to do with our contract(s) with Altegra Health? Altegra Health is continuing with business as usual. Existing contracts remain in full force and effect between Altegra Health and our clients. Altegra Health will, of course, continue to provide the same high level of customer service you have been accustomed to receiving. Q: How will Emdeon’s purchase of Altegra Health make our lives easier? Over the years, you have heard us talk about Altegra Health’s vision to assist health plans in achieving the “Triple Aim” (better health outcomes, lower healthcare costs and more satisfied patients). We are very excited about the potential for the combination of Altegra Health’s and Emdeon’s technologies and services to accelerate those efforts. These are exciting times in healthcare, where dramatic improvements are both possible and imminent as Medicare, Medicaid and the commercial markets shift to value-based financial structures relying on rapidly increasing data collection and analytical capabilities. We will continue to keep you informed as Altegra Health and Emdeon create innovative and game-changing technologies and services for our clients across the spectrum of healthcare, including health plans, integrated delivery networks, ancillary providers and medical group practices. Q: When will we get to meet some of the Emdeon leaders and see the companies’ complementary products and services? We will provide introductions to the Emdeon team during our regular meetings and Quarterly Business Reviews. We will keep you informed as our collaboration efforts progress; however, our primary focus remains ensuring the success of the risk adjustment, quality and member engagement programs and provide solutions that you have entrusted to us. Should you have any questions, please contact your Client Services representative.