Empower Healthcare Solutions

What Empower Healthcare Solutions does

Empower Healthcare Solutions, LLC is a Provider-Led Arkansas Shared Savings Entity (PASSE) that coordinates care for Arkansas Medicaid beneficiaries with complex behavioral health or intellectual and developmental disability (IDD) service needs. Founded in March 2019 and headquartered in Little Rock, Arkansas, the company is one of four PASSEs operating in the state, with a workforce of more than 400 employees distributed across Arkansas. Empower is majority-owned by six Arkansas-based provider and investor organizations: ACHN (a consortium of four regional health systems), ICM (a home and community-based IDD services provider), the Arkansas Healthcare Alliance (approximately 22 behavioral health and IDD providers), Trive Capital (a Dallas-based private equity firm), Statera, and Woodruff Health Group/Arcare (a Federally Qualified Health Center).

The company's core offering is field-based care coordination, in which specialized care coordinators conduct monthly member contacts and quarterly visits across Arkansas. Supporting this is a technology stack comprising a 24/7 provider portal for claims submission, prior authorization tracking, eligibility verification, and access to InterQual criteria; a member portal hosted on HealthAxis Connect; a prior authorization lookup tool; a chronic condition management program; quality measurement programs aligned to HEDIS, CAHPS, and MRDR; and incentive programs (BHIP, ACCN) for behavioral health and pediatric providers. The platform integrates with Zelis for electronic claims payments, Availity as a clearinghouse, Express Scripts for pharmacy benefits, and HHAeXchange for electronic visit verification. Analytics is limited to Google Analytics and Microsoft Clarity for web optimization, with SHARE supporting HEDIS data aggregation.

Empower's business model is capitation-based: it receives per-member per-month payments from Arkansas Medicaid to manage the full spectrum of physical health, behavioral health, and IDD services for assigned members, with potential to share in savings from efficient care delivery. Members are acquired through provider referrals, state-contracted assessments by Optum, and PASSE placement by the Arkansas Department of Human Services, with limited switching windows (annual open enrollment October 1-31 or within 90 days of initial placement). The company is not publicly traded, does not disclose revenue or financial performance, and has not pursued outside venture capital funding beyond the Trive Capital ownership stake.

Name

Empower Healthcare Solutions

Legal name

Empower Healthcare Solutions, LLC

Website

https://getempowerhealth.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

251–500 employees

Short description

Empower Healthcare Solutions is a Provider-Led Arkansas Shared Savings Entity (PASSE) that coordinates care for Arkansas Medicaid beneficiaries with complex behavioral health or intellectual and developmental disability needs, supported by a field-based care coordinator network and a provider portal technology stack.

Ownership category

akta.pro rank

Product category

Medicaid Managed Care (PASSE)

NAICS

Services for the Elderly and Persons with Disabilities (624120)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)

akta.pro secondary industries

Medicaid Managed Care HMOs (HLAEAMAI), Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC)

Keywords

• Medicaid managed care
• Care coordination services
• Behavioral health services
• Developmental disability services
• PASSE program administration

Headquarters

HQ city

Eagan

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicaid PASSE Program: Empower operates as a Provider-Led Arkansas Shared Savings Entity (PASSE), a Medicaid program that coordinates care for individuals with intensive behavioral health, intellectual disability, or developmental disability service needs. The company receives capitated payments from Arkansas Medicaid to manage member care and may share in savings for efficient care delivery.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Empower Healthcare Solutions is a Provider-Led Arkansas Shared Savings Entity (PASSE) that delivers Medicaid managed-care coordination for adults and children with intensive behavioral health conditions or intellectual and developmental disability (IDD) service needs. The company contracts with Arkansas Medicaid on a capitated basis and directs a field network of Care Coordinators who provide monthly contact and quarterly visits while administering a Provider Portal for claims, prior authorization, and eligibility management, and a Member Portal (HealthAxis Connect) for beneficiary self-service.

Product overview

Empower Healthcare Solutions operates as a Provider-Led Arkansas Shared Savings Entity (PASSE), offering a unified care coordination platform for Medicaid beneficiaries with complex behavioral health or intellectual/developmental disability (IDD) service needs. The core offering centers on PASSE Care Coordination, supported by a Provider Portal for claims, prior authorizations, and eligibility management, and a Member Portal (HealthAxis Connect) for beneficiary access. The product portfolio includes integrated modules for chronic condition management, behavioral health incentive programs (BHIP, ACCN), pharmacy services, incident reporting, prior authorization, electronic visit verification (EVV), and quality measurement programs (HEDIS, CAHPS, MRDR, QTIP-R). The platform integrates with Express Scripts for pharmacy, Zelis for claims payments, Availity for clearinghouse, and HHAeXchange for EVV, with analytics powered by Microsoft Clarity and Google Analytics.

Differentiator

Problem solved

Functional benefit

Products and services

• Provider Portal Web-based platform offered to Empower's network providers for verifying member eligibility, submitting and tracking claims (also via Availity clearinghouse), requesting and tracking prior authorizations, reviewing payment history, and accessing HEDIS measures and InterQual Criteria.
• Member Portal (HealthAxis Connect) Secure online portal for Empower Medicaid PASSE members to access health plan information, view claims, and manage their healthcare benefits, branded as Empower's Member Portal on the HealthAxis Connect platform.
• PASSE Care Coordination Care coordination program for Medicaid beneficiaries with complex behavioral health or intellectual and developmental disability (IDD) service needs, including monthly contact and quarterly visits by Care Coordinators located throughout Arkansas.
• Chronic Condition Management (CCM) Program for Empower PASSE members with chronic conditions including diabetes, congestive heart failure, and COPD, supported by care coordinators and a registered nurse specializing in Chronic Care Management.
• Pharmacy Services Clinical pharmacy services for Empower members covering prior authorization review, Preferred Drug List management, and prescription claims processing through the Express Scripts pharmacy network.
• Prior Authorization System System for providers to look up service-code authorization requirements and to request and track prior authorizations for medical services, behavioral health/IDD services, and pharmacy.
• Electronic Visit Verification (EVV) EVV system implemented with HHAeXchange to record in-home visits for home health services delivered to Arkansas Medicaid FFS recipients.

Quantifiable outcome

• 85% of Behavioral Health providers reported ability to schedule initial appointments within 14 days; 100% had immediate availability for non-life-threatening emergencies
• +2 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

Feature4 records

Partnerships

13 partnerships are on record, tiered core and major.

• ACHN (Arkansas Community Health Network)coreStrategic or Co-development Partner · 1 March 2019ACHN is composed of four healthcare systems: Baxter Regional Health System, North Arkansas Medical System, Unity Health, and White River Health System. ACHN is one of the six owner organizations of Empower Healthcare Solutions as a Provider-Led Arkansas Shared Savings Entity.
• ICM (Individual Care Management)coreStrategic or Co-development Partner · 1 March 2019ICM is a statewide premier provider of home and community-based supports to individuals with intellectual and developmental disabilities. ICM is one of the six owner organizations of Empower Healthcare Solutions.
• Arkansas Healthcare Alliance, LLCcoreStrategic or Co-development Partner · 1 March 2019The Alliance is comprised of approximately 22 well-established inpatient and outpatient providers who strive to provide quality behavioral health, substance use disorder, and intellectual and developmental disability services. One of the six owner organizations of Empower.
• StateracoreStrategic or Co-development Partner · 1 March 2019Entity comprised of leaders and innovators committed to serving long-term support services needs of Arkansans, including those with behavioral health and developmental disability diagnoses. Represents experience across home health, hospice, skilled nursing, assisted living, institutional pharmacies, retail pharmacies, medical clinics, rural health clinics, non-emergency transportation, and rehabilitation therapy businesses.
• Woodruff Health Group, LLC (Arcare)coreStrategic or Co-development Partner · 1 March 2019Federally Qualified Health Center operating as Arcare. Also the statewide provider of medical and case management services for the Ryan White HIV/AIDS program. One of the six owner organizations of Empower Healthcare Solutions.
• ZeliscoreTechnology or IntegrationEmpower's Provider Claims Payment Vendor. Providers already enrolled in the Zelis Payments Network continue to receive electronic payments without action needed. New providers must complete enrollment to receive electronic payments.
• Express ScriptscoreTechnology or IntegrationPharmacy benefits management partner for prescription claims processing and pharmacy network. Empower participates in the Express Scripts network for pharmacy services.
• AvailitycoreTechnology or IntegrationClearinghouse partner for claims submission. Providers can submit claims through Availity as an alternative to the provider portal.
• HHAeXchangecoreTechnology or IntegrationEVV (Electronic Visit Verification) system partner for recording in-home visits for home health services to Arkansas Medicaid FFS recipients.
• SHAREcoreTechnology or IntegrationSHARE assists Empower Healthcare Solutions in data aggregation efforts. Empower completed HEDIS MY2023 review with SHARE's help, demonstrating improvements in key performance areas.
• QsourcecoreStrategic or Co-development PartnerExternal Quality Review Organization (EQRO) contracted by Arkansas Department of Human Services to conduct EQR activities for managed care organizations including PASSEs. Qsource performs desk reviews and one-day on-site reviews.
• Access Health ServicesmajorChannel Partner/ Reseller/ DistributorProvides administrative services to health-related clients including Medicare Advantage special needs plans, Medicaid support companies, and small clinics. Handles Empower medical provider contracts while Empower oversees BH/IDD provider contracts.
• Project SEARCHmajorStrategic or Co-development PartnerBusiness-led, nine-month employment readiness training program for young adults with developmental disabilities. Empower care coordinators connect members like Evan with Project SEARCH job resources and programs. Training takes place at workplace settings.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Humana: Operates Medicaid managed care plans in multiple states with growing focus on integrated care for complex populations. Provides a relevant comparison point for Medicaid plan economics and value-based arrangements with provider owners.
• Aetna (CVS Health): Operates Medicaid managed care plans across numerous states and has expanded behavioral health capabilities. Comparable in serving complex Medicaid populations under capitated arrangements similar to the PASSE program.
• Molina Healthcare: Pure-play government-sponsored managed care company with deep Medicaid focus across many states. Operates similar MCO/PHP structures with comparable populations including complex behavioral health and disabilities members.
• UnitedHealthcare Community & State: Optum/UnitedHealth Group's Medicaid managed care division operates MCOs in 30+ states with sophisticated care coordination, behavioral, and IDD programs. Represents the scaled national template Empower's PASSE model operates within.
• Centene Corporation: Largest US Medicaid managed care operator and parent of Arkansas Total Care (another PASSE). Competes with Empower head-to-head in Arkansas and across multiple states, with overlapping capabilities in BH, IDD, and complex care coordination.
• Elevance Health (Anthem): Operates Medicaid plans through Anthem Blue Cross Blue Shield state plans, including in Arkansas-adjacent states. Has invested heavily in behavioral health and complex care management capabilities that overlap Empower's value proposition.

Direct peers

• CareSource: Non-profit, mission-driven Medicaid-focused managed care plan operating across multiple states with strong emphasis on serving complex and disabled populations. Closest peer in mission alignment and population focus to Empower's BH/IDD focus.
• Arkansas Total Care: Centene-owned PASSE serving the same Arkansas Medicaid BH/IDD population as Empower under identical regulatory framework. The most direct head-to-head competitor, sharing the same capitated revenue model and state contract structure.

Emerging players

• Carelon Behavioral Health: Elevance Health's behavioral health specialty managed care subsidiary (formerly Beacon Health Options). Specializes in behavioral health managed care services that overlap significantly with Empower's BH care coordination core competency.
• Magellan Health: Specialty managed care company focused on behavioral health, IDD, and complex populations, now a Centene subsidiary. Directly comparable population focus (BH and IDD) and managed care approach, though operates at greater scale and broader geography.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/252572838904542

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Empower Healthcare Solutions