What Livanta does

Livanta (operating commercially as Commence, commence.ai) is a healthcare data solutions company founded in 2004 and headquartered in Annapolis Junction, Maryland. The company provides technology-enabled services to federal health agencies — notably the Centers for Medicare and Medicaid Services (CMS), the Department of Veterans Affairs (VA), and the Defense Health Agency (DHA) — as well as state and local government health programs and commercial health organizations. The firm employs between 101 and 250 people and has repositioned itself around a unified "Greater Data for the Greater Good" platform brand that integrates clinical expertise with data engineering.

The platform is built around six core solution areas: Fraud, Waste & Abuse prevention (AI-assisted anomaly detection on healthcare claims and program data); Independent Dispute Resolution for medical payment disputes; Peer & Independent Reviews conducted by clinical experts; Quality Improvement supported by data-driven benchmarks; Patient Advocacy delivered through real-time outreach; and Data Transformation that converts unstructured healthcare data into interoperable, decision-ready insights. A seventh offering, Fetch, is a patent-pending AI translation solution co-developed with The Language Group to address language access gaps in healthcare delivery. The underlying technology stack is HITRUST r2 Certified as of March 2026, satisfying the security and compliance baseline required to handle protected health information for federal customers.

Livanta's business model is enterprise B2B and contract-based, with the majority of revenue derived from federal healthcare program contracts (recurring, multi-year vehicle-based engagements typical of CMS, VA, and DHA procurement). The go-to-market motion is consultative direct enterprise sales, supported by content marketing, case studies, contract vehicle listings, and conference presence (e.g., HIMSS26). Pricing is quote-based and not publicly disclosed, consistent with government healthcare contracting norms. No detailed revenue, contract value, or funding information is disclosed in available sources.

Name

Livanta

Legal name

Commence

Website

https://livanta.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

101–250 employees

Short description

Livanta (operating as Commence) is a healthcare data solutions company serving federal health agencies (CMS, VA, DHA), state/local government, and commercial health organizations with AI-powered data transformation, fraud prevention, and clinical review services.

Ownership category

akta.pro rank

Product category

Healthcare IT Services

NAICS

Software Publishers (513210), Computer Systems Design and Related Services (54151)

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

akta.pro secondary industry

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Healthcare IT services
• Healthcare data transformation
• Clinical data analytics
• Federal health programs
• Program integrity solutions

Headquarters

HQ city

Virginia Beach

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Others

Revenue model

1. Government Healthcare Services: Provides data-centered healthcare solutions to federal health agencies (CMS, VA, DHA), state/local government, and commercial health organizations through contract-based engagements

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Livanta delivers data-centered healthcare solutions that make data more accessible, discoverable, and interoperable, combining an AI-powered platform with clinical expertise. Core offerings include Fraud, Waste & Abuse prevention, Independent Dispute Resolution, Peer & Independent Reviews, Quality Improvement, Patient Advocacy, and Data Transformation, plus a patent-pending AI translation solution (Fetch) developed with The Language Group.

Product overview

Commence is a data-driven healthcare solutions platform delivering a unified portfolio of clinical expertise and technology-powered services. The core offering includes six integrated solutions: Fraud, Waste & Abuse (AI-powered anomaly detection); Independent Dispute Resolution (certified dispute resolution); Peer & Independent Reviews (clinical expert reviews); Quality Improvement (data-driven benchmarks); Patient Advocacy (real-time care support); and Data Transformation (unstructured to structured data conversion). Additionally, Fetch (patent-pending) provides AI translation capabilities. The platform serves Federal Health (CMS, VA, DHA), State & Local Government, and Commercial Health markets, unified under the tagline 'Greater Data for the Greater Good.'

Differentiator

Problem solved

Functional benefit

Products and services

• Fraud, Waste & Abuse AI-powered solution that prevents fraud, improves accuracy, and protects funding integrity in healthcare programs using clinical insight and anomaly detection.
• Independent Dispute Resolution (IDR) Platform for resolving medical payment disputes between payers and providers with certified, accurate decisions delivered with speed and neutrality.
• Peer & Independent Reviews Unbiased clinical expert reviews ensuring fairness and trust in complex care decisions.
• Quality Improvement Clinical insight and data-driven benchmarks solution helping agencies improve care quality and safety with confidence.
• Patient Advocacy Real-time patient care support, outreach, and compassion powered by data and clinical expertise.
• Data Transformation Transforms unstructured healthcare data into meaningful insights, enabling faster care delivery, better outcomes, and smarter decisions.
• Fetch Patent-pending AI translation solution developed with The Language Group to improve language access and patient outcomes in healthcare settings.

Quantifiable outcome

• 40% lower cost than original model for VA programs
• +1 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature3 records

Partnerships

One partnership is on record.

• The Language GroupcoreStrategic or Co-development Partner · 18 September 2025Strategic partnership to launch Fetch, a patent-pending AI translation solution designed to improve language access in healthcare settings and patient outcomes. The solution combines Commence's healthcare platform expertise with The Language Group's translation capabilities to address language barriers in healthcare delivery.

Scale indicators2 records

Expansion highlights6 records

Broad incumbents

• Palantir Technologies: Palantir sells Foundry and Gotham data platforms used by federal health and defense agencies for data integration, analytics, and operational decision-making, directly overlapping with Commence's federal data transformation positioning.
• Optum (UnitedHealth Group): Optum is the dominant incumbent healthcare data, analytics, and services arm of UnitedHealth Group, offering AI-driven FWA, IDR, population health, and payer-provider solutions at massive scale across both federal and commercial markets.
• Booz Allen Hamilton: Booz Allen is a large federal health consulting and IT services firm supporting CMS, VA, and DHA with analytics, program integrity, and digital transformation - a broad incumbent competitor for Commence's federal contracts.

Direct peers

• Maximus: Maximus is a federal health services vendor delivering program operations, patient advocacy, quality oversight, and contact center services for CMS and other agencies - overlapping with Commence's Patient Advocacy and Peer Review capabilities.
• Health Catalyst: Health Catalyst is a healthcare data and analytics platform offering data warehousing, quality improvement, and AI-driven insights to health systems and government payers - directly comparable to Commence's data transformation and QI offerings.
• Gainwell Technologies: Gainwell is a major government healthcare technology vendor serving Medicaid, Medicare, and other state/federal health programs with claims processing, program integrity, and analytics - directly comparable to Commence's federal health portfolio.
• Inovalon: Inovalon operates a cloud-based healthcare data analytics platform serving payers, providers, and government programs with quality, outcomes, and risk adjustment analytics - a close peer in Commence's Data Transformation and Quality Improvement stack.
• Cotiviti: Cotiviti is a healthcare payment integrity and analytics vendor specializing in fraud, waste, and abuse detection, claims accuracy, and quality measurement for payers - directly comparable to Commence's FWA, Quality Improvement, and IDR solutions.

Regional players

• ICF International: ICF provides public sector health IT, data analytics, and program support primarily to US federal and state agencies, including public health modernization work - comparable federal/government health services peer to Commence.

Emerging players

• Clarify Health Solutions: Clarify Health is an AI-driven healthcare analytics platform focused on payer and provider value-based care, quality measurement, and clinical insights - an emerging-stage peer with partial overlap to Commence's data transformation and QI capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Livanta