HMS Holdings Corp. a provider of cost containment solutions in the healthcare industry to help payers improve performance has acquired web-based care management platform Essette for approximately $20 million in cash.
Founded in 2007, Essette’s care management platform helps risk-bearing healthcare organizations identify, engage, and manage at-risk patient populations to improve outcomes while managing costs.Essette’s customer base includes managed care organizations and care delivery organizations.
The Essette core technology platform includes case management, utilization management and population health management which collectively enable collaboration and facilitate best practices for payers across the care continuum. Primary Essette modules include:
– Case and disease management using a framework based on NCQA and CMSA guidelines
– Care plan development and analytics-driven campaigns designed to engage members in wellness and health promotion programs
– Appropriate and cost-effective care through efficient management of authorization requests and inpatient stays, including auto-approvals using embedded evidence-based guidelines
“Essette is a market leader, with a demonstrated track record of supplying payers with technology solutions to support care management and care coordination. As our customers increasingly focus on managing their members through the care continuum, the addition of Essette gives HMS powerful new software tools to leverage our historically strong data analytics capacity and distribution channel as we further evolve our technology solutions for risk bearing entities,” said Bill Lucia, HMS Chairman and CEO. “This acquisition is a strategically important first step in our strategy to build a broad foundation of technology and service solutions to help our customers better manage quality, cost and compliance across all lines of business. We were also attracted to the recurring revenue potential for the Essette workflow solutions,” added Lucia.