Project Description

Alivia Analytics
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Alivia Analytics is a healthcare payment integrity platform offering a full suite of tools intended to detect and prevent fraud, waste, and abuse in healthcare claims information using AI and machine learning-enabled models. The Alivia platform allows payers to quickly identify irregularities and patterns within healthcare claims data that may indicate fraud or overpayment. Through its platform, the Company helps its clients recover significant savings and improve efficiencies in its claims review and audit processes.

FUND: HEP II

STATUS: Private

Mike served as President of MultiPlan’s Payment Integrity division, a position he held since MultiPlan’s acquisition of Medical Audit & Review Solutions (MARS) in 2014. Mike had founded MARS as a technologically-enabled provider of healthcare payment integrity services for payers and third party administrators, and had served as President and CEO since the company’s inception in 2011. He was previously Vice President of Operations at Executive Health Resources, a company that provided physician advisory and consulting services to over 2500 hospitals across the nation, acquired by Optum in 2010. He also worked previously as medical director for Aetna / Schaller Anderson, as well as co-Founder and President of a rural family medicine practice.

He is a graduate of Vanderbilt University School of Medicine and Harvard College.