HealthPivots

What HealthPivots does

HealthPivots is a healthcare data analytics company that provides strategic, claims-based market intelligence to post-acute care providers across the United States. Founded in 1985 in Portland, Oregon by Jay D. Cushman and operating under the legal entity Health Planning & Development LLC, the company has accumulated 25 years of experience transforming Medicare administrative data into actionable business intelligence. Its core product is DataLab, a cloud-based web analytics platform launched in 2018 that processes 30 billion claims and cost report records spanning a 20-year period, covering 100% of Medicare Part A and Part B claims combined with Medicare Cost Reports and CMS Quality Reporting Programs. DataLab offers 60+ interactive tools organized into vertical-specific modules for hospice providers, home health agencies, skilled nursing facilities, hospitals, and accountable care organizations (REACH and MSSP ACOs), enabling patient flow analysis, referral pattern tracking, competitive benchmarking, and value-based purchasing performance assessment. Complementary products include the Hospice Market Atlas, Home Care Market Atlas, and Hospital & Post-Acute Care Atlas for deeper offline analysis, as well as State Hospice Profiles and State Home Care Profile printed publications.

HealthPivots operates a B2B enterprise field sales go-to-market model, offering a "Request a Free Analysis" lead-generation tool and quote-based annual subscription pricing scaled to agency size, with unlimited user accounts per subscription. Revenue streams include recurring DataLab subscriptions, one-time license fees for State Profile and Atlas publications (with the State Hospice Profile distributed exclusively through NHPCO), and custom consulting and tailored benchmarking engagements. The customer base spans all 50 U.S. states, with named enterprise clients including Cornerstone Hospice & Palliative Care (20-year customer), Ohio's Hospice, Hospice of East Texas, Cornerstone VNA, and Hawai'i Care Choices. On September 4, 2024, HealthPivots was acquired by Netsmart Technologies to integrate DataLab's Medicare claims analytics into Netsmart's CareFabric EHR and care coordination platform, accelerating the combined entity's positioning for value-based care. The company has maintained a lean 1-10 person team throughout its independent history.

Name

HealthPivots

Legal name

Health Planning & Development LLC d/b/a Healthpivots

Website

https://healthpivots.com

Company type

Private

Founded year

1985

Operating status

Acquired

Headcount range

1–10 employees

Short description

HealthPivots provides Medicare claims-based analytics and benchmarking for U.S. post-acute care providers, serving hospice, home health, skilled nursing, hospital, and ACO customers through its DataLab SaaS platform and Atlas publications. Acquired by Netsmart in September 2024.

Ownership category

akta.pro rank

Product category

Healthcare Data Analytics

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

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

akta.pro primary industry

Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)

akta.pro secondary industries

Record Locator Services (RLS) & Longitudinal Record Aggregation (HLACABAH), Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

Keywords

• Healthcare data analytics
• Medicare claims analytics
• Post-acute care intelligence
• Hospice market analytics
• Healthcare benchmarking software

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. DataLab Subscription: Annual subscription-based access to the HealthPivots DataLab web-based analytics platform. Pricing is competitively structured based on the size of the subscribing agency. Provides unlimited user accounts per subscription.
2. State Profiles Publications: Sales of printed State Hospice Profiles (exclusively through NHPCO partnership) and State Home Care Profiles. These are lower-cost publications providing market data for every county in a selected state, based on multi-year CMS claims data.
3. Custom Atlas Products: Custom Hospice Market Atlas and Home Care Market Atlas products, as well as Hospital & Post-Acute Care Atlases, offering more in-depth data than State Profiles. These are higher-priced custom products.
4. Custom Consulting and Analysis: Custom benchmarking reports and tailored data analyses for health system clients, including horizontal health system benchmarking and vertical health system optimization reports.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels8 records

Core offering

HealthPivots sells subscription-based access to DataLab, a web-based analytics platform that processes 100% of Medicare Part A and Part B claims data, Medicare Cost Reports, and CMS Quality Reporting data covering 30 billion records over 20 years. The platform delivers 60+ interactive tools that enable hospice, home health, skilled nursing, hospital, and ACO customers to benchmark performance, analyze referral patterns, monitor market trends, and identify patient flow opportunities across the post-acute care continuum. Complementary one-time-purchase Atlas products and printed State Profiles extend the offering to lower-cost and offline market data users.

Product overview

HealthPivots is a healthcare data analytics company offering a portfolio of cloud-based business intelligence tools for post-acute care providers. The core product is the HealthPivots DataLab web-based analytics platform, which provides access to 100% of Medicare Part A and Part B claims data, Medicare Cost Reports, and CMS Quality Reporting Programs. DataLab is the central platform that powers sector-specific modules for Hospice, Home Care, Skilled Nursing, Hospitals, and Accountable Care Organizations. The product portfolio also includes the Atlas product line (Hospice Market Atlas, Home Care Market Atlas, Hospital & Post-Acute Care Atlas) for offline visualization, State Profiles (State Hospice Profile and State Home Care Profile) published in partnership with NHPCO, and free whitepapers and market analyses. DataLab was launched in 2018 replacing the earlier Desktop Toolkit (2009). The company was acquired by Netsmart in September 2024, integrating DataLab into the Netsmart CareFabric platform. HealthPivots serves clients in all 50 U.S. states.

Differentiator

Problem solved

Functional benefit

Brands

• HealthPivots DataLab: Web-based analytics platform providing healthcare data analytics for hospice, home care, skilled nursing, hospitals, and accountable care organizations.

Products and services

• HealthPivots DataLab Web-based SaaS analytics platform providing access to 100% of Medicare Part A and Part B claims data, Medicare Cost Reports, quality measures, and value-based purchasing incentives. Offers 60+ interactive tools for patient flow analysis, competitive benchmarking, market trend visualization, referral pattern analysis, and DRG analysis across hospice, home care, skilled nursing, hospitals, and ACOs. Sold on an annual subscription with unlimited user accounts per agency.
• Hospice Market Atlas Custom product providing visualization of trends in the need for and delivery of hospice services at national, state, and county levels. Covers hospice access to care, referral patterns, market share, and competitive positioning. Higher-priced custom alternative to State Hospice Profiles, offering more in-depth data and analysis.
• Home Care Market Atlas Companion atlas to the Hospice Market Atlas, providing market visualization for home care services. Covers home care utilization, agency rankings, patient flow from referral sources, and county-level market dynamics. Higher-priced custom alternative to State Home Care Profiles.
• Hospital & Post-Acute Care Atlas Atlas providing analytics on hospital performance and post-acute care linkages, including patient flow between hospitals and post-acute providers (skilled nursing, hospice, home health), readmission patterns, and value-based purchasing metrics. Sold as a custom higher-priced product.
• State Hospice Profile Printed publication produced exclusively through the NHPCO partnership, providing detailed hospice market data for every county in a selected state based on Medicare claims data spanning approximately 15 years. Includes national and state maps illustrating hospice penetration at county level. Lower-cost one-time purchase alternative to the Hospice Market Atlas.
• State Home Care Profile Printed publication providing detailed home care market data for every county in a selected state based on Medicare claims data from 2007 through 2019. Includes county-level home care reach and access data, major agency rankings, visit and patient population trends, and national maps. Lower-cost one-time purchase alternative to the Home Care Market Atlas.

Quantifiable outcome

• Hospice providers using HealthPivots data won multiple major RFP contracts with hospital systems
• +4 more outcomes

Named customers9 records

Segments6 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

One partnership is on record.

• NetsmartflagshipStrategic or Co-development Partner · 4 September 2024Netsmart acquired HealthPivots on September 4, 2024 to enhance its CareFabric platform with HealthPivots' comprehensive Medicare claims analytics. The acquisition aims to support healthcare providers' transition to value-based care, combining Netsmart's EHR and care coordination solutions with HealthPivots' DataLab analytics. HealthPivots clients can continue using the solutions with their electronic health record of their choice, as Netsmart's strategy is to enable providers regardless of EHR vendor.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Cotiviti: Cotiviti applies claims-based analytics for payment integrity, risk adjustment, and quality, touching the same Medicare claims universe that powers HealthPivots but at substantially greater scale and across broader payer/provider use cases.
• Arcadia: Arcadia operates a healthcare data platform that aggregates clinical and claims data for population health, ACOs, and value-based care — overlapping HealthPivots' ACO and value-based analytics capabilities with greater scale and broader scope.
• Definitive Healthcare: Definitive Healthcare provides commercial intelligence across the healthcare ecosystem — claims data, provider profiles, and analytics — overlapping HealthPivots' market intelligence offering at a broader, less post-acute-specialized level.
• LexisNexis Risk Solutions (Healthcare): LexisNexis Risk Solutions supplies healthcare data, provider directories, and claims-derived analytics — a much larger competitor in the same data-and-analytics category that HealthPivots occupies, but with broader payer and life-sciences exposure.
• Health Catalyst: Health Catalyst provides enterprise healthcare analytics and a data platform for hospitals, health systems, and ACOs, competing with HealthPivots' hospital and ACO analytics modules from a much larger installed base.

Direct peers

• PlayMaker Health: PlayMaker Health delivers post-acute market data, sales intelligence, and CRM tools for home health, hospice, and skilled nursing agencies, competing head-to-head with HealthPivots on referral-pattern analytics and competitive benchmarking.
• Medalogix: Medalogix applies predictive analytics to hospice and home health populations for referral optimization and care decisions, addressing the same Medicare claims-derived post-acute use cases as HealthPivots.
• Trella Health: Trella Health provides hospice and home health market intelligence using Medicare claims data, including referral analytics, market sizing, and CRM-integrated sales tools — directly overlapping HealthPivots' core hospice/home-health use cases.

Others

• WellSky: WellSky provides EHR and analytics software across the post-acute continuum (home health, hospice, SNF) and integrates referral and outcomes data — adjacent to HealthPivots as both a potential partner and ecosystem competitor.
• Netsmart: Netsmart is HealthPivots' parent company post-September 2024 acquisition, providing the CareFabric EHR and care-coordination platform that DataLab analytics now augment. As both owner and adjacent technology vendor, Netsmart is the most strategically linked entity to HealthPivots' go-forward trajectory.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/netsmarttech
• Facebookfacebook.com/netsmart
• LinkedInlinkedin.com/company/healthpivots

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 HealthPivots