What Waymark does

Waymark is an AI-first community clinic platform that serves Medicaid beneficiaries by combining proprietary AI technology with multidisciplinary, community-based care teams. Founded in 2021 in San Francisco as a public benefit corporation, the company operates value-based contracts with Medicaid Managed Care Organizations to reduce avoidable emergency department visits and hospitalizations among low-income populations. Its technology stack centers on the Waymark Signal Suite, a set of proprietary predictive models that integrate clinical, claims, and social determinants of health data to identify rising-risk patients before crisis, validated in peer-reviewed research at 90% accuracy for predicting avoidable utilization. A physician-supervised clinical decision support layer guides interventions, and in June 2026 the company launched Waymark Compass, an SMS-based AI care navigator available in 25+ languages that can take autonomous actions such as appointment scheduling, transportation arrangement, and care team routing, paired with a rule-based safety layer to prevent fabrication and catch errors of omission. Care delivery is carried out by local teams of community health workers, pharmacists, pharmacy technicians, licensed counselors, and care coordinators who find patients in their communities across Ohio, Virginia, and Washington. Waymark monetizes through value-based contracts with health plans — including Aetna, UnitedHealthcare Community Plan, and Sentara Health Plans — and through health system partnerships, earning revenue tied to measurable reductions in acute care utilization. Peer-reviewed outcomes to date include 22.9% reduction in all-cause ED and hospital visits (NEJM Catalyst, 2024), 48% reduction in avoidable hospitalizations, 20% reduction in avoidable ER visits, $2,347 per-member-per-year savings, and a 3:1 return on investment in the first year for health plans. The company has raised $87 million across a $45M Series A (January 2022, led by Andreessen Horowitz and NEA) and a $42M round (October 2023, led by Lux Capital with CVS Health Ventures participation).

Name

Waymark

Legal name

Waymark, Inc.

Website

https://waymarkcare.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

101–250 employees

Short description

Waymark is an AI-first community care platform that partners with Medicaid health plans in Ohio, Virginia, and Washington to deploy multidisciplinary care teams and predictive AI, reducing avoidable hospitalizations and emergency visits for Medicaid beneficiaries under value-based contracts.

Ownership category

akta.pro rank

Product category

Medicaid Care Management Platform

NAICS

Individual and Family Services (6241), Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (624190)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090), Services-Social Services (8300)

akta.pro primary industry

24/7 Nurse Line, Symptom Checker & Triage (Payer-Sponsored) (HLALACAB)

akta.pro secondary industries

Chronic Care & Remote Patient Monitoring (RPM) Platforms (HLALABAF), SaMD – Digital Biomarkers & Algorithmic Endpoints (HLACANAF), Family Care Navigation & Care Coordination Platforms (multi-member care plans, referrals) (HLALAHAL)

Keywords

• Medicaid care management
• Value-based care platform
• Community health services
• AI clinical decision support
• Population health management

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Health Plan Contracts: Waymark generates revenue through value-based contracts with Medicaid Managed Care Organizations, earning payments tied to measurable clinical and financial outcomes including reduced ED visits, hospitalizations, and per-member-per-year savings. The company delivers a 3:1 ROI for health plans in the first year.
2. Health System Partnerships: Revenue from partnerships with health systems to make Medicaid populations more sustainable to serve through technology-enabled community-based care delivery.
3. Community Partner Programs: Partnerships with community organizations to extend reach into Medicaid patient communities, supporting broader population health management.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Waymark provides an AI-first community clinic platform for Medicaid beneficiaries, combining proprietary predictive AI technology (Waymark Signal Suite) and clinical decision support with multidisciplinary community-based care teams (community health workers, pharmacists, therapists, care coordinators). The company partners with Medicaid Managed Care Organizations, health systems, and community partners to deliver value-based care that reduces avoidable hospitalizations and ER visits while addressing clinical and social determinants of health.

Product overview

Waymark is an AI-first community clinic platform for Medicaid that combines a proprietary AI technology stack with multidisciplinary community-based care teams to improve health outcomes for Medicaid beneficiaries. The core platform includes the Waymark Signal Suite (predictive models for identifying rising-risk patients), Clinical Decision Support (ensuring right intervention at the right time), and a Patient Engagement Layer (24/7 connectivity). These AI capabilities are delivered through multidisciplinary care teams (community health workers, pharmacists, therapists, care coordinators) who find patients where they are. In June 2026, Waymark launched Waymark Compass, an SMS-based AI care navigator that extends the platform directly to patients as a 24/7 care concierge for assistance with care, benefits, and community resources. Waymark operates as a public benefit corporation working with health plans and health systems to make Medicaid populations healthier and more sustainable to serve.

Differentiator

Problem solved

Functional benefit

Products and services

• Waymark Care Platform An AI-first community clinic platform for Medicaid that combines proprietary AI technology with multidisciplinary community-based care teams (community health workers, pharmacists, therapists, care coordinators) to provide clinical services and social support, working with health plans and health systems to improve Medicaid population health and reduce avoidable hospital and ER visits.
• Waymark Signal Suite A suite of proprietary predictive models that identify rising-risk Medicaid patients before they reach crisis, recommending what interventions to provide. Unlike traditional risk models that identify patients after crisis patterns emerge, Signal proactively predicts who will benefit from intervention before an emergency room visit or hospitalization, with peer-reviewed validation of 90% accuracy.
• Waymark Compass An SMS-based AI care navigator (care concierge) that helps Medicaid patients get assistance with their care, benefits, and community resources. Physician-supervised, built on peer-reviewed algorithms, and designed to take action on behalf of patients including scheduling appointments, arranging transportation, and connecting with care teams directly. Delivered over SMS with no app or login required.
• Community-Based Care Team Services Multidisciplinary care teams including community health workers, pharmacists, pharmacy technicians, therapists, and care coordinators who provide clinical services and social support. Teams find patients where they are in the community and are guided by Waymark's custom risk algorithm called Signal.

Quantifiable outcome

• 22.9% reduction in all-cause ED and hospital visits (NEJM Catalyst, 2024)
• +7 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability8 records

Feature5 records

Partnerships

Three partnerships are on record, tiered core.

• AetnacoreStrategic or Co-development PartnerPartnership for managed care for Virginia Medicaid members. Aetna, a CVS Health company, partners with Waymark to deliver enhanced care coordination and community-based services to Aetna's Medicaid members in Virginia.
• UnitedHealthcare Community PlancoreStrategic or Co-development PartnerPartnership advancing access to care and population health outcomes in Washington state. UnitedHealthcare Community Plan works with Waymark to improve health outcomes for Medicaid beneficiaries through community-based care delivery.
• Sentara Health PlanscoreStrategic or Co-development PartnerPartnership announced to improve Medicaid care delivery in Virginia. Sentara Health Plans collaborates with Waymark to enhance care coordination and outcomes for Virginia Medicaid members.

Scale indicators10 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Cityblock Health: Cityblock Health is the most direct competitor to Waymark, providing value-based primary care and behavioral health to Medicaid and dual-eligible populations via community-based care teams and predictive analytics. Both companies serve Medicaid MCOs through similar B2B2C contracts and operate multidisciplinary community care teams supported by technology.
• agilon health: agilon health partners with primary care physicians to deliver value-based care to Medicare Advantage and Medicaid populations, with a focus on senior care. While agilon is more senior-focused and physician- partnership-led, it competes for the same Medicaid MCO value-based care budgets and operates a similar capitated, community-enablement model.
• Oak Street Health (CVS Health): Oak Street Health (acquired by CVS Health for ~$10.6B) operates value-based primary care clinics primarily for Medicare beneficiaries but is expanding into Medicaid-adjacent populations. It is a comparable value-based care enabler serving vulnerable populations through risk-bearing contracts with payers.
• Astrana Health (formerly Apollo Medical Holdings): Astrana Health is a value-based care platform serving Medicare, Medicaid, and commercial populations through affiliated provider groups and risk-bearing arrangements. It competes for managed care payer contracts and uses predictive analytics to manage populations, similar to Waymark's risk-stratification approach.
• Cano Health: Cano Health operates value-based primary care centers serving Medicare Advantage and Medicaid populations, with a focus on senior care and dual eligibles. While it has faced financial difficulties, it has historically competed for similar Medicaid risk-bearing contracts and serves comparable vulnerable populations.

Broad incumbents

• Privia Health: Privia Health is a national physician enablement platform that partners with practices across multiple payer mixes (commercial, Medicare, Medicaid) and operates value-based care arrangements. While broader in scope than Waymark's Medicaid focus, it competes for the same payer contracting attention and offers care coordination technology to providers.
• Aledade: Aledade partners with independent primary care physicians in value-based care arrangements across Medicare, Medicare Advantage, and Medicaid. While its model is primary-care-practice-led rather than community-based, it competes for Medicaid value-based contracts and uses predictive analytics to manage attributed populations.

Emerging players

• Eleanor Health: Eleanor Health provides value-based outpatient mental health and substance use care with community-based teams, partnering with Medicaid and commercial payers. Waymark's Head of Operations Sara Greenbaum was previously Regional Market President at Eleanor Health, signaling close operational similarity and overlapping customer base.
• WelbeHealth: WelbeHealth operates PACE (Program of All-Inclusive Care for the Elderly) programs serving dual-eligible Medicare and Medicaid seniors through interdisciplinary community-based teams. While its population is narrower, its care delivery model (community-based teams serving vulnerable Medicaid-linked populations) closely mirrors Waymark's operating approach.
• Vesta Healthcare: Vesta Healthcare provides value-based care to dual-eligible and Medicaid populations using community health workers supported by predictive analytics and 24/7 clinical support. Its model of pairing rising-risk identification with community-based intervention closely aligns with Waymark's Signal-plus-care-team approach.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/waymark_care
• LinkedInlinkedin.com/company/waymarkcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries2 records

Funding overview

Funding rounds3 records

Investors5 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 Waymark