HealthShare360
- Company typePrivate
- Founded2017
- HeadquartersBoca Raton, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
HealthShare360 firmographics
Firmographics- Name
- HealthShare360
- Legal name
- HealthShare360, Inc.
- Website
- https://healthshare360.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
HealthShare360 industry classification
Industry- Product category
- Medicare Consulting Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Insurance Agencies and Brokerages (52421)
- SIC
- Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)
- akta.pro secondary industries
- Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ), Medicare Member Engagement & Care Management (Utilization, Case/Disease Mgmt) (FSAIAGAL), Medigap Plan Administration (Enrollment, Billing & Member Services) (HLAEADAC)
Keywords
Where HealthShare360 is headquartered
LocationHeadquarters
- HQ city
- Boca Raton
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
HealthShare360 business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Provider Consulting Services: Consulting fees for helping healthcare providers improve Medicare performance through market assessment, product & network design, go-to-market strategy, and performance optimization services.
- Enrollment Platform Services: Branded enrollment platform and call center services provided to health insurance carriers. Handles member enrollment, telephonic support, and ongoing member engagement with established sales and enrollment capabilities.
Go-to-market motion3 records
Distribution channels4 records
Marketing channels4 records
HealthShare360 product offering
Product offeringCore offering
HealthShare360 partners with healthcare providers to improve their Medicare performance through market assessment, product and network design, go-to-market strategy, branded enrollment platform services, and performance optimization. The company also operates a 600+ licensed-agent call center and customizable online enrollment platform used by health insurance carriers and Medicare beneficiaries. Services are organized around three pillars: Market Share (member growth), Wallet Share (capture of healthcare spending), and Revenue Share (per-member revenue through risk-based arrangements and STAR ratings).
Product overview
HealthShare360 is a unified Medicare consulting and services platform that partners with healthcare providers to improve their Medicare performance. The platform operates across three strategic pillars—Market Share (helping providers grow member enrollment), Wallet Share (increasing capture of healthcare spending), and Revenue Share (optimizing revenue per member through risk-based strategies and STAR ratings improvement). The core offering includes five integrated service modules: Market Assessment, Product & Network Design, Go To Market, Branded Enrollment Platform (eCommerce), and Performance Optimization—all designed to work together as a comprehensive value-based care consulting solution.
Differentiator
Problem solved
Functional benefit
Brands
- MedicareAnswers360: Medicare Answers site for Medicare beneficiaries to learn about Medicare options, register for meetings, and compare plans in online enrollment tool.
Products and services
- Market Assessment Service that assesses market dynamics, determines which products are saleable and driving growth, and reviews provider configurations that drive greatest market value. Sold to healthcare provider organizations as part of HealthShare360's Medicare consulting offering.
- Product & Network Design
- Go To Market
- Branded Enrollment Platform Customizable online enrollment solution with branded online enrollment, a dedicated call center staffed by 600+ licensed agents, and real-time results tracking. Over 5 million members enrolled to date; provided to health insurance carriers and used to support Medicare beneficiaries.
- Performance Optimization Service focused on member retention, increasing member satisfaction, and optimizing data collection to drive performance outcomes such as STAR ratings improvement. Sold to healthcare provider organizations.
Quantifiable outcome
- Providers can increase wallet share from less than 25% to higher capture rates through data analytics and network configuration
- +2 more outcomes
Companies that use HealthShare360
Customer profileSegments3 records
Ideal customer profiles2 records
HealthShare360 technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
HealthShare360 partnerships and signals
Strategic signalScale indicators7 records
Recent moves5 records
Expansion highlights5 records
HealthShare360 competitors and assessment
Company assessmentDirect peers
- eHealth: eHealth is a leading online Medicare insurance marketplace that enrolls beneficiaries in MA, Medigap, and Part D plans through its own licensed agent call center. It is a direct competitor to HealthShare360's branded enrollment platform and MedicareAnswers360 consumer-facing channel.
- GoHealth: GoHealth operates a large technology-driven Medicare enrollment platform with an extensive licensed agent call center, partnering with carriers to distribute MA and Medicare Supplement products. It overlaps directly with HealthShare360's enrollment platform and licensed-agent distribution model.
- SelectQuote: SelectQuote is a senior-focused insurance distribution platform with a large licensed agent call center specializing in Medicare and life products. It directly competes with HealthShare360 on Medicare enrollment economics and carrier relationships.
- HealthPlanOne: HealthPlanOne provides Medicare and health insurance enrollment technology, agent support, and carrier marketing services. Its enrollment platform and licensed agent model overlap closely with HealthShare360's enrollment offering to carriers.
- Connecture: Connecture (now part of the Medicare Insurance Comparison / DRG portfolio) provides insurance shopping, enrollment, and broker workflow technology to health plans and carriers. It is comparable to HealthShare360's enrollment platform and decision-support tooling.
- Benefytt Technologies (formerly Health Insurance Innovations): Benefytt distributes health, Medicare, and supplemental insurance products through call-center-based licensed agents and online channels. It competes directly with HealthShare360's licensed agent enrollment and member support services for Medicare beneficiaries.
Emerging players
- Carriage Hill Health (formerly MedicareCRM / Benefitalign): Carriage Hill Health provides CRM, lead management, and enrollment workflow technology to Medicare agents and brokers. It is comparable to the Salesforce-based infrastructure HealthShare360 has built and is now maintaining in-house.
Broad incumbents
- Optum (UnitedHealth Group): Optum is the largest healthcare services and consulting platform globally, with extensive Medicare operations, risk-adjustment analytics, and STAR ratings advisory capabilities. It represents the scaled incumbent that HealthShare360's consulting pillar competes against for large provider and carrier engagements.
- Deloitte Consulting (Healthcare): Deloitte's healthcare consulting practice serves MA carriers and providers with strategy, network design, value-based care, and operating model engagements. It is comparable to HealthShare360's provider-side consulting services but at vastly greater scale and breadth.
- Aetna / CVS Health: Aetna, the former employer of HealthShare360's co-founders, is one of the largest Medicare Advantage carriers and increasingly in-houses enrollment, broker, and provider enablement capabilities. It is both a reference point and a structural competitor to HealthShare360's carrier-facing enrollment business.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Customer concentration
HealthShare360 financial estimates
Financial estimateRevenue estimate
Valuation estimate
HealthShare360 leadership team
Management profileNumber of profiles
Profiles7 records
HealthShare360 funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HealthShare360 M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about HealthShare360
What does HealthShare360 do?
HealthShare360 partners with healthcare providers to improve their Medicare performance through market assessment, product and network design, go-to-market strategy, branded enrollment platform services, and performance optimization. The company also operates a 600+ licensed-agent call center and customizable online enrollment platform used by health insurance carriers and Medicare beneficiaries. Services are organized around three pillars: Market Share (member growth), Wallet Share (capture of healthcare spending), and Revenue Share (per-member revenue through risk-based arrangements and STAR ratings).
Is HealthShare360 a public or private company?
HealthShare360 is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was HealthShare360 founded?
HealthShare360 was founded in 2017. It employs 11 to 50 people.
Where is HealthShare360 based?
HealthShare360 is headquartered in Boca Raton, United States, in the North America region.
How does HealthShare360 make money?
Two revenue lines are on record. Provider Consulting Services are the primary driver. The others are enrollment Platform Services.
Who are HealthShare360's main competitors?
Direct peers on record are eHealth, GoHealth, SelectQuote, HealthPlanOne, Connecture and Benefytt Technologies (formerly Health Insurance Innovations). Carriage Hill Health (formerly MedicareCRM / Benefitalign) is listed as an emerging player. Broad incumbents are Optum (UnitedHealth Group), Deloitte Consulting (Healthcare) and Aetna / CVS Health.
Does HealthShare360 have an API?
No public API is recorded for HealthShare360.
What industry is HealthShare360 in?
HealthShare360's product category is Medicare Consulting Services. Its primary akta.pro industry code is FSAIAGAI, Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing), with a secondary code of FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 524292 and its SIC code is 6411.