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Network Medical Management

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uuid000btca

Namestring
Network Medical Management
Legal namestring
Astrana Health
Websiteurl
nmm.cc
Company typeenum
Private
Founded yearint
1994
Short descriptiontext

Network Medical Management (Astrana Health Management) is a California-based, full-service healthcare MSO founded in 1994 that delivers administrative, technical, and professional management services to providers, health plans, IPAs, and members.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
501–1,000
akta.pro rankint
HeadquartersAlhambra, United States
HQ citystring
Alhambra
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Keyword5 values
healthcare management services, managed care administration, population health management, IPA management services, medical practice support
Industry3 codes
1Primary Care Networks, Groups & MSOs
CodeHLAFAGAEPrimaryNo
2Provider Network, Credentialing & Contracting Support
CodeBPAAAFAIPrimaryNo
3Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises)
CodeHLAEALAJPrimaryNo
NAICS code2 codes
  • Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds524292
  • HMO Medical Centers621491
SIC code2 codes
  • Services-Management Services8741
  • Services-Health Services8000
Product category
Healthcare Management Services
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model1 record
1MSO Management Services
TypeManaged Services
Description

Full-service management service organization providing administrative, technical, and professional support to healthcare industry entities. Revenue is generated through managed services contracts with providers, health plans, and independent practice associations (IPAs).

astranahealthmanagement.com
Marketing channels1 record

Each record includes

Title, Type, Stage, Description, Source

Distribution channels3 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components4 values
Personnel, Operations, Technology or R&D, Marketing or Sales
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

Network Medical Management (now Astrana Health Management) is a full-service Management Service Organization (MSO) that delivers administrative, technical, and professional support to healthcare entities. The company coordinates population healthcare management for physicians, medical groups, health plans, and independent practice associations (IPAs) under managed service contracts.

Differentiator
Functional benefit
Problem solved
Product and service4 records
1MSO (Management Service Organization) Platform
Categorycore product
Description

Full-service management service organization providing administrative, technical, and professional support to healthcare industry entities, including providers, health plans, and managed IPAs, since 1994.

2Managed IPAs
Categoryservice
Description

Management services for Independent Practice Associations (IPAs), providing administrative and operational support to physician networks and coordinating IPA governance, contracting, and performance management.

3Health Plans
Categoryservice
Description

Health plan coordination and management services for health plans and managed care organizations, including provider network management, claims administration support, and population health management.

4Provider Portal
Categoryplatform
Description

Online portal for healthcare providers to access administrative resources, policies, guidelines, and manage patient care workflows as part of the MSO service offering.

Scale indicator1 record

Each record includes

Type, Value, Description, Source

Peers10 records
TypeDirect peer
Description

Public value-based-care MSO that partners with primary care physician groups and IPAs to take delegated risk from Medicare Advantage and other payers. Highly comparable to NMM/Astrana's MSO model of providing administrative and population health infrastructure to IPA-style provider networks.

TypeDirect peer
Description

Public medical group and MSO that enables physician practices to participate in value-based care contracts across multiple states. Direct peer given its MSO structure serving providers and payers with administrative, clinical, and population health services similar to NMM's offering.

TypeDirect peer
Description

California-based integrated delivery and MSO network serving HMO, Medicare Advantage, and Medi-Cal populations through delegated IPA arrangements. Closest geographic and operational analog to NMM given shared California MSO/IPA model and payer mix.

TypeDirect peer
Description

California-focused hospital and MSO operator running IPA networks and managed care plans in Southern California. Comparable in geographic footprint, IPA management model, and reliance on delegated managed care contracting.

TypeDirect peer
Description

Public value-based-care services company providing population health, network management, and MSO-style administrative platforms to health plans and providers. Direct peer because it sells similar administrative/population health infrastructure into payer and IPA relationships.

TypeDirect peer
Description

Primary-care-focused MSO affiliated with Walgreens that delivers administrative, clinical, and risk-bearing infrastructure to physician practices. Comparable as an MSO targeting IPA-style provider networks under delegated payer contracts.

TypeDirect peer
Description

Value-based-care primary care and MSO operator focused on senior and Medicare Advantage populations, including significant California exposure. Comparable due to its delegated managed care model, IPA-style physician relationships, and population health orientation.

TypeBroad incumbent
Description

Largest diversified healthcare services platform within UnitedHealth Group, running MSO/IPA, payer, and population health operations across all 50 states. Broad incumbent that competes for the same delegated managed care and MSO contracts NMM serves in California.

TypeBroad incumbent
Description

Vertically integrated provider running delegated MSO and IPA-style arrangements for managed care populations. Broad incumbent competing for the same California managed care/IPA administrative business.

TypeBroad incumbent
Description

Largest Medicaid managed care insurer with deep California (Medi-Cal) exposure, often operating its own MSO/IPA infrastructure that competes with or partners alongside independent MSOs. Broad incumbent shaping the same payer–IPA ecosystem NMM operates in.

Market position
Customer concentration

Classification, Details

Segment4 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile3 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles1 record

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

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

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment2 records

Each record includes

Name, Round, Announced date, Lead investor, Website, News

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

Network Medical Management

Healthcare Management Servicesnmm.cc

Network Medical Management (Astrana Health Management) is a California-based, full-service healthcare MSO founded in 1994 that delivers administrative, technical, and professional management services to providers, health plans, IPAs, and members.

Network Medical Management firmographics

Firmographics
Name
Network Medical Management
Legal name
Astrana Health
Website
https://nmm.cc
Company type
Private
Founded year
1994
Operating status
Operating
Headcount range
501–1,000 employees
Short description
Network Medical Management (Astrana Health Management) is a California-based, full-service healthcare MSO founded in 1994 that delivers administrative, technical, and professional management services to providers, health plans, IPAs, and members.
Ownership category
akta.pro rank

Where Network Medical Management is headquartered

Location

Headquarters

HQ city
Alhambra
HQ country
United States
HQ region
North America

Markets served

Network Medical Management business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

  1. MSO Management Services: Full-service management service organization providing administrative, technical, and professional support to healthcare industry entities. Revenue is generated through managed services contracts with providers, health plans, and independent practice associations (IPAs).

Go-to-market motion1 record

Distribution channels3 records

Marketing channels1 record

Network Medical Management product offering

Product offering

Core offering

Network Medical Management (now Astrana Health Management) is a full-service Management Service Organization (MSO) that delivers administrative, technical, and professional support to healthcare entities. The company coordinates population healthcare management for physicians, medical groups, health plans, and independent practice associations (IPAs) under managed service contracts.

Differentiator

Problem solved

Functional benefit

Products and services

  • MSO (Management Service Organization) Platform Full-service management service organization providing administrative, technical, and professional support to healthcare industry entities, including providers, health plans, and managed IPAs, since 1994.
  • Managed IPAs Management services for Independent Practice Associations (IPAs), providing administrative and operational support to physician networks and coordinating IPA governance, contracting, and performance management.
  • Health Plans Health plan coordination and management services for health plans and managed care organizations, including provider network management, claims administration support, and population health management.
  • Provider Portal Online portal for healthcare providers to access administrative resources, policies, guidelines, and manage patient care workflows as part of the MSO service offering.

Companies that use Network Medical Management

Customer profile

Segments4 records

Ideal customer profiles3 records

Network Medical Management technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Network Medical Management partnerships and signals

Strategic signal

Scale indicators1 record

Network Medical Management competitors and assessment

Company assessment

Direct peers

  • agilon health: Public value-based-care MSO that partners with primary care physician groups and IPAs to take delegated risk from Medicare Advantage and other payers. Highly comparable to NMM/Astrana's MSO model of providing administrative and population health infrastructure to IPA-style provider networks.
  • Privia Health Group: Public medical group and MSO that enables physician practices to participate in value-based care contracts across multiple states. Direct peer given its MSO structure serving providers and payers with administrative, clinical, and population health services similar to NMM's offering.
  • Heritage Provider Network: California-based integrated delivery and MSO network serving HMO, Medicare Advantage, and Medi-Cal populations through delegated IPA arrangements. Closest geographic and operational analog to NMM given shared California MSO/IPA model and payer mix.
  • Prospect Medical Holdings: California-focused hospital and MSO operator running IPA networks and managed care plans in Southern California. Comparable in geographic footprint, IPA management model, and reliance on delegated managed care contracting.
  • Evolent Health: Public value-based-care services company providing population health, network management, and MSO-style administrative platforms to health plans and providers. Direct peer because it sells similar administrative/population health infrastructure into payer and IPA relationships.
  • VillageMD: Primary-care-focused MSO affiliated with Walgreens that delivers administrative, clinical, and risk-bearing infrastructure to physician practices. Comparable as an MSO targeting IPA-style provider networks under delegated payer contracts.
  • Cano Health: Value-based-care primary care and MSO operator focused on senior and Medicare Advantage populations, including significant California exposure. Comparable due to its delegated managed care model, IPA-style physician relationships, and population health orientation.

Broad incumbents

  • Optum: Largest diversified healthcare services platform within UnitedHealth Group, running MSO/IPA, payer, and population health operations across all 50 states. Broad incumbent that competes for the same delegated managed care and MSO contracts NMM serves in California.
  • DaVita Integrated Kidney Care: Vertically integrated provider running delegated MSO and IPA-style arrangements for managed care populations. Broad incumbent competing for the same California managed care/IPA administrative business.
  • Centene Corporation: Largest Medicaid managed care insurer with deep California (Medi-Cal) exposure, often operating its own MSO/IPA infrastructure that competes with or partners alongside independent MSOs. Broad incumbent shaping the same payer–IPA ecosystem NMM operates in.

Market position

Customer concentration

Network Medical Management social profiles

Digital presence

Network Medical Management financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Network Medical Management leadership team

Management profile

Number of profiles

Profiles1 record

Network Medical Management funding detail

Funding detail

Funding overview

Funding rounds

Investors

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

Network Medical Management M&A and investment

M&A and investment

M&A

Investments2 records

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

Frequently asked questions about Network Medical Management

What does Network Medical Management do?

Network Medical Management (now Astrana Health Management) is a full-service Management Service Organization (MSO) that delivers administrative, technical, and professional support to healthcare entities. The company coordinates population healthcare management for physicians, medical groups, health plans, and independent practice associations (IPAs) under managed service contracts.

Is Network Medical Management a public or private company?

Network Medical Management is a private company. It is classified as unknown and is currently operating.

When was Network Medical Management founded?

Network Medical Management was founded in 1994. It employs 501 to 1,000 people.

Where is Network Medical Management based?

Network Medical Management is headquartered in Alhambra, United States, in the North America region.

How does Network Medical Management make money?

One revenue line is on record: MSO Management Services.

Who are Network Medical Management's main competitors?

Direct peers on record are agilon health, Privia Health Group, Heritage Provider Network, Prospect Medical Holdings, Evolent Health, VillageMD and Cano Health. Broad incumbents are Optum, DaVita Integrated Kidney Care and Centene Corporation.

Does Network Medical Management have an API?

No public API is recorded for Network Medical Management.

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Live signals
PR NewswireApollo Medical Holdings Reports Its Fiscal Year 2017 Financial ResultsApollo Medical Holdings reported fiscal year 2017 financial results with net revenue of $357.7 million, a 17% increase year-over-year, and net income attributable to the company of $25.8 million, up 125% from the prior year. In December 2017, the company completed its merger with Network Medical Management, one of the largest healthcare Management Services Organizations in the United States, and simultaneously listed its common stock on The Nasdaq Capital Market under the ticker symbol AMEH. The company stated it is well-positioned to advance its integrated population health management strategy and facilitate value-based contracting in the healthcare sector.PR NewswireApolloMed Announces That Network Medical Management Has Entered Into An Agreement With Golden Shore Medical Group To Manage Over 100,000 PatientsApollo Medical Holdings announced that its management services organization, Network Medical Management, entered into a Management Services Agreement with Golden Shore Medical Group to manage over 100,000 patients in California. Golden Shore operates 17 clinics across Sacramento, San Bernardino, Riverside, and Los Angeles counties, and was previously managed by Molina Medical Management before being acquired by former Molina Healthcare CEO Dr. J. Mario Molina. The agreement adds to ApolloMed's population health management platform, which now covers over one million patients under value-based capitation arrangements across eleven California counties.PR NewswireApolloMed Announces That Network Medical Management Has Entered Into An Agreement With Accountable Health Care IPA To Manage 160,000 PatientsApollo Medical Holdings' management services organization, Network Medical Management (NMM), has entered into a 10-year Management Services Agreement with Accountable Health Care IPA to manage 160,000 patients in California. The agreement is accompanied by an $18 million line of credit extended by an ApolloMed variable interest entity to Accountable IPA to fund working capital needs. ApolloMed's platform now covers over 860,000 patients under value-based capitation arrangements following this partnership.PR NewswireApolloMed And Network Medical Management Announce Completion Of Merger And Listing On The Nasdaq Capital MarketApollo Medical Holdings, Inc. has completed its merger with Network Medical Management, forming one of the nation's largest population health management companies that serves over 700,000 patients in California. The newly combined entity saw its shares begin trading on the Nasdaq Capital Market under the ticker symbol 'AMEH' and reported pro forma revenues of $125.7 million for the three months ended June 30, 2017. This strategic combination integrates ApolloMed's clinical platform with NMM's management services to enhance coordinated care delivery and value-based reimbursements.PR NewswireApollo Medical Holdings Reports 236% Revenue Growth Year Over Year For The 1st Quarter Of Fiscal Year 2018Apollo Medical Holdings reported Q1 FY2018 net revenue of $41.6 million, a 236% increase year-over-year driven by APA ACO's participation in the Next Generation Accountable Care Organization Model. The company posted an operating loss of $3.7 million due to transactional expenses related to the pending merger with Network Medical Management and infrastructure costs. Management expressed confidence in the strategic plan and indicated the company is well-positioned for continued growth.PR NewswireApolloMed Subsidiary APA ACO Announces Commencement Of All-Inclusive Population-Based Payment Operations Under CMS Next Generation ACO ModelApollo Medical Holdings subsidiary APA ACO commenced All-Inclusive Population-Based Payment operations under CMS Next Generation ACO Model on April 1, 2017, becoming the only ACO among 44 selected participants to join the most advanced AIPBP track. The company expects this participation to generate $9-10 million per month in revenue beginning April 2017, with responsibility for medical management of over 32,000 Medicare beneficiaries in California. APA ACO is jointly owned by ApolloMed and Network Medical Management, which announced a definitive merger agreement in December 2016 for a stock-for-stock transaction.PR NewswireApollo Medical Holdings Reports 47% Revenue Growth Year Over Year For The 3rd Quarter Of Fiscal Year 2017Apollo Medical Holdings reported Q3 FY2017 financial results for the three months ended December 31, 2016, showing net revenue of $15.7 million, a 47% increase compared to $10.7 million in the same period of 2015. Despite the strong revenue growth, the company reported an operational loss of $1.7 million, up from a $1.5 million loss in the prior year, driven by continued capital investment in its population health management infrastructure and costs related to its definitive merger agreement with Network Medical Management, Inc. announced on December 22, 2016. The company stated it expects the merger with Network Medical Management to be completed in the first half of 2017.PR NewswireApolloMed Announces That APA ACO Has Been Selected By CMS As A Next Generation ACOApollo Medical Holdings announced that its subsidiary APA ACO, Inc. was selected by the Centers for Medicare & Medicaid Services (CMS) to participate in the Next Generation ACO Model, an Advanced Alternative Payment Model under Medicare, with the 2017 performance year beginning January 1, 2017. APA ACO, jointly owned by ApolloMed and Network Medical Management, has built a network of 595 physicians, 20 hospitals, over 15 skilled nursing facilities, and multiple labs, radiology, and dialysis centers totaling over 700 providers. The company has applied to participate in the All-Inclusive Population-Based Payment mechanism, under which CMS will pay a projected per-beneficiary per-month amount and APA ACO will manage all Part A and Part B costs for its provider network.PR NewswireApolloMed Announces That APA ACO, Inc. Has Been Chosen As A Next Generation Accountable Care OrganizationApollo Medical Holdings announced that its subsidiary APA ACO, Inc. has been selected by the Centers for Medicare & Medicaid Services to participate in the Next Generation ACO Model, an accountable care organization program that ties Medicare payments to quality and value of care. APA ACO is jointly owned by ApolloMed and Network Medical Management and was chosen through an open competitive process from a large applicant pool. The selection aligns with HHS goals of moving 50 percent of Medicare payments to alternative payment models by 2018, with 27 ACOs newly selected for 2017 bringing the total to 45 Next Generation ACOs.PR NewswireApolloMed And Network Medical Management Announce Transformational MergerApollo Medical Holdings, Inc. and Network Medical Management, Inc. have signed a definitive merger agreement to combine in a stock-for-stock transaction, forming one of the nation's largest integrated population health management companies. The combined entity would have generated over $330 million in pro forma revenues for the twelve months ended December 31, 2015, and provides medical management for over 700,000 patients through a network of over 3,000 healthcare professionals. Upon closing, NMM shareholders will own 82% and ApolloMed shareholders will own 18% of the combined company, with the transaction expected to close in the first half of 2017 pending regulatory and shareholder approvals.