Otto health

What Otto health does

OTTO Health is a Boulder, Colorado-based telehealth platform operating as a wholly-owned subsidiary of NextGen Healthcare. It provides a cloud-based, browser-accessible Virtual Visits product that enables healthcare providers to conduct HIPAA-compliant HD video consultations with patients without downloads, usernames, or passwords on the patient side. The platform is differentiated by a single-API integration that embeds directly into the customer's Electronic Health Record and Practice Management systems (NextGen, Greenway Health, and Athenahealth marketplaces), eliminating dual documentation and positioning NextGen as the source of truth for patient data.

The product supports 14+ medical specialties through configurable modules (Primary Care, Behavioral Health, Cardiology, Dermatology, Orthopedics, Clinical Trials, etc.), with features such as provider-specific dynamic intake forms, in-visit screen sharing and document passing, clinical administrator workflows, hub-and-spoke models for originating sites, and automated email/SMS patient reminders. Distribution is primarily through the NextGen, Greenway, and Athenahealth EHR marketplaces, supported by a consultative direct sales motion that helps practices navigate telehealth reimbursement and CMS policy.

The business model is a subscription service fee paid by Provider Users, with secondary revenue from facilitation of medical service billing (insurance co-pays). Revenue is not publicly disclosed; no funding rounds, headcount, or valuation data are available. Named customers are predominantly mid-market practices and FQHCs/community health centers (e.g., Potomac Physicians Associates, Twin Cities Pain Clinic, Community Health Center of Franklin County, Panorama Orthopedics & Spine Center). Leadership includes founder Michael Guese, MD (Chairman), Sarah Green (CEO), and Grant Lunney (CSO and VP of Product).

Name

Otto health

Legal name

OTTO Health, LLC

Website

https://ottohealth.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

OTTO Health is a Boulder, CO-based telehealth platform subsidiary of NextGen Healthcare that delivers EHR-integrated Virtual Visits to primary care, specialty, and community health center practices across the United States.

Ownership category

akta.pro rank

Product category

Telehealth Software

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA)

akta.pro secondary industry

Virtual Specialty Care Platforms (tele-stroke, tele-ICU, tele-derm, tele-cardiology) (HLALABAD)

Keywords

• Telehealth platform
• Video visit software
• EHR integration
• Virtual care solutions
• HIPAA-compliant video

Headquarters

HQ city

Boulder

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Provider Service Fees: NextGen Healthcare charges a service fee for use of the site paid by the Provider User. This is the primary revenue stream for the telehealth platform.
2. Medical Service Billing Facilitation: NextGen Healthcare collects fees for medical services rendered by providers on behalf of Provider Users, including insurance co-pays. Charges for services are determined by the Provider User and/or insurance coverage.
3. Telehealth Reimbursement Support: Practices generate revenue by converting phone calls and informal interactions into reimbursable video consults. Virtual Visits in most states are eligible for full reimbursement under telehealth parity laws.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

OTTO Health provides a cloud-based telehealth platform that enables healthcare providers to conduct HIPAA-compliant HD video visits with patients directly inside their existing Electronic Health Record (EHR) and Practice Management (PM) workflows. The platform integrates with NextGen Healthcare, Greenway Health, and Athenahealth via a single API, eliminating dual documentation and supporting 14+ medical specialties through tailored use cases and patient intake configurations.

Product overview

OTTO Health is a telehealth platform offered by NextGen Healthcare that provides Virtual Visits as its core product. The platform enables healthcare providers to conduct video consultations with patients as part of their normal clinical workflows, with seamless integration into Electronic Health Records systems including NextGen Healthcare, Athenahealth, and Greenway Health. The core Virtual Visits product includes specialty-specific modules for Acute/Urgent Care, Behavioral Health, Cardiology, Dermatology, Gastroenterology, Neurology, Oncology, Orthopedics, and other specialties, allowing practices to tailor use cases and workflows to their specific needs.

Differentiator

Problem solved

Functional benefit

Products and services

• OTTO Health Virtual Visits Cloud-based HIPAA-compliant telehealth platform enabling video consultations between healthcare providers and patients, integrated directly into EHR and Practice Management workflows via single API connections to NextGen, Greenway, and Athenahealth. Includes screen sharing, document passing, in-visit chat, automated patient email/SMS reminders, and integrated clinical check-in/check-out.
• Specialty Care Telehealth Solution Telehealth solution tailored for specialty practices including Acute/Urgent Care, Behavioral Health, Cardiology, Dermatology, Gastroenterology, Hematology, Neurology, Oncology, Orthopedics, Podiatry, Pulmonology, Transitional Care, Urology, and Women's Health, with specialty-specific use cases and workflows.
• Primary Care Telehealth Solution Telehealth offering configured for primary care workflows including review of lab and imaging results, prescription renewals, medication adjustments, and on-call video consultations, designed to increase patient access without adding time to the provider's day.

Quantifiable outcome

• Reduce average visit time to 5-7 minutes, enabling providers to see more patients
• +3 more outcomes

Named customers6 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

Integration3 records

Feature9 records

Partnerships

Seven partnerships are on record, tiered core and notable.

• NextGen HealthcarecoreTechnology or IntegrationOTTO Health is a subsidiary of NextGen Healthcare. The telehealth platform seamlessly integrates into NextGen Healthcare's EHR, PM, Mobile, and Patient Portal via single API connection. NextGen serves as the source of truth for patient data. Distribution occurs through the NextGen marketplace.
• Greenway HealthcoreTechnology or IntegrationOTTO integrates with Greenway Health's Intergy and PrimeSuite EHR products. Listed in Greenway marketplace. Benefits include seamless EHR integration, 2-way secure HD video, unified patient experience through Greenway Patient Portal and Appointment Reminder system integration, and no duplication of core functionalities.
• AthenahealthcoreTechnology or IntegrationOTTO is listed in Athenahealth's marketplace. Features include seamless EHR schedule integration, integrated clinical workflows, dynamic patient intake forms, in-visit screen sharing and document passing, on-demand integrated visits, customizable patient communications, payment flow, and hub/spoke functionality.
• Potomac Physicians Associates (PPA)notableStrategic or Co-development PartnerPPA is a 28-provider Primary Care group across 3 locations that switched to OTTO after evaluating 5 telehealth vendors. PPA's feedback informed product features like visit type-specific intake questions. Quote from Medical Director Dr. Steven Schwartz highlights successful integration with NextGen Healthcare.
• Twin Cities Pain ClinicnotableStrategic or Co-development PartnerChronic pain management practice partnered with OTTO Health for follow-ups and check-ins. Practice Administrator Sheila Thompson noted OTTO integrates seamlessly with NextGen Healthcare PM system and offers excellent security and customer service.
• Community Health Center of Franklin County (CHCFC)notableStrategic or Co-development PartnerCHCFC serves patients in 3 locations across Western Massachusetts. Selected OTTO for Greenway Health Intergy integration and small bandwidth requirements. Using OTTO for primary care follow-ups and behavioral health visits. CEO Edward Sayer noted commitment to increasing patient satisfaction and decreasing cancellations.
• Panorama Orthopedics & Spine CenternotableStrategic or Co-development PartnerOne of the nation's largest orthopedic practices with locations in Golden, Westminster, Highlands Ranch, and Castle Rock, CO. Selected OTTO after nearly two years of searching for a telehealth vendor that accommodated day-to-day operations without duplicative work or additional interfaces. VP of Operations Julie Meurer noted convenience and patient satisfaction as key drivers.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• VSee: Telehealth platform offering video visit infrastructure, workflow customization, and EHR integrations. Directly comparable to OTTO on its EHR-integrated virtual visit and specialty workflow value proposition.
• Doxy.me: A widely-used, lightweight telemedicine platform targeting individual providers and small practices. Comparable to OTTO in offering browser-based, no-download virtual visits, though it is less deeply integrated with major EHRs.
• Caregility: Telehealth platform focused on inpatient and outpatient virtual care with EHR and clinical workflow integration. Comparable to OTTO in workflow-centric virtual visit delivery for provider organizations.
• eVisit: Telehealth platform purpose-built for health systems and provider groups with EHR-integrated virtual visit workflows. Closely aligned with OTTO's enterprise-provider GTM and integration-led approach.
• Mend: Patient engagement and telehealth platform for specialty and ambulatory providers, with EHR integrations and digital intake. Comparable to OTTO's provider-focused virtual visit and workflow automation value proposition.
• Updox (now part of Everbridge): Telehealth and patient engagement platform serving ambulatory providers with EHR-integrated virtual visits. Comparable business model and target customer base to OTTO.
• Bluestream Health: Virtual care platform offering on-demand video consultations and provider workflow integrations for health systems. Directly comparable to OTTO's provider-integrated telehealth model.

Broad incumbents

• Teladoc Health: Large, publicly-traded telehealth incumbent offering virtual visits across primary care, mental health, and specialty care. A broad incumbent that competes with OTTO for provider and enterprise mindshare, though its scale and delivery model differ.
• Zoom for Healthcare: HIPAA-compliant video conferencing offering from Zoom targeted at healthcare providers. Competes with OTTO at the lower-complexity end of provider video visits, though it lacks OTTO's deep EHR/PM integration.
• Amwell: Enterprise telehealth platform serving health systems, insurers, and providers with a broad virtual care portfolio. A broad incumbent competitor to OTTO with deeper resources and broader platform scope.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ottohealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Otto health