Conviva Care Solutions

What Conviva Care Solutions does

Conviva Care Solutions is a Miami-based, payor-agnostic Management Services Organization (MSO) that enables primary care practices to operate under value-based care models for Medicare populations. The company partners with 300-plus providers and serves more than 85,000 Medicare patients in Florida and Texas, and has been operating for nearly a decade. Its stated positioning is physician-led and payor-agnostic, with relationships across multiple national Medicare Advantage payors and active participation in the CMS ACO REACH accountable care model. A sister brand, CenterWell IPA Solutions, operates in Arizona, Georgia, Kentucky, Nevada, North Carolina, Tennessee, and Virginia, and branding, HIPAA notice, and logo assets are hosted on Humana corporate infrastructure, indicating a close corporate relationship with Humana Inc.

The company's core offering is a unified MSO platform organized around three pillars: real-time data and analytics for patient-journey and practice-health visibility; prevention-focused care management programs designed to maximize efficiency and reduce unnecessary costs; and practice performance optimization tooling including marketing support. The platform is delivered to practices rather than sold to end consumers, with local field representatives handling onboarding and ongoing support. Pricing is quote-based and not publicly disclosed, and the platform combines elements of managed services and subscription-style recurring support contracts with affiliated practices.

Revenue is generated through value-based care arrangements with Medicare Advantage payors and ACO REACH, alongside MSO service fees for analytics, care management, and marketing support provided to affiliated primary care practices. The go-to-market is enterprise field sales targeting mid-market primary care practices, with a website-based inbound contact form as the primary conversion mechanism. The company operates in only two states (Florida and Texas), which constrains addressable market reach relative to MSO peers with multi-state footprints, and the closely linked CenterWell IPA Solutions sister brand effectively extends the model into seven additional states under separate branding.

Name

Conviva Care Solutions

Legal name

Conviva Care Solutions

Website

https://convivacaresolutions.com

Company type

Private

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Conviva Care Solutions is a Miami-based, payor-agnostic Management Services Organization that partners with 300-plus primary care providers in Florida and Texas to deliver value-based care services to 85,000-plus Medicare patients, operating under a corporate relationship with Humana.

Ownership category

akta.pro rank

Product category

Healthcare Management Services

NAICS

Services for the Elderly and Persons with Disabilities (62412), Social Assistance (624)

SIC

Services-Management Consulting Services (8742), Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industries

Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA), Patient Relationship Management (PRM) & CRM for Provider Growth (Marketing/Outreach) (HLACAEAO), MA Provider-Sponsored/Payvider MA Plans (HLAEACAJ)

Keywords

• Value-based care services
• Practice management support
• Medicare advantage coordination
• Primary care transformation
• Care management programs

Headquarters

HQ city

Miami

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, Others

Revenue model

1. Value-Based Care Contracts: Revenue generated through value-based care arrangements with Medicare Advantage payors and ACO REACH programs. The MSO provides management services to primary care practices in exchange for shared savings, capitation payments, or performance-based compensation tied to patient outcomes and cost reduction.
2. Practice Support Services: Provides management services organization (MSO) support including data analytics, care management programs, and marketing support to affiliated primary care practices, generating revenue through contractual arrangements with payors.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Conviva Care Solutions is a payor-agnostic Management Services Organization (MSO) that partners with primary care practices to help them transition to and succeed in value-based care models. It delivers real-time data and analytics, prevention-focused care management programs, practice performance optimization, and marketing support, contracting with multiple national Medicare Advantage payors and participating in ACO REACH on behalf of affiliated practices.

Product overview

Conviva Care Solutions is a single, unified Management Services Organization (MSO) platform designed for primary care practices. The platform combines real-time data and analytics, performance optimization, and practice management tools under one offering. The company's services are available in Florida and Texas, serving over 300 providers and 85,000 Medicare patients through partnerships with Medicare Advantage payors and ACO REACH participation.

Differentiator

Problem solved

Functional benefit

Products and services

• Conviva Care Solutions MSO Platform

Quantifiable outcome

• Partnership with 300+ providers serving 85,000+ Medicare patients demonstrates scale and effectiveness

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Medicare Advantage Payors (Multiple National)coreOthersConviva Care Solutions contracts with multiple national Medicare Advantage payors to provide value-based care services. These payor partnerships enable affiliated primary care practices to participate in value-based arrangements and access shared savings opportunities. Specific payor names are not disclosed publicly.
• ACO REACHcoreStrategic or Co-development PartnerConviva Care Solutions participates in ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health), a CMS model that coordinates care for Medicare patients. This partnership enables practices to participate in accountable care arrangements with shared savings potential.

Scale indicators4 records

Recent moves1 record

Expansion highlights4 records

Direct peers

• VillageMD: Value-based primary care platform majority-owned by Walgreens Boots Alliance, operating senior-focused clinics and MSO services. Competes for the same physician partnerships and MA value-based contracts.
• Aledade: Value-based care MSO partnering with independent primary care physicians in ACO arrangements (MSSP, MA, ACO REACH). Closely comparable model to Conviva's physician-led, payor-agnostic approach.
• agilon health: Public value-based care MSO partnering with independent primary care physicians to take full risk for senior MA patients. Directly competes with Conviva's payor-agnostic, physician-enablement model across multiple states.
• Privia Health: Physician enablement company and MSO that partners with independent practices on value-based care arrangements, including MA. Comparable multi-payor, multi-state model targeting independent PCPs.
• Cano Health: Value-based primary care provider focused on seniors, primarily in Florida and Texas. Highly comparable geography and patient demographic to Conviva Care Solutions.
• Oak Street Health: Senior-focused value-based primary care company acquired by CVS Health. Operates own clinics and value-based arrangements with MA payors, directly competing for Medicare patients in overlapping geographies.

Broad incumbents

• One Medical (Amazon): Membership-based primary care platform now owned by Amazon; combines technology-enabled care with value-based arrangements. Comparable in PCP enablement and analytics emphasis though broader patient demographic.
• CenterWell Senior Primary Care: Humana-owned senior-focused primary care clinic operator and Conviva's sister brand via CenterWell IPA Solutions. Operates directly owned clinics plus MSO services across many states, overlapping in care model and corporate umbrella.
• CareMore Health (Elevance Health): Subsidiary of Elevance Health (Anthem) operating integrated care delivery for seniors and complex patients via MA and value-based contracts. Comparable value-based senior care model under payor ownership.

Emerging players

• P3 Health Partners: Value-based care MSO focused on senior MA populations across multiple western and southwestern states. Comparable physician-enablement and risk-bearing model, smaller scale than Conviva.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Conviva Care Solutions