XO Health
XO Health is a value-based care platform serving self-insured employers, payers, providers, and members via integrated medical and pharmacy plans and risk-based payment technology. Its network includes 150+ bundled care packages anchored by an episodes-of-care methodology with a 20% employer savings guarantee.
- Company typePrivate
- Founded2021
- HeadquartersStamford, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What XO Health does
XO Health is a privately held value-based care operating platform founded in 2021 that serves self-insured employers, payers, providers, and plan members in the United States. The company operates two core product lines: Employer Health Plan Solutions, which delivers fully integrated medical and pharmacy plans with embedded savings guarantees and flexible plan designs, and Payment and Network Solutions, a risk technology platform that enables payers and providers to model, operate, and settle value-based contracts with real-time payment orchestration and clinical plus financial reporting. Underlying both products is the XO Health Network, described as the first open access value-based provider network designed for commercial populations, supported by 150+ bundled care packages spanning primary care, chronic condition management, maternity, and surgical procedures using a proprietary episodes-of-care methodology with defined attribution models, lookback periods, and warranty periods.
The business model is anchored on subscription-style health plan administration premiums paid by self-insured employers, complemented by technology and platform fees for value-based contract modeling and payment orchestration, and transaction-related revenue through a financing partnership with PayMedix. Distribution combines direct enterprise field sales to self-insured employers with channel partnerships through brokers, consultants, and third-party administrators. Member-facing access is delivered via a web portal (member.xohealth.com), a provider search portal (providersearch.xohealth.com), and a mobile application on iOS and Android that includes the XO Health Bill consolidated billing feature and dedicated advocacy services. Pricing is quote-based with annual billing cadence on the employer plan and unit-based pricing for individual care packages; specific pricing tiers are not publicly disclosed. The company is headquartered in the United States with 11-50 employees, raised approximately $52.2M in cumulative funding (notably a $52.2M round in September 2025), and announced nationwide expansion of its alternative health plan in June 2026, supported by partnerships signed in 2025 with PayMedix, Gravie, and the National Cancer Treatment Alliance.
XO Health firmographics
Firmographics- Name
- XO Health
- Legal name
- XO Health, Inc.
- Website
- https://xohealth.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- XO Health is a value-based care platform serving self-insured employers, payers, providers, and members via integrated medical and pharmacy plans and risk-based payment technology. Its network includes 150+ bundled care packages anchored by an episodes-of-care methodology with a 20% employer savings guarantee.
- Ownership category
- akta.pro rank
XO Health industry classification
Industry- Product category
- Value-based healthcare services
- NAICS
- Direct Life, Health, and Medical Insurance Carriers (52411), Health and Welfare Funds (525120), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), HMO Medical Centers (621491)
- SIC
- Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Open-Access HMOs (HLAEAMAF)
- akta.pro secondary industries
- Care Navigation, Advocacy & Benefits Guidance Platforms (HLALADAJ), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
Keywords
Where XO Health is headquartered
LocationHeadquarters
- HQ city
- Stamford
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
XO Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Health Plan Administration Premiums: XO Health operates as a full-service health plan administrator for self-insured employers, providing integrated medical and pharmacy plans with embedded savings guarantees. Revenue is derived from premium administration and plan management fees.
- Value-Based Contract Technology Fees: The platform enables payers and providers to model, operate, and settle risk-based agreements with clinical and financial reporting. Revenue includes technology and platform fees for contract modeling, attribution, and payment orchestration services.
- PayMedix Financing Partnership: Partnership with PayMedix provides interest-free financing for members, which may generate revenue through financing arrangements and simplified payment processing for healthcare services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Integrated Medical & Pharmacy Plans for Self-Insured Employers |
| Unit Pricing | Pay-as-you-go | 150+ Inclusive Care Packages |
Go-to-market motion3 records
Distribution channels6 records
Marketing channels5 records
XO Health product offering
Product offeringCore offering
XO Health operates a value-based care operating platform that delivers fully integrated medical and pharmacy health plans to self-insured employers (with an embedded 20% savings guarantee and customizable plan design), and provides payers and providers with a risk-technology stack for modeling, operating, and settling value-based contracts in real time. The platform is backed by an open-access value-based provider network organized into 150+ bundled care packages built on episodes-of-care methodology, accessible to members through a web portal and mobile app with consolidated billing and dedicated advocacy.
Product overview
XO Health operates as a value-based care operating platform with two core product lines: Employer Health Plan Solutions (fully integrated medical and pharmacy plans for self-insured employers) and Payment & Network Solutions (contract modeling and payment orchestration for payers and providers). The XO Health Network is the underlying provider network supporting both products with 150+ bundled care packages. Members access the platform via the XO Health App, which includes consolidated billing (XO Health Bill) and access to XO Advocates.
Differentiator
Problem solved
Functional benefit
Products and services
- Employer Health Plan Solutions Full-service, value-based health plans for self-insured employers that integrate medical and pharmacy benefits with a guaranteed 20% savings, customizable plan designs, and real-time data and actionable insights; designed to give employers a predictable healthcare line item while improving member outcomes.
- Payment & Network Solutions Risk-based contract technology platform enabling payers and providers to run value-based contracts at scale with full line-of-sight into clinical and financial performance, including contract modeling, attribution, real-time payment orchestration, and integrated clinical and financial reporting.
- XO Health Network (Open-Access Value-Based Provider Network) Open-access value-based provider network for commercial populations that supplies the underlying providers and 150+ bundled care packages powering both Employer Health Plan Solutions and Payment & Network Solutions offerings.
- XO Health Mobile App Mobile application for plan members to access their XO Health plan information, pay consolidated bills, find in-network providers, and connect with XO Advocates for personalized care and advocacy support.
Quantifiable outcome
- 20% savings for employers while delivering better health outcomes
- +1 more outcomes
Companies that use XO Health
Customer profileSegments5 records
Ideal customer profiles4 records
XO Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
XO Health partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- National Cancer Treatment AlliancecorePartnership welcomes National Cancer Treatment Alliance to the XO Health Provider Network. Partners with leading Oncology Provider organization committed to high-quality and affordable cancer care. Offers employers direct contracting opportunities in oncology through the XO Health network.
- GraviecorePartnership unlocks value-based care for employers, members, and providers in Minnesota. The XO Health value-based network reduces costs and improves outcomes and experience while supporting providers in offering exceptional care. Focuses on expanding access to value-based care arrangements.
- PayMedixcoreStrategic partnership that redefines healthcare financing and payments. All XO Health members gain unprecedented access to interest-free financing and simplified payments processed through PayMedix. The partnership addresses healthcare financial uncertainty by providing predictable, manageable payment options for members.
Scale indicators4 records
Recent moves5 records
Expansion highlights6 records
XO Health competitors and assessment
Company assessmentDirect peers
- Centivo: Centivo provides value-based health plans built around curated provider networks for self-funded employers. Both companies target the same buyer (self-insured employers) with technology-enabled, value-based plan designs.
- Surest (UnitedHealth Group): Surest (formerly Bind) offers a value-based, bundled-pricing health plan for employers and members, with a similar "no deductible" transparent design to XO Health. It is owned by UnitedHealth Group, giving it scale that XO Health lacks.
- Oscar Health: Oscar Health is a tech-enabled health insurer serving individual and employer markets with a member app-driven experience. It competes with XO Health in employer-sponsored plans and shares a focus on digital member experience.
- Collective Health: Collective Health is a technology-driven health benefits platform for self-funded employers, providing plan administration, integrated networks, and member experience tools comparable to XO Health's employer health plan solutions.
- Gravie: Gravie is a health benefits marketplace that offers self-funded employers value-based plan designs with cost transparency and provider choice. It directly competes with XO Health in the self-insured employer market and is also a partner via the Minnesota alliance.
Broad incumbents
- UnitedHealth Group / Optum: UnitedHealth/Optum is the largest US health insurer and care-services platform with extensive employer, broker, and provider relationships. It is a broad incumbent in the self-insured employer space and operates Surest as a direct value-based competitor.
- Elevance Health (Anthem): Anthem/Elevance is one of the largest Blue Cross Blue Shield plans with broad employer self-funded offerings. It is a broad incumbent competing with XO Health for national employer accounts.
- Cigna / Evernorth: Cigna is a major US health insurer with significant employer stop-loss and self-funded business through Evernorth. It competes for the same self-insured employer RFPs as XO Health.
Others
- Alight Solutions: Alight provides cloud-based benefits administration and healthcare navigation for large employers, overlapping with XO Health's member portal and care navigation functionality as an enabling ecosystem player.
Emerging players
- Carrum Health: Carrum Health offers bundled surgical and specialty care for self-funded employers, similar to XO Health's 150+ care packages. It overlaps on the episodes-of-care delivery model but is narrower in clinical scope.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
XO Health social profiles
Digital presenceXO Health compliance and trust
Trust signalCompliance1 record
XO Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
XO Health leadership team
Management profileNumber of profiles
Profiles4 records
XO Health funding detail
Funding detailFunding overview
Funding rounds2 records
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
XO Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about XO Health
What does XO Health do?
XO Health operates a value-based care operating platform that delivers fully integrated medical and pharmacy health plans to self-insured employers (with an embedded 20% savings guarantee and customizable plan design), and provides payers and providers with a risk-technology stack for modeling, operating, and settling value-based contracts in real time. The platform is backed by an open-access value-based provider network organized into 150+ bundled care packages built on episodes-of-care methodology, accessible to members through a web portal and mobile app with consolidated billing and dedicated advocacy.
Is XO Health a public or private company?
XO Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was XO Health founded?
XO Health was founded in 2021. It employs 11 to 50 people.
Where is XO Health based?
XO Health is headquartered in Stamford, United States, in the North America region.
How does XO Health make money?
Three revenue lines are on record. Health Plan Administration Premiums are the primary driver. The others are value-Based Contract Technology Fees and payMedix Financing Partnership.
Who are XO Health's main competitors?
Direct peers on record are Centivo, Surest (UnitedHealth Group), Oscar Health, Collective Health and Gravie. Broad incumbents are UnitedHealth Group / Optum, Elevance Health (Anthem) and Cigna / Evernorth. Alight Solutions is listed as an others. Carrum Health is listed as an emerging player.
Does XO Health have an API?
No public API is recorded for XO Health.
What industry is XO Health in?
XO Health's product category is Value-based healthcare services. Its primary akta.pro industry code is HLAEAMAF, Open-Access HMOs, with a secondary code of HLALADAJ, Care Navigation, Advocacy & Benefits Guidance Platforms. Its NAICS code is 52411 and its SIC code is 6324.