Name

Koda Health

Legal name

Koda Health, Inc.

Website

https://kodahealthcare.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Digital Health / Advance Care Planning Software

NAICS

Computer Systems Design Services (541512)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

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

akta.pro secondary industries

Post-Acute & Transitional Care Virtual Platforms (SNF/home health coordination) (HLALABAG), Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

Keywords

• Advance care planning
• Digital health platform
• Serious illness care
• Kidney care planning
• Value-based care software

Headquarters

HQ city

Houston

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Subscriptions to Health Plans and Providers: Koda contracts directly with health plans and health care providers ("Subscribers") who subscribe to the Koda Health Platform and ACP Services. Patients access the platform at no direct cost via subscriber-provided links. Recurring subscription revenue.
2. Population-Level and Condition-Specific Platform Licensing: Enterprise contracts covering both Advance Care Planning and Kidney Action Planning modules for full member/patient populations, with expansion into condition-specific product lines (kidney care, serious illness).

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

Koda Health provides an AI-enhanced, cloud-based SaaS platform for advance care planning (ACP) and serious illness care. Health plans, health systems, and ACOs subscribe to the platform; their patients use it to complete legally valid advance directives (including MPOA, POLST, and DNR orders) via video-guided education, with in-platform digital signing/notarization and bidirectional HL7 FHIR EMR (Epic) integration. The platform is extended by a Kidney Action Planning (KAP) module for CKD patients and a human Patient Advocate service (KodaCares) for high-need patients.

Product overview

Koda Health offers an AI-enhanced, EMR-integrated SaaS platform for advance care planning (ACP) and serious illness care, structured as a core platform with multiple condition-specific and human-support modules. The core Koda Health Platform powers the primary Advance Care Planning (ACP) Solution, which lets patients create legally valid advance directives (including DNRs, MPOA, and POLST) with video-guided education, in-platform signing, and EMR sync via HL7 FHIR. The platform is extended by the Kidney Action Planning (KAP) module for Chronic Kidney Disease patients, and by KodaCares, an add-on service providing human Patient Advocate support for high-need patients identified through proprietary risk algorithms. Together, these products serve health plans, providers, and patients by aligning care with patient values, reducing terminal hospitalizations by 79% and total cost of care by 42%.

Differentiator

Problem solved

Functional benefit

Brands

• KodaCares: KodaCares is a human-touch support service that pairs Koda's digital platform with trained Patient Advocates who provide personalized, longitudinal guidance for high-need patients completing advance care planning or kidney action planning.
• Koda ACP (Koda Advance Care Planning)
• Koda KAP (Kidney Action Planning)

Products and services

• Koda Health Platform (ACP Services) Cloud-based, EMR-integrated SaaS platform for advance care planning (ACP). Enables patients to learn about medical care preferences, document preferences, generate legally valid instructions (advance directives, DNRs, Medical Power of Attorney), enable digital signing and notarization, and securely share plans with care teams, payors, and loved ones. Supports advance directives, MPOA, POLST/DNR orders in all 50 states. Sold to health plans, health systems, and ACOs via enterprise subscription.
• Advance Care Planning (ACP) Solution Digital solution that creates clear, actionable advance care plans. Features include video-guided interactive patient experience, in-platform documentation and signing, targeted patient insights, clinical integration and EMR sharing, personalized reminders, and expert 1:1 support. Demonstrated 79% reduction in terminal hospitalizations and 42% reduction in total cost of care. Sold to enterprise health plans, health systems, and ACOs.
• Kidney Action Planning (KAP) Condition-specific solution for Chronic Kidney Disease (CKD) patients. Includes gamified patient education, clear documentation organized for stakeholder discussion, and easy EMR integration and sharing. Designed to reduce unplanned dialysis starts ($95K vs. $25K planned) and address the 35.5 million U.S. adults living with CKD. Sold as an enterprise module to health plans, providers, and nephrology practices.
• KodaCares Human support extension of the digital platform that pairs trained Patient Advocates with high-need patients identified through claims-based risk algorithms and provider referrals. Offers longitudinal follow-up, surrogate alignment, and personalized guidance for both ACP and KAP workflows. Sold as an add-on service to enterprise Subscribers.
• Koda Patient Portal Patient-facing portal that enables individuals to initiate advance care planning on their own terms, with structured support and clinical guardrails. Provides a separate patient experience from the provider/health-plan-facing platform at kodahealthcare.com.

Quantifiable outcome

• 79% reduction in terminal hospitalizations
• +11 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability11 records

Feature6 records

Partnerships

Six partnerships are on record, tiered flagship and core.

• UPMC EnterprisesflagshipStrategic or Co-development Partner · 28 April 2026Closed a Series A strategic investment from UPMC Enterprises to scale Koda's AI-enhanced Advance Care Planning platform. UPMC Enterprises characterized the investment as supporting critical infrastructure for serious illness care. UPMC is a major integrated delivery and finance system.
• Houston Methodist Coordinated CareflagshipStrategic or Co-development Partner · 22 April 2025Year-long partnership with Koda validated in a peer-reviewed study (JABFM Vol. 36, No. 6, 2023, n=454), showing 79% reduction in terminal hospitalizations, 42% reduction in total cost of care, 20% decrease in inpatient LOS, and 51% increase in hospice use. Dr. Julia D. Andrieni (VP Population Health) and Agnes Kats (Manager, Outpatient Nursing Clinical Programs) are public advocates. Also referenced in Koda's Epic integration coverage.
• GuidehealthcoreStrategic or Co-development Partner · 22 April 2025Strategic partnership launched in April/May 2025 to expand access to advance care planning. Covered by HIT Consultant, Hospice News, and Fierce Healthcare. Joint value-based care enablement motion.
• Epic (Epic Systems)flagshipTechnology or IntegrationKoda's Epic integration allows clinicians to send a Koda referral directly from the EMR. Completion data and status flow back into the chart automatically. The integration is HL7 FHIR compliant and was covered by Innovation Map.
• TMCi BioDesign (Texas Medical Center Innovation BioDesign)flagshipStrategic or Co-development PartnerKoda Health launched from the TMCi BioDesign program. TMC President & CEO William McKeon is a public supporter, describing Koda as uniquely positioned to serve payers, providers, and patients.
• AgeTech (AgeTech Collaborative from AARP)coreStrategic or Co-development PartnerAgeTech is shown in the Koda about page backer logo strip, indicating a strategic relationship with the AgeTech Collaborative program sponsored by AARP.

Scale indicators12 records

Recent moves6 records

Expansion highlights8 records

Direct peers

• Cake: Cake is a digital advance care planning platform that helps individuals create and store advance directives online. It directly overlaps with Koda's core ACP product, with similar SaaS delivery and direct-to-patient plus B2B distribution.
• WiserCare: WiserCare provides digital shared decision-making tools used by health systems to support patients through serious illness and surgical choices. It competes with Koda in patient-facing decision support and EMR-integrated workflows for ACP and care planning.
• ACP Decisions: ACP Decisions delivers video-based advance care planning tools deployed at the point of care across health systems. Its video-led, EMR-integrated ACP workflow competes directly with Koda's video-guided patient decision support.
• MyDirectives (ADVault): MyDirectives/ADVault is a digital advance directives platform that creates, stores, and shares portable ACP documents with providers. It overlaps with Koda's digital documentation, signing, and EMR-sharing capabilities for advance directives.
• Vital Decisions: Vital Decisions offers serious-illness care planning services combining telephonic counseling and digital tools for patients with advanced illness. It competes with Koda in goals-of-care conversations and end-of-life decision support for payers and providers.
• Thyme Care: Thyme Care is a value-based cancer and serious-illness care navigation company partnering with health plans. It is comparable to Koda in its payer-led, oncology/serious-illness focus and use of patient advocates to align treatment with patient goals.
• Strive Health: Strive Health is a value-based kidney care company serving CKD and ESRD populations through nephrology partnerships and MA plans. It is the most direct peer to Koda's Kidney Action Planning module, targeting the same unplanned-dialysis economics.
• Monogram Health: Monogram Health provides in-home, value-based kidney and polychronic care for health plan members. It overlaps with Koda's KAP and CKD focus areas and competes for similar MA and ACO budget allocations.
• Somatus: Somatus delivers value-based kidney care, dialysis, and chronic condition management services to health plans and providers. It is a direct peer to Koda's kidney care motion and to the broader serious-illness/care-management category.

Broad incumbents

• Aledade: Aledade is a large, established value-based care enablement platform for primary care practices and ACOs. It is a broader incumbent in the same buyer category (ACOs and VBC-enabling provider networks) where Koda deploys its ACP and KAP modules.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/kodahealth

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds11 records

Investors18 records

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 Koda Health