Chess Health Solutions
Chess Health Solutions is a physician-led healthcare services firm that helps health systems, physician groups, ACOs, and IPAs transition from fee-for-service to value-based care through care coordination, clinical pharmacy, HCC documentation integrity, population health analytics, and value-based contracting.
- Company typePrivate
- Founded2012
- HeadquartersWinston Salem, United States
- Headcount251–500
- GTM typeB2B
- OfferingServices
What Chess Health Solutions does
Chess Health Solutions is a physician-led healthcare services company founded in 2012 and headquartered in Winston-Salem, North Carolina. The firm enables health systems, physician groups, Accountable Care Organizations (ACOs), and Independent Physician Associations (IPAs) to transition from fee-for-service reimbursement to value-based care models. Its operating thesis is that providers need embedded clinical, analytical, and contracting support to manage population risk while sustaining financial viability during the reimbursement transition.
The service portfolio is structured as an integrated suite: care coordination (nurses and CMAs addressing social determinants of health during care transitions), clinical pharmacy (pharmacists and technicians identifying drug therapy problems and adherence gaps), HCC Clinical Documentation Integrity (risk-adjustment coding for Medicare Advantage), care transformation consulting, value-based contracting support, population health analytics (merging clinical EHR data with payer claims data for a 360-degree patient view and predictive intervention), continuous improvement and patient engagement programs, a Medicaid Services Model, and Transitional Care Management. Delivery is supported by a Value Partner Portal that gives partner organizations access to tools and resources. Content marketing via the Move to Value Podcast and a clinical blog underpins thought leadership.
CHESS operates as a professional services / healthcare consulting business with 251–500 employees. Pricing is not publicly disclosed; engagements are quote-based and customized to each organization's value-based care goals. Go-to-market is sales-led, with direct outreach to value-based care entities via a Value Partner Portal and field engagement. The firm is privately held with no disclosed parent company, no funding rounds, and no M&A activity in the available data.
Chess Health Solutions firmographics
Firmographics- Name
- Chess Health Solutions
- Legal name
- CHESS Health Solutions
- Website
- https://chesshealthsolutions.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Chess Health Solutions is a physician-led healthcare services firm that helps health systems, physician groups, ACOs, and IPAs transition from fee-for-service to value-based care through care coordination, clinical pharmacy, HCC documentation integrity, population health analytics, and value-based contracting.
- Ownership category
- akta.pro rank
Chess Health Solutions industry classification
Industry- Product category
- Healthcare Value-Based Care Services
- NAICS
- Computer Systems Design and Related Services (54151)
- SIC
- Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)
- akta.pro secondary industry
- Care Coordination, Referral Management & Transitions-of-Care Pathways (HLACAGAL)
Keywords
Where Chess Health Solutions is headquartered
LocationHeadquarters
- HQ city
- Winston Salem
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Chess Health Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Healthcare Consulting Services: CHESS provides professional consulting services to healthcare organizations including health systems, physician groups, ACOs, and IPAs to enable their transition to value-based care models. Services include care coordination, clinical pharmacy services, HCC documentation integrity, population health analytics, and care transformation.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels4 records
Chess Health Solutions product offering
Product offeringCore offering
CHESS Health Solutions is a physician-led healthcare services company that helps providers, health systems, ACOs, and IPAs transition from fee-for-service to value-based care. It delivers an integrated suite of clinical and operational services—including care coordination, clinical pharmacy, HCC documentation integrity, population health analytics, value-based contracting, and care transformation—backed by clinical teams (nurses, CMAs, pharmacists) and a data analytics platform that merges clinical and payer claims data.
Product overview
CHESS Health Solutions offers a comprehensive suite of value-based care services designed to help physicians, health systems, Accountable Care Organizations (ACOs), and Independent Physician Associations (IPAs) transition from fee-for-service to fee-for-value care models. The portfolio includes Care Coordination Services, Clinical Pharmacy Services, HCC Clinical Documentation Integrity, Care Transformation, Value-Based Contracting, Population Health Analytics, Continuous Improvement & Patient Engagement, and a Medicaid Services Model. These services work together as an integrated ecosystem—the core care coordination and pharmacy teams support patients through transitions while population health analytics and clinical documentation integrity tools enable accurate risk adjustment and proactive intervention. The company also provides a Value Partner Portal for partners to access tools and resources, along with educational content through the Move to Value Podcast. CHESS emphasizes a collaborative approach between providers and payers, focusing on quality outcomes, cost management, and patient experience.
Differentiator
Problem solved
Functional benefit
Products and services
- Care Coordination Services Trained skilled nurses and CMAs identify and address social determinants of health issues during patient transitions from inpatient settings to home, helping reduce avoidable readmissions.
- Clinical Pharmacy Services
- HCC Clinical Documentation Integrity
- Care Transformation
- Value-Based Contracting
- Population Health Analytics
- Continuous Improvement & Patient Engagement
- Medicaid Services Model
- Value Partner Portal
- Transitional Care Management (TCM) Services
Quantifiable outcome
- Poor transitions of care amount to over $25 billion in health expenditures for Medicare every year
- +1 more outcomes
Companies that use Chess Health Solutions
Customer profileSegments4 records
Ideal customer profiles4 records
Chess Health Solutions technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature4 records
Chess Health Solutions partnerships and signals
Strategic signalScale indicators1 record
Recent moves5 records
Expansion highlights5 records
Chess Health Solutions competitors and assessment
Company assessmentDirect peers
- Aledade: Aledade partners with independent primary care physicians, ACOs, and IPAs to enable value-based care through analytics, network management, and practice transformation support — directly overlapping CHESS's physician-group and ACO enablement focus.
- Agilon Health: Agilon Health partners with primary care physician groups to take global risk in Medicare Advantage, providing analytics, care management, and provider enablement — competing for the same IPA and physician-group VBC relationships as CHESS.
- Privia Health: Privia Health enables physician groups, IPAs, and ACOs to succeed in value-based care arrangements via its multi-payer platform, population health tools, and care coordination services — closely overlapping CHESS's physician enablement model.
- Evolent Health: Evolent Health partners with health systems and providers to manage value-based care contracts across Medicare, Medicaid, and commercial populations, offering specialty care management and population health capabilities that overlap CHESS's service stack.
- Caravan Health: Caravan Health (now part of Signify Health/Optum) specifically enabled ACOs and community health systems to succeed in MSSP and other value-based programs — directly comparable to CHESS's ACO enablement and population health analytics offerings.
- Lightbeam Health Solutions: Lightbeam provides population health management, HCC risk adjustment analytics, and care coordination technology for ACOs, health systems, and physician groups — overlapping with CHESS's Population Health Analytics and HCC Clinical Documentation Integrity services.
Broad incumbents
- Health Catalyst: Health Catalyst is a broader healthcare data and analytics platform serving health systems with population health, quality, and cost analytics — overlapping CHESS's analytics capabilities but operating at larger enterprise scale.
- Optum (UnitedHealth Group): Optum provides end-to-end value-based care enablement, population health analytics, and risk-adjustment services for providers and payers — competing across most of CHESS's service portfolio with massive capital and scale advantages.
- Premier Inc. Premier provides population health management, performance improvement, and value-based care consulting to health systems and ACOs — overlapping CHESS's care transformation and quality measurement offerings at a broader scale.
Emerging players
- Integra Connect: Integra Connect delivers specialty-focused value-based care solutions including analytics, care management, and practice transformation for oncology and other specialties — an emerging competitor addressing adjacent value-based care enablement opportunities.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
Chess Health Solutions social profiles
Digital presenceChess Health Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Chess Health Solutions leadership team
Management profileNumber of profiles
Profiles9 records
Chess Health Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Chess Health Solutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Chess Health Solutions
What does Chess Health Solutions do?
CHESS Health Solutions is a physician-led healthcare services company that helps providers, health systems, ACOs, and IPAs transition from fee-for-service to value-based care. It delivers an integrated suite of clinical and operational services—including care coordination, clinical pharmacy, HCC documentation integrity, population health analytics, value-based contracting, and care transformation—backed by clinical teams (nurses, CMAs, pharmacists) and a data analytics platform that merges clinical and payer claims data.
Is Chess Health Solutions a public or private company?
Chess Health Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Chess Health Solutions founded?
Chess Health Solutions was founded in 2012. It employs 251 to 500 people.
Where is Chess Health Solutions based?
Chess Health Solutions is headquartered in Winston Salem, United States, in the North America region.
How does Chess Health Solutions make money?
One revenue line is on record: healthcare Consulting Services.
Who are Chess Health Solutions's main competitors?
Direct peers on record are Aledade, Agilon Health, Privia Health, Evolent Health, Caravan Health and Lightbeam Health Solutions. Broad incumbents are Health Catalyst, Optum (UnitedHealth Group) and Premier Inc.. Integra Connect is listed as an emerging player.
Does Chess Health Solutions have an API?
No public API is recorded for Chess Health Solutions.
What industry is Chess Health Solutions in?
Chess Health Solutions's product category is Healthcare Value-Based Care Services. Its primary akta.pro industry code is HLACAHAA, Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk), with a secondary code of HLACAGAL, Care Coordination, Referral Management & Transitions-of-Care Pathways. Its NAICS code is 54151 and its SIC code is 8090.