COPE Health Solutions
COPE Health Solutions is a Los Angeles-based healthcare technology and services firm that partners with health plans, risk-bearing providers, FQHCs, and state/federal programs to enable value-based care. Its ARC analytics platform and new ARCi agentic AI suite support risk contracting, population health, and administrative automation.
- Company typePrivate
- Founded2005
- HeadquartersLos Angeles, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
What COPE Health Solutions does
COPE Health Solutions is a Los Angeles-based, privately held healthcare technology and services firm founded in 2002 that partners with health plans, risk-bearing provider organizations, FQHCs, and state/federal programs to enable performance under value-based care arrangements. The company sells a bundled platform-plus-services offering anchored by its Analytics for Risk Contracting (ARC) platform, which aggregates fragmented payer and provider data into workflows spanning risk adjustment, utilization management, care coordination, and contract performance. In May 2026 it launched ARCi, an agentic AI suite that extends the platform by automating administrative workflows such as Medicaid redetermination, with planned expansion into care gap closure, clinical documentation, and autonomous enrollment and authorization.
The company monetizes through two streams: subscription-based platform/SaaS access to ARC (with annual billing under custom enterprise contracts) and professional services covering health plan build, restructuring, optimization, and ongoing VBC enablement. Go-to-market is primarily direct enterprise field sales targeting health plans, IPAs, and health systems, supplemented by named channel partnerships with Aon (re-insurance bundling for advanced risk arrangements) and HealthAxis (BPaaS bundling for mid-market health plans). Customer logos include Kaiser Permanente, Temple Health, Aspirus Health Plan, Sun River Health, CAIPA, and Key Medical Group, with public testimonials emphasizing MLR savings, contract performance improvement, and TPA operations support. The firm holds NCQA Prevalidation for Population Health Management, NCQA Certified Data Partner status, HITRUST r2 Certification, and CalAIM TA Vendor designation, which collectively lower procurement friction in regulated buyer environments.
Headcount is 51-100 employees across Los Angeles and New York, and the company raised a $7.5 million Series A in April 2022 led by Mindtree with participation from MSO Solutions. The operating model combines technology IP (ARC and ARCi), domain advisory services, and a workforce development program (COPE Health Scholars), positioning the firm as an integrated enablement partner rather than a pure software vendor or traditional consultancy.
COPE Health Solutions firmographics
Firmographics- Name
- COPE Health Solutions
- Legal name
- COPE Health Solutions
- Website
- https://copehealthsolutions.com
- Company type
- Private
- Founded year
- 2005
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- COPE Health Solutions is a Los Angeles-based healthcare technology and services firm that partners with health plans, risk-bearing providers, FQHCs, and state/federal programs to enable value-based care. Its ARC analytics platform and new ARCi agentic AI suite support risk contracting, population health, and administrative automation.
- Ownership category
- akta.pro rank
COPE Health Solutions industry classification
Industry- Product category
- Healthcare Value-Based Care Enablement and Analytics
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120), Human Resources Consulting Services (541612)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Prepackaged Software (7372), Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)
- 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), Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF), Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC)
Keywords
Where COPE Health Solutions is headquartered
LocationHeadquarters
- HQ city
- Los Angeles
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
COPE Health Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Others
Revenue model
- Platform/SaaS Subscriptions: Analytics platform licensing for payers and providers operating in value-based care arrangements. The ARC platform is offered as a technology enablement solution with ongoing platform access and updates.
- Professional Services: Advisory services, implementation support, and operational consulting for health plan build, restructuring, optimization, interim management, and ongoing VBC enablement.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise pricing - custom quotes |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
COPE Health Solutions product offering
Product offeringCore offering
COPE Health Solutions is a national, technology-enabled platform and services company that powers payer and provider performance in risk arrangements. It sells the ARC (Analytics for Risk Contracting) SaaS platform and the ARCi agentic AI suite for population health management, risk adjustment, utilization management, and care coordination, delivered alongside advisory, implementation, interim management, and operational services for value-based care enablement.
Product overview
COPE Health Solutions offers a unified platform-plus-services portfolio anchored by its ARC (Analytics for Risk Contracting) platform and the newer ARCi™ agentic AI suite. The ARC platform provides population health analytics and risk stratification, while ARCi extends the platform with autonomous AI agents for administrative workflow automation including Medicaid redetermination. The company delivers these through modular add-on solutions targeting providers (value-based care enablement), health plans (end-to-end operational alignment), and state/federal programs, complemented by workforce development offerings like the COPE Health Scholars Program.
Differentiator
Problem solved
Functional benefit
Brands
- ARC: Analytics for Risk Contracting platform that transforms fragmented data into clear performance insights and actions, helping organizations improve care coordination, risk adjustment accuracy, utilization management, and contract performance.
- ARCi
Products and services
- ARC Platform (Analytics for Risk Contracting) A unified analytics SaaS platform that transforms fragmented payer and provider data into intelligent, actionable workflows across clinical, financial, and administrative domains. It enables care coordination, risk adjustment accuracy, utilization management, and contract performance for health plans and risk-bearing providers.
- ARCi (Agentic AI Suite) An enterprise suite of agentic AI solutions that augments care teams by automating administrative workflows across voice, SMS, and email channels. First commercial use case is Medicaid redetermination outreach, with planned capabilities for care gap closure, clinical documentation, and autonomous enrollment and authorization assistance across Medicare Advantage, ACOs, and dual-eligible populations.
- Value-Based Care Enablement Solutions for Providers Full enablement services equipping providers (health systems, FQHCs, IPAs, CINs, ACOs) with expertise, data, ARC platform access, and complete operational coverage to succeed in value-based care, improve quality, and maximize financial upside.
- Health Plan Solutions Fully integrated, end-to-end services and platform solution for health plans driving operational alignment across clinical, administrative, and financial performance. Includes health plan build, restructuring, optimization, interim management, and ongoing VBC enablement.
- State & Federal Programs Advisory Advisory and operational support for navigating complex Medicaid, Medicare, MSSP ACO, CMMI, CalAIM, 1115 Waiver, and other multi-agency programs and value-based payment models.
- COPE Health Scholars Program Workforce development program operated in partnership with healthcare institutions to develop talent for the healthcare industry, including a pediatric track launched with CHOC.
Companies that use COPE Health Solutions
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles3 records
COPE Health Solutions technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability6 records
Feature3 records
COPE Health Solutions partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- AoncoreCOPE Health Solutions has partnered with Aon to de-risk and improve performance in advanced risk arrangements. COPE Health Solutions provides health plan, IPA, CIN and other risk vehicle build, restructuring, optimization, interim management advisory/implementation and its Analytics for Risk Contracting data analytics and reporting platform with pop health EDW services alongside Aon's re-insurance and stop-loss solutions.
- HealthAxiscoreCOPE Health Solutions and HealthAxis collaborate to blend end-to-end BPaaS with advanced population health analytics to help mid-market plans cut operational strain, boost visibility across their member populations, and scale with confidence.
Scale indicators3 records
Recent moves7 records
Expansion highlights5 records
COPE Health Solutions competitors and assessment
Company assessmentDirect peers
- Innovaccer: Healthcare data platform unifying clinical, claims, and social data for population health, risk adjustment, and VBC contracting; competes head-to-head with COPE's ARC platform for payer and provider customers.
- Aledade: Value-based care enablement company supporting primary care practices, FQHCs, and ACOs in risk arrangements; comparable to COPE's provider-facing VBC enablement solutions.
- Health Catalyst: Healthcare data and analytics platform serving health systems and payers with population health, risk, and quality analytics; overlaps COPE in risk-bearing provider and payer analytics use cases.
- The Chartis Group: Healthcare consulting firm with deep value-based care, payer, and provider strategy practices; mirrors COPE's professional services and advisory revenue stream.
- Lightbeam Health Solutions: Population health management and VBC analytics vendor for ACOs, health systems, and payers, offering risk stratification, care management, and quality reporting comparable to COPE's ARC.
- Inovalon: Cloud-based healthcare data analytics platform focused on payer-side risk adjustment, quality, and outcome analytics; directly comparable to COPE's payer-facing capabilities.
- Cedar Gate Technologies: Value-based care analytics platform for payers, providers, and ACOs offering risk contracting, bundled payments, and population health performance management.
- Arcadia: Population health management and value-based care analytics platform serving health plans and risk-bearing providers with similar use cases in risk adjustment, utilization, and contract performance.
Broad incumbents
- Optum (UnitedHealth Group): Incumbent healthcare analytics, consulting, and risk-bearing services arm of UnitedHealth Group; competes broadly with COPE across payer analytics, VBC enablement, and population health.
- Premier Inc. Healthcare performance improvement company offering consulting, analytics, and network services to health systems; overlaps COPE's provider enablement and VBC advisory work.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key highlights6 records
Customer concentration
COPE Health Solutions social profiles
Digital presenceCOPE Health Solutions compliance and trust
Trust signalCompliance4 records
COPE Health Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
COPE Health Solutions leadership team
Management profileNumber of profiles
Profiles9 records
COPE Health Solutions funding detail
Funding detailFunding overview
Funding rounds1 record
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
COPE Health Solutions 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 COPE Health Solutions
What does COPE Health Solutions do?
COPE Health Solutions is a national, technology-enabled platform and services company that powers payer and provider performance in risk arrangements. It sells the ARC (Analytics for Risk Contracting) SaaS platform and the ARCi agentic AI suite for population health management, risk adjustment, utilization management, and care coordination, delivered alongside advisory, implementation, interim management, and operational services for value-based care enablement.
Is COPE Health Solutions a public or private company?
COPE Health Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was COPE Health Solutions founded?
COPE Health Solutions was founded in 2005. It employs 51 to 100 people.
Where is COPE Health Solutions based?
COPE Health Solutions is headquartered in Los Angeles, United States, in the North America region.
How does COPE Health Solutions make money?
Two revenue lines are on record. Platform/SaaS Subscriptions are the primary driver. The others are professional Services.
Who are COPE Health Solutions's main competitors?
Direct peers on record are Innovaccer, Aledade, Health Catalyst, The Chartis Group, Lightbeam Health Solutions, Inovalon, Cedar Gate Technologies and Arcadia. Broad incumbents are Optum (UnitedHealth Group) and Premier Inc..
Does COPE Health Solutions have an API?
No public API is recorded for COPE Health Solutions.
What industry is COPE Health Solutions in?
COPE Health Solutions's product category is Healthcare Value-Based Care Enablement and Analytics. 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 7370.