TurningPoint
TurningPoint Healthcare Solutions is a B2B healthcare technology and clinical services company that delivers utilization and care management for complex conditions (MSK, cardiac, wound care, ENT, sleep) to health plans across all 50 states, covering 42M-50M+ member lives and approximately $4B in annual healthcare spend under risk-based contracts.
- Company typePrivate
- Founded2015
- HeadquartersLake Mary, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What TurningPoint does
TurningPoint Healthcare Solutions is a privately held, Florida-based healthcare technology and clinical services company headquartered in Lake Mary, FL. The company operates a B2B utilization management and care management platform focused on complex, high-cost clinical conditions, with primary emphasis on musculoskeletal (MSK) and cardiac care, and an expanding footprint in wound care, ENT, and sleep. Its platform combines proprietary clinical guidelines, developed in collaboration with national medical societies, with a network of 100+ board-certified sub-specialists, including past presidents of AAOS and ACC, to deliver evidence-based authorization and care pathway decisions for health plan clients. The company manages approximately 42M-50M+ member lives across all 50 states and oversees roughly $4B in annual healthcare spend under contract.
The platform is delivered under risk-based and per-member-per-month (PMPM) arrangements with health plans, with contracts structured around guaranteed cost savings. TurningPoint holds NCQA reaccreditation (99.35/100, June 2023) and HITRUST CSF certification, which serve as procurement prerequisites for enterprise health plan relationships. In April 2022, the company launched the Digital Joint & Spine mobile application, extending its MSK care management offering into a direct-to-member channel. In May 2024, TurningPoint acquired Fairway Health to integrate LLM, generative AI, and NLP capabilities into clinical documentation and workflow automation, and added Moses Im, Grace Wang, and Joseph Chen to the executive team as CEO, CTO, and CPO respectively. Revenue mechanics are anchored in PMPM and shared-savings fees rather than per-review transactional pricing, aligning the vendor with client outcomes.
TurningPoint firmographics
Firmographics- Name
- TurningPoint
- Legal name
- TurningPoint Healthcare Solutions LLC
- Website
- https://turningpoint-healthcare.com
- Company type
- Private
- Founded year
- 2015
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- TurningPoint Healthcare Solutions is a B2B healthcare technology and clinical services company that delivers utilization and care management for complex conditions (MSK, cardiac, wound care, ENT, sleep) to health plans across all 50 states, covering 42M-50M+ member lives and approximately $4B in annual healthcare spend under risk-based contracts.
- Ownership category
- akta.pro rank
TurningPoint industry classification
Industry- Product category
- Specialty Care Management
- NAICS
- Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Chronic Condition Virtual Care & Disease Management (Payer-Sponsored) (HLALACAE)
- akta.pro secondary industries
- Medication Adherence, Digital Therapeutics & Remote Coaching (condition-specific programs) (HLALAFAF), Virtual Second Opinion & Care Navigation Platforms (HLALAAAF)
Keywords
Where TurningPoint is headquartered
LocationHeadquarters
- HQ city
- Lake Mary
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
TurningPoint business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Health Plan Services (B2B): TurningPoint provides specialty care management services and technologies to health plans on a contractual basis. Services include utilization management, complex condition management, and digital health programs. Revenue appears to be based on per-member-per-month (PMPM) arrangements with guaranteed cost savings guarantees and risk-based contracts.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Others | Digital Joint & Spine - Free for eligible health plan members |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels6 records
TurningPoint product offering
Product offeringCore offering
TurningPoint Healthcare Solutions provides complex condition management services combining utilization management, member engagement, and provider enablement for high-cost specialty conditions such as musculoskeletal (MSK), cardiac, ENT, and radiology care. The company delivers evidence-based clinical decision support, prior authorization, and peer-to-peer review services to health plans and risk-bearing entities, supported by 100+ board-certified sub-specialists and proprietary AI technology.
Product overview
TurningPoint offers a fully integrated complex condition management platform that brings together utilization management, member engagement, and provider enablement under one roof. The core platform is complemented by the Digital Joint & Spine mobile app (a member-facing MSK management tool with exercise tutorials, live coaching, and personalized condition plans), Provider and Payer web portals, and AI-powered documentation tools acquired from Fairway Health. The platform manages conditions including musculoskeletal (MSK), cardiology, wound care, ENT, and sleep across health plans, providers, and individuals, supporting nearly $4 billion in healthcare costs across all 50 US states.
Differentiator
Problem solved
Functional benefit
Brands
- Digital Joint & Spine: A comprehensive musculoskeletal (MSK) management platform providing personalized condition management plans, targeted exercises, live coaching, and support through a mobile application for joint and spine conditions.
Products and services
- Complex Condition Management Platform An integrated specialty care management offering combining utilization management, clinical decision support, member engagement, and provider enablement for high-cost conditions such as musculoskeletal, cardiac, ENT, and radiology care. The platform is sold to health plans, providers, employers, and risk-bearing entities and is delivered through PMPM (per-member-per-month) arrangements with guaranteed cost savings.
- Digital Joint & Spine A consumer-facing mobile application for members undergoing or considering orthopedic/spine procedures. The app provides condition-specific pre-surgical education, post-surgical exercise/recovery programs, and tools to track pain, function, and quality-of-life outcomes, available free to users in the Apple App Store and Google Play Store.
- Fairway Health AI Technology An acquired AI/LLM technology platform that powers clinical documentation automation, member intake, and provider/member communications within TurningPoint's specialty care management platform. It uses generative AI to draft clinical narratives from voice and structured inputs, reducing manual review effort.
Quantifiable outcome
- ~30% reduction in condition-specific spend
- +4 more outcomes
Companies that use TurningPoint
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles3 records
TurningPoint technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability4 records
Feature4 records
TurningPoint partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Fairway HealthcoreTurningPoint acquired Fairway Health, a health technology company specializing in AI-powered tools that assist with clinical workflows. Fairway Health uses Large Language Models and Generative AI to improve healthcare documentation and administrative processes. The acquisition enhances TurningPoint's ability to increase speed to care, improve healthcare outcomes, and significantly reduce administrative burdens for providers. Fairway Health founders Moses Im (CEO), Grace Wang (CTO), and Joseph Chen (CPO) joined TurningPoint as part of the acquisition.
Scale indicators7 records
Recent moves6 records
Expansion highlights5 records
TurningPoint competitors and assessment
Company assessmentDirect peers
- eviCore Healthcare (Carelon): eviCore is the largest independent specialty utilization management company, owned by Carelon (UnitedHealth Group's health services arm). It provides radiology, cardiology, MSK, oncology, and other specialty UM to payers and providers, directly competing with TurningPoint's complex condition management platform.
- AIM Specialty Health (Carelon): AIM Specialty Health is a leading specialty benefits management company (owned by Elevance Health's Carelon) providing radiology, cardiology, oncology, and sleep UM. It is a direct competitor to TurningPoint in payer-sponsored specialty care management with similar AI-enabled prior authorization workflows.
- MedRisk: MedRisk is a specialty managed care company focused specifically on physical medicine and workers' compensation MSK utilization management. It is the closest direct MSK-focused peer to TurningPoint's musculoskeletal and complex condition management offering.
Emerging players
- Cohere Health: Cohere Health is an AI-powered prior authorization and specialty care management platform serving health plans. It overlaps directly with TurningPoint's UM and care navigation capabilities but is earlier-stage and emphasizes AI-driven clinical decision support as its primary differentiator.
- Hinge Health: Hinge Health is a leading digital MSK care platform offering virtual physical therapy, exercise programs, and wearable-guided conservative care. It overlaps with TurningPoint's Digital Joint & Spine member-facing program and competes for the same MSK care pathway in employer-sponsored benefits.
- Sword Health: Sword Health is a digital MSK and pelvic health provider combining AI-guided virtual physical therapy with remote clinician oversight. It is an emerging competitor in the digital conservative-care pathway that TurningPoint's Digital Joint & Spine app also addresses.
- Omada Health: Omada Health is a virtual chronic care platform focused on diabetes, hypertension, and MSK conditions delivered via employer and payer contracts. It competes with TurningPoint in payer/employer-sponsored chronic condition digital programs with similar coaching and engagement features.
- Wellframe: Wellframe is a digital care management platform delivering member-facing mobile health engagement tools to health plans. It overlaps with TurningPoint's member engagement and care navigation capabilities within payer-sponsored programs, though with a less clinical-specialty focus.
Broad incumbents
- Optum (UnitedHealth Group): Optum is UnitedHealth Group's health services platform encompassing OptumHealth, OptumInsight, and OptumRx. As the parent of eviCore/Carelon, it is the dominant broad incumbent in payer-aligned healthcare services and competes with TurningPoint across UM, care management, and analytics.
Regional players
- Virgin Pulse (Personify Health): Personify Health (formerly Virgin Pulse) is an employer-focused health and wellbeing platform offering digital MSK, chronic condition, and navigation programs. It competes with TurningPoint's employer-channel offerings via a different distribution emphasis on wellbeing and engagement-first delivery.
Market position
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
TurningPoint social profiles
Digital presenceTurningPoint financial estimates
Financial estimateRevenue estimate
Valuation estimate
TurningPoint leadership team
Management profileNumber of profiles
Profiles3 records
TurningPoint subsidiaries and ownership
Company hierarchySubsidiaries1 record
TurningPoint funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
TurningPoint M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about TurningPoint
What does TurningPoint do?
TurningPoint Healthcare Solutions provides complex condition management services combining utilization management, member engagement, and provider enablement for high-cost specialty conditions such as musculoskeletal (MSK), cardiac, ENT, and radiology care. The company delivers evidence-based clinical decision support, prior authorization, and peer-to-peer review services to health plans and risk-bearing entities, supported by 100+ board-certified sub-specialists and proprietary AI technology.
Is TurningPoint a public or private company?
TurningPoint is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was TurningPoint founded?
TurningPoint was founded in 2015. It employs 101 to 250 people.
Where is TurningPoint based?
TurningPoint is headquartered in Lake Mary, United States, in the North America region.
How does TurningPoint make money?
One revenue line is on record: health Plan Services (B2B).
Who are TurningPoint's main competitors?
Direct peers on record are eviCore Healthcare (Carelon), AIM Specialty Health (Carelon) and MedRisk. Emerging players are Cohere Health, Hinge Health, Sword Health, Omada Health and Wellframe. Optum (UnitedHealth Group) is listed as a broad incumbent. Virgin Pulse (Personify Health) is listed as a regional player.
Does TurningPoint have an API?
No public API is recorded for TurningPoint.
What industry is TurningPoint in?
TurningPoint's product category is Specialty Care Management. Its primary akta.pro industry code is HLALACAE, Chronic Condition Virtual Care & Disease Management (Payer-Sponsored), with a secondary code of HLALAFAF, Medication Adherence, Digital Therapeutics & Remote Coaching (condition-specific programs). Its NAICS code is 624120 and its SIC code is 8000.