6 Degrees Health Company Profile

Background

Overview

6 Degrees Health is a technology-enabled healthcare payment integrity provider dedicated to delivering superior cost savings to health plans while prioritizing best-in-class service. Founded in 2011, the company leverages clinical expertise and innovative technology to ensure fair reimbursements and enhance payment accuracy.

Mission and Vision

The company's mission is to create a rewarding environment where employees embody values of knowledge, care, and transparency, which are then passed on to customers. Their vision is to transform healthcare by providing cost containment and payment integrity solutions that foster fairness and accuracy in healthcare payments.

Industry Significance

6 Degrees Health has been recognized as one of America's fastest-growing private companies by Inc. Magazine in 2025, highlighting its significant impact in the healthcare payment integrity sector. Additionally, Everest Group named the company a "High-Potential Specialist" in the payment integrity market, citing its leadership and transformative impact on the industry.

Key Strategic Focus

Core Objectives

The company's primary objectives include delivering superior cost savings to health plans, ensuring payment accuracy, and fostering transparency in healthcare payments. They aim to disrupt traditional healthcare models by offering innovative solutions that challenge conventional networks and billing practices.

Areas of Specialization

6 Degrees Health specializes in healthcare cost containment solutions, focusing on reference-based pricing, out-of-network solutions, and payment accuracy. Their services are designed to help employers and health plans provide affordable, quality health plans while managing costs effectively.

Key Technologies Utilized

The company employs advanced technologies, including their proprietary MediVI platform, to streamline claim negotiations, contracting, and clinical reviews. This platform provides transparent, defensible data that enhances dispute resolution and payment accuracy.

Primary Markets Targeted

6 Degrees Health primarily targets self-insured employers, third-party administrators (TPAs), health plans, and healthcare providers, offering solutions that cater to the unique needs of these stakeholders in managing healthcare costs and payment integrity.

Financials and Funding

Funding History

In 2020, 6 Degrees Health received a significant investment from FTV Capital, a leading sector-focused growth equity investment firm. This investment has supported the company's expansion and technological development initiatives.

Recent Funding Rounds

Specific details regarding recent funding rounds are not publicly disclosed.

Notable Investors

FTV Capital is a notable investor in 6 Degrees Health, providing the company with the capital necessary to scale its operations and enhance its service offerings.

Utilization of Capital

The capital raised has been utilized to support the company's growth initiatives, including the development of innovative cost containment solutions, expansion of service offerings, and enhancement of technological platforms to improve payment accuracy and transparency.

Pipeline Development

Key Pipeline Candidates

6 Degrees Health is continually developing and refining its suite of cost containment solutions, focusing on:

Reference-Based Pricing Health Plans: Offering solutions that replace traditional network-based employer health plans, resulting in average cost savings between 20-40%.

Out-of-Network Solutions: Providing strategies that significantly reduce expenses compared to typical network wrap offerings.

Payment Accuracy Solutions: Ensuring clients pay the correct amount by eliminating and/or reducing error-prone billing.

Stages of Development

These solutions are in various stages of development and implementation, with ongoing efforts to enhance their effectiveness and expand their applicability across different healthcare settings.

Target Conditions

The company's solutions are designed to address a wide range of healthcare cost containment challenges, including high-dollar claims, out-of-network billing, and payment inaccuracies.

Anticipated Milestones

While specific timelines for anticipated milestones are not publicly disclosed, the company continues to innovate and refine its offerings to meet the evolving needs of the healthcare industry.

Technological Platform and Innovation

Proprietary Technologies

6 Degrees Health's proprietary MediVI platform is central to its technological strategy, providing a data-driven approach to healthcare cost containment and payment integrity.

Significant Scientific Methods

The company employs advanced data analytics and machine learning algorithms to analyze billing data, identify discrepancies, and optimize payment processes, ensuring accuracy and fairness in healthcare reimbursements.

Leadership Team

Executive Profiles

Matt Yost: Chief Executive Officer

Matt joined 6 Degrees Health as CEO and Board member in late 2022. He has over twenty years of experience in healthcare payment integrity, health benefits for self-insured employers, and technology-enabled service companies. Prior to 6 Degrees Health, Matt served as the CEO of HealthAdvocate and CEO of Accent, a healthcare payment integrity company acquired by HMS Holdings.

Scott Ray JD: Founder

Scott is the founder of 6 Degrees Health and an experienced attorney, accountant, and business executive. He has a background in healthcare, having served as SVP and General Counsel for a national transplant Centers of Excellence network.

Emily Schlottmann: Chief Financial Officer

Emily oversees all financial operations of the organization. She brings over 10 years of experience in various financial leadership roles across the Healthcare Cost Containment Industry. Prior to working for 6 Degrees Health, Emily worked at Optum, a subsidiary of United Health Group, as Director of Finance within their Payment Integrity division.

Donald Lee: Senior Vice President of Strategy & Underwriting

Donald has extensive experience in healthcare strategy and underwriting, contributing to the company's growth and strategic direction.

Kavita Reddy: Senior Vice President & Head of Technology

Kavita is an accomplished technology leader with 20 years of experience in the healthcare sector. She has led critical application modernization, data transformation, and digital transformation initiatives involving artificial intelligence and machine learning.

Katy Brant: President (Payment Integrity)

Katy brings over 20 years of healthcare experience to 6 Degrees Health. She has in-depth knowledge of healthcare billing, contracting, and broad experience in provider negotiations with extensive understanding of commercial, Medicare, and Medicaid payers.

Leadership Changes

Recent Appointments

Matt Yost: Appointed as Chief Executive Officer on January 3, 2023.

Competitor Profile

Market Insights and Dynamics

The healthcare cost containment and payment integrity market is experiencing significant growth, driven by the increasing need for transparency and accuracy in healthcare payments. Companies like 6 Degrees Health are at the forefront of this transformation, offering innovative solutions that challenge traditional healthcare models.

Competitor Analysis

Key competitors in this space include Castlight and Healthcare Bluebook. Castlight, headquartered in San Francisco, California, was founded in 2008 and operates in the Health Care Technology field. Healthcare Bluebook, based in Brentwood, Tennessee, was founded in 2007 and also operates in the Health Care Equipment & Services industry.

Strategic Collaborations and Partnerships

6 Degrees Health has established strategic partnerships to enhance its service offerings and market reach. Notably, the company is backed by FTV Capital, which has supported its growth initiatives.

Operational Insights

The company differentiates itself through its proprietary technology platform, MediVI, and its focus on delivering transparent and accurate payment solutions. This approach positions 6 Degrees Health as a leader in the healthcare cost containment sector.

Strategic Opportunities and Future Directions

6 Degrees Health is well-positioned to capitalize on the growing demand for cost containment solutions in the healthcare industry. The company's innovative approach and strategic partnerships provide a solid foundation for future growth and expansion.