Adirondack Health Institute

What Adirondack Health Institute does

Adirondack Health Institute (AHI) is an independent non-profit Article 28 organization established in 1987 under New York State Department of Health regulations, headquartered in Glens Falls, NY with a regional office in Plattsburgh. It operates as a regional healthcare support and care coordination entity serving 10 counties (Clinton, Essex, Franklin, Fulton, Hamilton, Montgomery, Saratoga, St. Lawrence, Warren, Washington) across the North Country/Adirondack region of upstate New York, with telehealth-related activities extending to 11 counties. AHI's core function is running a portfolio of community health programs rather than a single software product, including the Adirondacks ACO (a physician-led network of 16 healthcare entities and 900+ providers with value-based contracts generating approximately $9M annually to regional physician groups), the NY State-designated lead Health Home providing Medicaid care management, the ARHN coalition, telehealth infrastructure (NCTP), workforce development (BOOST, NCWC), chronic disease care coordination (CDCCN), insurance enrollment assistance (EASE), and behavioral health/SUD navigation (CHAMP).

AHI's technology stack centers on the Netsmart CareManager platform for Health Home care management, augmented by a proprietary Client Data Warehouse that integrates claims and clinical data from ACO participants, contracted health plans, and the Hixny regional health information exchange. The AHI Reporting Portal (built on Power BI) delivers interactive dashboards covering quality, utilization, financial trends, gaps-in-care, ED/inpatient alerts, and an ACO-specific Diabetes Dashboard launched in 2023. ArcGIS Story Maps support community asset mapping for the CDCCN region and the North Country Digital Inclusion Coalition.

AHI's revenue model is multi-stream and non-commercial: Medicaid and Medicaid Managed Care funding for Health Home care management, value-based payment contracts with five major payers (Excellus, Empire BlueCross BlueShield, UnitedHealthcare, BSNENY, Fidelis) under the ACO, grant funding from HRSA (RCORP, NCWC, CDCCN), Mother Cabrini Health Foundation (BOOST), and the New York State Department of Health (ARHN), plus quality-based incentive payments. All services are provided free to participants. The organization does not disclose revenue but is estimated to operate in the $10M-$25M annual range given its programmatic scope.

Name

Adirondack Health Institute

Legal name

Adirondack Health Institute

Website

https://ahihealth.org

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

101–250 employees

Short description

Adirondack Health Institute is a non-profit regional healthcare organization, established in 1987, that runs care coordination, ACO contracting, telehealth, workforce development, and enrollment programs across 10-11 counties in New York's North Country region, serving rural hospitals, providers, and Medicaid beneficiaries.

Ownership category

akta.pro rank

Product category

Rural Healthcare Care Coordination Services

NAICS

Social Assistance (624), Health Care and Social Assistance (62)

SIC

Services-Health Services (8000), Services-Social Services (8300), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Care Management & Population Health Program Administration (HLAEALAG)

akta.pro secondary industries

Chronic Disease & Health Promotion Program Funding (HLAJALAJ), Local Public Health & Human Services Administration (BPAIACAK), Public Health Financing, Budgeting & Grants Management (HLAJAMAC), Public Health Program Grants Management & Administration (HLAJALAC), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Health care coordination
• Medicaid care management
• Population health analytics
• Telehealth implementation services
• Health insurance enrollment

Headquarters

HQ city

Glens Falls

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, Infrastructure, Others

Revenue model

1. ACO Value-Based Payment Contracts: The Adirondacks ACO enters value-based payment contracts with commercial health plans (Excellus, Empire BlueCross BlueShield, UnitedHealthcare, BlueShield of Northeastern New York) and government payers (Medicare Shared Savings Program, Managed Medicaid including Fidelis). The ACO brings approximately $9 million in financial resources annually to physician groups through contracted health plans, promoting practice transformation and care coordination. Physician groups are eligible for shared savings based on maintaining optimal quality while reducing unnecessary utilization.
2. Health Home Care Management (Medicaid): AHI serves as a New York State-designated lead Health Home. Health Home care management services are funded by Medicaid and Medicaid Managed Care. There is no out-of-pocket cost for Health Home participants. AHI coordinates with primary care providers, hospitals, and behavioral health organizations to serve high-risk Medicaid members with chronic conditions, serious mental illness, or HIV/AIDS.
3. Grant-Funded Programs: AHI receives grant funding from federal and state agencies including HRSA (Rural Health Care Coordination Network grant, CDCCN grant, RCORP grant), Mother Cabrini Health Foundation (BOOST workforce program), and New York State Department of Health (ARHN, NCTP). These grants fund specific population health, workforce, telehealth, and care coordination initiatives.
4. Quality Incentive Payments: The ACO generates revenue through quality-based incentive payments from Medicaid and commercial payers under value-based payment (VBP) arrangements. Practices that earn NCQA Patient-Centered Medical Home recognition are eligible for quality-based incentive payments. The ACO consistently achieves over the 90th percentile in QARR and HEDIS quality measures.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels8 records

Core offering

Adirondack Health Institute delivers a portfolio of community health programs across rural upstate New York, anchored by a New York State-designated lead Health Home providing Medicaid care management for high-risk members and by the Adirondacks Accountable Care Organization, which contracts in value-based payment arrangements with commercial and government payers across 16 healthcare entities and 900+ providers. Supporting programs include EASE insurance enrollment assistance, the North Country Telehealth Partnership, the CDCCN chronic disease care coordination network, the BOOST workforce development program, CHAMP behavioral health navigation, and data and analytics services built on a Client Data Warehouse and reporting portal.

Product overview

Adirondack Health Institute (AHI) is an independent non-profit Article 28 organization established in 1987 that offers a portfolio of community health programs and initiatives, not a single software product. Its programs include the Adirondack Rural Health Network (ARHN) as its longest-running initiative; the Adirondacks Accountable Care Organization (ACO) for value-based care contracting; the Health Home/Care Management program providing Medicaid care coordination; Enrollment Assistance Services and Education (EASE) for NY State of Health Marketplace enrollment; the North Country Telehealth Partnership (NCTP) for telemedicine; the Adirondack Regional Healthcare Workforce BOOST Program for workforce development; the Chronic Disease Care Coordination Network (CDCCN) for heart disease care coordination; the North Country Care Coordination Workforce Collaborative (NCWC) for workforce training; CHAMP for mental health and addiction services navigation; and Keep New York Covered (KNYC) for coverage renewal education. The Data and Quality program provides analytics infrastructure including a Client Data Warehouse and AHI Reporting Portal. Together these programs advance equity, quality, access, and affordability of health and healthcare services across Clinton, Essex, Franklin, Fulton, Hamilton, Montgomery, Saratoga, St. Lawrence, Warren, and Washington counties in New York State.

Differentiator

Problem solved

Functional benefit

Products and services

• Adirondack Rural Health Network (ARHN) The longest-running AHI program, originating in 1987, provides a forum for public health leaders, hospitals, behavioral health organizations, EMS, and community-based organizations to assess regional population health needs and develop collaborative responses. Supported by the NYS Department of Health Office of Rural Health.
• Adirondacks Accountable Care Organization (ACO) A physician-led, physician-governed clinically integrated network working with 16 healthcare entities on value-based payment contracts including Medicare Shared Savings Program, Managed Medicaid, and commercial health plans, bringing approximately $9 million annually to the region's physician groups.
• Adirondack Regional Healthcare Workforce BOOST Program Funded by the Mother Cabrini Health Foundation, this program opens pathways for individuals pursuing healthcare careers by offering scholarship awards including tuition assistance, personalized coaching, and support with transportation, childcare, utilities, and food needs. Also offers professional development and MASH (Medical Academy of Science and Health) Camps for high school students.
• Chronic Disease Care Coordination Network (CDCCN) Funded by HRSA's Rural Health Care Coordination Network Program (September 1, 2023 – August 31, 2027), this program improves health outcomes for individuals with heart disease and underlying risk factors through multidisciplinary evidence-based care coordination, connecting patients with Chronic Disease Self-Management programs, tobacco treatment specialists, and nutrition services.
• Community Health Access to Addiction and Mental Healthcare Project (CHAMP) A statewide New York program working to help individuals and families access substance use disorder and mental health treatment services and maximize their insurance benefits. Provides assistance with obtaining coverage, understanding benefits, finding providers, prior authorization, appeals, and parity issues. Available regardless of insurance status, including the uninsured.
• Data and Quality at AHI Inter-organizational Data Analytics and Quality Improvement teams supporting AHI and the Adirondacks ACO through program evaluation, data management, interactive reporting via the AHI Reporting Portal, population health analytics, financial reporting, quality measurement, and opportunity identification. Includes a Client Data Warehouse integrating claims and clinical data from payors, providers, and Hixny health information exchange.
• Enrollment Assistance Services and Education (EASE) Assists individuals, families, and small business owners with enrolling in health insurance through the NY State of Health Marketplace since 2013. Team of NYS certified Navigators and Certified Application Counselors provide free, unbiased assistance for Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans across Clinton, Essex, Franklin, Fulton, Hamilton, Saratoga, Warren, and Washington counties.
• Health Home/Care Management AHI serves as a New York State-designated lead Health Home serving all ages. This care management service connects high-risk Medicaid individuals to healthcare services and community resources, coordinating medical and behavioral health care. Serves Clinton, Essex, Franklin, Fulton, Hamilton, Montgomery, Saratoga, St. Lawrence, Warren, and Washington counties. Uses Netsmart CareManager software. No out-of-pocket cost for participants.
• Keep New York Covered (KNYC) Program designed to educate New Yorkers about changes to healthcare coverage options, enrollment, and renewals following the end of the federal COVID-19 Public Health Emergency. Helps individuals currently enrolled in Medicaid, Child Health Plus, or Essential Plan take action to renew their coverage.
• North Country Care Coordination Workforce Collaborative (NCWC) Funded by a three-year HRSA Rural Public Health Workforce Training Network grant (August 1, 2022 – March 31, 2026), this collaborative aims to ensure a sufficient care management/care coordination workforce in eight rural North Country counties. Addresses career pathway development, occupational training including apprenticeships, education on chronic conditions, and workforce retention.
• North Country Telehealth Partnership (NCTP) A collaborative effort between Fort Drum Regional Health Planning Organization and AHI covering an 11-county North Country region. Serves as a unified resource for telemedicine planning and implementation, helping partners assess needs and readiness, connecting organizations to specialists, providing insight on equipment and vendors, navigating regulatory and reimbursement questions, and organizing educational opportunities.
• Rural Communities Opioid Response Program (RCORP) A federally funded initiative led by AHI from 2019 to 2024 aimed at strengthening local capacity to address substance use disorder, expanding prevention and treatment services, and improving long-term recovery support across the North Country. The grant has ended but resources, partnerships, and strategies developed continue to benefit communities.

Named customers9 records

Segments6 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

24 partnerships are on record, tiered core.

• Adirondacks Accountable Care OrganizationcoreStrategic or Co-development Partner · 1 January 2023CDCCN network member collaborating on the HRSA-funded Chronic Disease Care Coordination Network (CDCCN). The grant runs September 1, 2023 through August 31, 2027, with a goal of improving heart disease outcomes through care coordination across the four-county rural region.
• UVMHN – Alice Hyde Medical CentercoreStrategic or Co-development Partner · 1 January 2023CDCCN network member contributing to the HRSA-funded four-year grant (2023–2027) focused on improving health outcomes for individuals with heart disease and underlying risk factors through expanded care coordination in rural North Country communities.
• The Heart NetworkcoreStrategic or Co-development Partner · 1 January 2023CDCCN network member and project co-director. Leads the Get Healthy North Country Community Integrated Health Network, a coalition of nearly 30 member organizations across nine counties. Also leads the HRSA 'Get Healthy North Country!' network development grant.
• North Country Digital Inclusion Coalition (NCDIC)coreStrategic or Co-development Partner · 1 January 2022Established in 2022 by the NCTP (AHI + FDRHPO), NCDIC comprises over 30 subject matter experts from technology, healthcare, community-based organizations, broadband providers, food and housing security, and libraries across 11 counties. Addresses digital equity needs for telehealth access.
• Fort Drum Regional Health Planning Organization (FDRHPO)coreStrategic or Co-development Partner · 1 January 2015Since 2015, FDRHPO and AHI have collaborated to form the North Country Telehealth Partnership — a unified effort to plan and implement telemedicine throughout an 11-county catchment area. This partnership also established the North Country Digital Inclusion Coalition (NCDIC) in 2022.
• Community Service Society of New York (CSS)coreChannel Partner/ Reseller/ Distributor · 1 January 2013AHI is subcontracted with NY State of Health through CSS to provide enrollment assistance through certified Navigators and Application Counselors for the EASE program since 2013.
• Adirondack HealthcoreStrategic or Co-development PartnerMember organization of AHI and Adirondacks ACO participant. One of five key hospital partners that built the physician-led, physician-governed clinically integrated network. Provides acute care services in the Adirondack region.
• Glens Falls HospitalcoreStrategic or Co-development PartnerMember organization of AHI and Adirondacks ACO participant. One of the five key hospital partners founding the ACO. Represents the region in the clinically integrated network.
• Hudson Headwaters Health NetworkcoreStrategic or Co-development PartnerMember organization of AHI, Adirondacks ACO participant, and the region's largest FQHC. Serves as a subcontractor for the EASE enrollment program alongside AHI's CSS partnership. The network includes primary care practices across the region.
• St. Lawrence Health SystemcoreStrategic or Co-development PartnerMember organization of AHI and Adirondacks ACO participant. Represents the St. Lawrence County region in AHI's collaborative health transformation initiatives.
• The University of Vermont Health Network – Champlain Valley Physicians HospitalcoreStrategic or Co-development PartnerMember organization of AHI and Adirondacks ACO participant. Also a CDCCN network member. Represents the Champlain Valley region of the North Country in AHI and ACO initiatives.
• Legal Action CentercoreStrategic or Co-development PartnerPartner in the NY State CHAMP (Community Health Access to Addiction and Mental Healthcare Project) initiative, providing legal expertise for insurance appeals and parity compliance for mental health and SUD services.
• New York State Council for Community Behavioral HealthcarecoreStrategic or Co-development PartnerCHAMP partner providing advocacy and expertise for community behavioral healthcare providers in New York State, helping individuals access mental health and substance use disorder treatment services.
• Medicare Rights CentercoreStrategic or Co-development PartnerCHAMP partner contributing expertise on Medicare-related issues to help consumers navigate and overcome insurance-related barriers to accessing mental health and SUD services.
• Hudson Mohawk Area Health Education Center (HM AHEC)coreStrategic or Co-development PartnerBOOST program partner, collaborating with AHI to offer Medical Academy of Science and Health (MASH) Camps — hands-on experiences introducing high school students to healthcare careers. Also a key referral source for workforce training programs.
• Northern Area Health Education CentercoreStrategic or Co-development PartnerBOOST program partner providing occupational training and career pathway development for healthcare workforce in the North Country region.
• Community Service Society of New YorkcoreChannel Partner/ Reseller/ DistributorCHAMP lead organization collaborating with AHI and other community-based organizations statewide to help individuals access mental health and substance use disorder treatment services and navigate insurance benefits.
• Excellus BlueCross BlueShieldcoreChannel Partner/ Reseller/ DistributorCommercial payer partner with value-based payment contracts through the Adirondacks ACO, providing insurance products where the provider network is motivated to deliver quality care at lower cost.
• Empire BlueCross BlueShieldcoreChannel Partner/ Reseller/ DistributorCommercial payer partner with value-based payment contracts through the Adirondacks ACO for the rural North Country region.
• UnitedHealthcare – The Empire PlancoreChannel Partner/ Reseller/ DistributorCommercial payer partner with value-based payment contracts through the Adirondacks ACO.
• BlueShield of Northeastern New York (BSNENY)coreChannel Partner/ Reseller/ DistributorCommercial payer partner with value-based payment contracts through the Adirondacks ACO.
• Fidelis Medicaid Managed CarecoreChannel Partner/ Reseller/ DistributorGovernment payer (Medicaid Managed Care) partner with value-based contracts through the Adirondacks ACO. ACO also provides facilitation and reporting support for Fidelis' Health Plan Community Support programs.
• New York State Department of Health, Office of Health Systems Management, Division of Health Facility Planning, Charles D. Cook Office of Rural HealthcoreStrategic or Co-development PartnerState government funder and partner supporting the Adirondack Rural Health Network (ARHN), AHI's longest-running program. ARHN provides education and training aligned with the NYS Prevention Agenda.
• Hixny (Regional Health Information Exchange)coreTechnology or IntegrationRegional HIE partner supporting the Adirondacks ACO's Client Data Warehouse (CDW), a secure data repository containing claims and clinical information for attributed ACO members. Enables robust reporting and population health analytics.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Care Compass Network: Care Compass Network is a New York State Performing Provider System (PPS) serving the Southern Tier region, coordinating value-based care, behavioral health, and population health across multiple counties — directly comparable to AHI's ACO + Health Home model in the North Country.
• Common Ground Health (Finger Lakes PPS): Common Ground Health operates as a regional health planning and PPS organization in the Finger Lakes region of New York, convening providers, running community health assessments, and managing value-based initiatives — a direct peer in mission and structure to AHI's ARHN and ACO work.
• SOMOS Community Care: SOMOS is a New York-based physician-led IPA and ACO serving primarily Medicaid and immigrant populations through value-based contracts with major payers — comparable to AHI's Adirondacks ACO in operating a community-anchored, payer-contracted clinically integrated network in New York.
• Fort Drum Regional Health Planning Organization (FDRHPO): FDRHPO is a regional health planning organization in the North Country that co-leads the North Country Telehealth Partnership with AHI; despite being a partner, it is a direct peer in mission, operating region, and population-health focus.

Emerging players

• Healthy Alliance: Healthy Alliance is a New York-based IPA focused on Social Determinants of Health and Medicaid care coordination via Community Health Worker networks — an emerging peer overlapping with AHI's Health Home and CHAMP programs around social-care coordination.

Others

• New York eHealth Collaborative (NYeC): NYeC is New York's state-designated health information exchange and digital health convener — comparable to AHI's role as a regional convener using Hixny HIE integration, Client Data Warehouse, and population-health analytics infrastructure.
• Healthix: Healthix is one of New York's largest regional health information exchanges — a functional peer to the Hixny HIE partner role AHI leverages, given that population-health analytics and clinical data integration are central to AHI's value proposition.

Regional players

• Hudson Headwaters Health Network: Hudson Headwaters is a large FQHC and ACO participant operating across the same North Country region as AHI; while a partner organization, it is a regional peer offering overlapping primary care, ACO, and care-coordination services to similar patient populations.

Broad incumbents

• Northwell Health: Northwell is the largest health system in New York, operating ACOs, population health programs, and care management at scale across the state — a broad incumbent whose value-based and care-coordination strategies set the competitive context for regional players like AHI.
• Mount Sinai Health System: Mount Sinai operates a large New York-based ACO and population health platform serving diverse urban populations — a broad incumbent peer relevant for benchmarking value-based care, quality performance, and integrated care delivery models.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@adirondackhealthinstitute4268
• Xx.com/ahi_health
• Facebookfacebook.com/ahihealth

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Adirondack Health Institute