Advantmed
Advantmed is a US healthcare information management company that provides risk adjustment programs and in-home clinical assessment services to healthcare payers and providers operating under value-based care reimbursement models.
- Company typePrivate
- Founded2005
- HeadquartersIrvine, United States
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
What Advantmed does
Advantmed is a US-based healthcare information management company that helps healthcare payers and providers operating under value-based care arrangements accurately capture, document, and report patient health status. The company's core offerings are organized around two pillars: (1) Risk Adjustment Programs, which support accurate risk scoring and documentation to ensure appropriate reimbursement in value-based contracts, and (2) In-Home Assessment Offerings, in which clinicians conduct structured health evaluations in patients' homes to generate clinical data that feeds risk adjustment workflows and care coordination. Together these two service lines form a vertically integrated model in which field-based clinical data collection directly powers downstream risk adjustment revenue for payers and provider groups.
The business model is B2B services sold to healthcare payers and providers undergoing the transition from fee-for-service to value-based care. Advantmed does not publicly disclose pricing, contract structures, or unit economics; revenue derives from per-assessment fees, risk adjustment program engagements, or bundled population health engagements typical of the sector. The company was founded in 2005 and is headquartered in Irvine, California, with a workforce of 1,001–5,000 employees — a scale consistent with operating a national field assessment network rather than a software-only model. In February 2025 the company was recapitalized by Webster Equity Partners, a healthcare-focused private equity firm, marking a transition to PE-backed ownership and providing growth capital. Co-founder and CEO Akash Patel continues to lead the company alongside a CFO and a newly appointed Chief Medical Officer / Head of Product Strategy (Dr. Matt Lambert, March 2026) whose mandate explicitly covers product development and clinical strategy across both core offerings.
Advantmed firmographics
Firmographics- Name
- Advantmed
- Website
- https://advantmed.com
- Company type
- Private
- Founded year
- 2005
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Advantmed is a US healthcare information management company that provides risk adjustment programs and in-home clinical assessment services to healthcare payers and providers operating under value-based care reimbursement models.
- Ownership category
- akta.pro rank
Advantmed industry classification
Industry- Product category
- Healthcare Risk Adjustment and Population Health Services
- NAICS
- Home Health Care Services (621610)
- SIC
- Services-Home Health Care Services (8082)
- akta.pro primary industry
- SNP Risk Adjustment (HCC) & Coding Programs (HLAEAGAH)
- akta.pro secondary industry
- Hospital-at-Home / Acute Care at Home Programs (HLAFAEAH)
Keywords
Where Advantmed is headquartered
LocationHeadquarters
- HQ city
- Irvine
- HQ country
- United States
- HQ region
- North America
Markets served
Advantmed business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Advantmed product offering
Product offeringCore offering
Advantmed provides risk adjustment programs that help healthcare organizations accurately document and capture patient health status to ensure appropriate risk-adjusted reimbursement in value-based care arrangements, complemented by in-home assessment offerings in which clinical staff conduct comprehensive health evaluations of patients in their homes for risk adjustment and care coordination purposes.
Product overview
Advantmed offers a focused portfolio of healthcare technology-enabled services centered on risk adjustment programs and in-home assessment offerings. The company provides risk adjustment solutions that help healthcare organizations document patient health status for value-based care reimbursement, complemented by in-home assessment services that enable comprehensive health evaluations outside clinical settings. Dr. Matt Lambert was appointed as Chief Medical Officer and Head of Product Strategy in March 2026 to enhance these programs and drive product development and clinical strategy.
Differentiator
Problem solved
Functional benefit
Products and services
- Risk Adjustment Programs Programs that help healthcare organizations document patient health status and capture accurate risk scores to ensure appropriate risk-adjusted reimbursement in value-based care arrangements. Targeted at healthcare payers and providers in value-based care contracts.
- In-Home Assessment Offerings Healthcare assessment services delivered in patients' homes by Advantmed clinical staff, enabling comprehensive health evaluations and clinical data collection outside of traditional clinical settings to support risk adjustment and care coordination.
Companies that use Advantmed
Customer profileSegments1 record
Ideal customer profiles1 record
Advantmed technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Advantmed partnerships and signals
Strategic signalScale indicators1 record
Recent moves3 records
Expansion highlights4 records
Advantmed competitors and assessment
Company assessmentBroad incumbents
- Optum (UnitedHealth Group): Optum is a vertically integrated health-services and analytics business that includes risk adjustment, in-home assessments (Optum HouseCalls), and population-health tools. It is a broader incumbent competing with Advantmed across multiple value-based care capabilities.
- Health Catalyst: Health Catalyst is a healthcare analytics and outcomes platform serving providers and payers. While broader than Advantmed, it increasingly competes in value-based-care analytics, including risk-adjustment-adjacent use cases.
Direct peers
- Cotiviti: Cotiviti (formerly Verscend) offers risk adjustment, quality, and payment-integrity analytics to payers. It competes with Advantmed's risk-adjustment programs and serves a similar payer customer base with comparable technology-enabled services.
- Inovalon: Inovalon provides risk adjustment, quality outcomes, and population-health analytics to payers and providers. It directly overlaps with Advantmed's risk-adjustment programs and offers competing chart-review and analytics capabilities.
- Apixio (Centene): Apixio provides AI-enabled risk adjustment and clinical-data-extraction services to payers. Now owned by Centene, it competes with Advantmed in chart review, HCC coding, and prospective/retrospective risk adjustment workflows.
- Episource: Episource provides risk adjustment, coding, and in-home health assessment services to Medicare Advantage payers. It is the most directly comparable peer to Advantmed in terms of product mix, including both HCC-focused risk adjustment programs and in-home clinician assessments.
- SCIO Health (emids): SCIO Health, now part of emids, delivers risk adjustment, quality, and analytics services to payers. Its risk-adjustment offerings overlap directly with Advantmed's core programs.
Emerging players
- Lightbeam Health Solutions: Lightbeam Health Solutions delivers population health and risk-adjustment analytics to providers and payers. It is an emerging competitor in the same value-based-care ecosystem, though with less specialization in in-home assessments.
- Persivia: Persivia offers population health management, risk adjustment, and analytics platforms to providers and ACOs. It is an emerging competitor in the same value-based-care risk-adjustment category as Advantmed, with somewhat narrower payer reach.
- Arcadia: Arcadia provides population-health analytics and value-based-care enablement, including risk-adjustment and quality-measure capabilities. It competes with Advantmed in serving providers taking downside risk, with a more technology-centric delivery model.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Advantmed social profiles
Digital presenceAdvantmed financial estimates
Financial estimateRevenue estimate
Valuation estimate
Advantmed leadership team
Management profileNumber of profiles
Profiles5 records
Advantmed funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Advantmed M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Advantmed
What does Advantmed do?
Advantmed provides risk adjustment programs that help healthcare organizations accurately document and capture patient health status to ensure appropriate risk-adjusted reimbursement in value-based care arrangements, complemented by in-home assessment offerings in which clinical staff conduct comprehensive health evaluations of patients in their homes for risk adjustment and care coordination purposes.
Is Advantmed a public or private company?
Advantmed is a private company. It is classified as private equity controlled and is currently operating.
When was Advantmed founded?
Advantmed was founded in 2005. It employs 1,001 to 5,000 people.
Where is Advantmed based?
Advantmed is headquartered in Irvine, United States, in the North America region.
Who are Advantmed's main competitors?
Broad incumbents on record are Optum (UnitedHealth Group) and Health Catalyst. Direct peers are Cotiviti, Inovalon, Apixio (Centene), Episource and SCIO Health (emids). Emerging players are Lightbeam Health Solutions, Persivia and Arcadia.
Does Advantmed have an API?
No public API is recorded for Advantmed.
What industry is Advantmed in?
Advantmed's product category is Healthcare Risk Adjustment and Population Health Services. Its primary akta.pro industry code is HLAEAGAH, SNP Risk Adjustment (HCC) & Coding Programs, with a secondary code of HLAFAEAH, Hospital-at-Home / Acute Care at Home Programs. Its NAICS code is 621610 and its SIC code is 8082.