AllCare IPA

What AllCare IPA does

AllCare IPA is a California-based Independent Practice Association founded in 1989, headquartered in Modesto, and operating in the Central Valley counties of Merced, San Joaquin, and Stanislaus. The organization contracts with twelve major health insurance companies — including Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, Humana, United Healthcare, SCAN Health Plan, Alignment, Imperial Health, Promise Health Plan, and Wellcare — and is represented by a network of over 1,000 private practice physicians who provide primary care and specialist services to enrolled Medicare Advantage and Commercial HMO members.

AllCare generates revenue primarily through capitation payments from contracted Medicare Advantage and Commercial HMO plans, which pay the IPA on a per-member basis to coordinate and manage the healthcare needs of their enrollees who have selected AllCare as their medical group. Distribution is hybrid: most members access the IPA through health plan enrollment channels, while a supplementary direct channel runs through eight owned AllCare Medical Group Clinics (in Manteca, Stockton, Modesto-area, Turlock, and Merced) that offer free Comprehensive Health and Wellness Assessments and primary care to Medicare Advantage members. Adjacent services include a 24/7 Nurse Hotline, a contracted urgent care network of 20+ locations, and a Quest Diagnostics laboratory partnership with over 2,200 patient service centers.

Technology infrastructure is centered on the EZ-Net provider portal, built on Cedar Gate Technologies technology, which handles provider authorization requests, referral submission, claims search, CPT/procedure lookup, and member eligibility verification. The organization employs 11–50 administrative staff (the affiliated physicians are independent practitioners, not AllCare employees), is privately held with no disclosed parent company or funding events, and is governed by its network physicians. No AI/ML capabilities, patents, or proprietary technology platforms are disclosed in available data.

Name

AllCare IPA

Legal name

AllCare IPA

Website

https://allcareipa.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

11–50 employees

Short description

AllCare IPA is a Central Valley California Independent Practice Association founded in 1989, representing over 1,000 private practice physicians and operating eight owned clinics across Merced, San Joaquin, and Stanislaus Counties. It contracts with twelve major Medicare Advantage and Commercial HMO health plans, receiving capitation payments to coordinate care for tens of thousands of enrolled members.

Ownership category

akta.pro rank

Product category

Healthcare Provider Network / Managed Care Services

NAICS

HMO Medical Centers (621491), Offices of Physicians (62111), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Independent Practice Association (IPA) Model HMOs (HLAEAMAD)

akta.pro secondary industries

Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), Group HMO Plans (FSAIAFAK), Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Physician network services
• Medicare Advantage coordination
• Managed care IPA
• Primary care physician directory
• Health plan contracting

Headquarters

HQ city

Modesto

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Capitation Payments from Health Plans: AllCare IPA receives capitation payments from contracted health insurance companies (Medicare Advantage and Commercial HMOs) to manage the healthcare needs of enrolled members. The IPA coordinates care through its network of over 1,000 private practice physicians.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

AllCare IPA contracts with commercial HMO and Medicare Advantage health plans to deliver coordinated healthcare to enrolled members through a network of over 1,000 private practice physicians. It supplements that network with 8 directly operated AllCare Medical Group Clinics, contracted urgent care centers, and a 24/7 nurse hotline to provide primary care, specialist referrals, and preventive health services across Merced, San Joaquin, and Stanislaus Counties.

Product overview

AllCare IPA is a physician organization offering a unified healthcare network comprising over 1,000 private practice physicians across Merced, San Joaquin, and Stanislaus Counties in California. The core offering centers on the AllCare IPA Physician Network, supplemented by seven AllCare Medical Group Clinics providing direct patient care, contracted Urgent Care Centers for after-hours services, a 24/7 Nurse Hotline for round-the-clock consultation, and affiliation with multiple commercial and Medicare Advantage health plans. The EZ-Net Provider Portal serves as the technology platform enabling healthcare providers to manage authorizations, referrals, and claims. All services are coordinated through the primary care physician model, with the organization founded in 1989 and focused on illness prevention and healthy lifestyle promotion.

Differentiator

Problem solved

Functional benefit

Products and services

• AllCare IPA Physician Network A physician organization represented by over 1,000 private practice physicians (internists, family practitioners, pediatricians, and specialists) in Merced, San Joaquin, and Stanislaus Counties, providing primary care and specialist services through an extensive network to health plan members.
• AllCare Medical Group Clinics Eight owned clinic locations across San Joaquin, Stanislaus, and Merced counties offering Comprehensive Health and Wellness Assessments and primary care services, primarily for Medicare Advantage members.
• Urgent Care Coordination Network Network of contracted urgent care centers (AFC Urgent Care, California Urgent Care, Elite Urgent Care, Modern Urgent Care, and 20+ others) providing walk-in medical care on evenings and weekends when primary care physicians are unavailable, with low or no co-pay.
• 24/7 Nurse Hotline Round-the-clock nurse consultation service offered through multiple contracted health plans to advise members on whether to seek urgent care or wait for physician office hours.
• Health Plan Network Affiliation Affiliation with 12 commercial and Medicare Advantage health plans including Aetna, Alignment, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, Humana, Imperial Health, Promise Health Plan, SCAN Health Plan, United Healthcare, and Wellcare, through which members can select AllCare as their medical group.
• EZ-Net Provider Portal Online portal for healthcare providers to access or request authorizations, submit referrals, search claims, diagnosis, procedures, CPT codes, and member eligibility. Technology is provided by Cedar Gate Technologies.

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

14 partnerships are on record, tiered core.

• AetnacoreChannel Partner/ Reseller/ DistributorAetna Medicare Advantage and Commercial HMO plans contracted with AllCare IPA. Members can select AllCare as their medical group when enrolling in Aetna plans. Contact: (800) 624-0758.
• Alignment Health PlancoreChannel Partner/ Reseller/ DistributorAlignment Health Plan Medicare Advantage plans contracted with AllCare IPA for member healthcare services. Contact: (866) 634-2247.
• Anthem Blue CrosscoreChannel Partner/ Reseller/ DistributorAnthem Blue Cross Medicare Advantage and Commercial HMO plans contracted with AllCare IPA. Contact: (800) 677-6669.
• Blue Shield of CaliforniacoreChannel Partner/ Reseller/ DistributorBlue Shield of California Medicare Advantage and Commercial HMO plans contracted with AllCare IPA. Contact: (800) 424-6521.
• Cigna HMO Health PlancoreChannel Partner/ Reseller/ DistributorCigna HMO Health Plan contracted with AllCare IPA for member healthcare services. Contact: (800) 244-6224.
• Health NetcoreChannel Partner/ Reseller/ DistributorHealth Net Medicare Advantage and Commercial HMO plans contracted with AllCare IPA. Contact: (877) 878-7983.
• Humana Health InsurancecoreChannel Partner/ Reseller/ DistributorHumana Medicare Advantage plans contracted with AllCare IPA. Contact: (800) 457-4708.
• Imperial HealthcoreChannel Partner/ Reseller/ DistributorImperial Health Plan contracted with AllCare IPA for member healthcare services. Contact: (800) 838-8271.
• Promise Health PlancoreChannel Partner/ Reseller/ DistributorPromise Health Plan (Blue Shield of California) contracted with AllCare IPA for member healthcare services. Contact: (800) 544-0088.
• SCAN Health PlancoreChannel Partner/ Reseller/ DistributorSCAN Health Plan Medicare Advantage plans contracted with AllCare IPA for senior healthcare services. Contact: (800) 559-3500.
• United HealthcarecoreChannel Partner/ Reseller/ DistributorUnited Healthcare Medicare Advantage (AARP Medicare Complete) and HMO plans contracted with AllCare IPA. Contact: (800) 624-8822.
• WellcarecoreChannel Partner/ Reseller/ DistributorWellcare Medicare Advantage plans contracted with AllCare IPA for member healthcare services. Contact: (866) 999-3945.
• Quest Diagnostics LaboratorycoreTechnology or IntegrationQuest Diagnostics is the contracted laboratory for AllCare IPA, providing convenient access to lab testing through their network of over 2,200 Patient Service Centers. Members can schedule appointments 24x7 at questdiagnostics.com or call 1.888.277.8772.
• Network Urgent Care CenterscoreChannel Partner/ Reseller/ DistributorAllCare IPA maintains a network of contracted urgent care centers across Merced, San Joaquin, and Stanislaus Counties for non-emergency medical issues when primary care physicians are unavailable. Includes AFC Urgent Care, California Urgent Care, Elite Urgent Care, Modern Urgent Care, and 20+ other locations.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Hill Physicians Medical Group: One of the largest Independent Practice Associations in Northern California, contracting with multiple health plans to provide managed care across the Sacramento and East Bay regions. Closely comparable to AllCare in structure, scale, and payer mix.
• Heritage Provider Network: California-based IPA and medical group operating delegated managed care networks for MA and Commercial HMO members. Operates a near-identical IPA model with owned clinics and multi-payer contracts, primarily in Southern California.
• Brown & Toland Physicians: Bay Area IPA serving HMO and PPO members through a network of private practice physicians. Closely mirrors AllCare's IPA model with multi-payer contracts and physician-led governance, now operating under Altais.
• Prospect Medical Group: California-focused physician organization running IPA-style networks across Southern California with capitated contracts. Highly comparable business model, though operating in a different geography with hospital ownership overlap.

Broad incumbents

• Dignity Health: Large California health system with affiliated medical groups contracting MA and Commercial HMO lives. Overlaps with AllCare's Central Valley service area and competes for the same physician pool.
• Adventist Health: California-based integrated health system operating hospital-affiliated medical groups and IPAs. Competes for physician alignment and managed care contracts in Central Valley and Northern California.
• Sutter Health: Northern California integrated health system with its own IPA/medical group foundations and MA contracts. Competes with AllCare for physicians and patients in overlapping Central Valley and Bay Area markets.
• Kaiser Permanente: California's largest integrated HMO, owning its own hospitals, clinics, and physician groups. Competes with AllCare for MA enrollment and contracted physician participation across the same California geography.
• HealthCare Partners (Optum): Large California IPA-style medical group now part of Optum, providing capitated managed care to MA and Commercial members. Represents the scaled, vertically integrated version of AllCare's model.

Regional players

• Sharp Community Medical Group: San Diego-based IPA with a multi-payer, capitated model serving MA and Commercial HMO members through independent and affiliated physicians. Comparable model but operates in a different Southern California geography.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/AllCarePhysicians
• LinkedInlinkedin.com/company/allcare-ipa

Revenue estimate

Valuation estimate

Number of profiles

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 AllCare IPA