HIPnation

What HIPnation does

HIPnation is a physician-built Direct Primary Care (DPC) organization founded in 2015 by Dr. Brian Hill and headquartered in Alpharetta, Georgia. The company operates a Direct Primary Care model that decouples primary care from insurance billing, capping physician patient panels at roughly 600 and offering 30-90 minute visits, 24/7 access to a personal doctor, and $0 copays for primary care services. HIPnation delivers care through a national network of 100+ affiliated primary care physicians, nurse practitioners, and physician assistants operating in 11 states (Alabama, California, Colorado, Florida, Georgia, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Texas), using an affiliate/OEM model rather than corporate-owned clinics.

The company sells three interconnected products: HIPnation Community (individual and family DPC membership), HIPnation Core (employer plan optimization layered on existing health insurance), and HIPnation Complete (level-funded ERISA-compliant plan replacement for employers with 5-125 employees, claiming 10-35% premium savings and 80-85% of employee care delivered at $0 cost). Revenue is generated primarily through recurring monthly subscription membership fees on a per-member-per-month basis, supplemented by pass-through ancillary services (labs, imaging, specialty care) routed to contracted third-party providers. Technology infrastructure includes an AI-based platform, secure physician-patient messaging, and multilingual translation.

HIPnation goes to market through direct-to-consumer signups (via the Hint.com platform), direct-to-employer enterprise sales supported by a proprietary SOAP (Subjective, Objective, Assessment, Plan) evaluation methodology, and a broker/partner channel. The company is privately held, founder-controlled, and closed its first disclosed $8.1 million funding round in July 2025 to support continued expansion.

Name

HIPnation

Legal name

HIPnation Operations & Solutions LLC

Website

https://hipnation.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

HIPnation is a physician-built Direct Primary Care organization founded in 2015 that delivers subscription-based primary care to individuals, families, and small/mid-size employers through 100+ affiliated physicians across 11 U.S. states.

Ownership category

akta.pro rank

Product category

Direct Primary Care Healthcare Services

NAICS

Offices of Physicians (6211), Health Care and Social Assistance (62)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Direct Primary Care (DPC) & Concierge Medicine (HLAFAGAD)

akta.pro secondary industries

Primary Care & General Medicine Virtual Care (Employer-Sponsored) (HLALADAA), Membership/Subscription Concierge Virtual Care (HLALAAAH)

Keywords

• Direct primary care
• Employer health benefits
• Primary care membership
• Level-funded health plans
• Physician affiliate network

Headquarters

HQ city

Alpharetta

HQ country

United States

HQ region

North America

Offices20 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Monthly Membership Fees: HIPnation generates revenue primarily through monthly membership fees charged to individuals and employers. For individuals, members pay a monthly fee for Direct Primary Care access. For employers, a per member per month fee is charged outside of insurance plans for primary care services. There are no co-pays for PCP visits as all interactions are included in the membership fee.
2. Direct Primary Care Membership: Direct contracting removes variable costs and creates fixed monthly payments for all primary care services. Employers pay a fixed per member per month fee for unlimited primary care access.
3. Ancillary Services: HIPnation charges credit cards or coordinates bank drafts for ancillary services such as lab work, imaging, telemedicine specialty care, and other services from contracted third-party providers. These are charged separately from the monthly membership fee.
4. Healthcare Plan Administration: HIPnation Complete provides Level Funded, fully underwritten, ERISA compliant insurance plans with technology-enabled TPA. Premium savings of 10-35% are achieved through lower stop-loss carrier premiums.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

HIPnation delivers Direct Primary Care (DPC) healthcare through monthly memberships sold directly to individuals and families (HIPnation Community) and to small/mid-size employers (HIPnation Core for plan optimization; HIPnation Complete, a 5–125 employee level-funded health plan that combines DPC with insurance). Members receive unlimited access to a personal physician, 30–90 minute visits, 24/7 physician availability with $0 copay for primary care, and proactive chronic disease and lifestyle medicine management, supported by AI infrastructure, secure messaging, and multilingual translation.

Product overview

HIPnation is a physician-built healthcare company operating on a Direct Primary Care (DPC) model. The company offers three interconnected products: HIPnation Core for employers to optimize existing health insurance plans, HIPnation Complete as a full replacement healthcare plan with level-funded insurance for 5-125 employees, and HIPnation Community for individuals and families. All offerings are built upon the foundation of Direct Primary Care, providing 24/7 access to personal doctors, longer visits, and proactive health management.

Differentiator

Problem solved

Functional benefit

Brands

• HIPnation Core: Direct Primary Care solution for employers offering enhanced primary care supported by AI technology, secure messaging, and multilingual translation for employees.
• HIPnation Complete
• HIPnation Community

Products and services

• HIPnation Core Direct Primary Care solution for employers designed to optimize an existing health insurance plan. Adds a DPC layer with AI-supported technology, secure messaging, and multilingual translation on top of the employer's current insurance, charged on a per-member-per-month basis outside the insurance plan. All primary care is delivered at $0 to employees and includes on-site enrollment, direct invoicing, and ongoing coordination support to reduce HR burden.
• HIPnation Complete Full plan replacement health benefit for employers with 5–125 employees. Combines Direct Primary Care with a level-funded, fully underwritten, ERISA-compliant insurance plan administered through a technology-enabled third-party administrator. Claims premium savings of 10–35% versus traditional insurance, with 80–85% of employee healthcare needs addressed at $0 cost through primary care. HSA-eligible option available where all primary care is $0 to the employee.
• HIPnation Community Individual and family Direct Primary Care membership. Provides unlimited access to a personal doctor, 30–90 minute visits, 24/7 physician availability, and $0 co-pays for primary care, with proactive focus on lifestyle medicine and chronic disease management. Sold as a flat monthly subscription with an initial 6-month term that converts to month-to-month. Ancillary services (lab, imaging, specialty care) are coordinated separately at negotiated cash rates.

Quantifiable outcome

• 10-35% premium savings for employers using HIPnation Complete
• +5 more outcomes

Named customers32 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

15 partnerships are on record, tiered core and minor.

• HIP Medical Georgia, LLCcoreStrategic or Co-development PartnerHIPnation operates through an arrangement with HIP Medical Georgia, LLC, which provides healthcare services to HIPnation members. HIP Management Georgia, LLC manages the membership program while healthcare services are delivered through HIP Medical Georgia, LLC.
• HIP Management Georgia, LLCcoreStrategic or Co-development PartnerContracted entity that manages HIPnation membership and provides access to healthcare services through arrangement with HIP Medical Georgia, LLC.
• National Laboratory CompanyminorStrategic or Co-development PartnerHIPnation has partnered with a national laboratory company to provide access to low cost labs that can be obtained outside of the PCP's office at negotiated rates.
• Third-party Insurance/Insurance Alternative ProvidersminorStrategic or Co-development PartnerHIPnation has special relationships with third-party providers of various insurance/insurance alternative products to complement the DPC membership. Members are encouraged to consider additional medical sharing or insurance products.
• Specialist Physicians NetworkminorStrategic or Co-development PartnerPCPs have access to a network of specialist physicians who are available to assist and support. Specialists offer low cash-based payments for services needed by members.
• Ancillary Service ProvidersminorStrategic or Co-development PartnerThird-party providers contracted for ancillary services such as lab work, imaging services, and specialty care at low cash-based rates.
• Free Market Medical AssociationminorStrategic or Co-development PartnerDr. Geetinder Goyal, a HIPnation affiliate, serves as President of the Houston Chapter of the Free Market Medical Association.
• Morehouse School of MedicineminorStrategic or Co-development PartnerDr. Dolapo Babalola serves as Adjunct Clinical Professor at Morehouse School of Medicine and previously served as Professor and Director of Undergraduate Medical Education in their Department of Family Medicine.
• Medical Association of AtlantaminorStrategic or Co-development PartnerDr. Leah Tobin is active in the community holding positions in the Medical Association of Atlanta.
• Medical Association of GeorgiaminorStrategic or Co-development PartnerDr. Leah Tobin holds positions in the Medical Association of Georgia.
• Mercer School of Medicine - Community Medicine DepartmentminorStrategic or Co-development PartnerDr. Leah Tobin serves as associate clinical professor for Mercer's School of Medicine Department of Community Medicine.
• American College of Lifestyle MedicineminorStrategic or Co-development PartnerDr. John Sosa was part of the inaugural class to become Board Certified by the American College of Lifestyle Medicine.
• Tampa General HospitalminorStrategic or Co-development PartnerDr. Seetha Lakshmi serves as attending physician at Tampa General Hospital.
• Tampa Bay RowdiesminorStrategic or Co-development PartnerDr. Christopher Salud served as Head Team Physician for the Tampa Bay Rowdies from 2013-2017.
• Tampa Bay RaysminorStrategic or Co-development PartnerDr. Christopher Salud has served as Team Physician for the Tampa Bay Rays since 2017.

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Crossover Health: Employer-sponsored DPC and occupational health operator serving self-insured employers with on-site/near-site clinics. Closely aligned with HIPnation's Core/Complete value proposition for SMB and mid-market employers.
• One Medical (Amazon One Medical): Subscription/membership-based primary care network combining in-person clinics with virtual care. Direct functional and business-model competitor to HIPnation across employer-sponsored and consumer memberships.
• MDVIP: National concierge/DPC network of affiliated primary care physicians with smaller patient panels and membership fees. Closest pure-play DPC competitor to HIPnation's affiliate physician model.
• Paladina Health (Everside Health): Employer-sponsored DPC provider delivering near-site, shared, and on-site primary care to mid-sized and large employers. Directly comparable on the HIPnation Complete buyer and economics story.

Others

• Hint Health: DPC-focused operating platform and network powering independent DPC practices (HIPnation Community sign-up runs on hint.com). Enabling/infrastructure peer rather than direct competitor, but central to HIPnation's consumer signup and DPC practice operations.

Broad incumbents

• VillageMD: Primary care platform majority-owned by Walgreens Boots Alliance and partnered with Cigna, operating full-service primary care clinics including value-based care for seniors. Broader incumbent competing for employer DPC and population health dollars.
• ChenMed / JenCare: Value-based primary care group serving seniors through Medicare Advantage plans with small panels and intensive care management. Comparable economics to HIPnation's DPC model but focused on MA populations.

Emerging players

• Centrum Health: Multi-state value-based primary care group with affiliated clinics and DPC-style panels for insured and employer-sponsored populations. Comparable to HIPnation on clinic-network + value-based care approach.
• Parsley Health: Subscription-based functional/holistic primary care combining in-person and virtual visits. Comparable consumer-side subscription model to HIPnation Community, though more specialty/lifestyle oriented.
• PlushCare: Virtual primary care and mental health subscription service with employer and consumer offerings. Comparable to HIPnation on the membership/employer-sponsored care angle, though delivered virtually rather than via clinics.

Market position

Strengths1 record

Weaknesses1 record

Competitive moat5 records

Key risks3 records

Key highlights7 records

Customer concentration

• Xx.com/HIPnationHealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds1 record

Investors

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 HIPnation