Honest Health

What Honest Health does

Honest Health is a physician-led value-based care enablement organization headquartered in Nashville, Tennessee, founded in 2021 by Adam Boehler (former CMS Center for Medicare and Medicaid Innovation director), Abe Sutton, and Matt Kim of Rubicon Founders. The company partners with health systems, physician organizations, and payers to help them succeed in CMS risk-based payment models, including ACO REACH, MSSP, and Medicare Advantage. Its core technology platform is PULSE (Patient Unified Longitudinal Signal Engine), which continuously ingests electronic medical records, utilization events, and health information exchange data to identify high-risk patients and surface prioritized next-best clinical actions for care teams. PULSE is augmented by the Honest Estimator, a web-based tool that allows prospective partners to model financial outcomes under shared-risk arrangements.

The company's service model integrates multidisciplinary care teams (Transitions of Care Coordinators, Dietitians, Behavioral Health Specialists, Primary Care Physicians, Nurses, Pharmacists, Social Workers, and Health Coaches) with clinical documentation integrity capabilities and data analytics to operate ACO entities such as Honest ACO of Michigan LLC and Honest ACO of New York LLC, which generated $6.8M in combined shared savings in Performance Year 2023 at quality scores of 98.8-100%. Honest Health currently manages medical spend across 130,000+ Medicare lives and works with 1,600+ primary care providers through partners including Munson Healthcare, Banner Health, PeaceHealth, Albany Med, Bronson Health, and multiple Michigan and New York physician organizations.

The business is monetized through managed services arrangements tied to value-based care contracts; pricing is quote-based and not publicly disclosed. In February 2026 the company raised $140 million in capital led by NewSpring Healthcare to fund expansion into new markets, and in March 2026 it formally launched PULSE as a deployable intelligence capability. The company was rebranded from Honest Medical Group to Honest Health in 2025 to reflect its expanded enablement orientation beyond direct medical group operations.

Name

Honest Health

Legal name

Honest Health

Website

https://honesthealth.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

51–100 employees

Short description

Honest Health is a physician-led value-based care enablement organization that partners with health systems, physician groups, and payers to manage Medicare risk-based contracts through its PULSE intelligence platform and integrated care coordination services.

Ownership category

akta.pro rank

Product category

Value-Based Care Enablement

NAICS

Health Care and Social Assistance (62), Offices of Physicians (6211)

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Healthcare Master Data Management (MDM) & Patient/Provider Identity Data (HLACAIAB)

akta.pro secondary industries

Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK), Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Value-based care enablement
• Medicare ACO programs
• Care coordination services
• Population health management
• Clinical documentation integrity

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Value-Based Care Enablement Services: Honest Health generates revenue by enabling health systems and providers to succeed in value-based care arrangements. As a physician-led value-based care enablement organization, they partner with health systems and providers to drive improved patient outcomes while reducing costs through technology-enabled care coordination, quality improvement programs, and actionable data insights. Revenue is derived from partnerships with health systems taking on risk in Medicare Advantage, MSSP, ACO REACH, and emerging CMS models.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Honest Health is a physician-led value-based care enablement organization that partners with health systems, physician organizations, and payers to help them succeed in Medicare risk-based payment models including ACO REACH, MSSP, and Medicare Advantage. The company delivers technology-enabled care coordination, clinical documentation integrity, quality improvement programs, and actionable data insights, anchored by its proprietary PULSE intelligence platform, with the goal of improving patient outcomes while reducing costs.

Product overview

Honest Health is a physician-led, value-based care enablement organization that operates as a platform with multiple integrated products and services. The core offering centers on PULSE, an intelligent clinical capability that transforms complex patient data into prioritized clinical actions, supported by the Honest Estimator tool for financial projections. The company delivers technology-enabled care coordination, quality improvement programs, and actionable data insights through various partnership programs including ACO REACH, Medicare Advantage support, and MSSP participation. Honest Health manages multiple ACO entities (Honest ACO of Michigan LLC, Honest ACO of New York LLC) and provides comprehensive clinical services including care coordination, clinical documentation integrity, and data analytics. The portfolio is held together by a physician-led approach that helps health systems and providers succeed in value-based, shared-risk payment models.

Differentiator

Problem solved

Functional benefit

Brands

• PULSE: An intelligence capability that continuously scans data sources including electronic medical records, utilization events, and health information exchanges to detect critical signals and highlight next best actions for care teams, helping organizations intervene earlier and reduce avoidable readmissions.

Products and services

• PULSE (Patient Unified Longitudinal Signal Engine) An intelligent clinical capability that continuously scans electronic medical records, utilization events, and health information exchanges to detect critical patient signals and highlight next-best actions for care teams, enabling proactive intervention and coordinated care. Sold as an enablement capability to health systems and physician organization partners participating in Honest Health's ACO and value-based care programs.
• Honest Estimator A web-based financial estimation tool that helps health system and provider organizations evaluate potential savings and learn how value-based care can strengthen their financial outlook when transitioning to shared risk arrangements.
• ACO REACH Program Support Comprehensive enablement services for health systems and physician organizations participating in the CMS ACO REACH model, including care coordination, quality improvement, and financial performance optimization support.
• Medicare Advantage Support Enablement services helping health systems and providers navigate Medicare Advantage, addressing patient and provider needs while driving cost savings and care quality improvements.
• Care Coordination Services Clinical care model integrating with care teams including Transitions of Care Coordinators, Dietitians, Behavioral Health Specialists, Primary Care Physicians, Nurses, Care Coordinators, Health Coaches, Pharmacists, Advanced Practice Providers, and Social Workers to improve outcomes for Medicare patients.
• Clinical Documentation Integrity (CDI) Comprehensive documentation integrity and clinical capabilities that integrate with partners to support coordinated, PCP-led patient care and ensure accurate data capture for informed care decisions.
• Data Analytics & Insights Platform Actionable data insights, quality improvement programs, and operational expertise supporting health systems and providers in value-based care models to drive improved patient outcomes while reducing costs.

Quantifiable outcome

• 98.8-100% ACO quality scores achieved across partner programs
• +5 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature1 record

Partnerships

Three partnerships are on record, tiered major and flagship.

• PeaceHealthmajorStrategic or Co-development Partner · 13 February 2026PeaceHealth clinicians participate in Medicare value-based care programs supported by Honest Health through PeaceHealth's Cascadia Community Care Alliance. Honest Health provides analytics, documentation support, and care management capabilities for clinicians across Washington, Oregon, and Alaska.
• Albany MedmajorStrategic or Co-development PartnerHonest Health and Albany Med partner to advance value-based care, support physicians, and improve outcomes in Northeastern New York.
• Banner HealthflagshipStrategic or Co-development PartnerStrategic partnership with Banner Health for value-based performance and primary care transformation. Honest Health CEO Rob Bessler and Banner Health President and CEO Amy Perry discussed the future of primary care and value-based performance on a Becker's Healthcare Podcast.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Evolent Health: Evolent Health provides specialty care and value-based care enablement services to health plans and providers, including ACO and Medicare-focused offerings. It competes with Honest Health in the provider-facing VBC services space, particularly for health system partners taking on risk.
• Aledade: Aledade is the largest independent primary care VBC enablement company, partnering with independent practices and health systems in ACO REACH, MSSP, and Medicare Advantage. It is the most direct competitor to Honest Health in physician-led VBC enablement, with a similar technology-plus-services model.
• Astrana Health: Astrana Health (formerly Apollo Medical Holdings) is a physician-centric, technology-enabled healthcare company focused on VBC and risk-bearing arrangements for Medicare and other populations. It is comparable to Honest Health in operating risk-bearing entities and supporting affiliated physician groups.
• Privia Health: Privia Health enables physician practices and medical groups through a technology and services platform that includes value-based care, multi-payer contracting, and population health. It is comparable to Honest Health in serving ambulatory providers with VBC infrastructure across multiple geographies.
• Agilon Health: Agilon Health partners with primary care physicians to manage Medicare Advantage populations under full-risk arrangements. It is a direct competitor in physician enablement for senior VBC, with a comparable partner-led, technology-enabled care model targeting similar Medicare populations.

Emerging players

• Pearl Health: Pearl Health provides technology-enabled value-based care enablement for primary care physicians in Medicare ACO programs, with a focus on physician empowerment and shared savings. It is an emerging competitor with overlapping physician enablement capabilities and Medicare focus.
• VillageMD: VillageMD (majority-owned by Walgreens Boots Alliance) operates primary care clinics with a strong value-based care orientation, often co-located with Walgreens. While more vertically integrated than Honest Health, it competes for the same health system partners and Medicare VBC patients.
• UpStream Health: UpStream Health provides value-based care enablement specifically for primary care physicians participating in ACO REACH and other Medicare risk models. It is an emerging direct competitor with a similar provider enablement model focused on Medicare value-based contracts.

Broad incumbents

• Cano Health: Cano Health operates senior-focused primary care centers emphasizing value-based care for Medicare patients. While it owns clinics rather than enabling partners, it competes for the same Medicare Advantage and ACO populations and represents a vertically integrated model that Honest Health could potentially emulate.
• Oak Street Health: Oak Street Health (acquired by CVS Health) operates senior-focused primary care clinics under full-risk Medicare contracts. As a vertically integrated senior primary care VBC operator, it represents both a potential competitor and a strategic partner for Honest Health.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/honestmedgroup
• Facebookfacebook.com/honestmedicalgroup

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Subsidiaries4 records

Funding overview

Funding rounds1 record

Investors7 records

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 Honest Health