Banner Health Network

What Banner Health Network does

Banner Health Network (BHN) is an accountable care organization operating as a component of Banner Health, headquartered in Phoenix/Mesa, Arizona. BHN coordinates care delivery across a network of more than 5,000 Banner Health-affiliated physicians and advanced practice providers, 15 Phoenix-area Banner Health hospitals, 8 health centers, and ancillary facilities, serving 400,000+ members across Maricopa, Pinal, and Gila Counties. The organization was established in 2011 as one of 32 Medicare Pioneer ACOs nationally and has since transitioned to the Medicare Shared Savings Program, achieving cumulative shared savings exceeding $92 million through Performance Year 2024 ($21.15M in PY2024 alone).

BHN's product surface combines care coordination (Nurse On-Call 24/7 triage, Case Management, population health tools), telehealth (Banner iCare tablet-based chronic condition monitoring, Banner Doctor on Demand virtual visits), provider enablement (preferred EHR platforms eClinicalWorks and Cerner Ambulatory with BHN-purchased licenses and subsidies), member education (Lifestyle Management Series, Health Smarts Magazine), and insurance products through the BCBSAZ Advantage joint venture (Medicare Advantage HMO with 23,000+ members). The underlying technology stack is conventional healthcare IT rather than AI-native: preferred EHR platforms with interfaces to Banner Health's hospital Cerner deployment, population health management tools with clinical alerts, and integrated patient/provider portals. The data infrastructure aggregates claims and clinical information across primary, specialty, hospital, ancillary, and home care settings.

Commercially, BHN contracts with multiple payer partners including Medicare (MSSP ACO), commercial insurers (Aetna, Cigna, UnitedHealthcare), Blue Cross Blue Shield of Arizona, and self-insured employer groups, including Banner Health itself, which has been a self-insured BHN client for more than 25 years. Revenue mechanics blend value-based / shared-savings arrangements (ACO distribution from Medicare when costs are below benchmark, with downside risk when above benchmark) and traditional fee-for-service. Member services such as Banner Doctor on Demand are priced transactionally at $40 or less per visit, and no-fee ePayment options are funded by Banner through the Zelis Payments vendor. BHN holds NCQA accreditations for Utilization Management, Case Management, and Accreditation Recreditation.

Name

Banner Health Network

Legal name

Banner Health Network

Website

https://bannerhealthnetwork.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Banner Health Network is an Arizona-based accountable care organization coordinating care across 5,000+ affiliated providers, 15 hospitals, and 8 health centers to serve 400,000+ Medicare, commercial, and self-insured members under value-based contracts.

Ownership category

akta.pro rank

Product category

Healthcare Services

NAICS

Ambulatory Health Care Services (621), Health Care and Social Assistance (62)

SIC

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

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industries

Care Management & Population Health Program Administration (HLAEALAG), Employer/Member Engagement Platforms for Provider-Sponsored Plans (HLACAEAM), Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Accountable care organization
• Value-based care
• Population health management
• Medicare shared savings
• Coordinated healthcare network

Headquarters

HQ city

Phoenix

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Value-Based Care / Shared Savings: Accountable care organization rewarded for high quality results and providing evidence-based preventive care. Providers are rewarded for outcomes rather than volume. ACO generates revenue through percentage of Medicare savings returned when costs are below expected benchmarks. If expenses exceed benchmark, ACO is at risk for percentage of losses.
2. Fee-for-Service: Traditional fee-for-service payments in conjunction with value-based arrangements. Most commercial arrangements include both fee-for-service and value-based components.

Pricing tiers

Go-to-market motion2 records

Distribution channels7 records

Marketing channels6 records

Core offering

Banner Health Network is an accountable care organization (ACO) that contracts with Medicare, commercial payers, and self-insured employers to coordinate care for more than 400,000 members across Maricopa and Pinal Counties in Arizona. It operates a network of 5,000+ affiliated physicians and advanced practice providers, 15 Banner Health hospitals, and 8 health centers, generating revenue through value-based/shared-savings arrangements and fee-for-service payments while supporting providers with population health tools, preferred EHR platforms (eClinicalWorks, Cerner Ambulatory), and care coordination services.

Product overview

Banner Health Network is an accountable care organization (ACO) serving Maricopa and Pinal Counties in Arizona, offering a comprehensive suite of healthcare services through its network of over 5,000 providers. The core BHN platform coordinates care across primary care, specialty care, and hospital settings. Key products include Banner iCare (telehealth via tablet), Banner Doctor on Demand (virtual visits), Banner Health Centers (primary care facilities), BHN EHR Solutions (preferred platforms: eClinicalWorks and Cerner), and Banner Health Network Nurse On-Call (24/7 advice line). The network also encompasses Banner Medicare Advantage (insurance plan), Case Management services, and member education programs like the Lifestyle Management Series. Sonora Quest Laboratories provides lab services throughout the network.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• $29 million in Medicare savings returned (2014), representing 5% savings in overall cost of care for 61,200 beneficiaries
• +4 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

Integration4 records

Feature4 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• Blue Cross Blue Shield of Arizona (BCBSAZ)coreStrategic or Co-development Partner · 1 January 2012Joint venture partnership to sell Medicare products through BCBSAZ Advantage, an HMO plan with Medicare contract. BCBSAZ Advantage launched in 2012 and today serves more than 23,000 members.
• AetnacoreStrategic or Co-development PartnerAccountable care collaboration delivering improved care at lower costs through value-based care arrangements.
• CignacoreStrategic or Co-development PartnerCommercial accountable care model collaboration focused on improved care coordination and cost reduction outcomes.
• UnitedHealthcarecoreStrategic or Co-development PartnerAccountable care model collaboration for value-based care delivery and cost management.
• Banner MD Anderson Cancer CentercoreStrategic or Co-development PartnerSpecialty cancer care facility affiliated with BHN network, offering highly specialized cancer treatment services.
• Sonora Quest LaboratoriescoreStrategic or Co-development PartnerLaboratory services partner providing comprehensive lab testing for BHN members and beneficiaries Valley-wide.
• eClinicalWorkscoreTechnology or IntegrationPreferred EHR platform for BHN providers supporting population health management goals. BHN has purchased block of licenses on behalf of providers.
• Banner Medical Group (BMG)coreStrategic or Co-development PartnerEmployed physician group of 1,100+ physicians and advanced practitioners serving patients across Banner Health facilities in Alaska, Arizona, Colorado, Nebraska, Nevada, and Wyoming.
• Neighborhood Physician AlliancecoreStrategic or Co-development PartnerIndependent physician organization formed from merger of Arizona Integrated Physicians and Banner Physician Hospital Organization. Supports nearly 1,500 providers through practice transformation with 8 distinct neighborhoods of care.
• Arizona Integrated Physicians (AIP)minorStrategic or Co-development PartnerMerged into Neighborhood Physician Alliance to create unified independent physician organization supporting BHN.
• Banner Physician Hospital Organization (BPHO)minorStrategic or Co-development PartnerMerged into Neighborhood Physician Alliance to create unified independent physician organization supporting BHN.

Scale indicators15 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Privia Health: Public physician-enablement company that builds and operates ACOs and value-based care networks for independent providers, very similar to how BHN aggregates physician groups under value-based contracts with multiple payers and Medicare.
• agilon health: Public VBC operator focused on senior Medicare patients via PCP partnerships and global capitation, directly comparable to BHN's MSSP/MA model with attributed lives and shared savings.
• Aledade: Operates ACOs and value-based care programs for independent primary care physicians across multiple states, with MSSP participation — comparable to BHN's Neighborhood Physician Alliance model serving nearly 1,500 providers.
• Astrana Health (formerly Apollo Medical): Physician-network, ACO, and capitation management group serving Medicare, Medicaid, and commercial populations; structurally similar to BHN's role inside Banner Health.
• Oak Street Health (CVS Health): Value-based primary care provider for seniors on Medicare, including dual-eligibles, with capitated contracts and dedicated care management — comparable in operating model and patient focus to BHN's Medicare ACO and chronic care management programs.

Broad incumbents

• Steward Health Care: Large national hospital-based ACO/value-based care operator; comparable as a health-system sponsored VBC network though broader in scope (acute care delivery) than BHN's care-coordination role.
• Optum Health: UnitedHealth Group's care delivery and ACO/payer-services arm; competes with BHN in value-based care contracting across commercial and Medicare lives and represents the dominant incumb

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks4 records

Key highlights5 records

Customer concentration

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries3 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 Banner Health Network