AlignCare

What AlignCare does

AlignCare Services LLC is a U.S.-based, privately held healthcare analytics company founded in 2023 and headquartered in New York. It sells a single SaaS product, the PrescienceRx analytics platform, to healthcare payers and providers, with no disclosed revenue, funding, or headcount and no named customers. The platform ingests pharmacy, claims, and SDoH data and produces predictive outputs including 12-month medical cost estimates, adherence and STAR ratings, HCC risk adjustment suspects, SDoH scores, potentially inappropriate medication (PIM) alerts, and 360-degree medication management views. PrescienceRx was developed through stated pioneering collaborations with Johns Hopkins and Wolters Kluwer, which serve as the platform's primary intellectual and data partnerships.

The business model is B2B enterprise SaaS sold via direct field sales (phone and email) on a subscription/recurring basis to two primary verticals: healthcare payers (Medicare Advantage, STAR ratings optimization, risk adjustment) and healthcare providers (population health, care coordination, polypharmacy management). Go-to-market is domestic-only (United States), targeting both regional and national clients, and pricing is not publicly disclosed. Senior management is described as having over 20 years of payer and provider experience, but no formal leadership roster, certifications, patents, or customer logos are disclosed in available sources, indicating an early-stage operating profile with limited external validation signals.

Name

AlignCare

Legal name

AlignCare Services, LLC.

Website

https://aligncare.com

Company type

Private

Founded year

2023

Operating status

Operating

Short description

AlignCare Services LLC is a New York-based healthcare analytics SaaS company founded in 2023 that sells the PrescienceRx platform to U.S. healthcare payers and providers for pharmacy-data-driven member profiling, adherence, and medication management.

Ownership category

akta.pro rank

Product category

Healthcare Analytics Software

NAICS

Software Publishers (513210), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Medication Adherence & Therapy Management Platforms (refills, reminders, MTM) (HLALAIAG)

akta.pro secondary industries

Adherence, Reminders & Engagement Automation (Medication/Follow-up) (HLACAEAJ), PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Pharmacy/Medication Management & Virtual MTM (Payer-Sponsored) (HLALACAK)

Keywords

• Healthcare analytics software
• Pharmacy data analytics
• Population health management
• Medication adherence solutions
• Risk adjustment analytics

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. PrescienceRx SaaS Platform: Analytics platform subscription providing data-driven healthcare insights to payers and providers. Platform delivers actionable insights for revenue, quality, and cost objectives through pharmacy data analytics.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

AlignCare sells PrescienceRx, a subscription-based healthcare analytics SaaS platform that uses pharmacy data to profile new members, improve CMS Stars adherence, detect potentially inappropriate medications, and deliver 360-degree medication management insights for healthcare payers and providers. The platform was developed in collaboration with Johns Hopkins and Wolters Kluwer and is sold via direct enterprise sales.

Product overview

AlignCare offers PrescienceRx, a unified healthcare analytics platform that delivers pharmacy-data-driven solutions for payers and providers. The platform provides multiple integrated modules including new member profiling (estimating medical costs, adherence/STAR ratings, HCC risk, SDoH scores), adherence improvement (addressing CMS Stars challenges), inappropriate prescribing identification (PIM alerts), and medication management (360-degree member perspective with cost estimation, comorbidity tracking, and Rx-to-Rx issue detection).

Differentiator

Problem solved

Functional benefit

Products and services

• PrescienceRx

Quantifiable outcome

• Members with no adherence gaps experience 95 acute events per 1,000, compared to 600 acute events per 1,000 for members with three gaps.
• +2 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature4 records

Partnerships

Two partnerships are on record, tiered core.

• Johns HopkinscoreStrategic or Co-development PartnerPioneering collaboration with Johns Hopkins in the development of PrescienceRx analytics platform. Contributed to the platform's development and validation for healthcare data analytics.
• Wolters KluwercoreStrategic or Co-development PartnerPioneering collaboration with Wolters Kluwer in the development of PrescienceRx analytics platform. Contributed healthcare data expertise to platform development.

Scale indicators2 records

Recent moves3 records

Expansion highlights3 records

Emerging players

• Wellth: Focuses on medication adherence and behavior change for high-risk members of health plans, partially overlapping AlignCare's adherence-improvement focus.
• Prognos Health: Uses lab and pharmacy data with AI to generate predictive member-level insights for payers, closely aligned with AlignCare's pharmacy-data-driven analytics approach.

Broad incumbents

• Inovalon: Large healthcare data and analytics platform serving payers and providers across risk adjustment, quality, and care management, a broad incumbent competing for the same budgets AlignCare targets.
• Arcadia: Healthcare data platform aggregating clinical and claims data for value-based care analytics, competing in the same payer/provider analytics space as AlignCare.
• Cedar Gate Technologies: Value-based care analytics and performance platform for payers and providers, overlapping AlignCare's cost, quality, and risk objectives.
• Cotiviti: Established payer analytics company covering quality, risk adjustment, and payment accuracy, overlapping AlignCare's payer-focused analytics niche at far larger scale.

Direct peers

• HealthEC: Population health analytics platform for payers and providers with risk stratification and care management, closely comparable to AlignCare's member profiling and stratification tools.
• RxAnte: Provides predictive analytics and interventions to improve medication adherence and Stars performance for health plans, directly overlapping AlignCare's payer-focused adherence and STAR-ratings modules.
• AllazoHealth: AI-driven medication adherence platform for payers and pharmacies, mirroring AlignCare's use of pharmacy data to predict and improve adherence outcomes.
• Reveleer: Delivers risk adjustment, quality (Stars/HEDIS), and member analytics to health plans, overlapping AlignCare's HCC and Stars optimization value proposition.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 AlignCare