On Belay
On Belay Health Solutions is a physician-founded Accountable Care Organization that enables independent primary care practices to participate in CMS value-based care models including MSSP and ACO REACH, with operations spanning 20 U.S. states.
- Company typePrivate
- Founded2021
- HeadquartersLawrence, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What On Belay does
On Belay Health Solutions is a physician-founded and operated Accountable Care Organization that enables primary care practices to participate in CMS value-based care programs. Co-founded by Andrew Allison (CEO) and Dr. Scott Early, the company operates MSSP and ACO REACH ACOs spanning 20 U.S. states, and selectively enables Medicare Advantage and Commercial value-based contracts. Its product portfolio includes ACO REACH and MSSP enablement services, care team stacking (assembling nurse care managers, social workers, physical therapists, and pharmacists), care service scaling tools, practice financial strengthening, care coordination across diverse EHR systems, risk adjustment and coding support, clinical pharmacy services, and beneficiary engagement programs. Technology is centered on a care coordination platform that integrates with multiple EHR systems across partner practices, supported by coding/documentation and quality reporting infrastructure aligned with MSSP and REACH regulations.
The company's business model is built on managed-services revenue streams derived from shared savings arrangements (notably Medicare Shared Savings achieved in both the 2023 and 2024 Performance Periods), participation in the ACO REACH model, and Medicare Advantage and Commercial contracts. Pricing is quote-based and tied to ACO participation rather than per-seat software licensing. Go-to-market combines direct enterprise field sales to independent primary care practices, FQHCs, and integrated networks with channel partnerships — most notably an exclusive ACO partnership with the Association of Clinicians for the Underserved, a Blue Cross Blue Shield of Massachusetts network inclusion, and a technology collaboration with Veradigm. Customers include CFP Physicians Group, Field Health System, Kronos Health, and a base of independent primary care practices across 20 states.
On Belay maintains HIPAA-compliant policies, aligns its compliance program with OIG General Compliance Program Guidance and MSSP/REACH regulations, and has filed an SEC Form D for a $14M exempt securities offering (approximately $9.4M sold) in September 2024. The company is headquartered in Boston, MA, is privately held by physicians and undisclosed investors, and operates through wholly-owned legal entity On Belay Holdings, Inc., a Delaware corporation. Headcount has more than doubled in the trailing six months and the leadership bench has been professionalized across finance, legal, clinical, operations, growth, and people functions during 2023.
On Belay firmographics
Firmographics- Name
- On Belay
- Legal name
- On Belay Holdings, Inc.
- Website
- https://onbelayhealthsolutions.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- On Belay Health Solutions is a physician-founded Accountable Care Organization that enables independent primary care practices to participate in CMS value-based care models including MSSP and ACO REACH, with operations spanning 20 U.S. states.
- Ownership category
- akta.pro rank
On Belay industry classification
Industry- Product category
- Value-Based Care ACO Services
- NAICS
- Health and Welfare Funds (525120)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicare Member Engagement & Care Management (Utilization, Case/Disease Mgmt) (FSAIAGAL)
Keywords
Where On Belay is headquartered
LocationHeadquarters
- HQ city
- Lawrence
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
On Belay business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Others
Revenue model
- ACO Shared Savings: On Belay generates revenue through shared savings arrangements from CMS Medicare Shared Savings Program (MSSP) participation. The company achieved Medicare Shared Savings for the 2024 Performance Period. Revenue is earned when the ACO successfully reduces healthcare costs while maintaining quality benchmarks.
- ACO REACH Participation: Revenue from participation in the ACO REACH model, a CMS innovation model for accountable care
- Medicare Advantage and Commercial Contracts: Enables participation in Medicare Advantage and Commercial contracts in select markets, generating revenue through value-based care arrangements
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Annual | Customized ACO participation programs based on practice size and needs |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
On Belay product offering
Product offeringCore offering
On Belay Health Solutions is a physician-founded and operated Accountable Care Organization (ACO) that enables primary care practices to participate in CMS value-based care models, including ACO REACH and the Medicare Shared Savings Program (MSSP), as well as Medicare Advantage and Commercial contracts in select markets. The company provides care team stacking, service scaling, financial strengthening, care coordination across diverse EHR systems, clinical pharmacy services, risk adjustment support, and beneficiary engagement programs as a unified ACO partnership platform.
Product overview
On Belay Health Solutions is a physician-founded and operated Accountable Care Organization (ACO) that operates as a unified platform supporting primary care practices in transitioning to and succeeding in value-based care. The company's portfolio consists of multiple CMS-aligned care models — including ACO REACH, the Medicare Shared Savings Program (MSSP), and Medicare Advantage/Commercial contracts in select markets — supported by operational service modules: team stacking (interdisciplinary care team assembly), care service scaling, financial strengthening, care coordination across diverse EHRs, clinical pharmacy services, risk adjustment and coding support, and beneficiary engagement programs. Practices engage with On Belay to gain access to these coordinated capabilities under a single ACO partnership, enabling independent primary care practices, federally qualified health centers, and integrated networks to remain financially sustainable while delivering improved patient outcomes.
Differentiator
Problem solved
Functional benefit
Quantifiable outcome
- Successfully achieved Medicare Shared Savings for 2024 Performance Period (second year in MSSP)
- +2 more outcomes
Companies that use On Belay
Customer profileNamed customers4 records
Segments3 records
Ideal customer profiles3 records
On Belay technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
On Belay partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- VeradigmcoreVeradigm and On Belay Health Solutions collaborate to expand value-based care solutions to more primary care practices. The partnership leverages Veradigm's technology platform to enable On Belay to scale its ACO services and practice transformation support across more independent practices.
- Blue Cross Blue Shield of MassachusettscoreBlue Cross Blue Shield of Massachusetts expanded its network of comprehensive primary care solutions to include On Belay. This partnership integrates On Belay's value-based care services into BCBS Massachusetts's provider network.
- Association of Clinicians for the Underserved (ACU)coreOn Belay is the exclusive ACO partner to the Association of Clinicians for the Underserved (ACU), supporting health equity and mission-driven healthcare for underserved communities through ACO participation.
Scale indicators4 records
Recent moves6 records
Expansion highlights6 records
On Belay competitors and assessment
Company assessmentDirect peers
- Wellvana: Wellvana enables independent primary care physicians to participate in ACO and Medicare Advantage value-based arrangements, with a comparable focus on physician-led ACO operations.
- Aledade: Aledade partners with independent primary care practices to form and operate ACOs in MSSP, REACH, and commercial contracts—the closest direct analog to On Belay's physician-led ACO enablement model.
- Pearl Health: Pearl Health partners with primary care providers in value-based care models including ACO REACH, offering technology and risk-bearing infrastructure similar to On Belay's services.
- Agilon Health: Agilon Health partners with primary care physicians to operate value-based care models including Medicare Advantage and ACO REACH, directly competing for the same independent practice base.
- Privia Health: Privia Health provides physician enablement, population health, and value-based care services to independent practices, with multiple ACO and risk-bearing arrangements similar to On Belay's offering.
- Vytalize Health: Vytalize Health enables independent primary care practices to succeed in ACO and value-based care arrangements, particularly Medicare Advantage, with a similar physician-empowerment thesis.
Broad incumbents
- Evolent Health: Evolent Health provides value-based specialty care enablement and population health services to health plans and providers, overlapping with On Belay's care management and population health capabilities at greater scale.
- Astrana Health: Astrana Health (formerly Apollo Medical Holdings) operates value-based care arrangements including ACOs and Medicare Advantage risk arrangements with provider groups, competing for similar primary care partnerships.
- VillageMD: VillageMD operates value-based primary care clinics and provider enablement services at scale, addressing similar patient populations and ACO REACH arrangements as On Belay.
Emerging players
- Equality Health: Equality Health provides value-based care enablement and ACO REACH operations for primary care practices serving underserved populations, overlapping with On Belay's FQHC and health equity focus.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
On Belay compliance and trust
Trust signalCompliance4 records
On Belay financial estimates
Financial estimateRevenue estimate
Valuation estimate
On Belay leadership team
Management profileNumber of profiles
Profiles13 records
On Belay funding detail
Funding detailFunding overview
Funding rounds2 records
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
On Belay 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 On Belay
What does On Belay do?
On Belay Health Solutions is a physician-founded and operated Accountable Care Organization (ACO) that enables primary care practices to participate in CMS value-based care models, including ACO REACH and the Medicare Shared Savings Program (MSSP), as well as Medicare Advantage and Commercial contracts in select markets. The company provides care team stacking, service scaling, financial strengthening, care coordination across diverse EHR systems, clinical pharmacy services, risk adjustment support, and beneficiary engagement programs as a unified ACO partnership platform.
Is On Belay a public or private company?
On Belay is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was On Belay founded?
On Belay was founded in 2021. It employs 1 to 10 people.
Where is On Belay based?
On Belay is headquartered in Lawrence, United States, in the North America region.
How does On Belay make money?
Three revenue lines are on record. ACO Shared Savings are the primary driver. The others are ACO REACH Participation and medicare Advantage and Commercial Contracts.
Who are On Belay's main competitors?
Direct peers on record are Wellvana, Aledade, Pearl Health, Agilon Health, Privia Health and Vytalize Health. Broad incumbents are Evolent Health, Astrana Health and VillageMD. Equality Health is listed as an emerging player.
Does On Belay have an API?
No public API is recorded for On Belay.
What industry is On Belay in?
On Belay's product category is Value-Based Care ACO Services. Its primary akta.pro industry code is FSAIAGAL, Medicare Member Engagement & Care Management (Utilization, Case/Disease Mgmt). Its NAICS code is 525120 and its SIC code is 6324.