Devoted Health

Name

Devoted Health

Legal name

Devoted Health, Inc.

Website

https://devoted.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

1,001–5,000 employees

Ownership category

akta.pro rank

Product category

Medicare Advantage Health Insurance

NAICS

Home Health Care Services (62161), Home Health Care Services (621610), Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

MA Prescription Drug Plans (MA-PD) (HLAEACAF)

akta.pro secondary industries

D-SNP Supplemental Benefits & Flex Card/OTC Administration (HLAEAFAN), Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

Keywords

• Medicare Advantage plans
• Health insurance for seniors
• In-home clinical care
• Telehealth services
• Member concierge support

Headquarters

HQ city

Waltham

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Supply Chain

Revenue model

1. Medicare Advantage plan premiums: Devoted Health generates revenue primarily through monthly premiums from Medicare Advantage HMO, PPO, and D-SNP plans. Recurring per-member-per-month CMS capitation plus member premium contributions. Revenue grew 76% in 2023 to $1.9 billion and reached approximately $3.3 billion by late 2025 with a 1.9K person team. Plans include $0 premium options and 'Giveback' plans that rebate Part B premiums.
2. CMS capitation payments (per-member-per-month): Primary funding mechanism for Medicare Advantage plans: CMS pays Devoted Health a monthly capitated rate for each enrolled beneficiary, with rates adjusted by county, risk score, and Star rating quality bonus payments. CMS recognized Devoted with high Star ratings — 100% of members in Star-eligible plans are enrolled in plans rated 4 Stars or higher.
3. Part D prescription drug plan premiums and rebates: Medicare Part D prescription drug coverage bundled into most MA plans; revenue from CMS Direct Subsidies, Low-Income Subsidy, and manufacturer rebates negotiated via CVS Caremark. Includes Medicare Prescription Payment Plan offering members the ability to spread out-of-pocket Part D costs across the calendar year.
4. Telehealth and in-home clinical services (Devoted Medical): 24/7 Care OnDemand telehealth visits and Devoted Medical in-home primary care are bundled with the MA plan at no incremental cost to the member, funded through MA capitation. Includes orders for X-rays, lab tests, and medications delivered at no cost.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels10 records

Core offering

Devoted Health offers Medicare Advantage HMO, PPO, and D-SNP health plans for U.S. seniors, bundling medical coverage with Part D prescription drug coverage, dental, vision, hearing, OTC allowance, fitness (SilverSneakers), mental health benefits, and supplemental benefits such as the Food & Home Card. Plans are delivered alongside an in-house clinical group (Devoted Medical) for virtual and in-home care, a U.S.-based member concierge service (Devoted Guides), and a proprietary software platform (Orinoco) that manages operations, CRM, and care coordination.

Product overview

Devoted Health operates a unified Medicare Advantage business built on five integrated ingredients: (1) comprehensive MA plans (HMO, PPO, and D-SNPs) anchored on the MyDevoted member portal/app, (2) the U.S.-based Devoted Guides concierge, (3) partnerships with local doctors and hospitals, (4) the in-house Devoted Medical clinical group (including 24/7 Care OnDemand, Devoted to Me visits, and Devoted Medical Primary Care), and (5) the proprietary Orinoco software platform that ties together CRM, healthcare operations, and service coordination. Supplemental benefits (Food & Home Card, OTC allowance, dental, vision, hearing, Part D drug coverage, SilverSneakers fitness, Wellness Bucks, mental/behavioral health benefits) ride on top of this core, while public Devoted Health FHIR APIs expose member, provider-directory, and formulary data to third-party apps under the CMS Interoperability rule. The newer Explore MyHealth Record (Beta) feature layers generative-AI summaries on top of the member's record accessed through those APIs.

Differentiator

Problem solved

Functional benefit

Brands

• Orinoco: Devoted Health's proprietary platform-as-a-service (PAAS) software system designed for healthcare operations, customer relationship management, healthcare management, and healthcare service coordination.
• Devoted Medical
• Devoted to Me
• 24/7 Care OnDemand
• Devoted Guides

Products and services

• Devoted Health Medicare Advantage Plans HMO, PPO, and D-SNP Medicare Advantage health plans for U.S. seniors that bundle medical coverage with Part D prescription drug coverage, dental, vision, hearing, OTC allowance, fitness, and supplemental benefits.
• Devoted Medical

Quantifiable outcome

• 466,000+ members served as of January 2026, up 121% YoY
• +5 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability7 records

Feature6 records

Partnerships

15 partnerships are on record, tiered major, flagship, minor and core.

• ZelismajorTechnology or Integration · 1 September 2026Starting September 2026, Devoted Health will move electronic payments from Payspan to a Devoted-sponsored ePayment Center in partnership with Zelis (devoted.epayment.center). Zelis will handle electronic remittances and EOP for providers.
• AvailityflagshipTechnology or IntegrationProvider portal infrastructure partner. Devoted Health providers use Availity for Eligibility and Benefits Inquiry, electronic claim submission (PayerID = DEVOT), claim remittance, prior authorization submissions, and dental predetermination. Both in-network and out-of-network providers submit authorizations through the Devoted provider portal via Availity login.
• PayspanmajorTechnology or IntegrationElectronic payment / remittance partner for Devoted Health providers through August 2026. Providers register through Payspan's portal to receive electronic payments, claim remittance, and EOP details.
• Tivity Health (SilverSneakers)minorOEM/ Whitelabel/ Licensing PartnerSilverSneakers is a registered trademark of Tivity Health, Inc.; Devoted Health plans include a SilverSneakers gym membership as a supplemental benefit. Tivity Health handles the fitness network.
• OncoHealthmajorStrategic or Co-development PartnerOncology prior authorization and coverage partner. Devoted Health providers call OncoHealth at 1-888-916-2616 ext. 806 for chemotherapy, supportive drugs, symptom management drugs, radiation therapy, and molecular diagnostic/genetic testing. OncoHealth applies its own internal coverage criteria.
• Integrated Home Care ServicesmajorImplementation/ SI/ Consulting PartnerHome healthcare and durable medical equipment partner. Manages prior authorization for DME and home health/home infusion services for Devoted Health members in Arizona, Colorado, Florida, Georgia, North Carolina, Ohio, Oregon, South Carolina, Tennessee, and Washington. Uses NCDs, LCDs, and Medicare guidelines.
• CVS CaremarkmajorStrategic or Co-development PartnerPharmacy benefit manager providing Part D prescription drug coverage. Many Devoted Health 2026 plans include a quarterly OTC allowance to spend at CVS on OTC medications, sunscreen, toothpaste, vitamins. CVS Caremark Prescription Drug Reimbursement Form used for Part D claims.
• Liberty DentalminorStrategic or Co-development PartnerDelegated dental network partner. For plans with dental coverage through Liberty Dental, prior authorization may be required for services like crowns, root canals, gum surgery, deep cleanings, dentures, bridges, extractions, oral surgery.
• Devoted Dental NetworkminorStrategic or Co-development PartnerDelegated dental network in Alabama (with Devoted-specific dental claims forms). Member ID cards list Devoted Network for Devoted Dental Network members. Prior authorization for dental services via Availity with PayerID = DEVOT.
• Choice Producers NetworkminorGTM or Marketing PartnerPartnered with Devoted Health and the Georgia Legislative Black Caucus (with 5th District Commissioner Tanya Milton) to celebrate National Senior Citizen Day in August 2024. Broker distribution relationship in Georgia.
• Google Firebase Cloud MessagingcoreTechnology or IntegrationDevoted Health shares device push notification tokens with Google's Firebase Cloud Messaging service solely for delivering push notifications to the mobile app. Firebase processes tokens in accordance with Google's Privacy Policy.
• FullstorycoreTechnology or IntegrationSession recording and app analytics partner used to understand how members use the Devoted Health app. Fullstory masks sensitive information (passwords, payment details, PHI) automatically and does not use data for cross-app identification or advertising.
• Crosscut StrategiesminorGTM or Marketing PartnerPublic relations partner; press inquiries handled at [email protected] for interviews, media requests, and speaking engagements.
• CMS (Centers for Medicare & Medicaid Services) ACCESS ModelflagshipStrategic or Co-development PartnerDevoted Health is part of the broader CMS ACCESS Model ecosystem as a Medicare Advantage plan participating in outcome-aligned payment programs. CMS also develops FHIR-based reporting infrastructure that Devoted leverages for interoperability compliance.
• Advocate Health (Medical Referral Group)minorStrategic or Co-development PartnerReferenced as a Medical Referral Group in Devoted Health's provider directory, with 20,960 (or 21,574) providers in the network.

Scale indicators12 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• Oscar Health: Oscar Health is a technology-focused Medicare Advantage and ACA marketplace insurer that, like Devoted, emphasizes a consumer-tech-first member experience, +Oscar B2B platform, and direct-to-consumer distribution. It is the most direct tech-enabled MA peer comparable in size and go-to-market.
• Alignment Health: Alignment Health is a tech-enabled Medicare Advantage plan serving seniors primarily in California and a handful of other states, with an AVA concierge member model and proprietary technology platform — closely comparable to Devoted's vertically integrated MA-plus-clinical-plus-tech approach.
• Clover Health: Clover Health is a Medicare Advantage insurer differentiated by its Clover Assistant software platform that synthesizes clinical and claims data for primary care physicians. It competes head-to-head with Devoted in tech-enabled MA, though with a smaller geographic footprint and PCP-software distribution model rather than Devoted's in-house medical group.
• Bright Health Group: Bright Health Group operated a tech-enabled Medicare Advantage and ACA insurer before substantially exiting MA in 2023. It remains a historically comparable vertically integrated, tech-led MA peer that illustrates both the potential and execution risks of the Devoted model.

Broad incumbents

• Humana: Humana is the largest pure-play Medicare Advantage carrier in the U.S. and the dominant incumbent against which Devoted competes for senior enrollment. Its scale, brand recognition, and CenterWell primary care assets represent the structural incumbent benchmark for any tech-enabled MA challenger.
• UnitedHealthcare: UnitedHealthcare (UnitedHealth Group) is the largest U.S. health insurer and the #1 Medicare Advantage carrier by enrollment. It competes with Devoted across all 29 states Devoted serves and brings Optum-integrated PBM, provider, and analytics capabilities that Devoted's integrated Orinoco platform is attempting to match.
• CVS Health (Aetna): CVS Health's Aetna division is a top-3 Medicare Advantage carrier, integrated with CVS Caremark PBM (Devoted's actual PBM partner) and the CVS retail/minute-clinic footprint. It is both a competitor in MA and a key vendor partner to Devoted for Part D and OTC.
• Elevance Health: Elevance Health (Anthem) is a major Blue Cross Blue Shield-affiliated Medicare Advantage carrier operating across many of the same states as Devoted. It represents the broader incumbent benchmark with scale advantages in provider contracting and brand recognition.
• Centene Corporation: Centene is a major government-sponsored health insurer with substantial Medicare Advantage and D-SNP exposure, including dual-eligible populations comparable to Devoted's D-SNP focus. Its Wellcare MA brand competes directly for senior enrollment across multiple overlapping states.
• Molina Healthcare: Molina Healthcare is a government-program-focused insurer with a growing Medicare Advantage book and significant dual-eligible (D-SNP) exposure. It is a relevant peer for the D-SNP segment of Devoted's business and competes in several of the same states.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/devotedhealth
• YouTubeyoutube.com/channel/UCgJD6Hh54Waa4fwQRPoABKA
• Facebookfacebook.com/devotedhealthplans
• LinkedInlinkedin.com/company/devoted-health

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds8 records

Investors46 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 Devoted Health