Intrinsia Health

What Intrinsia Health does

Intrinsia Health, LLC is a Las Vegas-headquartered accountable care organization that operates under the CMS ACO REACH (Realizing Equity, Access, and Community Health) Model to manage care for seriously ill Medicare beneficiaries. The company functions as a population health manager, contracting with CMS through capitation payment arrangements (covering either total cost of care or primary care services) and distributing shared savings to a network of 100+ participating ACO provider practices across six states — Nevada, Arizona, Texas, Indiana, South Carolina, and Utah. Its care delivery stack combines an interdisciplinary care team model with home-based clinical services, telemedicine, transitional care, a Palliative Medicine Program, and a 24/7 call center, supported by a proprietary data intelligence and analytics platform that stratifies complex patients and pre-existing conditions to inform population health workflows.

The business model rests on three monetization layers: (1) capitation payments received from CMS based on attributed Medicare lives; (2) shared savings distributions generated when total cost of care falls below benchmark, as evidenced by the $195,863.30 earned in Performance Year 2022; and (3) downstream revenue captured by network providers through additional fee-for-service billing and bonus potential. Regulatory tools specific to the ACO REACH program — including telehealth flexibilities and the SNF 3-day rule waiver — are actively leveraged to manage site of service and total cost of care. The organization was established in 2018, operates with a lean team of 1–10 employees, and is structured around an ACO governance framework in which participating providers hold voting board membership.

Name

Intrinsia Health

Legal name

Intrinsia Health, LLC

Website

https://intrinsiahealth.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

1–10 employees

Short description

Intrinsia Health is a Las Vegas-based ACO REACH organization managing care for seriously ill Medicare beneficiaries across six states via a 100+ provider network, monetizing through CMS capitation, shared savings, and downstream FFS arrangements.

Ownership category

akta.pro rank

Product category

Value-Based Healthcare Services (ACO REACH)

NAICS

Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Health Services (8000), Services-Home Health Care Services (8082)

akta.pro primary industry

Post-Acute Care Networks & Care Management Organizations (HLAFAFAN)

akta.pro secondary industry

Hospital-at-Home & Acute Virtual Care Platforms (HLALABAC)

Keywords

• Value-based care
• Serious illness management
• ACO REACH model
• Population health management
• Palliative care services

Headquarters

HQ city

Las Vegas

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, Infrastructure, Others

Revenue model

1. ACO Capitation Payments: REACH ACOs receive capitation payment covering total cost of care or cost of primary care services. Payment amount is NOT reconciled against actual claims expenditures under mandatory capitation.
2. Advanced Payments: REACH ACOs selecting Primary Care Capitation may receive advanced payment of FFS non-primary care claims, which are reconciled against actual claims expenditures (voluntary).
3. Shared Savings Distribution: Performance Year 2022 generated $195,863.30 in savings distributed 100% to ACO participants. Participants contributed funds to support infrastructure and care process investments.
4. Fee For Service Revenue: Additional FFS (fee for service) revenue streams for providers joining the network
5. ACO Affiliation Bonuses: Bonus potential from ACO affiliation for participating providers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

Intrinsia Health is a serious illness population manager that operates a CMS-approved ACO REACH model to deliver interdisciplinary, evidence-based care to seriously ill patients via a contracted network of provider practices across six U.S. states. Its core offering combines home-based clinical care, palliative medicine, transitional care, and telemedicine with a proprietary data analytics platform that identifies and stratifies complex patients for targeted care coordination. The company provides 24/7 call-center support, remote patient monitoring, SDoH assessments, and shares CMS capitation payments and savings distributions with its network providers.

Product overview

Intrinsia Health is a serious illness population manager that operates as a unified platform combining care delivery services, provider network partnerships, and value-based care arrangements. The core product portfolio includes Serious Illness Care Management, Home-Based Care Services, Telemedicine, Palliative Medicine, and Transitional Care, all coordinated through their proprietary Data Intelligence & Analytics platform. The company operates the ACO REACH Model as their primary value-based care arrangement, supporting a network of over 100 ACO participant providers. Key enabling services include a 24/7 Call Center, Goals of Care Conversations, Medication Management, SDoH Needs Assessment, and Remote Patient Monitoring, which collectively form an integrated care ecosystem for seriously ill patients across six states.

Differentiator

Problem solved

Functional benefit

Products and services

• Serious Illness Care Management Comprehensive care management for seriously ill patients that unites provider practices with payment sources, tools, and community resources, delivered through interdisciplinary clinical teams using evidence-based protocols.
• Home-Based Care Services In-home clinical visits and care delivery for home-bound seriously ill patients covering non-urgent primary care needs, transitional care, and chronic pain management.
• Palliative Medicine Program Specialty palliative care addressing seriously ill patients' symptoms, pain, and stress to improve quality of life, delivered through palliative care specialist providers in the network.
• Transitional Care Services Post-hospitalization care including face-to-face clinician visits, active discharge planning, and continuity of services designed to reduce hospital readmissions for seriously ill patients.
• ACO REACH Model Participation Accountable Care Organization arrangement under the CMS ACO REACH model providing capitation payments (Professional or Primary Care Capitation), optional advanced payments, and shared savings distributions to participating providers.
• ACO Participant Provider Network Network of more than 100 ACO participant providers — including primary care physicians, specialists, hospice providers, palliative care providers, and home health agencies — available to deliver serious illness care across six U.S. states.
• Data Intelligence & Analytics Proprietary data analytics platform that identifies and stratifies complex patients and pre-existing conditions, converting population health intelligence into one-on-one patient care practices.
• Provider Network Partnership Partnership offering for healthcare providers that delivers bonus potential from ACO affiliation, additional FFS revenue, increased patient panels, and inclusion in additional network contracts without any required investment from the practice.

Quantifiable outcome

• Reduction of inappropriate utilizations and hospital readmissions through transitional care program
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Eleven partnerships are on record, tiered core and supporting.

• NCC House Calls LLCcoreStrategic or Co-development PartnerACO participant provider in the Intrinsia Health REACH ACO network, represented in governing body by Craig Jorgenson, MD and Andria Henderson, APRN. Provides house call services to seriously ill patients.
• Craig M Jorgenson MD LTDcoreStrategic or Co-development PartnerACO participant provider represented by Lauren Abela, PA in governing body. Provides serious illness care services through the network.
• Scotty Ortega MD LLPcoreStrategic or Co-development PartnerACO participant provider represented by Scotty Ortega, MD in governing body. Contributes to serious illness care delivery network.
• Palliative Care of ArizonacoreStrategic or Co-development PartnerACO participant provider represented by Paden Hendrickson, MD in governing body. Provides palliative care specialty services.
• Nevada Palliative CarecoreStrategic or Co-development PartnerACO participant provider represented by Sandra Hill, APRN and Jefferey Basa, MD in governing body. Delivers palliative care services in Nevada.
• Ferdowsian, Global Services PLLCcoreStrategic or Co-development PartnerACO participant provider represented by Mark Ferdowsian, MD and Tuyet Ngyuen, PA in governing body. Provides serious illness care services.
• Nevada Care ConnectcoreStrategic or Co-development PartnerACO participant entity represented by Brian Bertram (ACO REACH Executive, Voting Member) in governing body. Primary contact organization for the ACO.
• Gentiva Certified Healthcare CorpsupportingStrategic or Co-development PartnerHome healthcare provider participant in the ACO network, providing home-based care services to seriously ill patients.
• Bayada Home Health Care IncsupportingStrategic or Co-development PartnerHome health care provider participant in the ACO network delivering home-based clinical services.
• Seasons Hospice & Palliative Care of Texas-Houston LLCsupportingStrategic or Co-development PartnerHospice and palliative care provider participant in the Texas region, providing end-of-life care services.
• CMS (Centers for Medicare & Medicaid Services)coreOthersFederal agency overseeing the ACO REACH model. Intrinsia Health operates as a REACH ACO under CMS regulations, receiving capitation payments and shared savings distributions through CMS-managed programs.

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• agilon health: agilon health is a publicly traded value-based care organization that partners with primary care physicians to manage senior populations under full-risk capitation, including ACO REACH. It directly parallels Intrinsia's network-led, capitation-based approach to senior seriously ill care and operates at significantly larger scale.
• Aledade: Aledade partners with independent primary care practices to form and operate ACOs, including ACO REACH participants. It shares Intrinsia's core model of affiliating independent providers into risk-bearing arrangements for senior populations, and is one of the largest ACO enablers in the country.
• Pearl Health: Pearl Health is a technology-enabled ACO REACH participant that helps independent PCPs move into value-based care through risk-bearing arrangements. It overlaps with Intrinsia's provider-acquisition motion and ACO REACH infrastructure, though Pearl is more tech-platform oriented.
• Vytalize Health: Vytalize Health is an ACO and value-based care platform focused on senior populations, including ACO REACH participation. It mirrors Intrinsia's combination of provider network aggregation, population health analytics, and capitation-based revenue.

Broad incumbents

• Landmark Health: Landmark Health (owned by Optum) provides in-home, interdisciplinary medical care for complex, chronically ill patients - a near-exact care model match for Intrinsia's seriously ill population. It is a much larger, scaled incumbent serving similar patient cohorts across many states.
• ChenMed: ChenMed is a family-owned, senior-focused value-based primary care group serving low-income elderly patients through full-risk capitation contracts. It targets the same dual-eligible and seriously ill senior cohort as Intrinsia, with proven cost outcomes and significantly greater scale.
• Privia Health: Privia Health is a national medical group and value-based care platform supporting independent providers in risk-bearing arrangements. It overlaps with Intrinsia's provider network aggregation model and serves as an enabler for ACO and capitation participation.
• Oak Street Health: Oak Street Health (owned by CVS Health) operates value-based primary care clinics focused on Medicare beneficiaries, including dual-eligible and seriously ill seniors. It shares Intrinsia's senior seriously ill target market and capitation-based economics but at vastly larger scale.
• CenterWell Senior Primary Care: CenterWell is Humana's senior-focused primary care and home care division, operating value-based clinics and home-based programs for complex elderly patients. It competes for the same seriously ill senior cohort as Intrinsia, but with substantially greater capital, geographic reach, and integration with a payor.
• Aspire Health: Aspire Health is a national palliative and complex care provider serving seriously ill patients in their homes. Its care model - interdisciplinary palliative teams for home-bound, seriously ill populations - directly overlaps with Intrinsia's palliative medicine and home-based care services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks3 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/intrinsia-health

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Intrinsia Health