Cozeva

What Cozeva does

Cozeva (legally Applied Research Works Inc., founded around 2008-2011) is a US healthcare technology company that provides a unified cloud-based analytics platform for value-based care, serving health plans and provider organizations across 30 states. The platform integrates quality performance management (HEDIS, STAR ratings), risk adjustment (HCC coding), population health analytics, and point-of-care provider engagement into a single system, holding NCQA-certified HEDIS and DAV certifications, HITRUST, ONC, AMP, HIPAA, and GDPR compliance. Core technical capabilities are anchored in NCQA-certified native FHIR digital measure engines, AI and NLP for unstructured clinical data processing, ML-based risk suspect models that support the CMS V28 transition, and EHR integration through the CozevaConnect module that surfaces quality and HCC gaps directly inside provider workflows.

Name

Cozeva

Legal name

Applied Research Works Inc.

Website

https://corp.cozeva.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

51–100 employees

Short description

Cozeva provides a unified cloud-based analytics platform for value-based care, serving US health plans and provider organizations with AI/NLP-powered quality management, risk adjustment, and point-of-care EHR-integrated workflows.

Ownership category

akta.pro rank

Product category

Healthcare Analytics Software

NAICS

Software Publishers (513210)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)

akta.pro secondary industry

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

Keywords

• Value-based care analytics
• Risk adjustment software
• HEDIS quality reporting
• Payer-provider platform
• Population health management

Headquarters

HQ city

Palo Alto

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Platform Subscription (SaaS): Cloud-based platform subscription model serving health plans, provider organizations, and partners. The unified platform integrates quality, risk adjustment, and population health analytics. Revenue is generated through recurring platform fees based on scale (lives, providers, or organization size).

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Cozeva sells a unified cloud-based SaaS platform for value-based care that integrates real-time data exchange, quality performance management (HEDIS, STAR ratings), and risk adjustment (HCC) into clinical workflows for health plans, provider organizations, and partner organizations. The platform combines AI and NLP analytics, NCQA-certified HEDIS engines, EHR integration, and population health management across the United States.

Product overview

Cozeva is a healthcare technology company delivering a single, unified cloud-based platform for value-based care. The platform architecture consists of three integrated suites: the Payer Suite (PayerOne with Quality and Risk sub-modules), the Provider Org Suite (Quality and Risk Bundle, Cozeva Quality, Cozeva Risk), and the Partner Suite (Life Sciences, Vendor Partnerships, Research and Public Health). Core platform capabilities include AI analytics powered by NLP and machine learning, EHR integration via CozevaConnect, FHIR-based data exchange through CareExchange, and population health management. The platform integrates real-time data exchange, quality performance monitoring (HEDIS/STAR ratings), and risk adjustment (HCC coding) into everyday clinical workflows. Cozeva recently merged with Vatica Health in October 2025, combining risk and quality market leaders into a comprehensive offering serving health plans, providers, and partner organizations across 30+ states.

Differentiator

Problem solved

Functional benefit

Brands

• PayerOne: Comprehensive solution for health plans combining quality and risk adjustment across all lines of business, including PayerOne Quality and PayerOne Risk modules.
• CozevaConnect
• Cozeva Quality
• Cozeva Risk
• Quality and Risk Bundle
• Cozeva Care
• CareExchange
• Cozeva Personal
• Vatica Health

Products and services

• Cozeva Platform A unified cloud-based platform for value-based care that integrates real-time data exchange, quality performance, and risk adjustment into everyday clinical workflows. Serves both payers and providers with payer-provider alignment capabilities.
• PayerOne An all-in-one solution for health plans integrating all data sources to enable payer and provider collaboration across quality and risk. Includes population health analytics, health equity insights, CRM, and AI-driven risk adjustment.
• PayerOne Quality Quality module focused on HEDIS and STAR rating performance with future-proof digital quality data streams, point-of-care performance improvement engagement, and integrated data collection, reporting and submissions.
• PayerOne Risk Risk adjustment module for disease burden and revenue alignment across all risk-adjustable populations. Uses AI and machine learning for precise risk scoring with point-of-care HCC insights and CMS V28 transition support.
• Quality and Risk Bundle Comprehensive provider organization solution executing all five dimensions of the Quintuple Aim (care experience, population health, care team well-being, health equity, cost) under one umbrella. Integrates all quality and risk initiatives with multi-payer alignment.
• Cozeva Quality Quality module for provider organizations streamlining operations, improving care delivery, and ensuring adherence to best practices. Leverages 4000+ data points for AI-powered insights with NCQA-certified HEDIS submissions.
• Cozeva Risk Risk adjustment module for provider organizations using AI and machine learning for precise patient risk assessments. Captures true health status of patients with HCC insights at point-of-care and ML suspect models for CMS V28 transition.
• Life Sciences Data Solutions De-identified real-world data solutions for life sciences organizations, including detailed Dx/Procedure level data, diverse cohorts, longitudinal data, and AI-powered analytics for treatment effectiveness and utilization pattern insights.
• Vendor Partnership Solutions Solutions for vendor partners leveraging Cozeva's NCQA-certified HEDIS engine, robust analytics, provider workflow tools, and EHR integration solutions to power adoption and engagement.
• Research and Public Health Solutions Solutions for research and public health organizations including AI-powered campaign deployment with billions of data records across millions of members nationally for intervention modeling and outcome analysis.

Quantifiable outcome

• Cozeva customers achieve 4 Star ratings or above with >95% retention rate across customer base
• +4 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability5 records

Feature6 records

Partnerships

One partnership is on record.

• Vatica HealthcoreStrategic or Co-development Partner · 1 October 2025Cozeva merged with Vatica Health in October 2025, uniting market leaders in risk adjustment and quality to advance value-based care. The merged organization offers a comprehensive suite of solutions including technology solutions, data and analytics, payer interoperability, and clinical services. Vatica Health is a three-time Best in KLAS winner for risk adjustment.

Scale indicators8 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Arcadia: Arcadia is a healthcare data analytics platform focused on value-based care performance, risk stratification, and population health — directly competing with Cozeva's quality, risk adjustment, and EHR-integrated workflows for payers and provider groups.
• Cotiviti: Cotiviti is a leading provider of risk adjustment, quality, and payment accuracy analytics for health plans, with prospective and retrospective offerings that directly overlap with Cozeva's PayerOne Risk and quality modules.
• Inovalon: Inovalon operates the AVA platform for payer-provider analytics, risk adjustment, quality (HEDIS/STAR), and point-of-care insights — a closely comparable offering to Cozeva's unified quality + risk suite, serving similar enterprise payer customers.
• Milliman MedInsight: Milliman MedInsight delivers population health analytics, risk adjustment, and quality measurement tools to health plans and providers, comparable to Cozeva's analytics foundation and risk/quality reporting.
• HealthEC: HealthEC offers a population health management platform for ACOs, payers, and providers with risk adjustment, quality reporting, and care management — directly comparable to Cozeva's bundled quality + risk offering.

Broad incumbents

• Optum (UnitedHealth Group): Optum's Risk Adjustment, Quality, and Population Health solutions serve large national payers and providers with deeply integrated analytics, EHR tooling, and clinical services — making it a broad incumbent against Cozeva across the same value-based care workflows.
• Health Catalyst: Health Catalyst provides a broad data and analytics platform for health systems and payers, including quality, risk, and population health modules — overlapping with Cozeva's analytics, HEDIS, and risk adjustment capabilities at the enterprise tier.
• Evolent Health: Evolent Health partners with payers and providers on value-based specialty care, population health, and risk-bearing arrangements, with technology and services that overlap with Cozeva's payer-provider alignment and quality/risk workflows.

Emerging players

• Clarify Health: Clarify Health provides AI-driven analytics for value-based care, including risk stratification and provider performance benchmarking, intersecting with Cozeva's AI/NLP analytics and risk adjustment positioning.

Others

• Datavant: Datavant is a health data connectivity and de-identification platform enabling secure exchange of patient data — thematically adjacent to Cozeva's CareExchange FHIR-based data exchange and life sciences real-world data solutions.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/cozeva
• Facebookfacebook.com/cozeva
• LinkedInlinkedin.com/company/applied-research-works

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries1 record

Funding overview

Funding rounds

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 Cozeva