KPN Health

Name

KPN Health

Legal name

KPN Management Partners, LLC.

Website

https://kpnhealth.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Healthcare Data Analytics

NAICS

Software Publishers (513210), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000)

akta.pro primary industry

Quality Measurement, Reporting & Benchmarking (HEDIS/Stars/CQM) (HLACAHAC)

akta.pro secondary industries

Data Governance, Standards & Interoperability (ICD, HL7/FHIR, LOINC, SNOMED) (HLAJAJAM), Public Health Reporting, Dashboards & KPI Performance Management (HLAJANAO)

Keywords

• Healthcare data analytics
• Population health management
• Clinical data aggregation
• MACRA MIPS reporting
• Master patient records

Headquarters

HQ city

Dallas

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. Healthcare Analytics Services: Revenue generated through data analytics services for healthcare organizations including ACOs, hospital systems, and physician practices. Services include Master Patient Record creation, quality performance reporting (MACRA/MIPS), and population health analytics. Pricing likely varies based on organization size and data volume.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

KPN Health provides the KPN Optimize healthcare data analytics platform, which aggregates data from over 35 EHR systems, lab feeds, and claims sources to produce Master Patient Records and actionable clinical insights. Offerings include population health management, MACRA/MIPS/PQRS quality reporting, clinical documentation workflow analysis, data quality control, and Point of Care Reports for healthcare organizations such as ACOs, hospital systems, and physician practices.

Product overview

KPN Health offers KPN Optimize as its core healthcare data analytics platform, which transforms data from over 35 EHRs, lab feeds, and claims into Master Patient Records and actionable knowledge. The platform includes modular components: the Population Health Module for Patient Centered Medical Home and MIPS/MACRA compliance, Point of Care Reports for patient education and operational continuity, and KPN Analytics for quality performance insights. The system delivers average annual returns of over $400 per contracted patient for ACO clients and supports Quality Performance PQRS and MACRA/MIPS reporting to CMS.

Differentiator

Problem solved

Functional benefit

Brands

• KPN Optimize: Population health management platform that helps meet Patient Centered Medical Home requirements and MIPS/MACRA metrics.
• KPN Intelligent Insights
• KPN Analytics

Products and services

• KPN Optimize

Quantifiable outcome

• Average annual returns of over $400 per contracted patient for ACO clients
• +3 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Three partnerships are on record, tiered core.

• HumanacoreOthersKPN Optimize population health data is pulled for Humana insurance, indicating integration with major health insurer for quality metrics and value-based care reporting.
• AetnacoreOthersKPN Optimize population health data is pulled for Aetna insurance, indicating integration with major health insurer for quality metrics and value-based care reporting.
• Blue Cross Blue Shield (BCBS)coreOthersKPN Optimize population health data is pulled for Blue Cross Blue Shield, indicating integration with major health insurer for quality metrics and value-based care reporting.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Health Catalyst: Enterprise healthcare data and analytics platform offering data warehousing, quality and regulatory reporting, and population health management for hospital systems and ACOs — same buyer, same use cases as KPN's MIPS/MACRA and population health modules.
• Lightbeam Health Solutions: Population health management and ACO analytics vendor serving ACOs, physician groups, and health systems with quality reporting, risk stratification, and care management — overlapping heavily with KPN's ACO/MIPS and population health focus.
• Arcadia: Healthcare data analytics platform that aggregates EHR, claims, and other clinical data into unified patient records and supports value-based care reporting for ACOs, health systems, and payers — directly comparable to KPN Optimize's core proposition.
• Cotiviti: Healthcare analytics and quality/payment accuracy vendor that processes claims and clinical data for payers and providers, including quality measures and value-based care reporting — comparable to KPN's quality-measurement and benchmarking work.
• Innovaccer: Healthcare data aggregation and analytics platform that unifies EHR, claims, and labs into a Master Patient Record and supports value-based care, quality reporting, and payer-provider connectivity — a direct functional analog to KPN Optimize.

Broad incumbents

• Oracle Health (formerly Cerner): Major EHR and population health vendor (Cerner Millennium, HealtheIntent) embedding data aggregation, quality reporting, and value-based care analytics — competes for the same hospital-system and ACO budgets KPN targets.
• Optum: UnitedHealth Group's health services and analytics arm offering population health, risk-adjustment, and quality reporting across payers and providers — sets the bar competitively for KPN on scale, data depth, and payer relationships.
• NextGen Healthcare: EHR and population health vendor for ambulatory and specialty practices with value-based care analytics and quality reporting — competes with KPN in physician-practice and ACO segments where KPN's MIPS and Point of Care reporting are positioned.
• Epic Systems: Dominant EHR vendor whose Cogito data warehouse, Healthy Planet population health tools, and quality-reporting modules serve many of the same large health systems and ACOs that KPN pitches.

Emerging players

• Forward Health Group: Population health analytics vendor focused on aggregating clinical and claims data for health systems and ACOs to support quality reporting and value-based contracts — a close niche peer to KPN's population health and MIPS offering.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights5 records

Customer concentration

• Xx.com/kpnhealthinc
• Facebookfacebook.com/kpnhealth
• LinkedInlinkedin.com/company/kpn-health-inc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 KPN Health