OPN Healthcare

What OPN Healthcare does

OPN Healthcare is a technology-enabled specialty healthcare services company exclusively focused on oncology care. Founded in 1999 (originally as Greenwave Health Technologies) and headquartered in Glendale, California, OPN develops and manages high-performing networks of independent oncologists and aligns them with risk-based organizations — health plans, primary care physician groups, and integrated delivery systems — to deliver value-based cancer care. The company's integrated platform comprises four pillars: Value-Based Networks (capitated network arrangements with 100% upside and downside risk), Care Management Services (URAC-accredited utilization management, prior authorization, and data reporting), Data Analytics (real-time treatment plan reviews, predictive modeling, and provider benchmarking), and Clinical Trials (community-based access to research programs via partnerships with USC Norris Comprehensive Cancer Center and UCI Health, powered by the proprietary AnovaOS platform).

OPN operates two primary business models. The Network Model places OPN under full capitated risk for oncology services across 1.2 million lives in California, Oregon, and Washington. The Care Management Model offers URAC-accredited services to 30+ health plans and risk-bearing provider organizations in California, Wisconsin, and Indiana under value-based contracting ranging from full risk to gain share. Total beneficiaries managed across both models reach approximately 1.7 million. Revenue mechanics are anchored in capitated arrangements, managed services contracts, and shared-savings methodologies negotiated with enterprise healthcare buyers through a direct field sales motion. The company is founder-led by CEO Srin Vishwanath, privately held with no disclosed institutional investors, and reports a corporate headcount of 11-50 employees.

Name

OPN Healthcare

Legal name

OPN Healthcare, Inc.

Website

https://opnhc.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

OPN Healthcare is a technology-enabled specialty healthcare company that aligns independent oncologists with health plans and risk-bearing organizations to deliver value-based cancer care via capitated networks and URAC-accredited care management, managing 1.7 million beneficiaries across five states.

Ownership category

akta.pro rank

Product category

Value-Based Oncology Care Management

NAICS

Ambulatory Health Care Services (621), Offices of Physicians (62111)

SIC

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

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industry

Single-Specialty PPO Networks (HLAEANAD)

Keywords

• Value-based oncology care
• Oncology care management
• Capitated oncology networks
• Specialty healthcare services
• Clinical trial matching

Headquarters

HQ city

Glendale

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, Infrastructure

Revenue model

1. Capitated Network Arrangements: OPN's Network Model operates under fully capitated risk (100% upside and downside risk to OPN) for oncology services via high-performing networks of oncology providers. OPN manages 1.2 million lives under capitated arrangements with Health Plans and Primary Care Risk Bearing Organizations. Contracts encompass Medical Oncology professional fees and drugs, with options to include Total Cost of Oncology Care (radiation oncology, labs, diagnostics).
2. Care Management Services: URAC accredited Care Management platform contracted with over 30 health plans and risk bearing provider organizations using various value-based contracting methodologies ranging from full risk to gain share arrangements. Services include utilization management, prior authorization reviews, and data reporting.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

OPN Healthcare is a technology-enabled specialty healthcare company exclusively focused on cancer care. It develops and manages high-performing oncology provider networks, delivers URAC-accredited care management (utilization management and prior authorization), provides real-time oncology data analytics and predictive cost modeling, and runs a community-based clinical trials program through the proprietary AnovaOS platform. The company aligns independent oncologists with health plans, primary care risk-bearing organizations, and integrated delivery systems under capitated and value-based contracts.

Product overview

OPN Healthcare is a technology-enabled specialty healthcare services company offering an integrated platform exclusively focused on cancer care. The core offering consists of Value-Based Networks (managing high-performing oncology provider networks), Care Management Services (URAC accredited utilization management and prior authorization), Data Analytics (real-time treatment and claims analysis), and Clinical Trials (community access to research programs). These components work together to align oncologists with risk-based payer organizations for value-based care arrangements. The platform is complemented by patient support services including Patient Navigation, Patient Assistance Program, 24/7 Clinical Support, and Nutritional Support, all designed to enhance the patient experience throughout the cancer care journey. Financial models include the Network Model (fully capitated risk) and Care Management Model (flexible value-based contracting). OPN operates across California, Oregon, and Washington, managing oncology needs for approximately 1.7 million beneficiaries.

Differentiator

Problem solved

Functional benefit

Brands

• OPN Care Management: URAC accredited care management program including utilization management, patient identification for support services, prior authorization reviews and data reporting.
• AnovaOS

Products and services

• Value-Based Oncology Networks High-performing oncology provider network that aligns independent community oncologists with health plans, primary care physician groups, and Integrated Delivery Systems under value-based care arrangements. OPN manages 1.2 million lives under capitated arrangements.
• Care Management Services URAC-accredited care management program including utilization management, prior authorization reviews, data reporting, and patient screening for support services. Addresses total cost of oncology care including drugs, radiation oncology, labs, imaging, and ancillary services. Contracted with 30+ health plans and risk-bearing provider organizations.
• Data Analytics Real-time oncology data analytics capabilities including treatment plan reviews, clinical data reconciliation with claims submissions, predictive modeling for oncology costs, longitudinal patient journey tracking, and provider benchmarking tools.
• Clinical Trials Program Comprehensive clinical trial program providing community oncology patients access to promising new treatments through OPN's own trial roster and partnerships with academic medical centers including USC Norris Comprehensive Cancer Center and UCI Health. Includes compassionate use access and active trial listings.
• Patient Navigation
• Patient Assistance Program (PAP)
• 24/7 Clinical Support
• Nutritional Support
• AnovaOS Clinical Trial Platform
• Oncologist Network Directory

Quantifiable outcome

• 15-30% lower cost on breast cancer patients actively receiving chemotherapy/immunotherapy compared to national average
• +5 more outcomes

Named customers4 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability3 records

Feature4 records

Partnerships

Five partnerships are on record, tiered core and minor.

• UCI HealthcoreStrategic or Co-development Partner · 1 January 2021Partnership developed in 2021 following the USC Norris relationship. Offers OPN patients ability to participate in leading edge clinical research normally limited to a restricted population. UCI Health's dedication to patient safety and adherence to NIH rules make them a vital partner.
• USC Norris Comprehensive Cancer CentercoreStrategic or Co-development Partner · 1 January 2018Partnership established in 2018 to provide OPN covered beneficiaries with access to clinical trials being sponsored by the institution. Initially focused on respiratory therapies, the program also covers digestive and breast cancer trials. USC Norris expedites clinical trials for novel and promising therapies.
• Blue Shield of CaliforniacoreStrategic or Co-development Partner · 1 July 2014Partnership with Blue Shield launched the 'Transforming Cancer Care' program (later renamed 'Oncology Practice of the Future') in July 2014. OPN developed new work and compensation models keeping the patient at the center of each effort, supporting the Oncology Care Model with novel partnerships, new compensation models, innovative technology, and collaborative human-centered design.
• Anova (AnovaOS)coreTechnology or IntegrationOPN has exclusive use of AnovaOS, a technology-driven platform that changes the way research is conducted. AnovaOS matches, activates and enrolls patients in any clinical trial. By partnering with Anova, OPN has expanded network patients' opportunities for promising new therapies and access to breakthrough treatments.
• Camp KesemminorStrategic or Co-development PartnerOPN Healthcare partners with Kesem, a nationwide community driven by 5,300+ college student leaders that supports children through and beyond a parent's cancer. Kesem provides year-round inclusive and supportive programming for children ages 6 to 18, including 130+ free summer camps across the country.

Scale indicators11 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• New Century Health: New Century Health is a specialty care management company focused on value-based oncology and cardiology arrangements with health plans. It is the most direct competitor to OPN, offering similar UM, prior authorization, and clinical pathways for risk-bearing arrangements.
• Thyme Care: Thyme Care is a value-based cancer care navigation and care management platform working with health plans and risk-bearing providers. It shares OPN's payer-aligned, oncology-exclusive model but emphasizes member navigation and oncology guidance over capitated provider network management.
• OncoHealth: OncoHealth is a digital health company providing oncology decision support, utilization management, and care management to health plans. It directly overlaps with OPN's Care Management Services platform, particularly in oncology prior authorization and clinical review.
• Oncology Analytics: Oncology Analytics provides oncology benefits management, including prior authorization, pathways, and claims analytics to health plans. It is a direct competitor in the oncology utilization management and care management segment where OPN operates.

Broad incumbents

• Evolent Health: Evolent Health is a value-based specialty care platform serving health plans and risk-bearing providers across multiple specialties including oncology. It is a public company with broader service lines and significantly more scale than OPN, but directly overlaps in oncology risk arrangements.
• Privia Health: Privia Health is a national physician enablement and value-based care platform operating medical groups and MSOs. While not oncology-exclusive, Privia offers a comparable MSO/network infrastructure for risk-bearing contracts and is a comparable specialty-agnostic alternative.
• agilon health: agilon health is a value-based care platform partnering with primary care groups to manage total cost of care for senior populations. It is comparable as a capitated MSO model taking downside risk, though it focuses on primary care and MA rather than oncology specifically.
• Optum (UnitedHealth Group): Optum operates oncology care management, utilization management, and provider network capabilities at massive scale through NaviHealth and Optum Health. It is a broad incumbent that competes with OPN for payer oncology risk contracts and can bundle services OPN cannot match.

Emerging players

• Health Catalyst: Health Catalyst is a healthcare data and analytics platform that competes with OPN's data analytics product layer. While broader in scope, it provides similar real-time clinical and financial benchmarking tools to health systems and payers.
• Jasper Health: Jasper Health is a digital oncology navigation and care management platform serving health plans, providers, and patients. It is an emerging player in the oncology value-based care space with partial overlap to OPN's care management and patient support services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/opn-healthcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 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 OPN Healthcare