CareMore Health

What CareMore Health does

CareMore Health is a value-based integrated healthcare delivery organization headquartered in Cerritos, California, founded in 1992-1993, that provides coordinated primary care and chronic disease management to Medicaid, Medicare, Medicare Advantage, and Commercial patients across Arizona, California, Nevada, and Tennessee. The company's core delivery model is a delegated, capitated framework in which CareMore accepts prospective payments from health insurers and assumes financial accountability for managing entire patient populations, aligning physician incentives toward prevention and coordination rather than fee-for-service volume. Care is delivered through approximately 13 owned neighborhood clinics in Southern California, a network of roughly 14,000 contracted providers, telehealth, and a 24/7 Nurse HelpLine, with an integrated care team of physicians, nurse practitioners, care coordinators, and social workers addressing medical, physical, nutritional, behavioral, and social drivers of health.

CareMore's technology stack rests on electronic medical records (athenahealth-powered patient portal and a separate provider portal), participation in Health Information Exchanges for interoperability, and evidence-based disease management programs for diabetes, COPD, heart disease, hypertension, kidney disease, and podiatry. The company monetizes primarily through capitated risk arrangements and fee-for-service contracts with a broad roster of health plans (Aetna, Blue Cross of California, Humana, HealthSpring, Alignment Health, SCAN, UCLA Health, Clever Care, Verda, and others), supplemented by an insurance broker referral channel. The company operates as a business unit under Mosaic Health, a national care delivery platform serving nearly one million consumers across 19 states, alongside apree health and Millennium Physician Group. Recent strategic actions include partnerships with Clever Care Health Plan (January 2026, 350+ PCPs in SoCal) and Verda Health Plan of Arizona (September 2025, Maricopa County), and the March 2026 appointment of Dr. Anh Pham as Chief Medical Officer.

Name

CareMore Health

Legal name

CareMore Health

Website

https://caremore.com

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

CareMore Health is a value-based, capitated integrated care delivery organization serving Medicaid, Medicare, Medicare Advantage, and Commercial patients across Arizona, California, Nevada, and Tennessee through owned clinics, a ~14,000-provider network, and chronic disease management programs, operating as a Mosaic Health business unit.

Ownership category

akta.pro rank

Product category

Integrated Primary Care Delivery

NAICS

Offices of Physicians (62111), Services for the Elderly and Persons with Disabilities (62412)

SIC

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

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industry

Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)

Keywords

• Value-based primary care
• Chronic disease management
• Medicare Advantage services
• Integrated care delivery
• Coordinated whole-person care

Headquarters

HQ city

Cerritos

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Capitated/Value-Based Payments: CareMore Health operates under a 'delegated model' where physician organizations accept prospective (capitated) payments from health insurers and assume substantial operational authority and financial accountability to manage entire patient populations. This shifts financial risk and care delivery control to the physician organization, aligning incentives toward prevention and coordination rather than fee-for-service volume. The company also receives fee-for-service payments and engages in value-based care contracts with health plans.
2. Fee-for-Service Revenue: Revenue is also generated through traditional fee-for-service arrangements with health insurers and health plans for covered services rendered to enrolled patients.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

CareMore Health operates an integrated, value-based primary care delivery system serving Medicaid, Medicare, Medicare Advantage, and Commercial patients across Arizona, California, Nevada, and Tennessee. The company delivers coordinated whole-person care through physician-led teams (doctors, nurse practitioners, care coordinators, and social workers) who address medical, physical, nutritional, behavioral, and social drivers of health, supported by specialized disease management programs, a 24/7 Nurse HelpLine, telehealth, and a network of neighborhood clinics. CareMore accepts capitated/value-based payments as well as fee-for-service revenue from contracted health plans.

Product overview

CareMore Health is a value-based integrated care delivery system providing coordinated primary care and chronic disease management. The company operates through its core CareMore Health branded primary care services, supported by specialized Disease Management Programs for conditions including diabetes, COPD, heart disease, hypertension, and podiatry. Care services are delivered through a network of 13 neighborhood clinics across Southern California plus additional locations in Arizona, Nevada, and Tennessee, with support from a 24/7 Nurse HelpLine, Telehealth Services, and patient/provider portals. CareMore Health serves Medicaid, Medicare, Medicare Advantage, and Commercial patients, focusing on proactive, whole-person care that addresses medical, physical, nutritional, behavioral, and social health drivers. The company is a Mosaic Health business unit operating alongside apree health and Millennium Physician Group.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Care Services Coordinated, whole-person primary care delivered through same-day appointments, virtual visits, and extended appointment times, including routine care, chronic condition management, preventive care, and specialist referrals coordinated by an integrated care team for Medicaid, Medicare, Medicare Advantage, and Commercial patients.
• Disease Management Programs Specialized programs for managing chronic conditions including diabetes, COPD, heart disease, kidney disease, arthritis, back pain, hypertension, and podiatry. Programs include proactive monitoring, lifestyle guidance, medication management, and care coordination to prevent complications and hospital visits.
• 24/7 Nurse HelpLine Round-the-clock nurse assistance line providing immediate guidance, health information, medication refill support, and care navigation for enrolled patients.
• Telehealth Services Virtual care visits allowing patients to connect with CareMore providers via internet or phone for regular follow-ups and when in-person appointments are not possible.
• CareMore Clinic Network Owned clinic network across Arizona, California, Nevada, and Tennessee offering primary care, disease management programs, and specialized services in person. The Southern California network includes 13 neighborhood clinics across three counties.
• Diabetes Management Program Comprehensive diabetes care program demonstrating average A1C reduction from 10.92 to 8.52, including care team monitoring, lifestyle guidance, medication management, and regular screenings for enrolled patients.
• Heart Health Program Cardiovascular disease management and prevention program including hypertension management, heart-healthy lifestyle guidance, and monitoring for heart disease risk factors.

Quantifiable outcome

• Patients enrolled in CareMore's diabetes management program reduced their average A1C from 10.92 to 8.52, substantially lowering risk of hospitalization, kidney failure, and cardiovascular events.

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Clever Care Health PlancoreStrategic or Co-development Partner · 6 January 2026Clever Care Health Plan, a culturally sensitive Medicare Advantage plan blending Eastern and Western medicine, partnered with CareMore Health to expand in-network primary care access across three Southern California counties (Los Angeles, Orange, and San Bernardino). The partnership adds over 350 additional primary care providers to Clever Care's in-network options and taps CareMore's established integrated care delivery network operating 13 neighborhood clinics. The partnership began January 1, 2026.
• Verda Health Plan of ArizonacoreStrategic or Co-development Partner · 3 September 2025Verda Health Plan of Arizona, an innovative Medicare Advantage plan focused on underserved multi-ethnic communities (including Hispanic, Asian, and Arab American populations in Maricopa County), partnered with CareMore Health to connect its members with CareMore's local provider network. Verda offers two products: Verda Noble Care (standard Medicare Advantage) and Verda Noble Chronic Care (for individuals with qualifying chronic conditions including diabetes, congestive heart failure, and cardiovascular disorders).

Scale indicators8 records

Recent moves5 records

Expansion highlights6 records

Direct peers

• Cano Health: Value-based primary care provider serving Medicare Advantage seniors and dual-eligible populations through owned clinics in multiple states. Comparable capitated care delivery model.
• VillageMD: Value-based primary care platform with capitated contracts serving Medicare and dual-eligible populations through owned clinics and provider partnerships. Direct competitor with similar delegated model.
• ChenMed: Physician-led, family-owned value-based primary care group serving Medicare Advantage seniors through capitated, full-risk arrangements across multiple states. Closely comparable operating model and target population.
• Privia Health: Physician enablement company supporting value-based care arrangements across multi-specialty and primary care groups with risk-bearing contracts. Comparable physician-led, multi-payer model.
• P3 Health Partners: Value-based care platform managing Medicare Advantage populations through risk-bearing primary care contracts with affiliated providers. Similar capitated, PCP-anchored model.
• Agilon Health: Value-based care platform partnering with primary care physicians to manage Medicare Advantage populations under full-risk contracts. Comparable capitated model and PCP partnership structure.
• Astrana Health (formerly Apollo Medical Holdings): Value-based care management organization with capitated contracts serving Medicare, Medicaid, and Commercial populations through delegated provider networks. Highly comparable risk-bearing model.
• Oak Street Health: Value-based primary care provider focused on Medicare beneficiaries with capitated contracts and whole-person care delivery. Most direct comparable to CareMore's risk-bearing primary care model, now owned by CVS Health.
• Iora Health (One Medical): Value-based primary care organization serving Medicare beneficiaries under risk-bearing contracts before acquisition by Amazon/One Medical. Highly comparable capitated model and senior population focus.

Broad incumbents

• DaVita Integrated Kidney Care: DaVita's value-based care division operates kidney-focused capitated programs, including Dr. Pham's former employer. Comparable capitated, multi-state risk-bearing care delivery infrastructure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@CareMoreHealth
• Facebookfacebook.com/CarelonHealth
• LinkedInlinkedin.com/company/caremore-health
• Xx.com/caremorehealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries7 records

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 CareMore Health