Aver Informatics Raises $8.5 Million From Drive Capital and GE Ventures

GREEN BAY, WI --(Marketwired - May 27, 2014) - Aver Informatics -- a data management platform that simplifies the healthcare reimbursement process -- announced today that it has received $8.5 million in Series A funding led by Drive Capital and GE Ventures. Additionally, Aver has secured two additional customers: University of Pittsburgh Medical Center and Molina Healthcare.

"For the last three-plus years, we've been working hard to create a sustainable change in healthcare. Today is a pivotal moment for us that will help transform the healthcare reimbursement process, providing higher quality care to patients at a substantially lower cost to payers," said Kurt Brenkus, Founder and CEO of Aver Informatics.

Taking a radically different approach to healthcare reimbursement, Aver Informatics analyzes the vast amounts of data already available through current claims systems to compartmentalize patient care services into bundled payments. These bundles -- known as "episodes of care" -- create standard protocols for patient treatment and reduce the delivery of unnecessary, expensive services. Transforming the cumbersome "fee for service" system into an "episodic care" system, Aver cuts costs for insurance companies, improves efficiency for medical providers and simplifies the payment process for patients.

Implementing bundled payments using existing claims systems infrastructure used to take years, but Aver's solution significantly shortens the time to value for customers, reducing it to mere weeks. In recognition of its innovation, Aver was recently recognized by Gartner as a "Cool Vendor for Healthcare Payers" in 2014.

"Aver delivers an innovative approach to Medicaid payment reform. Our health plans in New Mexico and Ohio have sophisticated episodic care definitions that are tailored to improving cost and quality outcomes in our most vulnerable populations," said Irene Krokos, MD, Chief Medical Officer for Molina Healthcare of New Mexico. "Aver has a unique capacity to dynamically adjust the definition of a bundle to accommodate variations between state bundling programs. Additionally, provider engagement in payment reform is critical for success. Aver offers providers the ability to conceptualize bundles in a meaningful way."

"By leveraging technology we can align best with federal and state initiatives toward value-based payments. In Ohio, we are working in collaboration with the Ohio Department of Medicaid and the Ohio Office of Health Transformation to further the state's objective of providing value based health care by implementing a new episode-based payment model," said Martin Portillo, MD, Chief Medical Officer for Molina Healthcare of Ohio. "The goal is to develop a program that would incentivize and pay our providers while improving quality and managing costs."