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Analysis

Waystar's eSolutions Acquisition Will Let Providers Manage Commercial, Government Claims on Single Platform

By Alexandra Wilson Pecci  
   August 13, 2020

Historically, providers have had to leverage two different systems, one to handle commercial claims, and another to handle Medicare, according to Waystar, which is acquiring eSolutions.

Waystar is acquiring medical billing and claims processing firm eSolutions, making Waystar the first billing technology company to combine both commercial and government payers onto a single payments platform, it reports.

CMS is already the single largest healthcare payer in the United States, and the Medicare population is expected to reach 79 million beneficiaries in 2030.

Historically, providers have had to leverage two different systems, one to handle commercial claims, and another to handle Medicare. By combining the eSolutions and Waystar systems, providers will be able to use a single platform to manage both private and government payments, the companies said.

Waystar has made several acquisitions and new product launches in recent years. For instance, earlier this year it launched Hubble, an AI and robotic process automation (RPA) platform that aims to "augment billing teams" by automating processes that used to require human labor.

It has also recently acquired Recondo, a patient estimation and prior authorization technology; PARO, a presumptive charity scoring solution; UPMC's Ovation, a claims monitoring tool; and Connance, an agency manager, advanced propensity to pay, and presumptive charity tool.

Alexandra Wilson Pecci is an editor for HealthLeaders.


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