Healthcare Partners

What Healthcare Partners does

HealthCare Partners (HCP) is a physician-led Independent Practice Association (IPA) and Management Services Organization (MSO) founded in 1996 and headquartered at 501 Franklin Avenue, Suite 300, Garden City, New York. The organization supports a network of thousands of Primary Care and Specialist physicians across the Greater New York Metropolitan Area (Connecticut, New Jersey, and New York), delivering coordinated care to members of contracted health plans. HCP operates with 251-500 employees, of which more than 200 are clinical and administrative support staff providing care management, utilization management, quality support, and provider relations.

HCP's core product is IPA membership, augmented by an integrated suite of provider-facing modules: a Preferred Specialist Network (searchable across CT, NJ, and NY), a unified claims management platform called EZ-Net, a referral and prior authorization workflow with peer-to-peer consultation, a Real Time Resolution Center for real-time clinical support, a quality program with a Provider Incentive Program, and a Healthix-based health information exchange connectivity program. Underlying these modules are population health management data systems that identify patient care needs early in the disease process, enabling proactive intervention across complex cases. Adjacent services include case management, pharmacy support, home infusion, home-based medical assessments, social work and behavioral health, social determinants of health programs, hospice and palliative care, group malpractice insurance, and group purchasing on medical and office supplies.

HCP generates revenue through capitation and value-based care arrangements with health plans including EmblemHealth, Anthem BCBS, Fidelis Care, Humana, and UnitedHealthcare, under which it coordinates care and shares risk for member populations. The go-to-market model combines field-based Provider Relations Specialists who recruit independent physicians into the IPA with channel partnerships through health plans that direct members into HCP's coordinated care network. Pricing is not disclosed publicly, but individual services such as case management are offered as no-cost, value-added services to members. The company is privately held, with no parent company, no disclosed funding rounds, and no public shareholders; ownership appears distributed among physician members of the IPA.

Name

Healthcare Partners

Legal name

Healthcare Partners, IPA and HealthCare Partners, MSO

Website

https://healthcarepartnersny.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

251–500 employees

Short description

HealthCare Partners is a physician-led Independent Practice Association and Management Services Organization founded in 1996, headquartered in Garden City, NY. It coordinates care for thousands of independent physicians and contracted health plan members across the Greater New York tri-state area under capitation and value-based contracts.

Ownership category

akta.pro rank

Product category

Independent Practice Association (IPA) and Care Coordination Services

NAICS

HMO Medical Centers (621491), Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Independent Practice Association (IPA) Model HMOs (HLAEAMAD)

akta.pro secondary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

Keywords

• Care coordination services
• Independent practice association
• Population health management
• Value-based care management
• Provider support services

Headquarters

HQ city

Garden City

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Capitation/Value-Based Care Arrangements: HCP operates as an IPA that receives capitation payments from health plans (EmblemHealth, Anthem BCBS, etc.) to coordinate care for member populations. The organization shares risk and rewards from managing healthcare costs and quality outcomes.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

Healthcare Partners operates a physician-led Independent Practice Association (IPA) and Management Services Organization (MSO) that recruits independent Primary Care and Specialist physicians in the Greater NY Metropolitan Area into a coordinated care network. Under capitation and value-based contracts with major health plans, HCP provides care management, clinical support services, claims administration via EZ-Net, referral management, quality program support, and value-added programs such as group malpractice insurance to help independent practices remain financially viable while delivering coordinated care to health plan members.

Product overview

HealthCare Partners (HCP) is a physician-led Independent Practice Association (IPA) operating in New York, serving thousands of Primary Care and Specialist physicians. The organization operates as a platform combining core IPA membership with integrated modules including Provider Resources, Clinical Support Services, Claims Management via EZ-Net, Referral Management with Preferred Specialist Network, and Quality Resources. The offering is structured as a unified platform with administrative and clinical support modules designed to help independent practices remain independent while delivering quality care, with additional value-added programs such as group malpractice insurance and medical supply discounts available through IPA membership.

Differentiator

Problem solved

Functional benefit

Products and services

• Independent Practice Association (IPA) Membership Provider membership program for independent Primary Care and Specialist physicians in the Greater NY Metropolitan Area, offering panel membership through multiple partnered health plans (EmblemHealth, Anthem BCBS, Fidelis Care, Humana, UnitedHealthcare), value-added programs including group malpractice insurance and medical supply discounts, Provider Incentive Programs, and physician-led governance.
• Care Management Program Case management services staffed by doctors, nurses, social workers, and care coordinators providing one-on-one guidance to health plan members across care transitions, chronic disease management, behavioral health, social determinants of health, and connection to community resources.
• Clinical Support Services Integrated suite of clinical support offerings for affiliated providers including a Real Time Resolution Center for real-time care coordination, case management, pharmacy support, home-based medical assessments, social work and behavioral health, social determinants of health programs, and hospice and palliative care services.
• Preferred Specialist Network Network of high-value Preferred Specialists searchable by location (Connecticut, New Jersey, New York) and specialty, available to HCP-affiliated providers and patients without the need for a referral.
• Claims Management (EZ-Net) Claims submission and tracking system allowing affiliated providers to submit and track claims for EmblemHealth and other HCP patient populations through the EZ-Net platform.

Quantifiable outcome

• Approximately 30% of ER visits are unnecessary and cost 10x more than Urgent Care services — HCP's care coordination helps redirect appropriate care

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Nine partnerships are on record, tiered core and minor.

• EmblemHealthcoreChannel Partner/ Reseller/ DistributorHCP works with EmblemHealth to help ensure members have access to all health benefits they need. HCP coordinates care and performs administrative services for EmblemHealth members. Members are directed to contact EmblemHealth for updates to personal information, benefits questions, and ID card requests.
• Anthem BCBScoreChannel Partner/ Reseller/ DistributorHCP works with Anthem BCBS to help ensure members have access to all health benefits they need. HCP coordinates care and performs some administrative services for Anthem members.
• Anthem (Medicaid Members)coreChannel Partner/ Reseller/ DistributorAnthem Medicaid members can call HCP-referenced numbers for Medicaid recertification support. HCP serves as a care coordination partner for Anthem Medicaid members.
• EmblemHealth (Medicaid Members)coreChannel Partner/ Reseller/ DistributorEmblemHealth Medicaid members are directed to HCP for Medicaid recertification support. HCP provides member communications and support services.
• EmblemHealth (Nondiscrimination Notice)minorChannel Partner/ Reseller/ DistributorEmblemHealth listed as a health plan partner in HCP's nondiscrimination and language assistance notices, indicating ongoing contractual relationship.
• Anthem (Nondiscrimination Notice)minorChannel Partner/ Reseller/ DistributorAnthem listed as a health plan partner in HCP's nondiscrimination and language assistance notices, indicating ongoing contractual relationship.
• Fidelis CareminorChannel Partner/ Reseller/ DistributorFidelis Care referenced in HCP's health plan notices of nondiscrimination, indicating a contracted health plan relationship.
• HumanaminorChannel Partner/ Reseller/ DistributorHumana referenced in HCP's health plan notices of nondiscrimination, indicating a contracted health plan relationship.
• UnitedHealthcareminorChannel Partner/ Reseller/ DistributorUnitedHealthcare referenced in HCP's health plan notices of nondiscrimination, indicating a contracted health plan relationship.

Scale indicators3 records

Recent moves1 record

Expansion highlights4 records

Direct peers

• Privia Health: Privia Health operates a national physician-enablement platform combining medical groups, an IPA-like network, and value-based care contracting across multiple states. It is the most directly comparable scaled peer to HCP's physician-led IPA/MSO model.
• agilon health: agilon health partners with primary care physicians to take global risk for Medicare Advantage populations via capitation. It directly mirrors HCP's risk-bearing IPA approach to value-based care for senior populations.
• Aledade: Aledade forms ACOs and value-based care networks with independent primary care physicians nationwide, providing data, analytics, and payer contracting support — a closely comparable model to HCP's enablement of independent practices under risk arrangements.
• VillageMD: VillageMD operates a value-based primary care platform with affiliated medical groups and payer partnerships, including co-located clinics inside Walgreens. Its risk-bearing, physician-affiliated care model overlaps materially with HCP's IPA/MSO structure.
• ChenMed: ChenMed operates senior-focused, value-based primary care practices that assume full risk for Medicare Advantage beneficiaries. Its physician-led, capitated approach aligns closely with HCP's risk-based model serving similar populations.

Broad incumbents

• One Medical (Amazon): One Medical, acquired by Amazon, is a national membership-based primary care platform with value-based care contracts and technology-enabled operations. It is a broader, well-capitalized incumbent operating in adjacent value-based primary care.
• Optum: Optum is UnitedHealth Group's health-services platform, owning or affiliating with thousands of physicians and operating IPA/MSO-style networks at national scale. As a contracted payer of HCP and a consolidator of physician groups, Optum is the most consequential broad incumbent shaping HCP's competitive landscape.

Regional players

• CareMount Medical (now part of Optum): CareMount is a large multi-specialty physician group serving the Hudson Valley and NY metro, now integrated into Optum. It competes with HCP for the same independent-physician affiliation pool in the broader NY region.
• ProHEALTH Care: ProHEALTH Care is a large NY-based independent multi-specialty physician group offering value-based and capitated arrangements. It overlaps with HCP in NY geography, payer relationships, and value-based primary care positioning.
• Mount Sinai Health System IPA: Mount Sinai operates an IPA and clinically integrated network across the NY metro, contracting with major payers and managing risk for attributed populations. It is a regional competitor targeting the same physicians and payer contracts as HCP.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/healthcarepartners

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Healthcare Partners