ACO Enablers and Primary Care Aggregators

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agilon logo
agilon

agilon

Company Info
Founded: 2016
Headcount: 501-1000
Customers
Customers Served: Risk-Bearing Providers
Product Overview
agilon partners with primary care physicians to facilitate the shift from traditional fee-for-service models to value-based care for their senior patients. They primarily focus on Medicare Advantage members enrolled with private health plans, but are growing in the Medicare ACO REACH program. They provide a technology platform enabling doctors to monitor patient outcomes and healthcare utilization and support care coordination across different healthcare providers. They also offer financial management tools for risk management, revenue cycle management tools, and support in meeting regulatory compliance and quality improvement standards. Additionally, the platform includes patient engagement strategies to foster adherence to care plans and promote healthy behaviors.
Aledade logo
Aledade

Aledade

Company Info
Founded: 2014
Headcount: 1001-5000
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Aledade partners with primary care practices to transition them to value-based care models for their Medicare populations through Accountable Care Organizations (ACOs). They primarily focus on the Medicare Shared Savings Program (MSSP), and increasingly are contracting directly with Medicare Advantage and commercial health plans. They provide a tech platform for data integration and analytics to identify patient care gaps and monitor population health, and support care coordination and chronic disease management. They also offer administrative support, including regulatory compliance and financial management.
Astrana Health logo
Astrana Health

Astrana Health

Company Info
Founded: 1992
Headcount: 501-1000
Customers
Verified Customers: 1
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
ApolloMed works with physicians to deliver integrated care and manage value-based arrangements, with a focus on Medicare Advantage plans. They assume the financial risk for patient outcomes and support practices through technology and services such as care coordination to meet quality metrics and manage cost of care.
Belong Health logo
Belong Health

Belong Health

Company Info
Founded: 2021
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Health Plan, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Belong Health is a health plan and provider enabler focused on enabling health plans to cover complex Medicare and dual eligible populations and enabling providers to participate in ACO REACH.
Better Health Group logo
Better Health Group

Better Health Group

Company Info
Founded: 2006
Headcount: 501-1000
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Better Health Group is a large value-based primary care practice that also supports independent practitioners through its Management Services Organization (MSO). They focus on senior populations under Medicare and their services include technology and operational support to help practices perform in value-based care models.
CareAllies logo
Care Allies

CareAllies

Company Info
Founded: 2016
Headcount: 501-1000
Customers
Verified Customers: 3
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
CareAllies is a management services organization that partners with providers to enable success in value-based arrangements. CareAllies supports practices with services include contracting and network optimization, patient engagement, and analytics. CareAllies is a subsidiary of Cigna.
CareMax logo
CareMax

CareMax

Company Info
Founded: 2009
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
CareMax is a value-based healthcare provider that delivers integrated primary, specialty and urgent services to the senior population through its network of medical centers. CareMax also provides practice transformation services to its network of Community Partner clinicians, helping them transition to value-based care through deploying practice transformation specialists and integrate technology into practice workflow.
Castell logo
Castell

Castell

Company Info
Founded: 2019
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Castell is a healthcare platform designed to facilitate the transition to and management of value-based care by consolidating and managing payer contracts. Castell performs an assessment of current practice operations, then creates a roadmap to transition to value-based care. Castell provides access to clinical and claims data, paired with machine learning and analytics. Additionally, the platform offers ongoing support, including care coordination, coding, documentation expertise, and best practice guidance. Castell is a subsidiary of Intermountain Healthcare.
Collaborative Health Systems logo
Collaborative Health Systems

Collaborative Health Systems

Company Info
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Collaborative Health Systems (CHS) supports independent physicians and providers transition to VBC through the development and management of Medicare Accountable Care Organizations (ACOs). CHS provides a suite of services, including data analytics, administrative support, network building, and regulatory compliance assistance, to support provider performance. CHS is a subsidiary of Centene Corporation.
Empassion logo
Empassion

Empassion

Company Info
Founded: 2022
Headcount: 11-50
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Empassion is a Management Services Organization (MSO) that works with providers on delivering value-based care to seniors with advanced illness. They work with providers by bringing them into their Accountable Care Organizations (ACO) to participate in Medicare’s ACO REACH model and they support practices in serving their populations with advanced illness through care models, care navigation, and analytics services.
Equality Health logo
Equality Health

Equality Health

Company Info
Founded: 2015
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice, Health Plan
Product Overview
Equality Health is a value-based care organization focused on health equity and meeting the needs of diverse and historically underserved populations. Equality Health manages an integrated provider network and works with participating providers to access value-based reimbursement structures, manage the health of their populations, and deliver culturally competent care. Equality Health is primarily focused on Medicaid populations and also participates in Medicare’s value-based care programs including ACO REACH.
Evolent Health logo
Evolent Health

Evolent Health

Company Info
Founded: 2011
Headcount: 501-1000
Customers
Customers Served: Health Plan, Hospital / Health System, Risk-Bearing Providers, Ambulatory Practice
Product Overview
Evolent is a value-based care organization that partners with health plans and providers. They help primary care practices participate in the Medicare Shared Savings Program (MSSP) through the Evolent Care Partners ACO and they support specialty practices including oncology, cardiology and musculoskeletal to transition to value-based care. They also provide analytics and administrative services to support both providers and payers in value-based care delivery.
Honest Medical Group logo
Honest Medical Group

Honest Medical Group

Company Info
Headcount: 201-500
Customers
Verified Customers: 7
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Honest Medical Group is a provider enabler that works with physicians, health systems and IPAs to participate in value-based models for their Medicare populations. They focus on both Medicare Advantage and ACO REACH.
HSBlox logo
HSBlox

HSBlox

Company Info
Founded: 2017
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
HSBlox provides a platform designed to support value-based care through end-to-end administration of various payment models. It facilitates communication between stakeholders, ensures transparency, and manages complex contracts, enabling healthcare organizations to transition smoothly between fee-for-service and value-based reimbursement structures.
Lumeris logo
Lumeris

Lumeris

Company Info
Founded: 2000
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Lumeris is value-based care company that provides health systems, payers, and providers operational support, technology, and consulting services. Lumeris advises on VBC contracting and offers risk-sharing options to strengthen its partnerships. They also provide technology, analytics and operational support to enable performance in VBC models.
Main Street Health logo
Main Street Health

Main Street Health

Company Info
Founded: 2021
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice
Product Overview
Main Street Health specializes in value-based care for rural communities. Main Street Health partners with primary care practices serving rural populations and enables them to participate in value-based programs for their Medicare populations, including the Medicare Shared Savings Program (MSSP) as well as Medicare Advantage contracts. They provide health navigators who support practices with care coordination and access to data tools.
NeueHealth logo
NeueHealth

NeueHealth

Company Info
Headcount: 1001-5000
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
NeueHealth is a network of owned and affiliated providers that also offers physician enablement solutions to support value-based care delivery. NeueHealth formerly operated as Bright Health.
On Belay Health Solutions logo
On Belay Health Solutions

On Belay Health Solutions

Company Info
Headcount: 51-200
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
On Belay is primary care enabler that works with primary care practices, federally qualified health centers (FQHC) and integrated provider networks to participate in Medicare’s valued-based care programs. On Belay primarily focuses on ACO REACH and on the Medicare Shared Savings Program (MSSP), but also manages Medicare Advantage and Commercial risk contracts. They support providers with clinical services and performance analytics.
P3 Health Partners logo
P3 Health Partners

P3 Health Partners

Company Info
Founded: 2015
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
P3 Health Partners is a population health management company that supports providers with administrative services and care coordination for Medicare Advantage patients. P3 Health Partners supports its providers with care delivery services including access to Nurse Practitioners (NP) in P3 wellness centers and care teams of RNs and other professionals that provide preventive care coordination, care navigation, medication management, transitions of care services, and care management for chronic conditions. They also work with health plans and have capabilities to take delegation of certain payer function such as network management and utilization management.
Pearl Health logo
Pearl Health

Pearl Health

Company Info
Founded: 2020
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Pearl Health is a physician enablement company that helps primary care physicians engage in Medicare’s value-based care programs, such as the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (REACH) model. Pearl Health aggregates practices in ACOs and supports practices as a risk-bearing partner that administers contracts and payments. Pearl Health is also a technology company that supports practices with population health analytics, contract performance measurement, and care recommendations.
Privia logo
Privia

Privia

Company Info
Founded: 2007
Headcount: 501-1000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Privia is a national physician organization focused on administrative, financial and clinical outcomes in value-based delivery structures. Privia’s operations are structured regionally and encompass employed physician practices, physician networks aggregated through ACO and IPA structures, and MSOs that provide administrative services to medical groups. They can support providers along the spectrum of independence and risk ownership in value-based care structures. They also offer population health management tools to support. Privia also provides contracting and network design services for health plans and larger risk-bearing health systems.
Signify Health logo
Signify Health

Signify Health

Company Info
Founded: 2017
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Signify Health is a health services company that delivers a range of value-based care services and software to providers, health systems and health plans. They manage Accountable Care Organizations (ACO) and serve as a risk-sharing partner for providers and health systems to participate in value-based care arrangements. Signify also provides direct services including in-home health evaluations and care coordination services aimed at addressing gaps in care and improving patient experience. Signify is a subsidiary of CVS Health.
UpStream logo
UpStream

UpStream

Company Info
Founded: 2018
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice
Product Overview
UpStream is a physician enabler that works with primary care practices to transition to value-based reimbursement structures for their Medicare populations, primarily under the ACO REACH program, and provides technology and services to support outcomes. UpStream brings physicians into its ACOs and offers a structured reimbursement solution, Guaranteed Advanced Payments for Quality (GAP-QTM). Their enablement solutions include data integration, population health analytics, and embedded clinical teams including nurses and pharmacists to extend each practice’s service delivery.
Vytalize Health logo
Vytalize Health

Vytalize Health

Company Info
Founded: 2014
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Vytalize is a physician enabler that helps primary care practices transition to Medicare’s value-based care programs. Vytalize provides physicians in its ACO with value-based incentive payments as well as technology and services to drive performance and outcomes. Their services include analytics on care gaps and virtual clinical services to extend each practice’s reach.
Wellvana logo
Wellvana

Wellvana

Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Wellvana is a value-based care enabler that helps physicians and health systems participate in value-based contracts and provides technology and services to support performance. Wellvana helps providers participate in Medicare’s value-based care programs as well as Medicare Advantage and commercial value-based care contracts. Wellvana’s services include a care management team of RNs and care coordination to address gaps in care. Their technology includes an EMR overlay that provides point-of-care insights to help close gaps in care.