OneHealth Nebraska

What OneHealth Nebraska does

OneHealth Nebraska, LLC is an Independent Physicians Association (IPA) and Accountable Care Organization (ACO) headquartered in Lincoln, Nebraska, formed in 2016 by three Lincoln primary care clinics — Lincoln Internal Medical Associates, Nebraska Internal Medicine, and Primary Care Partners — to support and grow independent medicine in the state. The organization operates two complementary layers: an IPA network of more than 450 independent primary care and specialty physicians across 99 independent and locally-owned clinics, and an ACO that participates in the CMS Medicare Shared Savings Program (MSSP) and holds value-based contracts with commercial insurers including Blue Cross Blue Shield of Nebraska and Aetna. The model combines contracting/credentialing services, a Preferred Partners program, and Association Health Plan offerings to give independent practices collective bargaining leverage, shared savings distributions, and care coordination infrastructure that they could not achieve individually.

The business model is a value-based, recurring-revenue structure in which OneHealth Nebraska manages care coordination across its member network and earns a share of cost savings generated versus benchmark targets. Under MSSP, the ACO has reported shared savings of $2.54M (2020), $2.95M (2021), $4.61M (2022), $4.23M (2023), and $5.62M (2024) — cumulatively exceeding $20M since 2020 — with distributions shifting from a 65/35 participant/infrastructure split in 2020 to a 90/10 split in 2024. Members receive reduced unnecessary hospitalizations and ER visits (the organization reports a 10% reduction through proactive care coordination), credentialing and vendor services, and access to commercial payer networks. The operating model is highly asset-light: firmographic data indicates 1–10 employees under direct payroll, with senior leadership comprising CEO Steve Kros, CMO Bob Rauner, MD, MPH, and Medical Director Brandon Webb, MD, FAAFP, supported by a Compliance Officer and a physician-led governing body.

The core technology stack is described as ACO care coordination infrastructure and data analytics for value-based care delivery; no proprietary AI/ML, API, or SDK capabilities are disclosed, and the organization does not publish a developer platform. Commercial activity is concentrated regionally in Nebraska across 12+ communities, with no national or international footprint. Marketing is conducted through website content, organic social (Facebook, LinkedIn, Instagram), an annual spring meeting, and an annual Provider Directory, with the 2026 Spring Meeting featuring Mark Cuban as a high-profile speaker.

Name

OneHealth Nebraska

Legal name

OneHealth Nebraska, LLC

Website

https://onehealthne.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

1–10 employees

Short description

OneHealth Nebraska is a Lincoln, Nebraska-based Independent Physicians Association and Medicare Shared Savings Program ACO that aggregates 450+ independent physicians across 99 clinics in 12+ Nebraska communities to deliver value-based care under contracts with CMS, BCBS Nebraska, and Aetna.

Ownership category

akta.pro rank

Product category

Value-Based Care Services

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industry

Independent Primary Care Practices (HLAFAGAA)

Keywords

• Independent practice association
• Accountable care organization
• Value-based care
• Physician network
• Care coordination

Headquarters

HQ city

Lincoln

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicare Shared Savings Program (MSSP): OneHealth Nebraska ACO participates in the CMS Medicare Shared Savings Program, generating shared savings when cost targets are met and quality metrics achieved. Historical savings: $2,539,151 (2020), $2,954,275 (2021), $4,611,700 (2022), $4,234,473 (2023), $5,620,956 (2024). Savings distributed 90% to ACO participants and 10% to infrastructure reinvestment.
2. Commercial Insurance Value-Based Contracts: Value-based care arrangements with commercial insurers including Blue Cross Blue Shield of Nebraska and Aetna, rewarding the organization for achieving patient outcomes and cost savings through coordinated care delivery.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

OneHealth Nebraska operates an Independent Physicians Association (IPA) and Accountable Care Organization (ACO) that connects over 450 independent physicians across 99 locally-owned clinics in Nebraska. The organization contracts with Medicare (via MSSP) and commercial insurers (Blue Cross Blue Shield of Nebraska, Aetna) to deliver value-based, coordinated care, distributing shared savings back to member practices.

Product overview

OneHealth Nebraska is an Independent Physicians Association (IPA) and Accountable Care Organization (ACO) that operates as a unified network supporting and growing independent medicine in Nebraska. The organization consists of two core components: the IPA network (comprising over 450 independent physicians across 99 clinics) and the ACO (which coordinates value-based care with Medicare and commercial insurers). The IPA provides contracting/credentialing services and maintains a Preferred Partners program, while the ACO participates in the Medicare Shared Savings Program (MSSP) and establishes commercial contracts with insurers like Aetna and Blue Cross Blue Shield. The organization also offers Association Health Plans for its member providers.

Differentiator

Problem solved

Functional benefit

Products and services

• OneHealth Nebraska IPA (Independent Physicians Association) An independent physicians association network supporting independent medicine in Nebraska, connecting over 450 physicians across 99 independent and locally-owned clinics. Available to independent physician practices seeking collective bargaining power and infrastructure support.
• OneHealth Nebraska ACO (Accountable Care Organization) An Accountable Care Organization focused on value-based care, coordinating high-quality care for patients with Medicare and commercial insurers. Participates in the Medicare Shared Savings Program (MSSP) and distributes shared savings to member practices.
• Contracting and Credentialing Services Services helping independent physicians negotiate with insurers and maintain professional credentials. Available to member clinics and physicians within the OneHealth Nebraska network.
• Preferred Partners Program A curated network of preferred vendors and partners providing services to member clinics and physicians, including categories like behavioral health, imaging, lab, and pharmacy partners.
• Association Health Plan Health insurance plans offered through the association to member providers and their patients.
• Medicare Shared Savings Program (MSSP) Participation Federal Medicare program in which OneHealth Nebraska ACO participates to share in cost savings through coordinated care delivery. Historical shared savings: $2,539,151 (PY2020), $2,954,275 (PY2021), $4,611,700 (PY2022), $4,234,473 (PY2023), $5,620,956 (PY2024).

Quantifiable outcome

• 10% reduction in hospital and ER admissions through proactive care coordination
• +2 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Centers for Medicare & Medicaid Services (CMS)coreStrategic or Co-development Partner · 1 January 2017OneHealth Nebraska ACO participates in the Medicare Shared Savings Program (MSSP), operating under CMS regulations and achieving shared savings that are distributed to participating providers. The ACO has generated over $20 million in cumulative shared savings since 2020.

Scale indicators8 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Aledade: Aledade partners with independent primary care practices to form ACOs participating in MSSP and other value-based programs—mirroring OneHealth Nebraska's exact PCP-IPA-ACO model, payer-agnostic risk contracting, and shared-savings distribution mechanics.
• Privia Health: Privia operates a national IPA/medical-group platform that contracts with payers and provides value-based care infrastructure to independent physicians—the same structural model as OneHealth Nebraska, executed across many geographies.
• Agilon Health: Agilon partners with PCPs to enter MSSP and full-risk capitation contracts, sharing savings with participating physicians—a direct, scaled analog to OneHealth's ACO model with very similar revenue mechanics.
• astrana Health: Astrana Health (formerly Apollo Medical Holdings) operates an IPA/medical group platform with ACO REACH and MSSP risk-bearing contracts alongside delegated payer services—a closely comparable hybrid IPA-ACO business model to OneHealth Nebraska.
• Caravan Health / Signify Health: Signify Health's Caravan Health enables small independent-practice ACOs to participate in MSSP, providing care-coordination infrastructure and analytics to participant networks—a direct peer for OneHealth Nebraska's physician-independent ACO model.

Broad incumbents

• VillageMD: Walgreens/Cigna-backed value-based primary care platform offering ACO infrastructure, care coordination technology, and risk-bearing contracts at national scale—overlapping with OneHealth's value-based PCP focus but operating at much broader scope.
• Oak Street Health: CVS Health-owned value-based primary care provider for Medicare beneficiaries, employing risk-bearing PCP economics analogous to OneHealth's MSSP ACO model, but operating owned clinics rather than a physician-independent IPA.
• Cano Health: Value-based primary care provider for seniors with capitated Medicare contracts, sharing risk-pooling economics with OneHealth's MSSP ACO model but operating owned centers across multiple states rather than independent physician networks.
• Healthcare Partners / Optum Care: Optum-owned risk-bearing physician group operating value-based contracts for Medicare and commercial populations—the same ACO-style risk economics as OneHealth Nebraska, but executed nationally and integrated into UnitedHealth's payer-provider stack.

Emerging players

• InnovAge: PACE (Program of All-Inclusive Care for the Elderly) provider operating capitated, risk-bearing contracts for frail seniors—closely analogous to OneHealth's value-based care model for Medicare populations, though focused on a specific dual-eligible niche rather than MSSP.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/onehealthnebraska.ipa.aco
• LinkedInlinkedin.com/company/onehealth-nebraska-llc
• Instagraminstagram.com/onehealth.nebraska

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 OneHealth Nebraska