Tandigm Physician Services

What Tandigm Physician Services does

Tandigm Physician Services (TPS) is a Pennsylvania-based Management Services Organization and wholly-owned subsidiary of Tandigm Health, LLC, providing administrative, operational, and value-based care enablement services to independent primary care practices in the Greater Philadelphia region. TPS was launched in August 2020 in partnership with Gateway Medical Associates (now PentaHealth Medical Group) as the operational arm of Tandigm Health's population health management model, offering business operations, revenue cycle management, staffing, information technology services, value-based care quality programs, and provider recruitment support to independent practices that wish to remain independent while participating in value-based care arrangements.

The underlying technology platform integrates Arcadia for population health analytics, NextGate's Enterprise Master Patient Index and Provider Registry (on Microsoft Azure) for patient identity resolution across 25+ ambulatory EHR systems, Care Continuity for provider communication and referral management, and Epic via Penn Community Connect for billing and clinical integration. This stack supports Tandigm's clinical overlay programs (Complex Care Management, Advanced Illness Management, Comprehensive Medication Management, Heart Failure pathway, Transitions of Care, Direct to SNF, Fall Risk Reduction) which are delivered through an interdisciplinary team of nurse care managers, pharmacists, social workers, and clinical coordinators.

Tandigm's business model is built on a multi-sided value-based care structure: TPS collects MSO service fees from independent practices, Tandigm manages three Medicare Shared Savings Program ACOs (Tandigm Value Partners, Doylestown Value Partners, and Penn Medicine Healthcare Partners — collectively serving 57,000+ beneficiaries), and value-based contracts with payors (Independence Blue Cross, Humana, CMS) align revenue to cost and quality performance. The company has distributed over $400M in physician incentives since inception, generated $32M+ in CMS savings in 2024, and achieved 4.4/5 CMS Quality Stars and 91% patient satisfaction. Tandigm was founded in 2014 by Independence Blue Cross and DaVita HealthCare Partners; Penn Medicine acquired a ~$50M minority equity stake in September 2022 with a commitment to channel all primary care VBC through Tandigm.

Name

Tandigm Physician Services

Legal name

Tandigm Health, LLC

Website

https://tandigmhealth.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

101–250 employees

Short description

Tandigm Physician Services is a Management Services Organization subsidiary of Tandigm Health, providing business operations, revenue cycle, IT, staffing, and value-based care program support to independent primary care practices across the Greater Philadelphia region.

Ownership category

akta.pro rank

Headquarters

HQ city

Conshohocken

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Management Services / MSO Fees: Tandigm Physician Services generates revenue by providing administrative services (business operations, revenue cycle, staffing, IT) to physician practices for a fee. TPS supports practices of any size, with proven expertise from supporting PentaHealth (60+ providers, nine offices).
2. Shared Savings / ACO Performance Revenue: Tandigm manages ACOs (Tandigm Value Partners, Doylestown Value Partners, Penn Medicine Healthcare Partners) under the CMS Medicare Shared Savings Program. ACOs earn shared savings when they reduce Medicare costs below benchmark while meeting quality targets. Tandigm Value Partners generated $22 million in total savings for CMS in 2024 with a 13.4% shared savings rate. ACO revenue is shared between Tandigm and participating practices.
3. Value-Based Care Incentive Payments: Tandigm distributes financial incentives to practices for delivering quality, efficient, outcome-driven care. Over $130 million in incentives were paid to PCPs from 2015-2018; $400M in incentives paid since inception (per 2024). Incentives are funded from savings generated under value-based payer contracts.
4. Value-Based Care Network Contracts with Payors: Tandigm contracts with payors (Independence Blue Cross, Humana, CMS) under value-based arrangements where Tandigm is accountable for the cost and quality of care for attributed lives. Revenue is tied to quality and cost performance metrics.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels9 records

Core offering

Tandigm Physician Services (TPS) is the Management Services Organization subsidiary of Tandigm Health that provides independent physician practices with administrative operations, revenue cycle management (including exclusive Epic Resolute specialists via Penn Community Connect), staffing and provider recruitment, information technology, and value-based care quality program support. TPS operates as the operational backbone for practices participating in Tandigm's value-based network and ACOs, enabling independent PCPs to participate in payer value-based contracts without being absorbed by a hospital system.

Product overview

Tandigm Health operates as a Population Health Management Company offering a comprehensive suite of services organized around value-based care delivery. The core portfolio includes Tandigm Physician Services (TPS), an MSO providing administrative support to medical practices; clinical service programs including Complex Care Management (CCM), Advanced Illness Management (AIM), Comprehensive Medication Management (CMM), Heart Failure pathway, Transitions of Care, Direct to SNF, and Fall Risk Reduction; and three Accountable Care Organizations (Tandigm Value Partners, Doylestown Value Partners, and Penn Medicine Healthcare Partners). Additional offerings include the Tandigm Scholars scholarship program for primary care physicians and Tandigm Connect patient engagement platform. Together these services engage, enable, and empower a regional network of independent primary care practices to deliver quality care through innovative health management tools, clinical support, and value-based care incentives.

Differentiator

Problem solved

Functional benefit

Products and services

• Tandigm Physician Services (TPS) A Management Services Organization providing independent physician practices with administrative operations, revenue cycle management (including exclusive Epic Resolute specialists via Penn Community Connect), information technology services, provider recruitment and staffing, and value-based care quality program support. First deployed with Gateway Medical Associates / PentaHealth (60+ providers across nine offices).
• Complex Care Management (CCM) NCQA-accredited interdisciplinary program identifying and supporting high-risk patients through nurses, pharmacists, social workers, and clinical coordinators working closely with primary care practices to deliver personalized whole-person care.
• Advanced Illness Management (AIM) Clinical pathway supporting patients with complex chronic illnesses such as cancer, heart disease, COPD, or dementia through multidisciplinary teams connecting patients to palliative care resources for symptom management and caregiver support.
• Comprehensive Medication Management (CMM) Clinical pharmacist-led service optimizing medication regimens and reducing adverse drug events using evidence-based best practices and innovative technology for attributed patients.
• Heart Failure Pathway Tailored clinical interventions for heart failure patients designed to enhance outcomes and reduce avoidable hospitalizations through care coordination, symptom identification, and medication optimization.
• Transitions of Care Post-acute care program supporting reduction of avoidable admissions and emergency department visits by streamlining patient transitions from hospital to skilled nursing facility or home.
• Direct to SNF Program facilitating direct admission for Tandigm patients to partner skilled nursing facilities, preventing unnecessary hospitalizations and reducing patient days away from home and total cost of care.
• Fall Risk Reduction Screening program using CDC STEADI guidelines for all CCM patients, providing education and primary care visits to address clinical fall risks.
• Tandigm Value Partners ACO Accountable Care Organization participating in the CMS Medicare Shared Savings Program, ranked in the top 5% of ACOs nationwide in 2024 with approximately 11,500 patients and generating $22 million in total savings for CMS at a 13.4% shared savings rate.
• Doylestown Value Partners ACO Doylestown Value Partners ACO serving 12,600 Medicare beneficiaries; in its second year of operation generated $3.3 million in total savings for CMS with $2.4 million in earnings for ACO participants.
• Penn Medicine Healthcare Partners ACO ACO under the CMS Medicare Shared Savings Program in its first year of operation, saving CMS $7.1 million with $5.2 million in earnings for ACO participants; serves 32,800 patients across the Penn Medicine primary care network in the five-county Philadelphia region and Princeton, NJ.
• Tandigm Connect Digital patient engagement platform enabling patient connection and engagement with the Tandigm provider network.

Quantifiable outcome

• 19% reduction in hospital admissions for Medicare Advantage and Commercial patients since 2015
• +8 more outcomes

Named customers10 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

Integration4 records

Feature4 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• Penn MedicinecoreStrategic or Co-development Partner · 27 September 2022Penn Medicine partnered with Tandigm to launch Penn Medicine Healthcare Partners ACO under the CMS Medicare Shared Savings Program, covering 32,000 patients in primary care practices at more than 290 Penn Medicine locations across the five-county Philadelphia region and Princeton, NJ. Penn Medicine also provides specialty care access and advanced home care services to Tandigm's primary care network.
• Care ContinuitycoreTechnology or Integration · 15 December 2020Tandigm partnered with Care Continuity for patient navigation and care logistics. Care Continuity's cloud-based provider communication and consultation management platform streamlines communications between Tandigm's network of 420 PCPs and 470 specialists, integrating 25+ ambulatory EHR systems to improve the referral and care coordination process.
• Gateway Medical Associates (now PentaHealth)coreStrategic or Co-development Partner · 5 August 2020Tandigm Health launched Tandigm Physician Services (TPS) in partnership with Gateway Medical Associates (now PentaHealth Medical Group). Gateway was the first practice to utilize TPS's full MSO services, proving the model before scaling to additional practices. Gateway/PentaHealth operates 60+ providers across nine offices.
• NextGatecoreTechnology or Integration · 1 January 2020Tandigm selected NextGate's cloud-based Enterprise Master Patient Index (EMPI) and Provider Registry on Microsoft Azure as strategic components for fully-connected, person-centric care. NextGate's EMPI manages patient identities for more than two-thirds of the U.S. population. This enables Tandigm to accurately identify and match individuals across its network of 1,100+ physicians and 100,000+ patients.
• Doylestown Health / Doylestown Healthcare PartnershipcoreStrategic or Co-development Partner · 17 November 2015Tandigm partnered with Doylestown Healthcare Partnership (DHP) — a clinically-integrated network including Doylestown Hospital and primary care/specialist physicians — to improve care delivery, reduce costs, and enhance patient satisfaction. Doylestown later formed its own Doylestown Value Partners ACO (2023) managed by Tandigm.
• Grand View HealthminorStrategic or Co-development PartnerGrand View Health partnered with Tandigm as part of Tandigm Value Partners ACO (founded 2022). Tandigm patients in Bucks County needing advanced oncology services have been referred to Penn Medicine specialists operating at Grand View Hospital.
• Holy Redeemer Health SystemminorStrategic or Co-development PartnerHoly Redeemer Health System was one of Tandigm's earliest hospital partners (agreement effective March 2015), collaborating on care coordination through the IWA clinically integrated network and Tandigm's value-based model.
• TriValley Primary CareminorStrategic or Co-development PartnerTriValley Primary Care partnered with Tandigm in Tandigm Value Partners ACO (founded 2022) and participates in Tandigm's VBC model. Dr. Natalie McGann of TriValley serves as Medical Director of Tandigm Value Partners.

Scale indicators12 records

Recent moves11 records

Expansion highlights5 records

Broad incumbents

• DaVita Integrated Kidney Care: DaVita was a founding partner of Tandigm Health and remains a leader in physician-centric care delivery, particularly through DaVita Integrated Kidney Care's value-based arrangements with payors. DaVita's IKC operates risk-bearing contracts for ESRD and CKD patients with similar MSSP/MA economic structures.
• Evolent Health: Evolent Health provides value-based care services and specialty care management (oncology, cardiology, MSK) to health plans and providers nationally. Evolent offers overlapping capabilities in value-based care enablement, population health management, and provider partnerships, though it operates at a broader scale and across more specialties than Tandigm.

Direct peers

• Privia Health: Privia Health is a national physician enablement company that partners with independent primary care and specialty practices to deliver value-based care across multiple ACOs and commercial contracts. Privia operates a comparable MSO model with multi-payer capabilities and similar technology-enabled practice support services, making it a direct public-market comparable.
• Aledade: Aledade is the largest independent PCP-focused ACO operator in the U.S., managing ACOs across dozens of states and partnering with thousands of independent primary care physicians under the MSSP and other value-based contracts. Aledade competes most directly with Tandigm in ACO management for independent PCPs and is a close comparable in business model and target customer.
• Agilon Health: Agilon Health partners with primary care physicians to deliver value-based care, particularly for Medicare Advantage patients, by providing practice transformation, clinical support, and risk-bearing infrastructure. Agilon's partnership model with PCPs and MA-focused ACO economics closely parallel Tandigm's operating model.

Others

• Arcadia: Arcadia is the population health analytics platform that powers Tandigm's analytics stack. While not a direct competitor, Arcadia is an enabling technology provider to value-based care operators and a strategic partner whose platform capabilities increasingly overlap with what MSOs build internally.
• Risk Strategies / High Value Care Coalition: Independent PCP ACO enablers and clinically integrated networks operating in adjacent regional markets (e.g., the High Value Care Coalition, New Jersey ACOs, Delaware accountable care organizations) compete with Tandigm for regional payer contracts and physician network density in the broader Mid-Atlantic market.

Emerging players

• VillageMD: VillageMD (a Walgreens Boots Alliance company) operates value-based primary care clinics with employed and affiliated physicians, providing comprehensive practice support similar to an MSO. VillageMD operates in adjacent Mid-Atlantic geographies and represents both a potential expansion model and a competitive threat to Tandigm.
• Guidehealth: Guidehealth (formerly HealthScape Advisors' value-based care arm, now backed by Memorial Hermann) provides physician enablement services including analytics, care management, and MSO capabilities to health systems and independent practices. Guidehealth's integrated enablement model competes with Tandigm's MSO offering.
• Pearl Health: Pearl Health is a tech-enabled VBC enablement platform that partners with primary care physicians under risk-bearing arrangements with Medicare Advantage and MSSP. Pearl represents a newer generation of PCP enablement platforms with modern technology and capital backing, and is actively expanding into markets where Tandigm operates.

Market position

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/TandigmHealth
• LinkedInlinkedin.com/company/tandigm-health
• Instagraminstagram.com/tandigmhealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries1 record

Funding overview

Funding rounds3 records

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 Tandigm Physician Services