Funds for US Health Payer Intelligence Firm Anomaly

Healthcare payer intelligence specialist Anomaly has secured $17 million in new funding, doubling its total raised to date.

Anomaly says that in a system governed by incentives, healthcare provider organizations lose billions in revenue because of payer denials, underpayments, downgrades, retractions and delays that deviate from written contract terms and policy documents. The firm works with health systems, large provider organizations, diagnostic laboratories and outsourced RCM companies across the US, its software analyzing billions of transactions in real time, spotting patterns, policy shifts and behavioral 'deviations' that influence what providers actually get paid. The resulting data empowers providers, in 'every contract negotiation and interaction' they have with payers, and Anomaly says it has recovered tens of millions in provider revenue and produced measurable changes in payer behavior.

'Providers have known intuitively for years that the system is rigged against them,' says CEO Mike Desjadon (pictured). 'What they've never had is the intelligence to prove it, and a partner to 'bring the receipts' and help them act on it, and finally change payer behavior. This funding accelerates our ability to give healthcare organizations something they have never had before: a platform that demonstrates how their payers actually behave, and the leverage to engage them as equals when it comes to contesting payment issues or contract negotiations.'

The latest funding was led by Sound Ventures, and joined by Alumni Ventuire, while existing investors Link Ventures, Redesign Health and RRE Ventures also participated.

The company was founded in 2020, is headquartered in New York and can be found on the web at www.findanomaly.com .

All articles 2006-23 written and edited by Mel Crowther and/or Nick Thomas, 2024- by Nick Thomas, unless otherwise stated.