Private Health Management

What Private Health Management does

Private Health Management (PHM) is a privately held, for-profit healthcare navigation and complex care management firm founded in 2006 and headquartered in Portsmouth, New Hampshire (with a Los Angeles presence). The company delivers high-acuity patient guidance and continuous care support to individuals and families diagnosed with serious or complex diseases, leveraging a multidisciplinary team of advanced practice clinicians and MD, PhD, and PharmD scientists. Its core platform centers on the ClearCancer care management solution, which combines independent (provider- and payor-agnostic) treatment guidance, personalized molecular profiling strategy, expert specialist access, and clinical trial navigation. ClearCancerIQ extends the platform with a proprietary predictive analytics tool that sizes cancer risk across employer health plan populations.

The business model is built on subscription/recurring revenue from two primary streams: (1) individual and family care management engagements and (2) B2B contracts with employers, brokers, and consultants who incorporate PHM as a high-cost-claimant benefit solution. Distribution combines direct enterprise sales with a growing channel layer that includes the Springbuk Activate Marketplace, captive insurance partnerships (Innovative Captive Strategies), care navigation alliances (Apta Health for mid-market employers), reinsurer relationships, and a 2025 MetLife GTM partnership for broad employee benefit distribution. Underlying technology includes AI-enabled research synthesis, predictive analytics, secure multi-cloud infrastructure (AWS, Azure, GCP), and HIPAA-, GDPR-, and CCPA-compliant data handling; outputs are human-reviewed by qualified professionals rather than autonomously delivered.

PHM operates as a privately held company with no disclosed institutional funding rounds, no parent company, and no public listing. Leadership is anchored by CEO Ken Tarkoff (appointed November 2023, formerly CEO of Syapse and SVP at McKesson's RelayHealth) and Executive Chairman and Co-Founder Leslie D. Michelson. The company reports differentiated clinical outcomes, including 70% treatment plan modification rates, 30% diagnosis change rates, 2-4x longer survival in advanced cancers, and 4x higher clinical trial enrollment versus national averages, which form the evidence base used in employer sales and broker/channel motions.

Name

Private Health Management

Legal name

Private Health Management, Inc.

Website

https://privatehealth.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

51–100 employees

Short description

Private Health Management is a private healthcare navigation firm that provides high-acuity patient guidance and complex care management for individuals with serious diseases, serving individuals, families, employers, and benefit advisors through its ClearCancer platform and multidisciplinary clinical-scientific teams.

Ownership category

akta.pro rank

Product category

Healthcare Navigation and Cancer Care Management

NAICS

Offices of Physicians (62111)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Medical Oncology (HLAKAFAB)

akta.pro secondary industry

Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)

Keywords

• Healthcare navigation services
• Cancer care management
• Precision medicine guidance
• Molecular profiling strategy
• Clinical trial access

Headquarters

HQ city

Los Angeles

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Navigation Services: PHM provides high acuity patient guidance and premium continuous support for patients with serious or complex diseases. Services are delivered through contracted engagements with individuals, families, and corporate clients (employers). The company charges for care management and navigation services provided to clients navigating complex healthcare decisions.
2. Corporate/B2B Employer Services: PHM serves employers as a distinctive benefit offering for employees and dependents. Employers engage PHM to arrange the best healthcare available for their workforce, removing the burden of care and empowering employees to make optimal health decisions. This represents a B2B revenue stream through employer benefit contracts.
3. Broker and Consultant Partnerships: PHM provides support services filled through benefit portfolios managed by brokers and consultants for challenging medical issues. Revenue comes from partnerships with insurance brokers and employee benefits consultants who direct their clients to PHM's services.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Private Health Management provides high-acuity patient guidance and continuous care navigation for individuals diagnosed with serious or complex diseases, with a particular focus on cancer. Services are delivered through multidisciplinary teams of advanced practice clinicians, MD/PhD/PharmD research scientists, and care coordinators who develop personalized care plans, identify top specialists, run molecular profiling strategies, and connect clients to clinical trials and cutting-edge treatments. The company sells its flagship ClearCancer care management solution to employers and offers cancer risk analytics (ClearCancerIQ) to size and manage workforce cancer risk.

Product overview

Private Health Management (PHM) offers a platform of healthcare navigation and complex care management services centered on its ClearCancer suite of solutions. The core offering is ClearCancer, a comprehensive cancer care management solution providing precision medicine guidance, expert physician access, molecular diagnostics, and clinical trial navigation. This is complemented by ClearCancerIQ, a predictive analytics add-on module that enables employers to quantify cancer risk across their workforce. Additionally, PHM provides a Molecular Profiling Strategy as a sub-product that personalizes tumor analysis for treatment optimization. The platform is delivered through multidisciplinary teams of advanced practice clinicians and Ph.D.-level research scientists, supported by proprietary databases and AI-enabled technologies.

Differentiator

Problem solved

Functional benefit

Brands

• ClearCancer: A care management solution providing comprehensive cancer care support for employers and individuals, featuring precision medicine approaches and access to advanced diagnostics and treatments.
• ClearCancerIQ (CCIQ)

Products and services

• ClearCancer Comprehensive cancer care management solution that provides precision medicine-based treatment guidance, connecting clients with expert physicians, molecular diagnostics, and clinical trials for serious and complex cancer conditions. Sold as a distinctive benefit to employers and directly to individuals and families.
• ClearCancerIQ (CCIQ) Proprietary predictive analytics tool that analyzes employer health plan population data to quantify and predict cancer risk, enabling companies to develop high-impact cancer management strategies at both individual employee and workforce levels.
• Molecular Profiling Strategy Personalized molecular profiling service that analyzes cancer cells to identify molecular drivers and inform precision oncology-based treatment decisions for each client.
• High-Acuity Patient Guidance (Care Navigation) Continuous, high-touch care navigation service for individuals and families diagnosed with serious or complex diseases, providing independent guidance, research-driven insights, and end-to-end decision support throughout the care journey.

Quantifiable outcome

• 2-4x longer survival for advanced cancers (breast, colorectal, lung, glioblastoma, pancreatic, prostate)
• +5 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability5 records

Feature5 records

Partnerships

Six partnerships are on record, tiered major, core and supporting.

• MetLifemajorGTM or Marketing Partner · 4 September 2025PHM partners with MetLife to expand access to PHM's Cancer Care program. This collaboration provides employees and their families with a more comprehensive cancer benefit including access to cutting-edge treatments, advanced diagnostics, and personalized guidance from PHM's expert team.
• Innovative Captive StrategiescoreGTM or Marketing Partner · 30 July 2024PHM was selected by Innovative Captive Strategies (ICS), a leading provider of captive insurance solutions, to deliver comprehensive care support to ICS clients and their plan members with serious and complex medical conditions through captive insurance arrangements.
• SpringbukcoreStrategic or Co-development Partner · 16 January 2024Strategic partnership with Springbuk, the leading health intelligence platform for employers and benefit advisors. This collaboration leverages PHM's ClearCancer care management solution with Springbuk's analytics platform to offer employers comprehensive cancer care solutions. PHM is also featured in Springbuk's Activate Marketplace.
• Apta HealthcoreGTM or Marketing Partner · 9 January 2024Partnership with Apta Health, the leader in turnkey Guided Healthcare programs for mid-market employers, to provide comprehensive care navigation services to members with serious and complex medical conditions.
• Guardant HealthsupportingTechnology or IntegrationPHM partners with Guardant Health for comprehensive molecular profiling to identify potential treatment options for cancer patients. Guardant Health provides advanced diagnostic testing that supports PHM's precision medicine approach.
• SEngine Precision MedicinesupportingTechnology or IntegrationPHM collaborated with SEngine Precision Medicine on a case study published in Frontiers in Oncology, demonstrating use of SEngine's cutting-edge molecular profiling technology for prostate cancer treatment. The partnership enables access to innovative diagnostic capabilities.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Alight Solutions: Alight is a large benefits administration and healthcare navigation platform serving enterprise employers. Broader incumbent with adjacent navigation capabilities that can substitute for PHM-style services in benefits portfolios.
• Teladoc Health: Teladoc Health provides virtual care, expert medical services, and integrated care delivery for employers and health plans. Overlaps with PHM through its expert medical opinion and complex care segments serving the same buyer.

Direct peers

• Health Advocate (a ComPsych company): Health Advocate is a healthcare advocacy and navigation service for employees and their families dealing with complex medical issues. Direct peer in patient advocacy for serious diagnoses, distributed through employers and EAPs.
• Quantum Health: Quantum Health provides healthcare navigation and care coordination specifically targeting high-cost, complex claims for self-funded employers. Most comparable peer given shared focus on complex/cancer cases and employer benefit channel distribution.
• Transcarent: Transcarent offers a healthcare experience platform combining navigation, virtual care, and surgery/oncology benefits for self-funded employers. Competes directly in the employer navigation market with growing emphasis on complex care and oncology.
• Included Health: Included Health (formerly Grand Rounds Health + Doctor On Demand) provides virtual care and healthcare navigation for complex and serious conditions, including oncology, serving employers and health plans. Directly comparable as an enterprise navigation competitor targeting similar employer benefit buyers and complex-case use cases.
• Accolade: Accolade offers personalized healthcare navigation and advocacy for employer-sponsored populations, with a focus on guiding members through complex care journeys. Closely aligned business model and target customer (self-funded employers), competing for navigation wallet share.
• Rightway Health: Rightway provides a healthcare navigation and pharmacy benefits platform for employers, guiding members through care decisions including complex conditions. Comparable peer competing for the same employer benefits budget with a tech-enabled model.

Emerging players

• WellTheory: WellTheory is a virtual care platform for autoimmune and chronic complex conditions, often distributed through employers. Emerging specialty navigator with comparable care-coordination methodology for complex patients, though outside oncology.
• Pager Health: Pager provides care navigation, virtual care, and care orchestration for health plans and employer populations. Emerging player with overlapping enterprise navigation functionality and similar omnichannel care-coordination model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/private-health-management

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 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 Private Health Management