Wellvana Health

What Wellvana Health does

Wellvana Health is a Nashville-based value-based care enablement company that operates the largest network of hospital and health system partners participating in Medicare value-based care arrangements in the United States. Founded in 2019, the company enables hospitals, health systems, independent primary care practices, and payors to participate in the Medicare Shared Savings Program (MSSP), Medicare Advantage, and ACO REACH contracts by providing ACO infrastructure, risk-bearing capabilities, clinical and administrative services, and a proprietary analytics platform called Clarity by Wellvana™. As of 2026, Wellvana's ACO network covers more than 850,000 Medicare beneficiaries across 40 states, and its flagship MSSP ACO ranked #1 nationally in gross savings for CMS Performance Year 2024 with $337 million in gross Medicare savings.

The company's core technology is a cloud-based platform that integrates fragmented clinical, financial, and social data into real-time insights for care gap closure, care coordination, and proactive preventive care. Wellvana offers multiple ACO tracks with flexible shared-savings arrangements in which the company assumes upfront risk and only earns when partners succeed; this outcome-based pricing model aligns incentives between Wellvana and its provider partners. Distribution is primarily through enterprise field sales targeting hospital systems and through ACO partnership agreements that embed Wellvana's enablement infrastructure within partner clinical and operational workflows. Supporting channels include guided enablement for mid-sized ACOs, an embedded support model, an annual Accountable Care Symposium, and a partner-led Leadership Action Board community.

Wellvana generates revenue primarily through shared-savings participation in MSSP and Medicare Advantage contracts, supplemented by clinical and administrative enablement services. In March 2023, the company closed an $84 million financing round led by Heritage Group and Valtruis with participation from Memorial Hermann Foundation and Martin Ventures, and it has since raised incremental debt. In March 2025, Wellvana acquired CVS Health's MSSP business, and in December 2025 it formed a 20-year strategic affiliation with Mercy. The leadership team, substantially refreshed in late 2025 and early 2026, includes CEO Susan Diamond (formerly of Humana), President/CFO Jim Murray (formerly CEO of VillageMD), and CMO Dr. David Rankey (formerly of Optum Health), reflecting an organization scaling into its next growth phase.

Name

Wellvana Health

Legal name

Wellvana Health, LLC

Website

https://wellvana.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

101–250 employees

Short description

Wellvana Health is a Nashville-based value-based care enablement company that operates the largest hospital and health system ACO network in the U.S., serving more than 850,000 Medicare beneficiaries across 40 states through its MSSP, Medicare Advantage, and ACO REACH enablement platform.

Ownership category

akta.pro rank

Product category

Value-Based Care Enablement

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Health Services (8000), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)

akta.pro secondary industries

Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ), Cost of Care, Spend Analytics & Financial Performance Management (HLACAHAJ), Primary Care Networks, Groups & MSOs (HLAFAGAE)

Keywords

• Value-based care enablement
• Accountable care organization
• Medicare Shared Savings Program
• Population health management
• Clinical analytics platform

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. ACO Participation & MSSP Enablement: Wellvana enables hospitals, health systems, and independent physicians to participate in the Medicare Shared Savings Program (MSSP) and Medicare Advantage contracts. The company earns revenue by sharing in the cost savings (shared savings) generated for Medicare. Wellvana matches providers to personalized ACO tracks and assumes upfront risk, creating a performance-based revenue dynamic where the company only wins if partners succeed.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Wellvana Health enables hospitals, health systems, independent primary care practices, and payors to participate in value-based care through its Medicare Shared Savings Program (MSSP) ACO enablement services and Medicare Advantage contracts. The company matches providers to personalized ACO tracks across multiple MSSP risk arrangements, assumes upfront financial risk, and shares in the cost savings generated for Medicare. Its proprietary Clarity by Wellvana™ analytics platform integrates clinical, financial, and social data into real-time insights that drive care gap closure, care coordination, and preventive care delivery across a network covering 850,000+ Medicare lives in 40 states.

Product overview

Wellvana Health operates as a value-based care enablement company offering a unified platform combining its Clarity by Wellvana™ analytics platform with MSSP ACO enablement services. The core offering includes multiple ACOs across MSSP tracks, Medicare Advantage contracts, and a customizable suite of clinical and administrative services including risk adjustment, care management between appointments, post-hospitalization support, and clinical documentation accuracy programs. The company also provides the Wellvana Leadership Action Board as a partner engagement mechanism. The platform serves nearly a million patients across 40 states through partnerships with hospitals, health systems, and independent physician groups.

Differentiator

Problem solved

Functional benefit

Brands

• Clarity by Wellvana™: Analytics platform that transforms fragmented clinical, financial, and social data into clear, real-time insights for gap closure, care coordination, and preventive care delivery.

Products and services

• Clarity by Wellvana™ Analytics Platform A proprietary cloud-based analytics platform that transforms fragmented clinical, financial, and social data into clear, real-time insights for ACO partners. It enables visibility into gaps in care, sharper care coordination, and proactive preventive care delivery. The platform serves hospitals, health systems, independent physician groups, and payors participating in Wellvana's MSSP and Medicare Advantage ACO arrangements.
• MSSP ACO Enablement Medicare Shared Savings Program and Medicare Advantage Accountable Care Organization enablement services offering multiple risk tracks, ACO track matching, and comprehensive clinical and administrative services for participating hospitals, health systems, and independent physician groups. Wellvana takes on upfront risk and shares in Medicare savings generated through ACO performance.

Quantifiable outcome

• 14% higher primary care visits per enrolled patient (Jan-Jun 2024, over 8,700 ACO REACH beneficiaries)
• +3 more outcomes

Named customers9 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Four partnerships are on record, tiered core and major.

• Cook County HealthcoreStrategic or Co-development Partner · 10 March 2026New ACO partnership bringing 190,000 new Medicare beneficiaries under Wellvana's MSSP support for 2026. Cook County Health is a major public health system expanding its value-based care footprint through the Wellvana network.
• Cibolo HealthmajorStrategic or Co-development Partner · 10 March 2026Expanded relationship with Cibolo Health contributing additional Medicare lives under Wellvana's MSSP enablement for 2026. Represents a deepening of an existing partnership to broaden value-based care coverage.
• MercycoreStrategic or Co-development Partner · 4 December 2025Wellvana and Mercy formed a 20-year partnership to involve independent primary care physicians in value-based care, providing access to health record tools and care teams to improve patient outcomes and reduce administrative burdens. The collaboration leverages Mercy's population health infrastructure and Wellvana's enablement platform to create one of the country's largest clinically integrated networks.
• CVS HealthcoreStrategic or Co-development Partner · 1 March 2025In March 2025, Wellvana Health acquired CVS Health's Medicare Shared Savings Program business to strengthen its value-based care services and expand its ACO network capabilities.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Aledade: Aledade operates a physician-led ACO enablement platform partnering with independent primary care practices in MSSP, MA, and commercial value-based contracts. It is the closest direct competitor to Wellvana in MSSP enablement for independent providers, with overlapping go-to-market and risk-sharing economics.
• Agilon Health: Agilon Health partners with primary care physicians to enter value-based Medicare contracts, sharing in medical-cost savings. Like Wellvana, it serves seniors through delegated risk arrangements and is a direct, public-market comparable for VBC enablement economics.
• Privia Health: Privia Health provides practice enablement, ACO participation, and value-based care infrastructure to physician groups across multiple states. It is comparable to Wellvana in enabling independent and affiliated providers to participate in MSSP and risk-bearing contracts.
• Evolent Health: Evolent Health partners with health plans and providers to manage value-based care, specialty care management, and ACO enablement. Its specialty and total-cost-of-care management offerings overlap with Wellvana's MSSP/MA enablement and population health analytics.
• Astrana Health: Astrana Health (formerly Apollo Medical Holdings) operates a network of affiliated primary care groups and ACOs taking full or shared risk in Medicare Advantage and MSSP. It is comparable to Wellvana as a risk-bearing, primary-care-anchored VBC platform.

Broad incumbents

• VillageMD: VillageMD is a primary-care-focused value-based care platform affiliated with Walgreens/Cigna, providing senior-focused care and risk-bearing arrangements. Wellvana's President/CFO Jim Murray previously served as VillageMD CEO, and the companies compete for similar value-based primary-care lives.
• Optum (UnitedHealth Group): Optum operates the largest U.S. value-based care and ACO infrastructure through Optum Health, including risk-bearing primary care, MSSP, and Medicare Advantage capabilities. Wellvana's CMO joined from Optum Health, and Optum represents the most scaled incumbent competitor in the same MSSP/VBC space.
• Oak Street Health: Oak Street Health, now part of CVS Health, operates senior-focused value-based primary care clinics with risk-bearing Medicare contracts. It overlaps with Wellvana's MA/VBC population focus and is a relevant broad incumbent given the recent CVS MSSP acquisition by Wellvana.

Emerging players

• ChenMed: ChenMed is a privately held, physician-led value-based primary care provider serving low-income seniors through full-risk Medicare Advantage contracts. It is comparable to Wellvana as a risk-bearing, senior-focused VBC operator with a differentiated care model.
• P3 Health Partners: P3 Health Partners operates value-based care for Medicare Advantage populations via affiliated primary care groups and risk-bearing arrangements. It is comparable to Wellvana as a smaller, emerging risk-bearing VBC platform targeting senior populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles19 records

Funding overview

Funding rounds4 records

Investors4 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Wellvana Health