Integra

What Integra does

Integra Community Care Network, LLC is a private, CMS-certified Accountable Care Organization (ACO) headquartered in Warwick, Rhode Island, founded in 2014 as an affiliate of Care New England Health System. It operates as Rhode Island's largest ACO, providing coordinated, value-based care to more than 120,000 attributed lives across Medicare (Medicare Shared Savings Program, Next Generation ACO Model), Medicaid (Rhode Island Accountable Entity program via Neighborhood Health Plan of Rhode Island and UnitedHealthcare Community Plans), and commercial payers (notably UnitedHealthcare through the NexusACO program). Its core technology stack is built on a unified Epic Electronic Health Record deployed across Care New England sites, supplemented by population health analytics, the Integra Community Compass social determinants of health resource directory, the Integra at Home acute-care-at-home program, and the NEMO technology platform acquired via the 2026 addition of Arches Medical Group.

The business model is structured around capitation, shared savings, and care management fees negotiated with CMS, Rhode Island Medicaid, and commercial insurers, with services delivered at no incremental cost to attributed patients. Integra generates revenue through risk-bearing contracts where savings from efficient care delivery and quality performance are shared between the ACO and payers. Its distribution is anchored by a network spanning Care New England's 749-bed hospital infrastructure (Butler Hospital, Kent Hospital, Women & Infants, VNA Home Health), South County Health, Rhode Island Primary Care Physicians Corporation, and independent practices — now including Arches Medical Group's 40 PCPs across 9 locations. Quality performance has been recognized nationally: #2 quality score in CMS Next Generation ACO Model and NCQA Case Management Accreditation at the highest level through 2028.

Commercially, Integra pursues growth through payer partnerships (UnitedHealthcare NexusACO expansion), provider consolidation (Arches Medical Group), community-based health equity initiatives (I-SPICEE, I-SPII funding up to $125K per CBO partnership), and differentiated care delivery programs such as Integra at Home and Facilitated Telemedicine. Go-to-market is sales-led for provider recruitment and community-led for health equity engagement, supported by event-driven thought leadership (hosting NAACOS 2026 Northeast Regional Meeting). The organization serves three primary customer segments — Medicare beneficiaries, Medicaid enrollees, and commercial members — with horizontal segmentation across these payer lines.

Name

Integra

Legal name

Integra Community Care Network, LLC

Website

https://integracare.org

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

101–250 employees

Short description

Integra Community Care Network is Rhode Island's largest CMS-certified Accountable Care Organization, providing coordinated value-based care to 120,000+ Medicare, Medicaid, and Commercial lives through its Care New England-anchored provider network.

Ownership category

akta.pro rank

Product category

Accountable Care Organization / Value-Based Healthcare Services

NAICS

Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Home Health Care Services (8082)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

Keywords

• Accountable care organization
• Value-based healthcare
• Population health management
• Care coordination services
• Medicare Shared Savings Program

Headquarters

HQ city

Warwick

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: ACO participates in CMS Medicare Shared Savings Program where providers share in savings from efficient healthcare delivery and meeting quality-of-care objectives.
2. Medicaid Accountable Entity Program: Rhode Island Medicaid program supporting members through value-based arrangements with Neighborhood Health Plan of Rhode Island and United Healthcare Community Plans.
3. Commercial and Private Payer Contracts: Value-based care arrangements with commercial insurers including UnitedHealthcare, focusing on quality outcomes and cost reduction.
4. UnitedHealthcare Value-Based Care Expansion: Partnership with UnitedHealthcare to expand value-based care arrangements in Rhode Island through NexusACO program.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels5 records

Core offering

Integra Community Care Network operates as a CMS-certified Accountable Care Organization (ACO) and Rhode Island Accountable Entity, providing value-based coordinated care to Medicare, Medicaid, and Commercial payer beneficiaries. It delivers population health management, care coordination, acute care at home, and social determinants of health support through a network of primary care physicians, specialists, and hospital partners affiliated with Care New England Health System.

Product overview

Integra Community Care Network is a healthcare Accountable Care Organization (ACO) operating as a platform-plus-modules architecture. The core offerings are the Medicare Shared Savings Program and Medicaid Accountable Entity Program, which provide coordinated, value-based care to Medicare and Medicaid beneficiaries respectively. These are supported by add-on services including Integra at Home (acute care at home), Population Health Analytics and Reporting, Care Coordination Services, Appointment Support Services, the Preferred Skilled Nursing Facility Network, Diabetes Resources, and Integra Community Compass (resource finder). The organization also conducts community engagement through I-SPICEE partnerships. Integra was formed through collaboration between Care New England Health System, South County Health System, and Rhode Island Primary Care Physicians Corporation, and now includes additional member organizations.

Differentiator

Problem solved

Functional benefit

Brands

• Integra Community Compass: A resource directory platform to help patients find community resources including housing, food, utilities, finances, transportation, and social connections.
• I-SPICEE
• I-SPII

Products and services

• Medicare Shared Savings Program Integra's Medicare Accountable Care Organization providing enhanced care coordination, illness prevention, and wellness supports to Medicare beneficiaries whose primary care provider is part of Integra and who have original Medicare coverage.
• Medicaid Accountable Entity Program Medicaid Accountable Entity program supporting members covered by Neighborhood Health Plan of Rhode Island or United Healthcare Community Plans with health-related social needs and value-based care delivery.
• Integra at Home Acute care at home program providing 24/7 support for complex care members, integrated with primary care physician as extension of the PCP rather than a separate vendor.
• Integra Community Compass Resource finder platform enabling patients to search by ZIP code for community resources including housing, food, utilities, finances, transportation, and social connection resources to address social determinants of health.
• Preferred Skilled Nursing Facility Network Select network of skilled nursing facilities providing expert care with dedicated Integra Nurse Care Managers, seamless care coordination, and personal transition planning from hospital to skilled nursing facility.
• Diabetes Resources Program Diabetes education materials and programs to help patients learn about diabetes management, including videos, recipes, and the Savoring Health cookbook developed with community partners.
• Facilitated Telemedicine Program designed to help vulnerable patients, particularly older adults with chronic diseases, access telemedicine services by providing facilitated access to technology.

Quantifiable outcome

• $8.3 million in shared savings realized during 2016 performance year
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

13 partnerships are on record, tiered significant, core, major and minor.

• Community-Based Organizations (CBOs)significantStrategic or Co-development Partner · 1 March 2023I-SPICEE initiative funding up to three CBO partnerships over 18-month project period (September 2023 to March 2025) with up to $125,000 each to address health equity issues in Rhode Island communities.
• Care New England Health SystemcoreStrategic or Co-development PartnerFounding organization of Integra Community Care Network. Care New England provides the health system infrastructure including Butler Hospital, Kent Hospital, Women & Infants Hospital, Care New England Medical Group, VNA Home Health and Hospice, and The Providence Center. Care New England has committed to one Epic EHR across all sites of care.
• South County Health SystemcoreStrategic or Co-development PartnerPartner in Integra's Next Generation ACO Model and value-based care arrangements. Located in South Kingstown, RI.
• Rhode Island Primary Care Physicians Corporation (RIPCPC)coreStrategic or Co-development PartnerRhode Island's largest network of primary care physicians and state-wide network strengthening partnership with Integra to enhance quality and focus of primary care delivery system. Located in Cranston, RI.
• UnitedHealthcarecoreStrategic or Co-development PartnerExpanded value-based care partnership in Rhode Island through NexusACO program. UnitedHealthcare and Integra work together to bring best healthcare experience, improve quality, increase member satisfaction, and make healthcare more affordable.
• Arches Medical GroupmajorStrategic or Co-development Partner40 Rhode Island Primary Care Providers and 9 locations joining Integra network from CharterCare Provider Group. Founded by Chris Kryder, MD with goal of reinventing primary care delivery, increasing access and quality while removing barriers that lead to physician burnout.
• House of Hope Community Development CorpsignificantStrategic or Co-development PartnerProvidence-based partnership to address homelessness by placing more homeless Rhode Islanders into housing through coordinated social determinants of health intervention.
• Epic SystemscoreTechnology or IntegrationCare New England has committed to one Epic EHR across all sites of care. Epic provided to physicians at discounted rate for install. Integra provides Epic through Community Connect program to physician practices.
• Butler Hospital and The Providence CentercoreStrategic or Co-development PartnerBehavioral health support network through Butler and The Providence Center integration with primary care for coordinated behavioral health services in physician offices.
• Progreso LatinominorStrategic or Co-development PartnerCommunity partnership to create 'Saboring Health / Salud Con Sabor' cookbook with healthy Latinx recipes for diabetes education and wellness in the Latinx community.
• Warren Alpert Medical School of Brown UniversityminorStrategic or Co-development PartnerMedical school collaboration on diabetes education cookbook project with healthy Latinx recipes for community wellness.
• Johnson & Wales UniversityminorStrategic or Co-development PartnerCulinary experts collaboration on diabetes education cookbook project creating healthy Latinx recipes.
• Preferred Skilled Nursing Facility NetworkcoreStrategic or Co-development PartnerSelect group of 11 skilled nursing facilities across Rhode Island where members receive expert care and all benefits of Integra Care Management including dedicated SNF Nurse Care Manager, seamless care coordination, and personal transition planning.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Others

• Castlight Health: Health navigation and population health technology vendor serving payers and providers with engagement and SDOH-adjacent capabilities. Adjacent to Integra's Community Compass resource directory and analytics tools, but as an enabling technology vendor rather than a competing ACO.

Direct peers

• Aledade: National ACO enablement company partnering with independent PCPs in MSSP, Next Generation ACO, REACH, and Commercial value-based contracts. Highly comparable in physician-network ACO model and risk-arrangement focus, though broader geographically than Integra.
• Agilon Health: Value-based care platform partnering with primary care physicians under global capitation arrangements across Medicare Advantage. Comparable to Integra's risk-bearing ACO model with senior-focused attributed populations, but operates at national scale with senior-focused MA focus.
• South County Health: Rhode Island health system that is a core partner in Integra's Next Generation ACO. Comparable as a regional hospital-based partner in the same ACO network, contributing attributed lives and PCP relationships.
• Privia Health: Multi-state medical group and ACO enablement platform operating under value-based contracts with Medicare, Commercial, and Medicaid payers. Directly comparable to Integra as a physician-network organization monetizing shared savings, though Privia operates nationally rather than within a single state.

Broad incumbents

• Care New England Health System: Parent organization and founding partner of Integra, operating hospitals across Rhode Island. Comparable as the health-system infrastructure on which Integra is built, though Care New England is a broader multi-hospital provider rather than an ACO.
• Steward Health Care: National physician-led health system that previously operated ACOs and value-based contracts across multiple states. Comparable in operating ACO models for attributed populations, though Steward's broader portfolio spans hospitals, medical groups, and payer contracts.
• Lifespan Corporation: Largest hospital system in Rhode Island, operating Rhode Island Hospital and other facilities. A potential partner, competitor, or alternative contracting vehicle for value-based care in the same geographic market as Integra.

Emerging players

• VillageMD (Walgreens Boots Alliance): Primary care platform focused on value-based care and risk-bearing arrangements, increasingly tied to senior populations through its Summit Health/CityMD acquisition. Comparable risk-based primary care model, though operates at significantly larger scale nationally.

Regional players

• CharterCare Provider Group (Prospect Medical Holdings): Rhode Island primary care and provider group that previously held the Arches Medical Group relationship before its migration to Integra. Operates in the same Rhode Island market as Integra with overlapping PCP and ACO services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/integra-community-care
• Xx.com/Integra_RI
• Facebookfacebook.com/IntegraHealth

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Integra