Zelis Healthcare Acquires EthiCare Advisors

On Nov 6, 2017

Bedminster-based Zelis® Healthcare, a market-leading healthcare information technology company, announces the purchase of EthiCare Advisors.

EthiCare is a healthcare cost management company based in Succasunna. As a trusted partner of employers, labor funds, third-party administrators and health plans, the company has provided a holistic approach to high-dollar claim review since 2002.

EthiCare derives healthcare cost savings through its high-dollar claim review product and its dialysis product offering, among other services. “At EthiCare, we pride ourselves on our comprehensive approach, our client tenure, our results and our experience in the industry. Zelis was a natural fit for our organization, as we share similar expectations of service and performance excellence,” said Mark Hartmann, managing partner & CEO of EthiCare Advisors.

The EthiCare acquisition further enhances Zelis’ product portfolio supporting payer clients to achieve greater savings on high-dollar in-network and out-of-network healthcare claims. EthiCare is now a part of the Zelis Claims Integrity business unit led by Lori Sempervive, President.

“EthiCare is well-known in our industry for its ‘white glove’ service approach to high-dollar claims, and we look forward to providing payers with the same level of service they know and expect. We welcome our new team members to the Zelis Healthcare family, as we continue to extend our fully integrated solution for healthcare cost and payment management,” said Lori Sempervive, President of Claims Integrity for Zelis Healthcare.

“We are delighted to add the EthiCare product line to the Zelis portfolio. Bringing EthiCare into the Zelis family further enhances our ability to deliver better service and better performance for all payers as they endeavor to manage the cost of healthcare,” said Doug Klinger, CEO of Zelis Healthcare.

Zelis Healthcare is a healthcare information technology company and market-leading provider of end-to-end healthcare claims cost management and payments solutions. Zelis Healthcare focuses on network analytics and access, claims integrity and electronic payments for healthcare payers, providers and consumers in the medical, dental and workers’ compensation markets nationwide. Zelis Healthcare is backed by Parthenon Capital Partners.

Founded in 2002, EthiCare Advisors, Inc. is an innovative medical claims settlement, cost containment and consulting services company that helps medical claim payers save money by focusing on the claims that ruin loss ratios, namely, catastrophic claims over $100,000 and dialysis claims. EthiCare is a three-time honoree of the Inc. 500|5000 award as one of the fastest growing privately-held companies in America.

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