Comagine Health

What Comagine Health does

Comagine Health is a national nonprofit healthcare consulting firm headquartered in Portland, Oregon, that has operated continuously since 1973. The firm delivers five core service lines: Systemwide Quality Improvement, Care Management, Data Solutions, Research and Evaluation, and COVID-19 Pandemic Response. It is designated as a Quality Improvement Organization (QIO) by CMS and has served as the ESRD Network contractor since 1978, currently operating Networks 15 and 18 covering Arizona, Colorado, Nevada, New Mexico, Utah, Wyoming, and Southern California with over 76,000 dialysis patients across 845 facilities. Additional programs include Compass, Six Building Blocks (opioid management), ACE infection prevention certification, and Total Cost of Care analytics, supported by academic research partnerships with Brandeis, Oregon State, University of Washington, Oregon Health & Science University, and RTI International.

Comagine Health generates revenue primarily through multi-year government contracts with federal agencies (CMS, CDC, AHRQ, NIDA, BJA) and state Medicaid programs, supplemented by fee-for-service consulting with health plans, providers, and foundations. The firm holds full URAC accreditation in Case Management and Health Utilization Management through October 2027, and operates All-Payer Claims Databases for multiple states. Its go-to-market is enterprise field sales via government procurement and direct business development, targeting federal and state agencies, hospitals, nursing homes, primary care clinics, dialysis centers, Medicaid managed care organizations, and nonprofit foundations.

The organization employs 101-250 people distributed across offices in Portland (regional HQ), Seattle, Murray, Albuquerque, Birmingham, Anchorage, and Washington DC, with a remote national workforce. Leadership includes CEO Marc H. Bennett, COO Juliana Farnsworth, Chief Clinical Officer Emily Transue, CFO Neidra Blake, Chief Growth Officer Dana Hawes, and Chief Product Officer Brian Chin. The firm is governed by an independent Board of Directors chaired by Craig Wright. Expansion has occurred through organic contract growth and strategic affiliations with Great Plains Quality Innovation Network, Quality Health Associates of North Dakota, and the Utah Health Information Network, rather than through acquisition. Comagine Health is the successor organization to HealthInsight.

Name

Comagine Health

Legal name

Comagine Health

Website

https://comagine.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

251–500 employees

Short description

Comagine Health is a national nonprofit healthcare consulting firm (founded 1973) that delivers quality improvement, care management, data analytics, and research services to federal and state agencies, health plans, and providers, operating as a CMS-designated QIO and ESRD Network contractor.

Ownership category

akta.pro rank

Product category

Healthcare Consulting

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000)

akta.pro primary industry

Hospitals, Clinics & Charitable Healthcare Providers (BPAGACAB)

Keywords

• Healthcare consulting services
• Quality improvement consulting
• Care management services
• Utilization review services
• Health information technology consulting

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Government Consulting Contracts: Comagine Health generates revenue primarily through federal and state government contracts with agencies including CMS, CDC, state Medicaid agencies, and other government healthcare programs. These are typically multi-year contracted engagements for quality improvement organization (QIO) services.
2. Healthcare Consulting Services: Fee-for-service consulting engagements with health plans, providers, and foundations for care management, utilization review, research and evaluation, and health IT consulting.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Comagine Health is a national nonprofit healthcare consulting firm that delivers quality improvement, care management, health information technology, analytics, and research services to federal and state government agencies, health plans, providers, and foundations. Its work spans utilization review, case management, external quality review, ESRD Network operations, opioid and behavioral health programs, and all-payer claims database analytics.

Product overview

Comagine Health is a national nonprofit health care consulting firm offering a portfolio of service lines and programs. The core services include Systemwide Quality Improvement, Care Management, Data Solutions, Research and Evaluation, and COVID-19 Pandemic Response. These services work together to help clients improve health care delivery and patient outcomes through quality improvement initiatives, utilization and case management, health IT consulting and analytics, and research collaboration. The organization also operates specific programs such as ESRD Networks 15 and 18 (kidney disease care coordination), Compass (wellness program finder), Six Building Blocks (opioid management), ACE: Coaching to Certification (infection prevention training), Total Cost of Care analytics, and various state-specific Medicaid programs across the United States.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• Supported over 76,000 dialysis patients across 845+ facilities
• +1 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Mountain Pacific Quality HealthcoreImplementation/ SI/ Consulting Partner · 1 January 2026QIO collaborator for the CMS American Indian/Alaska Native (AIAN) Quality Improvement Program, working alongside Comagine Health to provide quality improvement technical assistance to Medicare-certified facilities.
• Stratis HealthcoreImplementation/ SI/ Consulting Partner · 1 January 2026QIO collaborator for the CMS AIAN QI Program, providing expertise in quality improvement for Indian Health Service hospitals and tribal healthcare facilities.
• TelligencoreImplementation/ SI/ Consulting Partner · 1 January 2026QIO collaborator for the CMS AIAN QI Program, contributing quality improvement expertise for AIAN healthcare facilities.
• Washington Community Information ExchangecoreStrategic or Co-development Partner · 1 January 2026Comagine Health serves as Lead Organization for Washington's CIE, facilitating technology systems that help entities share health and social data to connect people with services.
• Great Plains Quality Innovation Network (GPQIN)coreStrategic or Co-development Partner · 1 January 2024New integrated partnership between Comagine Health and GPQIN, building on decade-long collaboration. GPQIN brings deep local connections in the Midwest while Comagine Health contributes expertise in the Western states.
• Quality Health Associates of North DakotacoreStrategic or Co-development Partner · 1 January 2023Affiliate agreement signed with pathway to potential merger. Organizations have collaborated for over a decade on federal initiatives as QIOs in different states.
• Utah Health Information Network (UHIN)coreStrategic or Co-development Partner · 1 January 2021Long-standing affiliation between Comagine Health and UHIN for advancing EHR adoption, cost transparency reporting, all-payer claims databases, and interoperability initiatives.
• Brandeis UniversityminorStrategic or Co-development PartnerAcademic partner for RESPOND to PREVENT study on naloxone engagement in community pharmacies, funded by National Institute on Drug Abuse.
• Oregon State UniversityminorStrategic or Co-development PartnerResearch partner for opioid intervention studies and substance use disorder research.
• University of WashingtonminorStrategic or Co-development PartnerAcademic partner for research studies on substance use, harm reduction, and healthcare improvement.
• RTI InternationalminorStrategic or Co-development PartnerPartner for Oregon Measure 110 Process and Outcome Evaluations alongside Vital Strategies and Fletcher Group.
• Oregon Health & Science UniversityminorStrategic or Co-development PartnerAcademic partner for youth fentanyl study, PEER-CM study, and various healthcare research initiatives.

Scale indicators4 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• RTI International: RTI International is a large nonprofit research institute with a substantial health policy and evaluation practice. Active research partner on the Oregon Measure 110 evaluation and a competitor for federal evaluation and quality improvement contracts.
• Mathematica Policy Research: Mathematica is a larger policy research and evaluation firm with a deep healthcare practice serving federal agencies (CMS, HHS, state Medicaid). Competes for the same federal research and evaluation contracts Comagine pursues.

Direct peers

• Stratis Health: Stratis Health is a Minnesota-based QIO providing quality improvement, utilization review, and community health services. Currently an AIAN QIO collaborator with Comagine and a direct competitor on adjacent state Medicaid contracts.
• IPRO: IPRO is a multistate QIO and healthcare quality review organization with federal and state contracts in utilization management, external quality review, and ESRD oversight. Operates in the same regulatory contracting framework and serves many of the same state Medicaid customers as Comagine.
• Acentra Health (formerly Kepro/BFCC-QIO): Acentra Health (formed via the merger of Kepro and CNSI) operates as a CMS BFCC-QIO and provides care management, utilization review, and quality improvement services. Direct competitor for federal QIO contracts and state Medicaid engagements.
• Great Plains Quality Innovation Network (GPQIN): GPQIN is a QIO serving the Midwest that recently entered an integrated partnership with Comagine Health. Direct peer in scope and an example of the QIO consolidation dynamic shaping the market.
• Health Services Advisory Group (HSAG): HSAG is the largest U.S. QIO, serving as the CMS BFCC-QIO and holding multiple state Medicaid utilization review and quality improvement contracts. It is the most direct peer to Comagine Health in scope, customer set, and contract type.
• Quality Health Associates of North Dakota (QHA): QHA is a North Dakota QIO with an affiliation agreement and pathway to merger with Comagine Health. Comparable QIO operations in quality improvement, case review, and federal contract execution.
• Telligen: Telligen is a QIO serving multiple Midwest and Western states, collaborating with Comagine on the CMS AIAN Quality Improvement Program. Competes for state Medicaid, federal quality improvement, and population health contracts in overlapping geographies.
• Mountain Pacific Quality Health: Mountain Pacific Quality Health is a QIO serving Mountain West and Pacific states with quality improvement, patient safety, and utilization management services. AIAN program collaborator and direct federal/state contract competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/comaginehealth
• Facebookfacebook.com/ComagineHealth
• LinkedInlinkedin.com/company/comaginehealth

Compliance2 records

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 Comagine Health