Wellvana Health
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.
- Company typePrivate
- Founded2019
- HeadquartersNashville, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
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.
Wellvana Health firmographics
Firmographics- 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
Wellvana Health industry classification
Industry- 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
Where Wellvana Health is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Wellvana Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others
Revenue model
- 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
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Multi-year contract | Shared savings model with upfront risk absorption by Wellvana |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels5 records
Wellvana Health product offering
Product offeringCore 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
Companies that use Wellvana Health
Customer profileNamed customers9 records
Segments3 records
Ideal customer profiles3 records
Wellvana Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
Wellvana Health partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core and major.
- Cook County HealthcoreNew 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 HealthmajorExpanded 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.
- MercycoreWellvana 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 HealthcoreIn 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
Wellvana Health competitors and assessment
Company assessmentDirect 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
Wellvana Health compliance and trust
Trust signalCompliance4 records
Wellvana Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Wellvana Health leadership team
Management profileNumber of profiles
Profiles19 records
Wellvana Health funding detail
Funding detailFunding overview
Funding rounds4 records
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Wellvana Health M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Wellvana Health
What does Wellvana Health do?
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.
Is Wellvana Health a public or private company?
Wellvana Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Wellvana Health founded?
Wellvana Health was founded in 2019. It employs 101 to 250 people.
Where is Wellvana Health based?
Wellvana Health is headquartered in Nashville, United States, in the North America region.
How does Wellvana Health make money?
One revenue line is on record: ACO Participation & MSSP Enablement.
Who are Wellvana Health's main competitors?
Direct peers on record are Aledade, Agilon Health, Privia Health, Evolent Health and Astrana Health. Broad incumbents are VillageMD, Optum (UnitedHealth Group) and Oak Street Health. Emerging players are ChenMed and P3 Health Partners.
Does Wellvana Health have an API?
No public API is recorded for Wellvana Health.
What industry is Wellvana Health in?
Wellvana Health's product category is Value-Based Care Enablement. Its primary akta.pro industry code is HLACAHAA, Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk), with a secondary code of FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 524292 and its SIC code is 8000.