360 Health Systems
Vendor Review for Medicaid Vendor Partner Readiness
- Overall Assessment
- Basic Info
- Relevant Leadership Experience
- Brand Perception
- Clarity of Value Proposition
- Scalability
- Funding Model
Overall Assessment
Summary
- Newer program integrity solution vendor (2013)
- Early successes in 1 state (FL) and 1 territory (PR)
- Limited staff impacts scalability score. Future staffing investments may improve scalability
Scoring
Composite
Leadership Medicaid Experience
Scalability
Brand Perception
Category
Tech>Program integrity (Fraud, waste and abuse)
What they do
Program integrity software solutions and related consulting
Pre and post payment reviews
Self-stated value proposition
360 Health Systems is a technology company focused on empowering healthcare organizations with unique, easy-to-use, financial application tools, following the Software-as-a-Service (SaaS) model.
What We Offer
-How to stop profit leaks and improve your bottom line
-Eliminating outrageous collection fees
-A flexible calculation engine that can analyze 100% of your paid claims retrospectively and/or pre-payment, resulting in larger financial satisfaction
-A series of audit rules that are designed to find overpayments on a variety of claims types (e.g. professional, facility and pharmacy)
-Innovative technology that drives analytics and creates transparency while reducing operational costs associated with data management
-A platform that unites all your payment integrity efforts, streamlining your internal and external processes through one solution
-Generating reports on-demand without any bottle-necks
-Departmental collaboration
-Flexible approach tailored to your needs
-Connectivity to most claims systems
360 Health Systems is focuses on empowering healthcare organizations with unique, easy-to-use, financial application tools to catch their improper payments, following the Software-as-a-Service (SaaS) model. Whether your objectives are medical or pharmacy payment integrity, quality assurance, contract re-pricing or modeling, 360 Health System's digital and non-traditional approach enables you to take full control over your claims to meet your financial objectives.
Mission: Provide Payor Healthcare Organizations the unparalleled technology of tomorrow, today, to operate with greater efficiency while discovering lost dollars and stopping Financial leakages.
Vision: To revolutionize the healthcare Payment Integrity in ways that others can not.
Founded
2013
Annual Revenues
Estimated @ <$1M
# employees
Estimated @ 25
Points Possible: 212
Points Earned: 73.5
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Role | | |
|---|---|---|
CEO / Product Executive |  Stanley Guildaud | Click for Bio (self-reported)Accomplished operation, financial & analytics executive with over twenty-five years’ experience in the healthcare industry (Medical, Pharma, Vision, Dental) within the payor and provider sectors. As the CEO of 360 Health Systems, a Saas Technology Company providing financial tools to the Healthcare industry, Stanley provides payers the opportunity to reverse billions of dollars seamlessly through a disruptive technology. Stanley, the CEO of 360 Health Systems, is an accomplished operation, financial & analytics executive with over twenty-two years of experience in the payor and provider sectors of the healthcare industry. As the CEO of 360 Health Systems, Stanley is paving the way for payers to reverse billions of dollars in the healthcare payment integrity space. With his global perspective and in-depth knowledge of the healthcare industry, the entrepreneurial-minded Guilbaud is a recognized expert in business processes engineering and optimization. His focus is on developing technology that intelligently manages the healthcare supply chain. Stanley plays a vital role in the strategy and growth of 360 Health Systems and is responsible for running all facets of the business including sales, marketing, product development & engineering, and investor and client relations. Prior to his time at 360 Health Systems, Stanley served in various senior executive roles within local & national payer, technology and consulting firms. Stanley maintains an active role in several community service organizations. |
Operations Executive |  Dario Desrouleaux | Click for Bio (self-reported) |
Sales Executive |  Kerri Darling | Click for Bio (self-reported) |
Cell | Cell | Cell |
Points possible: 95
Points earned: 85
Analyst Notes
- FL Medicaid and PR Medicaid accounts
- Some conference presence in recent years
Points possible: 60
Points earned: 50
Analyst Notes
- Measuring impact using payment recoveries
Points possible: 50
Points earned: 6
Analyst Notes
- Small staff size impacts score (less than 15 staff with data for review)
- Staff data available for review shows more than half of staff VP or above
Analyst Notes
Ownership model
VC moving to PE
Stage
Early stage
Trend in funding rounds
Increasing; $2M total over 3 rounds, with $1.5M in 2017 round
Major investors
Startup Health, The Iron Yard, TEDCO
