Lightbeam Health
Lightbeam Health Solutions provides an AI-enabled population health management platform for ACOs, MSOs, payers, and health systems, aggregating clinical, claims, and SDOH data to deliver predictive risk stratification, automated patient engagement, contract modeling, and value-based care performance analytics.
- Company typePrivate
- Founded2012
- HeadquartersIrving, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What Lightbeam Health does
Lightbeam Health Solutions is a private, Irving/Coppell, Texas-based healthcare technology company founded in 2012 by Pat Cline (who previously founded NextGen Health in 1994) that operates an AI-enabled population health management platform serving ACOs, MSOs, payers, payviders, providers, and health systems across the United States. The platform uses a FHIR-native architecture to aggregate clinical, claims, ADT, HIE, and SDOH data into a unified patient record that powers predictive risk stratification, automated patient engagement, quality measure optimization, referral management, and value-based care performance analytics. The company's product portfolio includes the core Lightbeam Platform, the Provider Compass EMR-embedded HCC coding module, the CareSignal Deviceless Remote Patient Monitoring solution (SMS/IVR/conversational AI across 30+ clinical pathways), and the recently acquired Syntax platform for value-based contract modeling. Lightbeam claims $5B+ in cumulative gross savings delivered to customers since 2014, with current platform scale of 45M+ patients, 490K+ physicians, 5B+ claims processed, 13B clinical data elements, and 100M+ rows of daily data ingestion across 50+ EHRs and 270+ health plans.\n\nThe business model is quote-based enterprise SaaS with multi-year contracts, distributed through direct field sales led by CRO Paul Bergeson and SVP of Business Development Patrick Burton, supplemented by channel partnerships with Microsoft Azure Marketplace and Wakely Consulting Group, plus an AHIP affiliation for payer engagement. Lightbeam has expanded its surface area through acquisitions — Syntax Health (December 2025), CareSignal (November 2021), Browsersoft (2016), and Dynamic Vault (2014) — and through advisory services that pair technology with population health and clinical transformation expertise. The company holds HITRUST r2 certification (2024), NCQA Population Health Management Prevalidation (December 2025), and Microsoft AI Cloud Partner Program Healthcare AI Certified Software designation (2025), reinforcing its position as a vendor of record for risk-bearing healthcare organizations navigating MSSP, ACO REACH, TEAM, LEAD, and ACCESS CMS models.
Lightbeam Health firmographics
Firmographics- Name
- Lightbeam Health
- Legal name
- Lightbeam Health Solutions
- Website
- https://lightbeamhealth.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Lightbeam Health Solutions provides an AI-enabled population health management platform for ACOs, MSOs, payers, and health systems, aggregating clinical, claims, and SDOH data to deliver predictive risk stratification, automated patient engagement, contract modeling, and value-based care performance analytics.
- Ownership category
- akta.pro rank
Lightbeam Health industry classification
Industry- Product category
- Population Health Management Software
- NAICS
- Computer Systems Design and Related Services (5415), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)
- SIC
- Services-Misc Health & Allied Services, Nec (8090), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Multi-Condition RPM Platforms & Care Orchestration (device-agnostic, population management) (HLALAFAL)
- akta.pro secondary industries
- Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways) (HLACAFAO), Edge-Based Clinical Decision Support & Alerts (On-Device/On-Prem Analytics) (HLACAPAL)
Keywords
Where Lightbeam Health is headquartered
LocationHeadquarters
- HQ city
- Irving
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Lightbeam Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Platform Subscription: Lightbeam operates as an enterprise SaaS company providing a population health management platform on a subscription basis. Healthcare organizations (ACOs, MSOs, payers, providers) pay for access to the AI-enabled platform, analytics, and workflow tools. The company generates recurring subscription revenue with typical multi-year enterprise contracts.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Enterprise SaaS Platform - Quote-based pricing |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels5 records
Lightbeam Health product offering
Product offeringCore offering
Lightbeam Health Solutions provides an AI-enabled population health management SaaS platform that aggregates clinical, claims, ADT, HIE, and SDOH data to deliver predictive risk stratification, care management workflows, and value-based care analytics for ACOs, MSOs, payers, and providers. The platform includes modular capabilities for risk adjustment optimization, quality measure tracking, transitional and chronic care management, deviceless remote patient monitoring (CareSignal), referral management, and contract intelligence (Syntax), supported by clinical and financial advisory services.
Product overview
Lightbeam Health Solutions offers a unified AI-enabled population health management platform with a modular architecture. The core Lightbeam Platform aggregates EHR, claims, ADT, HIE, and SDOH data to power predictive risk stratification and care management workflows. Key modules include Risk Adjustment Optimization (Provider Compass), Quality Measure Optimization, TCM/CCM/Rising Risk Management, Automated Patient Engagement (CareSignal Deviceless RPM), Referral Management, Provider Score Carding, and Point of Care Integration. The company has expanded through acquisitions (Syntax for actuarial intelligence) and partnerships (Wakely for ACO optimization) to create an end-to-end operating system for value-based care.
Differentiator
Problem solved
Functional benefit
Brands
- CareSignal: Award-winning Deviceless Remote Patient Monitoring (DRPM) solution that engages patients via SMS and phone without devices or apps
- Syntax
- Wakely
- Jvion
Products and services
- Lightbeam Population Health Management Platform AI-enabled population health management platform that aggregates EHR, claims, ADT, HIE, and SDOH data to deliver predictive risk stratification, care management workflows, and value-based care performance analytics for ACOs, MSOs, payers, providers, and health systems.
- Risk Adjustment Optimization (Provider Compass) Module that delivers AI-powered HCC coding guidance embedded directly in EMR workflows, automating alerts, improving diagnosis coding accuracy, optimizing RAF scores, and maximizing reimbursement for ACOs, payers, and providers.
- Quality Measure Optimization Module that unifies clinical, administrative, and operational workflows to identify care gaps, track quality measures, and maximize value-based contract performance for healthcare organizations.
- TCM, CCM & Rising Risk Management Module delivering AI-powered workflows combining real-time data, risk prediction, and automated patient engagement to identify and engage the right patients at the right time, preventing avoidable readmissions and improving outcomes under TCM and CCM programs.
- Automated Patient Engagement & Deviceless RPM (CareSignal) Lightbeam's award-winning deviceless remote patient monitoring platform using SMS, IVR, and conversational AI for automated enrollment and outreach without devices or apps, supporting 30+ clinical pathways including COPD, CHF, diabetes, hypertension, depression, and post-discharge.
- Referral Management Module that leverages claims, clinical, and third-party data to route referrals based on cost, quality, and performance data, reducing referral leakage and strengthening network performance for ACOs, MSOs, and providers.
- Provider Score Carding Provider performance measurement and alignment solution combining analytics, EMR-native workflows, and value-based care expertise, delivering embedded scorecards and performance visibility for healthcare networks.
- Point of Care Integration Module delivering real-time, actionable intelligence directly into clinical workflows, aggregating clinical, claims, and patient-reported data to surface care gaps, quality measures, and risk insights during patient encounters.
- Syntax Contract Intelligence Platform Acquired in December 2025, the Syntax platform provides actuarial intelligence for value-based care contracts, enabling shared savings modeling, risk corridor analysis, quality incentive tracking, and attribution rule modeling across all lines of business.
- Wakely ACO Optimization (Retrosight & Futuresight) Actuarial-grade forecasting and benchmarking tools delivered with Wakely Consulting Group, including Retrosight for historical ACO performance benchmarking and Futuresight for actuarial forecasting, helping ACOs manage risk and maximize value-based care performance.
- Clinical & Financial Advisory Services Hands-on advisory services pairing Lightbeam's advanced analytics with population health expertise, including Clinical Transformation Advisors for care management optimization and Population Health Advisors for financial and strategic oversight, available to ACOs, MSOs, payers, and providers.
Quantifiable outcome
- $5B+ in gross savings delivered to customers since 2014
- +15 more outcomes
Companies that use Lightbeam Health
Customer profileNamed customers14 records
Segments6 records
Ideal customer profiles5 records
Lightbeam Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability6 records
Feature7 records
Lightbeam Health partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered flagship, core and strategic.
- Microsoft (HIMSS26)flagshipHIMSS26 showcase of Copilot-Driven Innovation and Advanced Actuarial Capabilities for Risk-Bearing Organizations. Demonstrated new AI-enabled and actuarial capabilities including analytics, cohort management, and CMS model support for healthcare organizations. Microsoft AI Cloud Partner Program designation enables healthcare organizations to access certified AI solutions.
- Syntax HealthcoreLightbeam acquired Syntax Health, an enterprise SaaS platform specializing in contract modeling and incentive design for value-based care. The acquisition integrates Syntax's platform into Lightbeam's VBC operating system, enhancing contract modeling, financial forecasting, and payer-provider alignment capabilities. Syntax adds contract intelligence and actuarial modeling as a missing layer between performance analytics and financial truth.
- Wakely Consulting GroupcoreStrategic partnership to launch ACO Optimization Retrosight and ACO Optimization Futuresight tools for Accountable Care Organizations. Wakely, an HMA Company, provides actuarial-grade forecasting and benchmarking, enabling ACOs to assess historical performance, model future scenarios, and optimize network composition. Empowers ACOs to drive millions in value through network performance benchmarking and financial forecasting.
- AHIP (America's Health Insurance Plans)strategicPartnership with AHIP to further enhance payer-provider solutions. Affiliation reflects Lightbeam's commitment to bridging the information gap between health plans and providers in value-based care arrangements.
- Microsoft Azure MarketplaceflagshipLightbeam launched on Microsoft Azure Marketplace, enabling Azure customers worldwide to purchase Lightbeam's care orchestration technology through Azure's cloud marketplace. Deep integration with Microsoft technology including Azure OpenAI Service and Dynamics 365. Lightbeam holds Microsoft AI Cloud Partner Program certification and Healthcare AI Certified Software designation.
Scale indicators16 records
Recent moves7 records
Expansion highlights6 records
Lightbeam Health competitors and assessment
Company assessmentDirect peers
- Datavant: Datavant connects and de-identifies clinical and claims data across providers, payers, and partners for healthcare analytics — comparable to Lightbeam's FHIR-native data orchestration across EHRs, ADT feeds, HIEs, and SDOH datasets.
- Health Recovery Solutions: Health Recovery Solutions provides remote patient monitoring and care transitions tools for hospitals and health systems — a direct competitor to Lightbeam's CareSignal RPM in the value-based care and post-acute monitoring space.
- Health Catalyst: Health Catalyst provides an enterprise data and analytics platform for health systems with population health, risk adjustment, and value-based care modules — directly comparable to Lightbeam's analytics, risk stratification, and quality measure optimization offerings.
- Arcadia: Arcadia operates a population health management and healthcare analytics platform aggregating clinical, claims, and SDOH data for ACOs, payers, and health systems — directly comparable to Lightbeam's core platform across customer base, VBC focus, and data orchestration model.
- Innovaccer: Innovaccer offers a healthcare data activation platform with FHIR-native interoperability, risk stratification, and value-based care analytics serving payers, providers, and ACOs — overlapping directly with Lightbeam on data aggregation, AI risk modeling, and population management.
- 100Plus (Connect America): 100Plus offers remote patient monitoring and chronic care management for seniors, including device-free options — comparable to Lightbeam's CareSignal Deviceless RPM in serving Medicare, ACO, and value-based care populations.
- Cedar Gate Technologies: Cedar Gate delivers value-based care performance management including contract modeling, risk analytics, and population health — closely matching Lightbeam's post-Syntax combination of PHM analytics and contract intelligence for ACOs and payers.
Broad incumbents
- Optum (UnitedHealth Group): Optum operates one of the largest population health, risk adjustment, and value-based care analytics businesses as part of UnitedHealth — a broad incumbent that competes with Lightbeam across payers, ACOs, and provider enablement with a vastly larger portfolio.
- Epic Healthy Planet: Epic's Healthy Planet suite delivers population health, risk stratification, and value-based care analytics embedded directly in the Epic EHR — a broad incumbent offering that competes with Lightbeam especially where customers standardize on Epic.
- Oracle Health (Cerner): Oracle Health provides population health management as part of its broader EHR and analytics portfolio — a broad incumbent competing with Lightbeam's analytics and care management modules in health system accounts.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
Lightbeam Health social profiles
Digital presenceLightbeam Health compliance and trust
Trust signalCompliance2 records
Lightbeam Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Lightbeam Health leadership team
Management profileNumber of profiles
Profiles16 records
Lightbeam Health subsidiaries and ownership
Company hierarchySubsidiaries2 records
Lightbeam Health funding detail
Funding detailFunding overview
Funding rounds2 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Lightbeam Health M&A and investment
M&A and investmentM&A4 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Lightbeam Health
What does Lightbeam Health do?
Lightbeam Health Solutions provides an AI-enabled population health management SaaS platform that aggregates clinical, claims, ADT, HIE, and SDOH data to deliver predictive risk stratification, care management workflows, and value-based care analytics for ACOs, MSOs, payers, and providers. The platform includes modular capabilities for risk adjustment optimization, quality measure tracking, transitional and chronic care management, deviceless remote patient monitoring (CareSignal), referral management, and contract intelligence (Syntax), supported by clinical and financial advisory services.
Is Lightbeam Health a public or private company?
Lightbeam Health is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Lightbeam Health founded?
Lightbeam Health was founded in 2012. It employs 11 to 50 people.
Where is Lightbeam Health based?
Lightbeam Health is headquartered in Irving, United States, in the North America region.
How does Lightbeam Health make money?
One revenue line is on record: saaS Platform Subscription.
Who are Lightbeam Health's main competitors?
Direct peers on record are Datavant, Health Recovery Solutions, Health Catalyst, Arcadia, Innovaccer, 100Plus (Connect America) and Cedar Gate Technologies. Broad incumbents are Optum (UnitedHealth Group), Epic Healthy Planet and Oracle Health (Cerner).
Does Lightbeam Health have an API?
No public API is recorded for Lightbeam Health.
What industry is Lightbeam Health in?
Lightbeam Health's product category is Population Health Management Software. Its primary akta.pro industry code is HLALAFAL, Multi-Condition RPM Platforms & Care Orchestration (device-agnostic, population management), with a secondary code of HLACAFAO, Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways). Its NAICS code is 5415 and its SIC code is 8090.