Sector Focus

Case Study:

Senior Whole Health

SWH is a leading health care managed care provider that offers intensive, integrated care to seniors 65 and older in Massachusetts and New York. The company focused on serving “dual eligibles”: individuals that are eligible for both Medicare and Medicaid insurance coverage. The founders and NMP recognized the need for a more comprehensive care management model for this high-risk population.

NMP Involvement:

NMP was one of SWH’s first institutional investors and led the Company’s Series A financing in 2004. NMP worked closely with management on building the team, strategic investment decisions and ultimately the exit plan for the business.

Outcome:

In 2008, SWH was ranked as the fastest-growing private company in the nation by Inc. magazine. In November 2011, Senior Whole Health was acquired by TA Associates.

Healthcare Sector

Over its history, NMP has invested in 40 healthcare companies with a strong track record of success. The firm has gained a national reputation as a leading healthcare IT and services investor and will evaluate healthcare opportunities throughout the United States. NMP has worked to cultivate certain proprietary strategic relationships with leading healthcare providers and payers in our market, giving us unique insights into the complex trends of healthcare. In addition, our region contains arguably three of the largest hubs of healthcare activity in the world: Atlanta (Healthcare IT), Nashville (Healthcare Services) and Research Triangle Park, NC (Development and Lab Services).

Within healthcare, we are particularly focused on the following sub-sectors:

Technology to Enable Interoperability, Analytics & Pay-for-Performance
  • Accountable Care Organization (ACO) & Health Information Exchange (HIE) infrastructure
  • Bundled payments
  • Data aggregation and mining solutions (i.e., Big Data in Healthcare)
  • Provider-payer integration
  • Real-time clinical and business intelligence
Technology to Reduce Administrative Costs
  • Claims processing and real-time adjudication
  • Shared IT infrastructure
  • Fraud reduction
  • Patient collections
  • Revenue cycle management and charge capture
  • ICD-10 (new claims coding methodology)
Alternative Delivery Models Focused on Lower Cost & Improved Quality
  • Telemedicine & remote monitoring
  • New primary care models (e.g., concierge, retail)
  • Urgent care clinics v2.0
Consumer-Oriented Tools and Services
  • Platforms enabling health insurance exchanges
  • Mobile and social applications
  • Pricing and quality transparency
  • Incentives
  • Consumer portals
Prevention, Disease Management & Solutions Targeting High Risk Individuals
  • Value-based benefit design
  • New disease and medication management models
  • Post-acute care and readmissions prevention
  • Care management platforms
  • Specialty benefits management