Managed Care

Part of Payer & Benefits

Managed care and value-based care solutions

Also known asACOcost controlInsurancePayorrisk
🚀30Innovations

Innovations in Managed Care

Banner|Aetna

Banner|Aetna

Series E

Phoenix, Arizona, USA

Joint venture between Banner Health and Aetna operating under a payvider model, serving Medicare and Medicaid plan members across Arizona with employer group, Medicare Advantage...

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Business ModelPayvider model, integrating payer (Aetna) and provider (Banner Health) with shared financial accountability, focusing on value-based care.
Core TechAetna's health plan expertise, advanced analytics, health...
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Founded2017
Other
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Humana

Humana

IPO

Louisville, Kentucky, United States

Humana Inc. is a prominent healthcare company in the United States, offering a wide array of health insurance products and services. Its business model centers on integrating ca...

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Business ModelB2C, B2B, Government Programs (Medicare, Medicaid), Value-Based Care Provider
Core TechDigital health technologies, telehealth expansion, advanc...
Founded1961
Other
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Fortuna Health

Fortuna Health

Seed

New York, New York, United States

Medicaid navigation platform helping people check eligibility, enroll, and renew coverage end-to-end.

Source: HealthTech Alpha by Galen GrowthSource: Y CombinatorSource: Company Website
Business ModelB2B2C
Core TechEligibility and enrollment workflow
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Founded2023
InsureTech
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Radial Health

Radial Health

Concord, Massachusetts, United States

AI-powered decision support platform for value-based care organizations and Medicare Advantage plans.

Source: HealthTech Alpha by Galen GrowthSource: F6SSource: Company Website
Business ModelB2B
Core TechAI decision support
Founded2014
AI / ML
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Anterior (formerly Co:Helm)

Anterior (formerly Co:Helm)

New York, New York, United States

Health plan technology company positioned to modernize plan operations.

Business ModelB2B
Core TechHealth plan software
Founded2022
InsureTech
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