Belong Health

What Belong Health does

Belong Health is a healthcare plan solutions company that partners with regional and community health plans to launch and operate Medicare Advantage (MA) and Special Needs Plans (SNPs), including Dual-Eligible SNPs (D-SNPs) and Chronic-Condition SNPs (C-SNPs). Founded in 2021 and headquartered in Radnor, Pennsylvania (Delaware corporation), the company targets health plans that lack the capital, scale, and expertise to compete with large national carriers in the SNP market, where over 80% of D-SNPs are owned by national carriers. The company serves approximately 51-100 employees distributed nationally and operates Belong Medical Group, P.C. as a separate physician-owned clinical subsidiary providing transitional care services.

The company's core platform is Belong Connect, a Salesforce-integrated custom CRM with generative AI and a data orchestration layer that ingests and unifies data from dozens of sources into a near-real-time actionable format for care management teams. Complementing the platform, Belong Medical Group delivers virtual and community-based clinical programming, including the Mental Health Connector program for plan partners. The company also operates ACO REACH and MSSP value-based care programs (with ACO REACH participation ending March 31, 2026) and has filed proprietary methodologies such as a positive-assessment patient engagement approach developed with NYU Langone Health.

Belong Health's business model is risk-bearing rather than fee-for-service. The company co-invests with regional health plan partners in 50-50 shared-risk arrangements, covering up to 70% of C-SNP implementation costs and assuming up to 50% of financial risk, with multi-year contracts. Revenue derives from capitated premium management, medical loss ratio optimization, shared savings on SNP and ACO REACH products, and clinical service fees through Belong Medical Group. Distribution is exclusively direct B2B through enterprise sales to health plan leadership (CEOs, CFOs, actuarial, product, and compliance), supported by content marketing and thought leadership. Named customers include MVP Health Care (700,000+ members across New York and Vermont) and Group Health Cooperative of Eau Claire (65,000+ members, 50,000 SNP-eligible in Wisconsin). Total disclosed funding is approximately $97 million across a Series Seed (Maverick Ventures, June 2021), Series A led by New Enterprise Associates ($40M, December 2021), and Series B (~$57M, July 2025 with Alumni Ventures).

Name

Belong Health

Legal name

Belong Health, Inc.

Website

https://belong-health.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

51–100 employees

Short description

Belong Health is a Radnor, PA-based healthcare plan solutions company that co-invests with regional health plans to launch and operate Medicare Advantage and Special Needs Plans for dual-eligible and chronically ill populations. It provides a Salesforce-integrated AI platform, clinical services through Belong Medical Group, and ACO REACH/MSSP value-based care programs.

Ownership category

akta.pro rank

Product category

Medicare Advantage Plan Services

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Health and Welfare Funds (525120), Social Assistance (624)

SIC

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

akta.pro primary industry

Dual-Eligible Special Needs Plans (D-SNP) (FSAIAGAD)

akta.pro secondary industries

D-SNP Medicare–Medicaid Integration & State Contracting (HLAEAFAH), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI), D-SNP Member Engagement, Experience & Retention (HLAEAFAI), Medicare Provider Networks & Delegated Medical Groups (MA-focused) (FSAIAGAK)

Keywords

• Medicare Advantage plans
• Special Needs Plans
• Health plan operations
• Value-based care
• Care management platform

Headquarters

HQ city

Radnor

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Risk-Bearing Health Plan Partnership (MA & SNP): Belong Health co-invests with regional health plans in Medicare Advantage and Special Needs Plan products, sharing risk 50-50 and providing full-stack operating infrastructure. Revenue derives from capitated premium management, medical loss ratio optimization, and shared savings on SNP product lines. Belong covers 70% of C-SNP implementation costs and assumes up to 50% financial risk.
2. ACO REACH Shared Savings: Belong Health participates in ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) program, earning shared savings based on cost of care reduction and quality measure performance. PY2023 gross shared savings of $2,512,519.65; net shared savings of $1,053,501.18. 50% of net savings reinvested in care infrastructure.
3. Belong Medical Group Clinical Services: Belong Medical Group, P.C., a separate physician-owned entity, provides virtual and community-based clinical programming including the Mental Health Connector program for plan partners. Operating as a transitional care organization, it generates revenue through service fees for bridging gaps in specialty care (behavioral health, palliative) for complex-needs members.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Belong Health partners with regional and community health plans to launch and operate Medicare Advantage (MA), Dual-Eligible Special Needs Plans (D-SNP), and Chronic Condition Special Needs Plans (C-SNP) through co-investment and 50-50 shared-risk arrangements. The company provides full-stack operating infrastructure including its Belong Connect AI-powered care management platform, provider network development, concierge care navigation, risk and quality management, sales/marketing, and clinical services through the Belong Medical Group subsidiary. It also participates in ACO REACH and MSSP programs for Medicare fee-for-service beneficiaries.

Product overview

Belong Health is a healthcare plan solutions company that offers a full-stack health plan operating platform through two core product lines: MA & SNP (Medicare Advantage and Special Needs Plans including C-SNP and D-SNP) and ACO programs (ACO REACH and MSSP). The platform is built around Belong Connect, their AI-powered CRM and analytics platform, and supplemented by Belong Medical Group, a clinical services division offering programs like Mental Health Connector. Belong Health positions itself as a risk-bearing partner that co-invests with regional health plans rather than a consultant or service provider.

Differentiator

Problem solved

Functional benefit

Brands

• Belong Medical Group: Transitional care organization providing clinical programming and wraparound services including the Mental Health Connector program for high-needs patients, operating as a separate unit within Belong Health.
• Belong Connect
• Mental Health Connector

Products and services

• MA & SNP Solutions Comprehensive partnership services for launching and operating Medicare Advantage and Special Needs Plans (C-SNP and D-SNP) for complex-needs populations, including Product/Sales/Marketing, Provider Engagement, Concierge Care Navigation, Risk & Quality, and technology infrastructure. Structured as 50-50 co-investment partnerships with regional health plans. Belong covers up to 70% of C-SNP implementation costs.
• ACO REACH Accountable Care Organization Realizing Equity, Access, and Community Health program participation for Medicare Fee-for-Service beneficiaries, providing risk and quality management, cost management, care management, and patient engagement services. PY2023 gross shared savings of $2,512,519.65 and net shared savings of $1,053,501.18.
• MSSP (Medicare Shared Savings Program) Medicare Shared Savings Program participation providing risk and quality management, cost management, care management, and patient engagement services to Medicare fee-for-service beneficiaries with reduced administrative burden.
• Belong Connect Custom-configured CRM platform with generative AI and tailored workflows that produces intelligent, actionable insights for care teams. Ingests data from dozens of sources and manages integration with member portals, care management systems, and business intelligence reporting. Reduces interdisciplinary care management meeting prep time by more than 68%. Enables 4-month implementation versus 9-month industry standard.
• Belong Medical Group A separate physician-owned entity operating as a transitional care organization that develops clinical programming and wraparound services. It supplements existing care infrastructure with virtual and community-based resources for members with chronic conditions, addressing gaps in specialty care including behavioral health and palliative care.
• Mental Health Connector The first clinical solution from Belong Medical Group identifying members with unaddressed mental health needs and connecting them to mental health providers while coordinating with PCPs and specialists for longitudinal care. Provides up to 90 days of treatment before transitioning to longitudinal care.

Quantifiable outcome

• Double-digit MLR (Medical Loss Ratio) reductions across Belong-supported SNP partnerships
• +5 more outcomes

Named customers2 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

Integration1 record

AI capability5 records

Feature3 records

Partnerships

Four partnerships are on record, tiered flagship, core and minor.

• Group Health Cooperative of Eau ClaireflagshipStrategic or Co-development Partner · 3 October 2023Partnership to launch and operate a Medicare Advantage Special Needs Plan (SNP) serving residents of Western and Central Wisconsin. Simplifies care for 50,000 eligible Wisconsinites by coordinating Medicare and Medicaid benefits. Belong provides full-stack operating infrastructure, care management, and network development; the Cooperative provides community presence and existing member base of 65,000+.
• MVP Health CareflagshipStrategic or Co-development PartnerMVP Health Care partnered with Belong Health on a 50-50 shared-risk partnership to advance D-SNP products for dual-eligible members in New York and Vermont. MVP serves 700,000+ members. Belong's ability to complement MVP's strengths in healthcare delivery is cited as a key competitive differentiator. MVP also launched Mental Health Connector (Belong Medical Group's first clinical program) with MVP as first adopter.
• Belong Medical Group (Internal Subsidiary)coreOthersBelong Medical Group, P.C. is a separate physician-owned entity operating within Belong Health's ecosystem. It provides virtual and community-based clinical programming (Mental Health Connector) for plan partners. MVP Health Care is the first plan to offer Mental Health Connector to its members. Practices in New York are independently owned and operated by New York licensed physicians.
• Dr. Alan Schlechter, NYU Langone HealthminorStrategic or Co-development PartnerDr. Alan Schlechter, Child and Adolescent Psychiatrist at NYU Langone Health, developed the 'positive assessment' methodology for patient engagement that Belong Health adopted. He teaches 'The Science of Happiness' at NYU and works directly with Belong's Care Management teams to implement the positive assessment tool in daily practice.

Scale indicators5 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• agilon health: agilon health partners with primary care physician groups to manage Medicare Advantage populations under value-based, risk-bearing arrangements. Comparable to Belong in its risk-sharing model, MA focus, and enablement of regional/community providers to compete with national carriers.
• Astrana Health: Astrana Health (formerly Apollo Medical Holdings) is a physician-centric, technology-powered MA-focused payvider operating delegated full-risk arrangements. Comparable to Belong in MA enablement, delegated medical group operations, and risk-bearing care for complex senior populations.
• Alignment Health: Alignment Health is a tech-enabled Medicare Advantage insurer focused on senior care with proprietary technology and supplemental benefits. Comparable to Belong's MA/D-SNP orientation and technology-led approach to complex senior populations.
• Clover Health: Clover Health is a Medicare Advantage insurer using its Clover Assistant software platform to improve care for seniors. Comparable to Belong in MA focus, technology-forward care management, and concentration on complex, dual-eligible-adjacent senior populations.
• Privia Health: Privia Health provides physician enablement and value-based care infrastructure to medical groups, including MA and ACO arrangements. Comparable to Belong in enabling provider/plan partners to succeed in risk-bearing contracts and value-based care models.
• P3 Health Partners: P3 Health Partners is a value-based care organization focused on managing Medicare Advantage populations through partnerships with primary care providers. Comparable to Belong in MA-focused risk-bearing enablement and complex senior population management.

Broad incumbents

• Evolent Health: Evolent Health provides value-based care services and specialty care management across MA, ACA, and Medicaid populations with broader scale than Belong. Comparable to Belong's enablement of health plans and providers in value-based care, including MA and D-SNP-adjacent populations.
• villagemd: VillageMD (a Walgreens Boots Alliance subsidiary) operates value-based primary care clinics serving MA and complex senior populations at large scale. Comparable to Belong in value-based senior care and risk-bearing models, though as a primary-care clinic operator rather than a plan enablement platform.
• Centene: Centene is one of the largest US managed care insurers, a dominant D-SNP and Medicaid carrier serving dual-eligible populations nationally. Comparable to Belong as a D-SNP-focused payer but at vastly larger scale; Belong's regional plan customers compete directly against Centene in their markets.

Emerging players

• Wellvana Health: Wellvana Health is an emerging value-based care enabler that helps primary care physicians transition to and succeed under risk-bearing contracts, often with MA populations. Comparable to Belong in enabling providers for value-based/risk arrangements but more focused on the PCP enablement angle than SNP product launch.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks2 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/belonghealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles21 records

Subsidiaries2 records

Funding overview

Funding rounds3 records

Investors3 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 Belong Health