Healthcentric Advisors

What Healthcentric Advisors does

Healthcentric Advisors is a nonprofit healthcare quality improvement agency founded in 1994 in Rhode Island and headquartered in Warwick. The organization has served as a Medicare Quality Improvement Organization contractor since 1995 and currently operates as a subcontractor to IPRO on two CMS Quality Innovation Network-Quality Improvement Organization contracts — the Mid-Atlantic (Region 2) covering Pennsylvania, Virginia, West Virginia, Maryland, Delaware, and the District of Columbia, and the Northeast region — providing technical assistance, training, data analytics, and project management across an 11-state-plus-DC footprint.

Its service portfolio spans quality improvement consulting, technical assistance, project management, data analytics using SAS version 9.4 against Medicare claims and HHS/HRSA datasets, and the proprietary PRiSM Remote Physiological Monitoring platform, which captures real-time biometric and patient-reported data and now integrates with the Athenahealth electronic health record system for ambulatory providers such as Eastport Health Care and Heywood Healthcare. Supporting educational assets include the Learning Center LMS (learningforquality.org) and specialized toolkits such as the Connecticut OUD in Long-Term Care Toolkit, the Safe Transitions Best Practice Measures, and the My Care My Choice My Voice advance care planning campaign.

The business model is anchored on multi-year federal government contracts — primarily CMS QIO/QIN-QIO work delivered via IPRO — supplemented by state agency contracts (Massachusetts DPH, Connecticut DMHAS/DPH, Rhode Island Department of Health, Rhode Island Department of Labor and Training), foundation grants (Rhode Island Foundation, CVS Health Foundation), and partnership-supported initiatives with Alliant Health Solutions and the Betsy Lehman Center. Most QIO-funded technical assistance and Learning Center courses are delivered at no cost to healthcare providers, while PRiSM is positioned as a deployable digital solution. Customer segments span nursing homes, primary care and specialty physician practices, hospitals, assisted living facilities, home health agencies, pharmacies, federally qualified health centers, and state and federal government health agencies.

Name

Healthcentric Advisors

Legal name

Healthcentric Advisors

Website

https://healthcentricadvisors.org

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

51–100 employees

Short description

Healthcentric Advisors is a nonprofit healthcare quality improvement consultancy serving as a CMS QIN-QIO subcontractor across 11 states plus DC, providing technical assistance, data analytics, training, and its PRiSM remote patient monitoring platform to nursing homes, hospitals, physician practices, and state health agencies.

Ownership category

akta.pro rank

Product category

Healthcare Quality Improvement Services

NAICS

Management Consulting Services (54161), Other Scientific and Technical Consulting Services (541690)

SIC

Services-Health Services (8000), Services-Management Consulting Services (8742)

akta.pro primary industry

Virtual Nursing, Telemonitoring & Command Center Platforms (HLACAFAH)

akta.pro secondary industries

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ), EHS Management Systems & ISO Consulting (ISO 14001/45001) (BPAHAJAF)

Keywords

• Healthcare quality improvement
• Medicare QIO consulting
• Remote patient monitoring
• Healthcare data analytics
• Clinical technical assistance

Headquarters

HQ city

Providence

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. Medicare QIO Contract: Prime contractor work under CMS Quality Innovation Network-Quality Improvement Organization (QIN-QIO) program, providing technical assistance, data analytics, training, and quality improvement services for Medicare beneficiaries across multiple states.
2. Federal and State Government Contracts: Contracted by various government agencies including CMS, state health departments, and departments of public health for specific healthcare improvement initiatives, workforce training, and curriculum development.
3. Foundation Grants: Funded through grants from organizations such as the CVS Health Foundation ($25,000) and Rhode Island Foundation ($75,000) for specific health improvement programs.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Healthcentric Advisors is a nonprofit healthcare quality improvement consultancy that delivers evidence-based consulting, technical assistance, data analytics, project management, and training to healthcare providers and government agencies. The firm operates as a CMS Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contractor and develops the PRiSM remote physiological monitoring platform with EHR integrations for chronic condition management.

Product overview

Healthcentric Advisors operates as a nonprofit healthcare consultancy offering a portfolio of consulting services and digital products. The core digital product is PRiSM, a Remote Physiological Monitoring platform that provides real-time biometric and patient-reported data for chronic condition management. Supporting services include Quality Improvement, Project Management, Technical Assistance, and Data Analytics consulting. The organization also provides educational resources through a Learning Center LMS and specialized toolkits including the CT Opioid Use Disorder in Long Term Care Toolkit, Safe Transitions Best Practice Measures, and My Care My Choice My Voice advance care planning materials. Healthcentric Advisors functions primarily as a Medicare contractor (QIO/QIN-QIO) serving healthcare providers across New England and the Mid-Atlantic region.

Differentiator

Problem solved

Functional benefit

Products and services

• PRiSM Remote Physiological Monitoring Platform Digital health platform providing Remote Patient Monitoring (RPM) that integrates traditional tools with digital technology for real-time health tracking at home. Includes remote patient monitoring, texting campaigns with evidence-based validated tools, and customized patient portals for chronic condition management (hypertension, diabetes, COPD, heart failure).
• Quality Improvement Consulting Healthcare quality improvement consulting services helping enhance care delivery and outcomes across priorities such as care transitions, infection prevention, and chronic disease management. Serves as Medicare contractor supporting CMS QIO/QIN-QIO programs for nursing homes, hospitals, and physician practices.
• Project Management Services Customized project management solutions for healthcare organizations including program implementation and evaluation. Utilizes robust project management practices to foster collaboration and achieve shared goals across complex multi-partner initiatives.
• Technical Assistance Targeted technical assistance for healthcare providers addressing immediate and long-term needs through evidence-based interventions and customized quality improvement action plans. Includes MIPS reporting guidance and practice transformation support.
• Data Analytics Services Data analytics services helping organizations extract insights from healthcare data using tools like SAS version 9.4. Works with HHS, HRSA, and agency datasets including Medicare claims data, public health surveillance data, and claims/administrative data for actionable reporting.
• Online Learning Center Online Learning Management System (LMS) offering free, interactive courses for healthcare professionals. Provides break-sized courses, CE credits for some courses, and certificates for career growth. Includes courses on Building a Comprehensive Measurement Strategy, Trauma-informed care, Health Care Advocacy, and Medication Reconciliation.

Quantifiable outcome

• Coastal Medical achieved $2M cost avoidance through hypertension and heart failure management
• +3 more outcomes

Named customers14 records

Segments8 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability3 records

Feature3 records

Partnerships

13 partnerships are on record, tiered core and supporting.

• AthenahealthcoreTechnology or Integration · 1 October 2025Athenahealth integrated with Healthcentric Advisors' PRiSM RPM platform, enabling real-time patient data access, automated billing support, and streamlined care delivery within Athena workflows. Eastport Health Care and Heywood Healthcare are early adopters.
• IPROcoreStrategic or Co-development Partner · 1 May 2025IPRO leads the Mid-Atlantic CMS QIN-QIO (Region 2) with Healthcentric Advisors and Qlarant as subcontractors. Healthcentric provides technical assistance, data analytics, evidence-based intervention strategies, and customized training and education for Medicare beneficiaries across 6 states plus DC. The partnership supports nursing homes, hospitals, and physician practices in improving quality and safety of care.
• QlarantcoreStrategic or Co-development Partner · 1 May 2025Qlarant partners with IPRO and Healthcentric Advisors in the Mid-Atlantic QIN-QIO contract. Together they provide quality improvement services across Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia.
• Alliant Health SolutionscoreStrategic or Co-development Partner · 1 July 2024Alliant Health Solutions collaborates with Healthcentric Advisors on the Massachusetts statewide initiative to improve care for residents with SUD in long-term care settings. The 27-month project is funded by Massachusetts Department of Public Health through SAMHSA's State Opioid Response grant.
• Connecticut Department of Mental Health and Addiction Services (DMHAS)coreStrategic or Co-development Partner · 1 January 2024CT DMHAS partnered with Healthcentric Advisors to develop the OUD in Long-Term Care Toolkit and related online learning modules. New work underway to train SUD Champions from approximately 30 nursing homes.
• Massachusetts Department of Public HealthcoreStrategic or Co-development PartnerFunded Healthcentric Advisors to lead a statewide initiative improving SUD care in LTC settings. The 27-month project includes training, technical assistance, and community forums across Massachusetts.
• Connecticut Department of Public Health (DPH)coreStrategic or Co-development PartnerCT DPH combined with DMHAS and Healthcentric Advisors to develop comprehensive resource guide for LTC facilities caring for residents with OUD.
• Clínica EsperanzasupportingStrategic or Co-development PartnerHealthcentric Advisors partnered with Clínica Esperanza to expand diabetes prevention and education for Providence residents. Developed bilingual (English/Spanish) educational materials and trained community health workers.
• Eastport Health CaresupportingImplementation/ SI/ Consulting PartnerEarly adopter of PRiSM-Athenahealth integration in Maine, leveraging the platform to improve outcomes for patients with chronic conditions while supporting practice efficiency.
• Heywood HealthcaresupportingImplementation/ SI/ Consulting PartnerEarly adopter of PRiSM-Athenahealth integration in Massachusetts, using the platform to improve outcomes for patients with chronic conditions while supporting practice efficiency.
• StoryCorpssupportingStrategic or Co-development PartnerUnique storytelling partnership as part of Massachusetts SUD initiative to capture and elevate the voices of residents and families in long-term care settings.
• Rossana Lau-Ng, MD, MBA, CMDsupportingImplementation/ SI/ Consulting PartnerGeriatric physician at Boston Medical Center providing clinical guidance for Massachusetts statewide initiative to improve SUD care in long-term care settings.
• The Betsy Lehman CentercoreStrategic or Co-development PartnerSelected as eLearning vendor to support development of first-in-the-nation statewide curriculum on health care safety for Massachusetts. Part of state's Roadmap to Health Care Safety.

Scale indicators7 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• MetaStar: MetaStar is a Wisconsin-based nonprofit QIO providing healthcare quality improvement services, consulting, and education. It competes with Healthcentric Advisors for similar CMS and state quality improvement contracts and serves an analogous provider base.
• atom Alliance: atom Alliance is a CMS QIN-QIO contractor serving Indiana, Kentucky, Tennessee, Alabama, and Mississippi through partner organizations. It competes for the same pool of federal QI contracts and serves overlapping provider segments in nursing homes, hospitals, and physician practices.
• Telligen: Telligen is a nonprofit health care quality improvement and population health management organization that holds CMS QIN-QIO contracts in the Midwest. It shares Healthcentric Advisors' focus on QI technical assistance, data analytics, and clinical quality improvement across provider settings.
• Qlarant: Qlarant is the third subcontractor on the IPRO-led Region 2 QIN-QIO, supporting the same Mid-Atlantic states alongside Healthcentric Advisors. Both are nonprofit quality improvement organizations delivering identical CMS-mandated services to nursing homes, hospitals, and physician practices.
• Comagine Health: Comagine Health is an independent, nonprofit health care quality improvement organization that holds CMS QIN-QIO contracts and serves providers across multiple western states. It competes with Healthcentric Advisors for state and federal quality improvement engagements and shares the same nonprofit QIO business model.
• Stratis Health: Stratis Health is an independent, nonprofit quality improvement organization serving Minnesota and adjacent states with CMS QIO contracts. It provides nearly identical services to Healthcentric Advisors - QI consulting, technical assistance, data analytics, and health professional education.
• IPRO: IPRO leads the Mid-Atlantic CMS QIN-QIO (Region 2) with Healthcentric Advisors and Qlarant as subcontractors under the 13th SOW. Both organizations deliver technical assistance, data analytics, and quality improvement services to Medicare beneficiaries across the same states and provider settings.
• Alliant Health Solutions: Alliant Health Solutions is a fellow QIN-QIO contractor collaborating with Healthcentric Advisors on the Massachusetts statewide SUD in long-term care initiative. Both organizations operate under CMS quality improvement contracts and target overlapping provider populations across the Southeast and beyond.
• Mountain-Pacific Quality Health: Mountain-Pacific Quality Health is a nonprofit QIN-QIO serving Mountain West states with quality improvement, patient safety, and clinical transformation services. It mirrors Healthcentric Advisors' nonprofit QIO business model and provider-targeting strategy.

Broad incumbents

• Health Services Advisory Group (HSAG): HSAG is the largest U.S. QIN-QIO contractor and a national leader in Medicare quality improvement. It serves as the dominant incumbent in the space against which smaller QIOs like Healthcentric Advisors must compete for CMS Statements of Work and subcontract positions.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/HealthcAdvisors
• YouTubeyoutube.com/@HealthcentricAdvisors
• Facebookfacebook.com/pages/Healthcentric-Advisors/245470875488448
• LinkedInlinkedin.com/company/healthcentric-advisors
• Instagraminstagram.com/healthcentricadvisors

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

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 Healthcentric Advisors