CareTalk Health

What CareTalk Health does

CareTalk Health is a Chicago-headquartered, privately held virtual medical practice that operates as a clinical process outsourcer for healthcare organizations. Founded in 2021, the company is structured as CareTalk Health FL, P.A., a Florida Professional Association, and delivers services through a national network of licensed physicians, NPs, RNs, and LPNs/LVNs across all 50 U.S. states. It targets four enterprise verticals: health plans (care gap closure, AWVs, risk adjustment), health systems and ACOs (Medicare care management programs), medical device companies (RPM/RTM wraparound clinical support), and independent pharmacies (Medicare-reimbursable programs).

Its core offering is a turnkey suite of Medicare-billable virtual care services, including Annual Wellness Visits, E&M visits, Advanced Primary Care Management, Principal Care Management, Chronic Care Management, Remote Patient Monitoring, Remote Therapeutic Monitoring, Transitional Care Management, and ADT-based care coordination. These are delivered via a proprietary cloud-based telehealth CRM that is device- and app-agnostic for patients, and connects to major national Health Information Exchanges so clinicians can pull full clinical histories and close care gaps same day. Telehealth sessions are conducted over Zoom and Microsoft Teams, with Stripe used for payment processing.

CareTalk Health monetizes through a mix of usage-based Medicare billing (for AWVs and care management codes), managed-services / clinical process outsourcing contracts with healthcare partners, and recurring remote monitoring services tied to partner medical devices. Go-to-market is sales-led and enterprise-focused, relying on direct outreach, case studies, downloadable fact sheets, and a business partner contact form, with no consumer paid acquisition channels. The company does not publicly disclose revenue or funding and has no announced M&A activity.

Name

CareTalk Health

Legal name

CareTalk Health FL, P.A.

Website

https://caretalkhealth.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

51–100 employees

Short description

CareTalk Health is a nationwide virtual medical practice that outsources clinical processes for health plans, ACOs/health systems, medical device companies, and pharmacies, delivering Medicare-billable virtual care including AWVs, CCM, RPM, and care gap closure via a cloud-based telehealth CRM and a 50-state licensed clinician network.

Ownership category

akta.pro rank

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicare Billing Services: As a trusted Medicare and Medicaid partner, CareTalk Health processes claims billing for Medicare-reimbursable services including Annual Wellness Visits, Remote Patient Monitoring, Remote Therapeutic Monitoring, Chronic Care Management, and other care management programs. Services are billed as in-network AWVs.
2. Clinical Process Outsourcing: The company provides turnkey virtual care solutions and clinical process outsourcing to healthcare organizations. They engage patients, perform virtual clinical services, and manage care programs on behalf of partners for a fee structure not publicly disclosed.
3. Remote Monitoring Support Services: Personalized RPM and RTM clinical support for patients using partner devices. Most devices are eligible for monthly remote monitoring covered by Medicare. CareTalk Health partners with device companies to enroll consumers in remote monitoring using their physicians and clinicians with the ability to bill Medicare nationwide.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels4 records

Core offering

CareTalk Health is a nationwide virtual medical practice that provides clinical process outsourcing to healthcare organizations. It delivers Medicare-billable virtual care services—including annual wellness visits, chronic care management, remote patient monitoring, remote therapeutic monitoring, and care gap closure—through a national network of licensed physicians operating across all 50 states. Services are delivered via a proprietary cloud-based telehealth CRM platform with connectivity to major national Health Information Exchanges (HIEs).

Product overview

CareTalk Health is a national virtual medical practice and the first clinical process outsourcing company nationwide, offering a comprehensive suite of Medicare-billable virtual care services. The portfolio includes core patient care offerings (Annual Wellness Visits, E&M Visits, medication reviews, lab orders) and an integrated platform of care management programs (APCM, PCM, CCM, RPM, RTM, TCM) that healthcare organizations can leverage. The company also provides specialized partner solutions including care gap closure programs for health plans, clinical support services for medical device companies, and Medicare-reimbursable pharmacy programs. All services are delivered through the company's cloud-based telehealth CRM platform by licensed physicians across all 50 states.

Differentiator

Problem solved

Functional benefit

Products and services

• Annual Wellness Visits (AWV) Virtual annual wellness visits conducted by licensed physicians to review patient health history, discuss concerns, and create personalized care plans. Billed as in-network AWVs through Medicare.
• Evaluation & Management (E&M) Visits Virtual E&M visits for patient consultations, assessments, and medical decision-making conducted by licensed physicians.
• Care Gap Closure Program Virtual care gap closure program that identifies members with open care gaps, engages them, and closes care gaps in real-time using a network of virtual-only physicians who can prescribe, order, diagnose, and manage care. Closes 14+ quality gaps same day.
• Advanced Primary Care Management (APCM) Medicare care management program providing comprehensive primary care management services for patients.
• Principal Care Management (PCM) Medicare program providing care management for patients with one complex chronic condition requiring oversight.
• Chronic Care Management (CCM) Medicare-reimbursable program providing coordinated care for patients with two or more chronic conditions, including 24/7 access to care, medication reconciliation, and care planning.
• Remote Patient Monitoring (RPM) Remote monitoring service where CareTalk Health physicians monitor patient data from connected devices, with the ability to bill Medicare for monitoring services.
• Remote Therapeutic Monitoring (RTM) Remote therapeutic monitoring service for patients using medical devices, enabling clinicians to track therapy progress and provide personalized clinical support.
• Transitional Care Management (TCM) Care coordination services for patients transitioning from inpatient settings to home or community-based care.
• ADT (Admissions, Discharges, Transfers) Services Hospital event notification services that alert CareTalk Health providers when patients experience admissions, discharges, or transfers for care coordination.
• Medicare-Reimbursable Pharmacy Programs Program helping independent pharmacies expand into Medicare-reimbursable clinical services, providing physicians and strategic support for standing up covered programs to increase revenue and patient retention.
• Medical Device Clinical Support Services Wraparound clinical services for medical device companies, including dedicated physician teams who know the device and support device users, ensuring operational, clinical compliance, and financial goals are met.

Quantifiable outcome

• Closes 14+ quality gaps same day for health plan members
• +2 more outcomes

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature4 records

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Biofourmis: Biofourmis combines RPM, AI-driven analytics and virtual care for chronic and post-acute patients, partially overlapping CareTalk's RPM/RTM and care management offering with a more tech-forward positioning.
• Linus Health: Linus Health focuses on virtual cognitive care and chronic disease management for older adults, an adjacent peer that competes for the same Medicare mindshare and primary care gap-closure budgets.

Direct peers

• Vivify Health: Vivify Health provides RPM and connected care platforms to health plans and providers, directly overlapping CareTalk Health's RPM/RTM and chronic care management offerings for Medicare populations.
• Health Recovery Solutions (HRS): HRS delivers RPM and care management software plus services to health systems and payers, making it a close functional peer in the Medicare care management outsourcing market CareTalk Health targets.
• Vesta Healthcare: Vesta Healthcare operates a 24/7 virtual care team supporting complex Medicare and dual-eligible patients at home, mirroring CareTalk Health's chronic care management and clinical process outsourcing model.
• Wellbox: Wellbox provides outsourced chronic care management (CCM) and RPM services to physician practices and ACOs, competing head-to-head with CareTalk's Medicare program offerings.
• Previon (Previon Health): Previon specializes in care management, transitional care, and risk adjustment services for health plans, directly paralleling CareTalk Health's care gap closure and TCM programs.

Broad incumbents

• CareCentrix: CareCentrix (a Walgreens Boots Alliance company) manages post-acute and home-based care for health plans, overlapping CareTalk's TCM, RPM and care coordination programs at greater scale.
• Teladoc Health: Teladoc offers a broad virtual care platform including primary care and chronic condition management, competing with CareTalk across health plan, employer and provider verticals.
• Amwell: Amwell provides enterprise telehealth infrastructure and clinical services to health systems and health plans, overlapping CareTalk's virtual care delivery and provider capacity extension use cases.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/CareTalkHealth1
• Facebookfacebook.com/caretalkhealth1
• LinkedInlinkedin.com/company/caretalkhealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 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 CareTalk Health