HealthSure

What HealthSure does

HealthSure, now operating as a division of Alera Group, Inc., is a U.S. risk consulting and insurance agency dedicated exclusively to the hospital community. Founded in 1998 and headquartered in Austin, Texas, the firm serves 130+ hospitals and aggregates 300+ healthcare organizations across three program brands: RHIA for the national rural hospital community, Torch Insurance Program for 80+ Texas rural hospitals, and CHIC for hospital-specific medical stop-loss. The company positions itself as the only 100% hospital-focused risk and insurance agency in the market, leveraging 25+ years of vertical specialization.

The company's revenue is generated through a professional services model combining consulting fees and insurance commissions across four core lines: Employee Benefits, Insurance (gap/overlap optimization), eMCA Equipment Maintenance Contracts (positioned to save hospitals 10-25% annually), and Direct and Managed Care Contracting. Distribution is conducted via direct enterprise field sales to hospital leadership and risk management decision-makers, with no disclosed self-serve or digital channel. No proprietary technology platform, AI/ML capability, patents, or integrations are disclosed in the available data; the value proposition rests on domain expertise, multi-line service integration, and collective buying power through pooled programs. Pricing is quote-based and not publicly disclosed.

HealthSure operates as a brand under Alera Group, Inc., with wholly owned programs functioning as adjacent operating subsidiaries (RHIA, Torch, CHIC). The company previously operated under the HealthSure name before rebranding under the Alera Group umbrella while preserving its hospital-exclusive positioning. Markets served include Texas and a national U.S. footprint, with no global operations claimed. There are no disclosed funding rounds, leadership changes, M&A activity, or institutional investor involvement in the source data.

Name

HealthSure

Legal name

Alera Group, Inc.

Website

https://healthsure.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Healthcare Insurance Brokerage

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120), Health Care and Social Assistance (62)

SIC

Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)

akta.pro secondary industry

Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Hospital risk consulting
• Insurance agency services
• Employee benefits administration
• Equipment maintenance contracts
• Medical stop-loss insurance

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Risk Consulting and Insurance Agency Services: Alera Group operates as a risk consulting and insurance agency dedicated exclusively to the hospital community. The company generates revenue through consulting fees and insurance commissions for services including employee benefits, insurance optimization, equipment maintenance contracts (eMCA), and direct/managed care contracting.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

HealthSure operates as Alera Group's hospital-focused risk consulting and insurance agency, delivering Employee Benefits, Insurance, eMCA Equipment Maintenance Contracts, and Direct and Managed Care Contracting services to hospitals. It complements these services with three collaborative programs — RHIA, Torch Insurance Program, and CHIC Program — that pool buying power, share risk, and deliver cost-control outcomes such as 10–25% annual savings on equipment maintenance contracts for the U.S. hospital community.

Product overview

Alera Group (formerly HealthSure) is a risk consulting and insurance agency dedicated exclusively to the hospital community. The company offers a unified suite of services including Employee Benefits, Insurance, eMCA (Equipment Maintenance Contracts), and Direct and Managed Care Contracting, complemented by three unique programs: RHIA for national rural hospital collaboration, Torch Insurance Program for Texas rural hospitals, and CHIC Program for medical stop-loss coverage. The portfolio is unified by a singular focus on hospitals, combining risk management, insurance optimization, and collaborative buying power to help hospitals thrive in a complex healthcare landscape.

Differentiator

Problem solved

Functional benefit

Brands

• RHIA (Rural Hospital Insurance Association): Program serving the national rural hospital community by leveraging buying power, facilitating collaboration, and resource sharing among 300+ healthcare organizations.
• Torch Insurance Program
• CHIC Program
• eMCA

Products and services

• Employee Benefits Smart solutions to help hospitals attract talent, manage costs, and care for their employees through employee benefits administration and advisory.
• Insurance Risk consulting services to help hospitals close insurance coverage gaps, cut overlaps, and optimize insurance programs.
• eMCA (Equipment Maintenance Contracts) Streamlined equipment maintenance contracts that help hospitals save 10–25% annually by simplifying and optimizing contract management.
• Direct and Managed Care Contracting Three innovative ways to save and drive growth through collaboration and control in direct and managed care contracting for hospitals.
• RHIA (Rural Hospital Insurance Association) Program Program that serves the national rural hospital community by leveraging buying power, facilitating collaboration, and enabling resource sharing among 300+ healthcare organizations. Membership opportunities available for rural hospitals.
• Torch Insurance Program Program connecting 80+ Texas rural hospitals to share experience and wisdom, transforming risk into an asset and leveraging collective buying power. Membership opportunities available.
• CHIC Program (Collective Hospital Insurance Consortium) Hospital-specific medical stop-loss program delivering exceptional cost control and significant dividends to participating hospitals through collective buying power. Limited participation opportunities available.

Quantifiable outcome

• Save 10-25% annually on equipment maintenance contracts through eMCA program
• +2 more outcomes

Named customers3 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered core.

• RHIA ProgramcoreStrategic or Co-development PartnerRHIA (Rural Hospital Insurance Association) Program serves the national rural hospital community by leveraging buying power, facilitating collaboration, and enabling resource sharing among member hospitals. Membership opportunities are available for rural hospitals seeking collective risk management benefits.
• Torch Insurance ProgramcoreStrategic or Co-development PartnerTorch Insurance Program connects 80+ Texas rural hospitals to share experience and wisdom, transforming risk into an asset. The program facilitates collaboration among Texas hospitals to drive better service and results through collective risk management.
• CHIC ProgramcoreStrategic or Co-development PartnerCHIC (Collective Hospital Insurance Cooperative) Program is a hospital-specific medical stop-loss program delivering exceptional cost control and significant dividends to participating hospitals. Limited participation opportunities are available.

Scale indicators4 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• Marsh McLennan: Global insurance broker and risk advisor with a dedicated healthcare practice serving hospitals and health systems. Directly comparable as a risk consulting/insurance agency, though far broader in scope than HealthSure's hospital-only focus.
• Aon: Global professional services firm offering risk, insurance brokerage, and health benefits consulting with substantial healthcare industry exposure. A direct competitor in hospital risk and employee benefits advisory, but operating at vastly greater scale.
• Arthur J. Gallagher & Co. Large insurance brokerage and risk management firm with significant healthcare and hospital practice. Competitor in hospital risk consulting and employee benefits, though serving multiple industries.
• Willis Towers Watson (WTW): Global advisory, brokerage, and solutions firm with healthcare and risk practices serving hospitals and health systems. Comparable in risk and benefits consulting, though operating across all major industries.
• Lockton: Largest independent insurance brokerage with dedicated healthcare practice serving hospital systems. Direct overlap in hospital risk and employee benefits brokerage, though not exclusively hospital-focused.
• HUB International: North American insurance brokerage with healthcare specialization. Competes with HealthSure in hospital and healthcare risk consulting, with broader geographic and product coverage.
• Alliant Insurance Services: Specialty insurance brokerage with a healthcare practice serving hospitals, senior living, and providers. Closely comparable in client base and product mix, though not exclusively hospital-focused.
• Brown & Brown, Inc. Diversified insurance brokerage and risk management firm with healthcare industry programs. Comparable in the insurance intermediary role, though serving multiple sectors beyond hospitals.

Regional players

• Conner Strong & Buckelew: Mid-Atlantic insurance and risk management brokerage with a healthcare practice serving hospitals and health systems. Similar specialist positioning but regional rather than national focus.

Direct peers

• OneDigital: Specialist insurance, financial services, and HR consulting firm with deep healthcare employer benefits expertise. Closely comparable to HealthSure's Employee Benefits and hospital HR advisory offerings, with similar mid-market scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries3 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 HealthSure