Cary Medical Management

What Cary Medical Management does

Cary Medical Management (CMM) is a Cary, North Carolina-based physician management services organization (MSO) founded in 2019 that acquires, partners with, and provides operating infrastructure to independent primary care practices to enable their participation in value-based care contracts. The company manages nine owned clinic locations across North Carolina under brands including Generations Family Practice, Triad Primary Care, and Triad Internal Medicine, and extends technology and care management services to an additional network of approximately 48-50 primary care clinics covering roughly 40,000 patients in commercial and government VBC arrangements. CMM's core technology platform integrates data from over 70 EHRs, Surescripts HISP, and North Carolina's state-designated health information exchange (NC HealthConnex) through two proprietary components: a patent-pending Disease Interaction Engine that identifies interacting chronic conditions and surfaces ICD-10 code suggestions, and AI-powered robotic software that prioritizes and inserts missing clinical data from HIE records and ACO portals directly into EHRs before patient visits. The technology stack also includes Infina Connect's Intelligent Care Coordinator (referral management used by 2,000+ providers in NC) and Managing Care Solutions (acquired October 2021), which provides care management protocols for 35 chronic conditions.

The company generates revenue through four streams: management fees from owned and partnered clinics for MSO services (accounting, legal, RCM, HR, IT, partnership); shared savings and incentive payments from Medicare, Medicaid, and commercial VBC contracts (contributing 9.5% of 2023 revenue); care management fees from MCS and population health programs; and VBC technology licensing through Smartlink Health and Infina Connect, the latter of which is contracted with two of the 30 largest US health systems covering 210 hospitals. CMM's go-to-market combines direct practice acquisition and partnership sales with channel-driven expansion through ACOs (Key Physicians, WKCC, Evolent), IPAs, health plan partnerships (UnitedHealthcare, Aetna, Cigna, Medicaid MCOs), and the large 2023 FQHC partnership with Goshen Medical Center. Outcomes reported across its network include a 32% total medical cost reduction for commercially insured patients versus a 5.6% national VBC average, a hospital readmission rate of 8.3% versus the 17% national average, and $76,000 average shared savings per FTE provider, supporting the company's positioning that independent primary care practices retain autonomy while gaining technology and operational support. The company is privately held with private equity backing, and founder Dr. Siu Tong (PhD, MIT) serves as CEO.

Name

Cary Medical Management

Legal name

Cary Medical Management LLC

Website

https://carymso.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

1–10 employees

Short description

Cary Medical Management is a North Carolina-based MSO founded in 2019 that acquires and partners with independent primary care practices, deploying proprietary HIE-integrated technology and AI-powered care management to drive value-based care performance across a network of roughly 48-50 clinics covering 40,000+ patients under Medicare, Medicaid, and commercial payer contracts.

Ownership category

akta.pro rank

Product category

Primary Care Management Services (MSO)

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians (62111)

SIC

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

akta.pro primary industry

Independent Primary Care Practices (HLAFAGAA)

akta.pro secondary industry

MA Care Coordination & Utilization Management (UM) Programs (HLAEACAK)

Keywords

• Primary care management
• Value-based care services
• Physician practice MSO
• Healthcare technology platform
• Care management services

Headquarters

HQ city

Cary

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Practice Management & MSO Services: CMM provides management services to primary care practices, including accounting, legal, insurance, revenue cycle, HR, IT, partnership, investment, leadership, real estate, and succession planning. Revenue derived from management fees charged to partner clinics.
2. Shared Savings & Value-Based Care Incentives: CMM generates shared savings and incentive payments from value-based care contracts with Medicare, Medicaid, and commercial payers. Shared savings contributed 9.5% of overall revenue in 2023. Practices achieve better quality outcomes at lower cost, earning incentive payments and shared savings year after year.
3. Care Management Services: MCS (acquired 2021) delivers quality improvement and case management services for Medicare, Medicaid, and commercial patients, generating revenue through care management fees and population health management services.
4. Value-Based Care Technology Licensing: CMM's technology arms (Smartlink Health, Infina Connect) contract with health systems and clinics to deploy VBC technology solutions, generating licensing and technology services revenue.

Go-to-market motion3 records

Distribution channels4 records

Marketing channels6 records

Core offering

Cary Medical Management is a physician management services organization (MSO) that acquires, partners with, and operates independent primary care practices across North Carolina. It provides strategic planning, process automation, proprietary VBC technology (Smartlink Health, Infina Connect), care management services (Managing Care Solutions), and back-office support including accounting, legal, revenue cycle, HR, IT, real estate, and succession planning, enabling practices to deliver higher-quality care at lower cost while remaining independent under value-based contracts with Medicare, Medicaid, and commercial payers.

Product overview

Cary Medical Management is a physician management services organization (MSO) providing a unified platform of services for independent primary care practices to succeed in value-based care. The core offering consists of strategic planning, process automation, innovative technology, and care management services. The technology stack includes Smartlink Health Solutions (VBC technology for bidirectional health data exchange and EHR integration), Infina Connect's Intelligent Care Coordinator (referral management), and Managing Care Solutions (acquired care management with 35 chronic condition protocols). The company leverages NC HealthConnex state HIE data to power patent-pending algorithms for identifying interacting chronic conditions and provides AI-powered robotic software that integrates payer and HIE data directly into EHRs. Generations Family Practice operates as the primary care brand under CMM management.

Differentiator

Problem solved

Functional benefit

Brands

• Generations Family Practice: Umbrella brand for primary care clinics managed by CMM, established in 2005 in Cary, NC. Features multiple clinic locations across North Carolina.
• Triad Primary Care
• Triad Internal Medicine
• Triad Internal Medicine at Dublin Square

Products and services

• Cary Medical Management (CMM) Management Services Organization (MSO)

Quantifiable outcome

• 32% total medical cost reduction for commercially insured patients across three national payers
• +8 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability5 records

Feature7 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• NuvoAircoreStrategic or Co-development Partner · 8 January 2024Partnership enables CMM's primary care clinics to give their patients immediate access to high-quality cardiopulmonary (heart and lung) care, addressing the shortage of pulmonologists and cardiologists in rural North Carolina communities.
• Smartlink HealthcoreTechnology or IntegrationSmartlink Health provides bidirectional health data exchange via the user interface, deploying CMM's patent-pending VBC technology solutions. It leverages NC HealthConnex to capture hospital discharges, deliver diagnoses from specialists, and identify interacting diseases for risk adjustment. Also supports quality initiatives using its Quality Dashboard. Smartlink was founded by Dr. Siu Tong.
• Infina ConnectcoreTechnology or IntegrationInfina Connect's referral management platform, Intelligent Care Coordinator (ICC), coordinates care between primary care and specialists across NC, enabling closed-loop referrals within high-value networks. Currently used by 2,000 providers in NC. Founded by Dr. Siu Tong.
• Quest DiagnosticscoreStrategic or Co-development PartnerQuest Diagnostics partnered with CMM to provide accessible and integrated diagnostic services to Rocky Mount and Eastern NC. Established first Patient Service Center and Rapid Response Lab in Eastern NC adjacent to Rocky Mount Family Medical Center. Quest offers industry-leading testing services, broad health plan coverage, and competitive pricing.
• Evolent Care PartnerscoreStrategic or Co-development PartnerCMM established a long-term partnership with Evolent Care Partners in both Medicare MSSP and Commercial ACO programs for value-based care delivery.
• UNC Health AlliancecoreStrategic or Co-development PartnerUNC Health Alliance is a value-based care partner of CMM, providing a network of specialists and supporting value-based care contracts across North Carolina.
• WKCC (WakeMed Key Community Care)coreStrategic or Co-development PartnerWakeMed Community Care (WKCC), an ACO, is a strategic partner of CMM for value-based care delivery and care coordination in the greater WakeMed service area.
• Community Care Physician Network (CCPN)minorStrategic or Co-development PartnerCCPN is a value-based care partner network. Managing Care Solutions, acquired by CMM, originated from CCPN's President Dr. Steven Wegner's work serving millions of North Carolina patients.
• Key PhysicianscoreStrategic or Co-development PartnerKey Physicians, an IPA serving Research Triangle Park of North Carolina, spearheaded the transformation to value-based care in 2010. Key Physicians identified value-based care focus areas that led to CMM's technology solutions development. Key Physicians assists 360+ independent providers in transitioning to VBC.
• Goshen Medical Center (GMC)coreStrategic or Co-development PartnerMulti-year partnership with North Carolina's largest FQHC (38 sites, 80 providers) for CMM to implement its proven VBC technologies and services. 31,000 NC patients covered under Medicare, Medicaid, and commercial VBC contracts.

Scale indicators19 records

Recent moves9 records

Expansion highlights6 records

Market position

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/cary-medical-management

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Cary Medical Management