Lumata Health

What Lumata Health does

Lumata Health, Inc. is a U.S.-based, venture-backed healthcare technology company founded in 2017 by retinal specialist Stephen R. Fransen, MD and headquartered in Edmond, Oklahoma with secondary offices in Raleigh, North Carolina and Oklahoma City. The company operates a human-led, data-driven continuous care management platform targeting ophthalmology practices and health systems that treat patients with chronic, vision-threatening conditions including diabetic retinopathy, macular degeneration, glaucoma, and dry eye. Its flagship offering, the Continuous Care Program, pairs JCAHPO-certified Care Coaches (averaging 12 years of in-clinic experience) with the Intelligent Engagement Platform — a predictive-analytics system developed with more than $2 million in NIH/NEI research funding that combines clinical and psychosocial data to identify patients at risk of missing treatments and trigger proactive outreach addressing non-clinical barriers such as transportation, prescription access, and financial assistance. Named clinical partners and design sites include Duke Eye Center, Texas Retina Associates, Bascom Palmer Eye Institute, Horizon Eye Care, and the Cataract and Vision Center of Hawaii, with the company reporting 300,000+ contracted patients across its ophthalmology clinic footprint.

The commercial model is built around Medicare's Chronic Care Management and Principal Care Management billing codes: practices enroll their eligible patients and Lumata delivers between-visit care coordination through certified coaches and an EMR-integrated workflow, with 99% of patients incurring zero out-of-pocket cost due to Medicare, Medicare Advantage, or supplemental coverage. Practices pay a platform/services fee that is offset by reimbursement revenue, and the company offers a 90-day risk-free trial with no EMR integration fees or upfront cost to reduce adoption friction. Lumata has raised approximately $32.5 million in disclosed equity across three rounds — a $4M Series A (Oct 2022), a $5.5M Series A+ (Feb 2024), and a $23M Series B (Mar 2025) led by LRVHealth alongside McKesson Ventures and Cencora Ventures — plus the NIH/NEI research grants, with prior capital deployment focused on predictive analytics, automated patient communication, and adjacent workflow tools such as pre-visit intake and prior-authorization assistance.

Operationally, Lumata sells exclusively through a direct enterprise field-sales motion in the United States; each clinic receives a dedicated Customer Success Manager and Lead Care Coach, and the company has supplemented its core adherence product through strategic partnerships with Prevent Blindness (mental-health support) and Hadley (vision-loss education). Reported clinical outcomes include a 30% reduction in patient no-shows, a 60% reduction in delayed appointments, and approximately 90 additional visits and 72 additional injections per 100 patients annually across four retina groups, as documented in a September 2025 white paper. The company is HIPAA- and HI-TRUST-compliant and maintains a Clinical Advisory Board of 35+ ophthalmologists spanning retina, glaucoma, cornea, and comprehensive subspecialties.

Name

Lumata Health

Legal name

Lumata Health, Inc.

Website

https://lumatahealth.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

101–250 employees

Short description

Lumata Health operates a human-led, data-driven continuous care platform that supports U.S. ophthalmology practices in managing patients with chronic, vision-threatening eye conditions between visits, pairing JCAHPO-certified Care Coaches with predictive analytics and Medicare CCM/PCM reimbursement.

Ownership category

akta.pro rank

Product category

Ophthalmology Chronic Care Management

NAICS

Offices of Physicians (6211), Social Assistance (624)

SIC

Services-Health Services (8000)

akta.pro primary industry

Managed Vision Care Networks (Provider Network Management) (HLAEAJAJ)

Keywords

• Chronic care management
• Ophthalmology care coordination
• Patient engagement platform
• Vision care services
• Care management software

Headquarters

HQ city

Edmond

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Principal Care Management Reimbursement: Lumata Health's continuous care program is reimbursable under Medicare's Chronic Care Management and Principal Care Management billing codes. Practices generate revenue through reimbursement from Medicare, Medicare Advantage plans, and commercial payers, with the profit being the difference between reimbursement and Lumata's service fee. 99% of patients have no out-of-pocket costs due to secondary, supplement, or Medicare Advantage coverage.
2. Platform Services Fee: Practices pay a fee to Lumata Health for the care coordination and management services provided. The fee is offset by reimbursement revenue from payers, with practices generating net positive revenue after accounting for Lumata's service costs.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels7 records

Core offering

Lumata Health provides a Continuous Care Program that delivers between-visit care coordination for ophthalmology practices. JCAHPO-certified Care Coaches support patients with chronic eye conditions through phone and SMS outreach, addressing non-clinical barriers such as transportation, prescriptions, and financial assistance. The service is paired with the Intelligent Engagement Platform, which applies predictive analytics to identify at-risk patients and is reimbursable under Medicare's Principal Care Management and Chronic Care Management codes.

Product overview

Lumata Health offers a unified eye care management platform centered on its Continuous Care Program, which combines the Intelligent Engagement Platform technology with human-led Care Coach services. The platform integrates predictive analytics to identify at-risk patients and delivers personalized interventions through certified eye care coordinators. Services include transportation coordination, prescription management, symptom tracking, and financial assistance, all reimbursable through Medicare's Principal Care Management codes. The company has partnered with Hadley to extend educational resources to patients experiencing vision loss.

Differentiator

Problem solved

Functional benefit

Products and services

• Continuous Care Program A turnkey between-visit patient engagement program that supports ophthalmology practices by connecting patients with dedicated JCAHPO-certified Care Coaches. Reduces patient no-shows by an average of 30%, improves treatment adherence, and is reimbursable under Medicare's Principal Care Management and Chronic Care Management codes.
• Intelligent Engagement Platform Data-driven platform developed with over $2 million in support from the National Eye Institute that combines behavioral and clinical data to power predictive analytics and deliver tailored interventions for patients with chronic eye conditions.
• Care Coach Services Human-led care coordination services delivered by JCAHPO-certified ophthalmic technicians and assistants with an average of 12 years of in-clinic experience. Services include transportation coordination, prescription management, symptom tracking, financial assistance navigation, and personalized care guidance to ensure adherence to doctor-recommended care plans.
• Hadley Vision Education Partnership Educational tutorials and tools for adults with vision loss, provided through a partnership with Hadley. Lumata patients receive free access to workshops on braille, technology navigation, daily living skills, and vision rehabilitation as a complement to the Continuous Care Program.

Quantifiable outcome

• 30% reduction in patient no-shows
• +4 more outcomes

Named customers5 records

Segments3 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 capability2 records

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Prevent BlindnesscoreStrategic or Co-development Partner · 11 April 2023Partnership to deliver more resources to Americans with vision loss, with initial focus on mental health resources for individuals with chronic eye diseases. Lumata's care coordinators receive training from Prevent Blindness on mental health support for vision-impaired patients. The partnership addresses the gap in healthcare delivery for the 7 million Americans with vision impairment, where 1 in 4 adults with vision loss experience anxiety or depression.
• HadleycoreStrategic or Co-development Partner · 28 February 2023Partnership combining Lumata's eye care management platform with Hadley's educational tutorials for vision-impaired patients. Patients in Lumata's network receive free access to Hadley's 98% user-satisfaction-rated library of workshops covering daily living skills, technology use, and vision rehabilitation. Hadley has 54,000+ registered users across all 50 states and 100 countries since 2020.

Scale indicators10 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Aledade: Aledade partners with physician practices to deliver value-based chronic care management and operates risk-bearing contracts with payers. It is highly comparable to Lumata in leveraging Medicare CCM/PCF billing infrastructure to monetize between-visit care coordination for primary-care practices.
• Intelligent Retinal Imaging Systems (IRIS): IRIS provides diagnostic imaging and screening technology for ophthalmology and primary-care detection of retinal disease. It is a direct ophthalmology-tech peer that similarly targets practice-level workflows and chronic eye-disease patient populations.

Broad incumbents

• Privia Health Group: Privia is a public physician enablement company that provides practice management, population health, and value-based care infrastructure to multi-specialty groups. It overlaps with Lumata's practice-enablement and care-coordination layer at broader scale and across more specialties.
• agilon health: agilon partners with primary-care physicians to manage Medicare Advantage populations under full-risk arrangements, including chronic care management workflows. Its model of monetizing between-visit care via payer contracts parallels Lumata's reimbursement approach.
• Evolent Health: Evolent provides specialty care management and value-based care infrastructure for payers and providers, including oncology and cardiology. It is comparable to Lumata as a specialty-care enablement platform that connects between-visit care to payer reimbursement.
• Health Catalyst: Health Catalyst offers data and analytics infrastructure to health systems, including population health and care management workflows. It overlaps with Lumata's predictive-analytics layer but at a broader, health-system customer level.
• WellSky: WellSky provides healthcare analytics and care-coordination software across acute, post-acute, and community settings. It is a broader incumbent that overlaps with Lumata's population-health analytics and provider-enablement capabilities.

Emerging players

• Wellth: Wellth drives medication adherence and appointment attendance through behavioral economics-driven patient engagement. It is comparable to Lumata in tackling patient non-adherence using predictive, personalized outreach for chronic-condition populations.
• mPulse Mobile: mPulse Mobile provides conversational AI-driven patient engagement for healthcare organizations across SMS, IVR, and web channels. It overlaps with Lumata's between-visit patient communication and adherence-driving workflows.
• Chronic Care Management, Inc. CCM Inc. delivers turnkey Medicare Chronic Care Management services to physician practices, operating similarly to Lumata's outsourced CCM model. It is a focused direct competitor in the same reimbursement-driven care-coordination layer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/LumataHealth
• Facebookfacebook.com/lumatahealth
• LinkedInlinkedin.com/company/lumatahealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds4 records

Investors8 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 Lumata Health