Doma Technologies, 2 other bizs merge to form health tech contractor

Doma Technologies, Livanta and Advanta Government Services have merged and rebranded as Commence, a health care tech contractor based in Virginia Beach.

Pleasant Land, a private equity independent sponsor based in Puerto Rico, acquired Livanta and Advanta in September 2023 and Doma in June 2024 and merged them Thursday. The combined company has about 550 employees. In addition to its Virginia Beach headquarters, Commence has a support office in Las Vegas.

Pleasant Land Managing Partner Gavin Long said in a statement, “The name Commence signifies that we are embarking on a journey toward better health care outcomes — for the clients we work with and populations we serve. … By combining the expertise and resources of Doma Technologies, Livanta and Advanta Government Services, Commence empowers health organizations to achieve their full potential.”

Founded in 2000, Doma Technologies was a cloud-based document management company that worked with federal government and private sector clients. Also based in Virginia Beach, Livanta was a health care IT company. Advanta Government Services was based in Annapolis Junction, Maryland, and served federal and state government entities.

Doma announced in November 2023 that it was investing $3.7 million in an expansion in Virginia Beach and planning to create about 307 jobs over the following three years.

Ian Checcio, chief growth officer of Commence, said in an emailed statement: “We anticipate continued growth and expansion with some slight delays to the original plan due to ongoing budgetary and policy changes in the federal government.”

Commence will provide health care solutions through a proprietary platform that uses AI to analyze and organize data. The newly formed company also has more than 500 licensed clinicians to provide medical reviews, ensure solutions meet compliance and help streamline health data processes.

“As the federal government seeks to boost the efficiency of its health care spending, Commence empowers health agencies such as Veterans Affairs and the Department of Health and Human Services to optimize programs of any size, scope or complexity,” Checcio said in a statement.

Commence serves 60% of the Medicare population across 27 states, an estimated 30 million to 40 million people. It has completed more than 1.3 million independent, physician-reviewed case evaluations, according to a news release, and its interventions have prevented more than 280,000 patients being prematurely discharged.