Better Health Group

What Better Health Group does

Better Health Group is a value-based primary care platform headquartered in Tampa, Florida, operating a two-pronged model that combines an MSO and ACO services division (branded Votion) with a network of owned senior-focused primary care clinics (branded VIPcare and SaludVIP). The company was founded in 2006 as Physician Partners by physicians for physicians, rebranded to Better Health Group in January 2023, and has grown to 680+ clinics, 1,200+ employed and affiliated providers, and 265,000+ lives under management across eight states plus Puerto Rico as of late 2023.

The platform integrates EMR data with prescription, hospital visit, and payer claims information through its Clinic Insights system to deliver care management suggestions, quality reporting (HEDIS, CQMs, MIPS, Star Ratings), and population health prioritization for partner practices and owned clinics. BHG runs both Medicare Shared Savings Program ACOs and Medicare Advantage capitated arrangements, offering independent providers downside-protected participation in value-based contracts while maintaining practice ownership. The technology stack includes HubSpot for marketing automation, Google Analytics, and YouTube for content distribution, with the proprietary care management and analytics platform described as clinic-tested and provider-validated.

The company generates revenue through MSSP ACO shared savings distributions (earning $21 million in shared savings for partner clinics in Performance Year 2024 alone), capitated and fee-for-service Medicare Advantage arrangements via its MSO, MSO services fees from independent practice partnerships, and performance-based quality bonuses. Following a $500 million equity investment from Kinderhook Industries in December 2021 and a $175 million growth-capital round in November 2023, Better Health Group reported $1.2 billion in trailing revenue as of November 2023 and has prioritized geographic expansion (Alabama and Oklahoma added in February 2024), strategic acquisitions, and continued de novo clinic openings. The company is led by CEO Mike Polen and founder/chairman Sidd Pagidipati.

Name

Better Health Group

Legal name

Better Health Group, LLC

Website

https://betterhealthgroup.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Better Health Group is a Tampa-based value-based primary care platform operating 680+ clinics and 1,200+ providers across eight states and Puerto Rico, serving 265,000+ Medicare and Medicare Advantage patients through owned VIPcare clinics and an MSO/ACO services division supporting independent practices.

Ownership category

akta.pro rank

Product category

Value-Based Primary Care Services

NAICS

HMO Medical Centers (621491), Offices of All Other Health Practitioners (62139)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industries

Primary Care Networks, Groups & MSOs (HLAFAGAE), Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)

Keywords

• Value-based primary care
• Managed services organization
• Accountable care organization
• Medicare Advantage MSO
• Primary care clinic network

Headquarters

HQ city

Tampa

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Value-Based Care - Medicare Shared Savings: Revenue generated through MSSP ACO shared savings distributions. CMS sets a spending benchmark for each ACO based on historical spending data. If the ACO spent less than the benchmark and met quality standards, it receives a share of the difference as shared savings. BHG's ACOs achieved shared savings for 6 consecutive years, generating over $21 million to share with primary care clinics in their network in Performance Year 2024 alone.
2. Medicare Advantage MSO Services: Capitated revenue and fee-for-service arrangements with Medicare Advantage health plans through their MSO. BHG takes on global risk with payers, offering downside protection to providers while capturing value from total cost of care management.
3. MSO Services for Independent Practices: Administrative and operational support services to independent clinics including technological and analytical support, operational support, and value-based care transition support. Generates revenue through partnership arrangements with independent provider practices.
4. Performance Bonuses and Quality Incentives: Revenue from performance-based bonuses tied to quality metrics including HEDIS scores, Star Ratings, and quality performance standards. Clinics achieve average gains of over $1,000 per patient per year.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Better Health Group operates a value-based primary care platform through two integrated lines of business. First, as a Managed Service Organization (MSO) branded Votion, it provides independent and group primary care clinics with data analytics, care management tools, payer contracting, staff support, quality management, and downside-protected financial arrangements to transition them from fee-for-service to value-based care. Second, it directly owns and operates 162+ senior-focused primary care clinics under the VIPcare and SaludVIP brands serving Medicare and Medicare Advantage patients across eight states and Puerto Rico.

Product overview

Better Health Group is a value-based primary care platform operating a two-pronged model: (1) an MSO/ACO services division branded as Votion that supports independent and group clinics with data analytics, care management tools, financial security, and quality management to transition to value-based care, and (2) a network of owned primary care clinics under the VIPcare and SaludVIP sub-brands serving seniors through Medicare Advantage, Medicare ACOs, Medicaid, and Commercial Insurance. The platform enables providers to participate in MSSP ACO arrangements, Medicare Advantage contracts, and offers partnership options for independent practices seeking to maintain ownership while accessing Better Health Group's value-based care model.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• Providers spend 47% more time with patients and see nearly one-third fewer patients
• +8 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature5 records

Partnerships

Two partnerships are on record, tiered core.

• Health Plan Partners in Alabama and OklahomacoreStrategic or Co-development Partner · 1 February 2024Health plan partners in Alabama and Oklahoma who have moved to value-based care arrangements with Better Health Group, enabling members to access BHG's value-based care model emphasizing screening and prevention, early medical intervention, and chronic condition management.
• Independent Primary Care PracticescoreStrategic or Co-development PartnerNetwork of independent and group primary care clinics partnering with Better Health Group's MSO services to deliver value-based care. These providers maintain ownership of their practices while leveraging BHG's platform, payer contracts, and operational support. BHG's network includes over 1,200 employed and affiliated providers.

Scale indicators14 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• agilon health: Public value-based primary care platform partnering with independent PCPs to take global risk on Medicare Advantage patients. Directly comparable business model to BHG's Votion MSO and VIPcare owned clinics.
• Oak Street Health (CVS Health): Value-based primary care provider for older adults on Medicare, acquired by CVS Health for $10.6B. Closely aligned with BHG's owned-clinic VIPcare strategy and senior-focused MA risk-bearing model.
• Privia Health Group: Physician enablement company offering technology, analytics, and risk-bearing infrastructure to independent PCPs across multiple value-based contracts. Highly comparable to BHG's MSO services for independent practices.
• Astrana Health (formerly Apollo Medical Holdings): Value-based care platform providing MSO and ACO services to independent physician groups, including MSSP ACO and MA risk arrangements. Closely mirrors BHG's two-pronged MSO/ACO structure.
• Cano Health: Value-based primary care provider focused on seniors, primarily in Medicare Advantage. Operates owned senior-focused clinics analogous to VIPcare, with overlapping patient demographic and risk-bearing model.

Broad incumbents

• CenterWell (Humana): Humana's primary care subsidiary operating senior-focused clinics under value-based MA contracts. A scaled incumbent competing for the same MA member population BHG serves.
• VillageMD (Walgreens Boots Alliance): Primary care platform majority-owned by Walgreens, serving value-based MA and commercial patients. Competes with BHG for both senior PCP talent and risk-based contracts.
• CareMore Health (Elevance Health): Integrated care delivery subsidiary of Elevance Health providing value-based primary care for seniors and complex patients. Overlaps with BHG in chronic disease management and MA risk-bearing care.

Emerging players

• P3 Health Partners: Value-based primary care company managing MA lives through risk-bearing PCP partnerships. Smaller and earlier-stage than BHG but operating in the same MSSP/MA risk-sharing category.
• Aledade: Physician enablement company running ACOs in MSSP and other risk programs for independent PCPs. Comparable MSO/ACO infrastructure to BHG's Votion, though primarily ACO-focused rather than MA-focused.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/better-health-group-services

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries3 records

Funding overview

Funding rounds2 records

Investors1 record

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

M&A

Investments4 records

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

Frequently asked questions about Better Health Group