HealthChoice

What HealthChoice does

HealthChoice, LLC is a Physician Hospital Organization (PHO) and clinically integrated network headquartered in Memphis, Tennessee, operating since 1985 and reorganized as a joint venture in 1997. The company is governed as a 50/50 partnership between Methodist Le Bonheur Healthcare (hospital system) and MetroCare Physicians (independent physician network), formalized through the 2014 Trilogy Clinically Integrated Network agreement. HealthChoice serves four interrelated constituencies: patients with complex or chronic conditions, independent physicians and facilities seeking managed care contracting and credentialing, health plans (Cigna, United Healthcare) requiring delegated credentialing and network access, and Mid-South employers seeking workforce care management.

The platform combines a technology-enabled care management infrastructure with operational services. The core technical components include the Vision Practice Support Tool, which delivers population registries and performance metrics to network practices, and an electronic health information exchange that coordinates care for high-cost, high-risk patients across the Trilogy network. Layered on top are care management programs (Care Transition Support, Complex Care Management, CKD & Dialysis Transition, Medication Therapy Management) delivered free to eligible participants, plus provider services such as NCQA-compliant delegated credentialing (consistently top 5% in audits), managed care contracting, provider engagement, and network credentialing.

HealthChoice generates revenue through three principal streams: (1) ACO shared savings from its Medicare MSSP ACO, which generated $6,606,389 in Performance Year 2024; (2) insurance premiums and commissions via partner-distributed products including Association Group Health Insurance (through The Barnett Group/United HealthCare) and property & casualty/cyber liability coverage (through Beecher Carlson); and (3) care management program operations funded indirectly through employer and health plan partnerships. The company does not publicly disclose total revenue, has no external funding rounds recorded, and operates as a private LLC domiciled in Tennessee with offices in Memphis. Geographic scope is limited to the Mid-South region spanning Tennessee, Arkansas, and Mississippi.

Name

HealthChoice

Legal name

HealthChoice, LLC

Website

https://myhealthchoice.com

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

1–10 employees

Short description

HealthChoice, LLC is a Memphis-based Physician Hospital Organization operating the Trilogy Clinically Integrated Network, a 50/50 joint venture between Methodist Le Bonheur Healthcare and MetroCare Physicians. It delivers care management, NCQA-compliant credentialing, MSSP ACO shared savings, and payor/employer services to 1,000+ physicians and patients across the Mid-South.

Ownership category

akta.pro rank

Product category

Healthcare Services (Care Management & Clinically Integrated Network)

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

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

akta.pro primary industry

Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Clinically integrated network
• Care management programs
• Physician hospital organization
• MSSP ACO services
• Population health management

Headquarters

HQ city

Memphis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Others

Revenue model

1. ACO Shared Savings: HealthChoice MSSP ACO generates revenue through shared savings arrangements with Medicare. The ACO receives a portion of cost savings generated by improved quality and efficiency when quality measures are met.
2. Association Group Health Insurance: HealthChoice sponsors an Association Group Health Insurance plan through United HealthCare, offered by The Barnett Group, for network providers.
3. Property & Casualty Insurance: HealthChoice assists providers with property and casualty insurance including Business Owner's Package, Workers' Compensation, Cyber Liability, and other coverages through partnerships with Beecher Carlson Insurance Services.
4. Care Management Program Fees: Care management programs are offered free to eligible participants (MLH Associates and their families, Medicare patients), funded through employer and health plan partnerships.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels4 records

Core offering

HealthChoice is a Physician Hospital Organization (PHO) operating the Trilogy Clinically Integrated Network formed jointly by Methodist Le Bonheur Healthcare and MetroCare Physicians. The company delivers care management programs (Care Transition Support, Complex Care Management, CKD & Dialysis Transition, Medication Therapy Management), NCQA-compliant delegated credentialing, managed care contracting, ACO shared-savings operations, and provider insurance programs to network physicians, payors, employers, and Medicare beneficiaries across the Mid-South.

Product overview

HealthChoice is a Physician Hospital Organization (PHO) and clinically integrated network that operates as a platform of interconnected healthcare management services. The core offering centers on Trilogy, its clinically integrated network developed in partnership with MetroCare Physicians and Methodist Le Bonheur Healthcare, which provides governance, data analytics, and population health infrastructure for affiliated physicians. Built upon this network are Care Management Programs including Care Transition Support, Complex Care Management, Chronic Kidney Disease & Dialysis Transition Program, and Medication Therapy Management. Supporting services include Managed Care Contracting, Provider Engagement, Delegated Credentialing (NCQA-compliant), and Insurance Programs for medical practices. HealthChoice functions as the administrative and operational layer connecting patients, providers, payors, and employers through coordinated care management and contracting services.

Differentiator

Problem solved

Functional benefit

Brands

• Trilogy: Trilogy represents a clinically integrated network of physicians and healthcare facilities. It provides the structure and support necessary to meet the unique challenges physicians face as the landscape of healthcare changes. Trilogy is a partnership between MetroCare Physicians and Methodist Le Bonheur Healthcare formed in 2014.

Products and services

• Care Transition Support A short-term program assisting patients transitioning from inpatient hospital settings to other care settings after discharge, aimed at reducing ER visits and readmissions while improving care quality and reducing costs. Provided to MLH Associates, their families, and Medicare patients.
• Complex Care Management An intensive, customized intervention for patients with complex care needs, often with multiple comorbidities and psychosocial barriers, providing personalized support to help manage conditions and improve health outcomes. Provided at no cost to eligible patients.
• Chronic Kidney Disease & Dialysis Transition Program A program providing education about CKD treatment options, dialysis transition support, and care coordination to help patients manage kidney disease and delay progression.
• Medication Therapy Management A pharmacist-led service helping patients manage multiple medications through telephone reviews, education, and coordination with doctors and pharmacies.
• Trilogy Clinically Integrated Network A clinically integrated network formed through a joint venture between MetroCare Physicians and Methodist Le Bonheur Healthcare, providing governance, data analytics, pay-for-performance contracting, and care management services for physician members.
• Delegated Credentialing NCQA-compliant credentialing program that consistently scores in the top 5% during annual delegation and client NCQA audits, offered as a benefit to payor partners for delegated credentialing services.
• Managed Care Contracting Contract management services helping network physicians navigate health plan contracts, understand messenger model contracting, and regulatory requirements.
• Provider Engagement Practice management resources and assistance for the physician network, including support for outside relationships, resolving operational issues, and practice effectiveness.
• Insurance Programs Association Group Health Insurance plan for providers through United HealthCare (offered by The Barnett Group), plus property and casualty insurance coverages including cyber liability, workers' compensation, and EPLI.
• Network Credentialing Process for facilities and ancillary providers to join the HealthChoice network, including Network Interest Form and Facility Credentialing Application.

Quantifiable outcome

• MSSP ACO Performance Year 2024: Diabetes HbA1c Poor Control at 6.45 vs 9.44 mean; Depression screening at 89.66% vs 81.46% mean; Falls screening at 98.77% vs 88.99% mean; Tobacco screening at 100% vs 79.98% mean
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Six partnerships are on record, tiered core, primary and secondary.

• Methodist Le Bonheur HealthcarecoreStrategic or Co-development PartnerMethodist Le Bonheur Healthcare is the hospital system partner in HealthChoice's joint venture PHO (Physician Hospital Organization). The partnership began in 1997 when HealthChoice reorganized as a true joint venture. In 2014, MetroCare Physicians and Methodist Le Bonheur Healthcare entered into a 50/50 CIN agreement via HealthChoice. Methodist provides hospital services, OnSite clinics, and participates in ACO governance.
• MetroCare PhysicianscoreStrategic or Co-development PartnerMetroCare Physicians is the physician network partner governing the Trilogy Clinically Integrated Network. MetroCare decides on clinical protocol development, performance measurement, and physician incentive distributions. The organization represents independent physicians in the HealthChoice joint venture.
• CignaprimaryChannel Partner/ Reseller/ DistributorCigna is a commercial health plan partner providing coverage to HealthChoice network patients. Cigna resources are available to shared members including COVID-19 vaccine information, telehealth behavioral health services, and opioid treatment guidance.
• United HealthcareprimaryChannel Partner/ Reseller/ DistributorUnited Healthcare is a commercial health plan partner with HealthChoice. Resources available to shared members include the Health4Me mobile app and care navigation guides. United Healthcare provider directories include Trilogy network providers.
• The Barnett GroupsecondaryChannel Partner/ Reseller/ DistributorThe Barnett Group offers HealthChoice's Association Group Health Insurance plan, a fully insured Group health plan through United HealthCare with competitive terms for network providers.
• Beecher Carlson Insurance ServicessecondaryChannel Partner/ Reseller/ DistributorBeecher Carlson Insurance Services provides cyber liability insurance products designed specifically for physicians and medical practices, offered through HealthChoice's insurance programs.

Scale indicators3 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• Privia Health: Privia Health operates a national clinically integrated network of physicians with value-based care arrangements and ACO enablement. Like HealthChoice, Privia combines physician enablement, payor contracting, and population health — but at far greater scale across multiple states.
• Aledade: Aledade partners with independent primary care physicians to form ACOs in MSSP and other risk-bearing programs. HealthChoice's Trilogy CIN with ACO shared savings is a directly comparable operating model, though Aledade operates nationally.
• Agilon Health: Agilon Health partners with primary care physicians in value-based arrangements with Medicare Advantage and ACO REACH. Compares to HealthChoice on Medicare risk-sharing and senior-care physician enablement, although Agilon operates across multiple geographies.
• Caravan Health: Caravan Health partners with hospital systems and physicians to build ACOs under MSSP and other CMS programs. Directly comparable to HealthChoice's MSSP ACO model and joint-venture hospital-physician alignment, with national reach across multiple states.
• P3 Health Partners: P3 Health Partners manages Medicare Advantage and ACO patient populations with a network of affiliated primary care physicians. Operates a similar MSSP/MA value-based care model with comparable complex care management program offerings.

Broad incumbents

• VillageMD: VillageMD operates a national value-based primary care platform with clinical integration and risk-bearing contracts. Comparable to HealthChoice in its ACO-style operating model and care management emphasis, but operates at significantly greater scale backed by Walgreens and Cigna.
• Oak Street Health: Oak Street Health (now part of CVS Health) operates value-based primary care centers for Medicare beneficiaries with comprehensive care management. Comparable to HealthChoice's complex care management and chronic disease programs on the Medicare population, but operates multiple clinics across many states.
• Evolent Health: Evolent Health provides value-based care services and population health infrastructure to providers and health plans. Comparable to HealthChoice's care management programs and delegated services offering, but operates as a broader technology-enabled services platform.

Regional players

• Castell Health (Astound/Trinity): Astound Health operates value-based care programs and physician enablement services. Compared to HealthChoice on care management and population health offerings, though operating in different regions.

Others

• Cigna (Evernorth Health Services): Cigna, through Evernorth, is both a HealthChoice channel partner and a broader healthcare services platform. Comparable as a downstream value-based care partner and adjacent in the care management and population health services space.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/a-healthy-choice-llc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 HealthChoice