PRIA Healthcare Management, LLC

What PRIA Healthcare Management, LLC does

PRIA Healthcare Management, LLC is a U.S.-based, privately held professional services firm founded in 2012 and headquartered in Farmington, Connecticut. The company provides integrated reimbursement, market access, regulatory, and quality consulting services to medical device and MedTech innovators across the product lifecycle, from early-stage planning through post-market commercialization. Its service portfolio spans Strategic Reimbursement Solutions (market intelligence, coding strategy, payer coverage, payment modeling), Market Access Solutions (health economics, evidence alignment, payer engagement), Patient Access Platform Solutions (HIPAA-compliant portals, prior authorizations, appeals, clinical trial reimbursement), Reimbursement Hotline Solutions, Payer and Stakeholder Engagement, and a Regulatory & Quality division (FDA 510(k)/De Novo/PMA submissions, EU/global filings, quality management systems).

The firm employs 101-250 professionals and reports having served 300+ MedTech clients, implemented 75+ patient access programs, and supported approvals for 40,000+ patients. Its technology layer consists primarily of a HIPAA-compliant patient access portal with real-time analytics, rather than proprietary IP products; the core deliverable is expert-led consulting. Revenue is generated through custom enterprise B2B engagements billed as professional services and managed patient access programs, with pricing structured per project scope rather than disclosed publicly. PRIA distributes services through a consultative, relationship-driven sales motion targeting MedTech executive teams, sourced through industry conferences (LSI, MedTech Innovator, MedTech Strategist, MDMA, NANS), advisory relationships, thought leadership content, and referrals.

PRIA is backed by private equity (Aldrich Capital Partners, 2022) and has signaled continued inorganic growth via M&A activity embedded in its corporate development function. In March 2026 the firm formally launched a Regulatory and Quality Services division, hiring a former FDA investigator to lead it, and has since added strategic partnerships with AI-enabled MedTech companies such as Aclarion. The senior leadership team includes former executives from GE Healthcare, Johnson & Johnson, iCAD, Pfizer, MCRA, Quorum/Guidehouse, and the FDA, providing deep domain credibility for engagements with both early-stage and established medical device companies.

Name

PRIA Healthcare Management, LLC

Legal name

PRIA Healthcare Management, LLC

Website

https://priahealthcare.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

101–250 employees

Short description

PRIA Healthcare is a Farmington, CT-based MedTech consulting firm providing reimbursement strategy, market access, regulatory/quality, and patient access services to 300+ medical device companies across the U.S. product commercialization lifecycle.

Ownership category

akta.pro rank

Headquarters

HQ city

Torrington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Revenue model

1. Strategic Reimbursement Consulting: PRIA provides strategic reimbursement planning services including market intelligence, coding strategy, payer coverage strategy, evidence development, payment strategy and modeling, and commercial readiness tools. These are professional services billed to MedTech clients.
2. Market Access Services: Market access strategy services including access strategy development, health economics and value messaging, evidence alignment, and access enablement tools.
3. Patient Access Platform Solutions: Customized patient access program development, patient access portal, real-time analytics, program support, and clinical trial reimbursement services.
4. Regulatory and Quality Services: Regulatory strategy, quality management system implementation, FDA/EU/global marketing submissions, and post-market compliance support.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

PRIA Healthcare Management is a professional services firm that provides strategic reimbursement, market access, regulatory/quality, and patient access solutions to medical device (MedTech) innovators. The company helps clients navigate U.S. reimbursement pathways, FDA/EU regulatory submissions, payer coverage strategy, coding, payment modeling, and commercialization from early development through post-market launch.

Product overview

PRIA Healthcare is a healthcare consulting firm providing integrated strategic services to MedTech innovators. The company offers a portfolio of consulting services including Strategic Reimbursement Solutions, Market Access Solutions, Patient Access Platform Solutions, Reimbursement Hotline Solutions, Payer and Stakeholder Engagement, and Regulatory and Quality Services. These services work together to help medical device companies navigate U.S. reimbursement, regulatory pathways, and market access from early development through commercialization.

Differentiator

Problem solved

Functional benefit

Products and services

• Strategic Reimbursement Solutions

Quantifiable outcome

• 40,000+ patients have gained access to innovative care through PRIA-supported programs
• +2 more outcomes

Named customers1 record

Segments2 records

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• AclarioncoreStrategic or Co-development Partner · 11 June 2026Aclarion partnered with PRIA Healthcare to advance reimbursement efforts for its AI-powered Nociscan platform, designed to help physicians identify sources of chronic low back pain using magnetic resonance spectroscopy and augmented intelligence algorithms. The partnership focuses on payer engagement, prior authorization support, appeals management, and reimbursement strategy as Aclarion seeks to expand patient access across the United States.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• ICON plc: ICON plc is a global clinical research organization with MedTech and market access capabilities following its PRA Health Sciences and other acquisitions. It serves device innovators with reimbursement-adjacent services but as part of a much larger clinical trials platform.
• Charles River Associates: Charles River Associates is a global consulting firm with a Life Sciences practice that includes MedTech commercialization, market access, and pricing strategy—adjacent to PRIA but operating across a broader set of industries and engagements.
• Simon-Kucher & Partners: Simon-Kucher is a global strategy and pricing consultancy with a sizable healthcare and MedTech practice advising on pricing, market access, and value strategy—overlapping with PRIA's market access and payment strategy services but as part of a much broader portfolio.
• IQVIA: IQVIA is a global clinical research, real-world evidence, and commercialization services firm that owns MCRA. It overlaps with PRIA across MedTech reimbursement, market access, and clinical trial support at significantly larger scale and with broader service breadth.

Emerging players

• Cedar: Cedar is a patient financial engagement and billing platform that intersects with PRIA's patient access programs through prior authorization support, billing, and patient experience tooling for providers and MedTech-adjacent customers.

Direct peers

• Boston Healthcare Associates: Boston Healthcare Associates is a specialized MedTech market access, reimbursement, and health economics consultancy serving medical device and diagnostics innovators—directly comparable to PRIA's strategic reimbursement and market access solutions.
• Guidehouse: Guidehouse was formed by combining Navigant and the legacy Quorum Consulting healthcare practice, both of which are direct competitors to PRIA in MedTech reimbursement, market access, and health economics consulting. Several PRIA leaders (e.g., Tonya Dowd, Jessica Holmes) previously worked at Quorum/Navigant.
• Health Advances: Health Advances is a healthcare strategy consulting firm that advises MedTech and life sciences companies on commercialization, reimbursement, and market access—closely overlapping with PRIA's strategic reimbursement and payer engagement offerings.
• MCRA (IQVIA): MCRA is a MedTech-focused clinical research, regulatory, and reimbursement consulting firm now owned by IQVIA. It is the closest direct competitor to PRIA, having built the RHEMA reimbursement practice that PRIA's EVP Tonya Dowd originally founded before it was acquired by IQVIA.

Others

• AdvaMed: AdvaMed is the leading MedTech industry trade association that influences reimbursement and regulatory policy. It is not a commercial peer but shapes the same payer, FDA, and coding landscape that PRIA helps clients navigate.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks2 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/in/chelsypeet
• Facebookfacebook.com/PRIA-Healthcare-Management-LLC

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds1 record

Investors1 record

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 PRIA Healthcare Management, LLC