MSO
- Company typePrivate
- Founded1999
- HeadquartersSanta Ana, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
MSO firmographics
Firmographics- Name
- MSO
- Legal name
- MSO Inc.
- Website
- https://msosocal.org
- Company type
- Private
- Founded year
- 1999
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
MSO industry classification
Industry- Product category
- Healthcare Management Services
- NAICS
- HMO Medical Centers (621491)
- SIC
- Services-Health Services (8000), Services-Facilities Support Management Services (8744)
- akta.pro primary industry
- Primary Care Networks, Groups & MSOs (HLAFAGAE)
Keywords
Where MSO is headquartered
LocationHeadquarters
- HQ city
- Santa Ana
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
MSO business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- MSO Management Services: MSO generates revenue by providing comprehensive management services to IPAs and medical groups. Services include business development, network expansion, operations, financial analysis, medical management, claims processing, and provider network operations. Revenue is derived from management fees and service contracts with client IPAs and health plan partnerships.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels1 record
MSO product offering
Product offeringCore offering
MSO Inc. Southern California is a healthcare management services organization that delivers comprehensive operational, financial, clinical, and technology management to Independent Practice Associations (IPAs) and medical groups. Its services span business development, provider network expansion, claims processing, utilization and quality management, regulatory compliance, and information systems support. The company currently manages 8 IPAs covering approximately 50,000 Medi-Cal and 10,000 Medicare lives across Southern California and Texas.
Product overview
MSO Inc. Southern California is a healthcare management services organization (MSO) founded in 1999 that provides comprehensive, personalized management and consulting services to Independent Practice Associations (IPAs) and medical groups. The company operates a platform of integrated service modules including Business Development, Network Expansion, Operations Management, Information and Technology Services, Financial Analysis, Medical Management, Claims Processing, Provider Network Operations, and Clinical Criteria Services. These services work together to help managed IPAs optimize their operations, maintain regulatory compliance, expand their provider networks, and improve financial performance across Medi-Cal, Medicare, and commercial lines of business.
Differentiator
Problem solved
Functional benefit
Products and services
- Business Development Services
- Network Expansion Services
- Operations Management
- Information and Technology Services
- Financial Analysis Services
- Medical Management Services
- Claims Processing Services
- Provider Network Operations
- Clinical Criteria and Guidelines Services
Quantifiable outcome
- 100% audit scores for credentialing, claims, network operations, compliance and information systems
- +5 more outcomes
Companies that use MSO
Customer profileNamed customers22 records
Segments3 records
Ideal customer profiles3 records
MSO technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
MSO partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Health NetcoreHealth Net awarded MSO a significant grant in 2018 (one of only 2 organizations to receive a large grant). MSO used this grant to assist contracted clients with EMR improvements, encounter data capture, transmission and exchange. Clients receiving this assistance also earn extra bonuses from all contracted health plans for submitting timely and high volume patient encounter data.
- MD Care Health PlancoreMSO was integral in forming and managing 5 IPAs which started up MD Care Health Plan, the fastest growing Medicare Advantage Health Plan in Southern California between 2007 and 2012. MD Care was sold to Humana in 2012. This demonstrates MSO's ability to develop successful health plan ventures.
Scale indicators9 records
Recent moves5 records
Expansion highlights4 records
MSO competitors and assessment
Company assessmentDirect peers
- Agilon Health: Agilon Health is a value-based primary care platform that partners with independent PCPs to take global risk, functioning as a tech-enabled MSO across multiple states - directly comparable to MSO's IPA management and risk-bearing enablement role.
- Aledade: Aledade partners with independent primary care physicians to form ACOs and provides MSO services including population health technology and payer contracting - comparable to MSO's IPA enablement model for independent providers.
- Evolent Health: Evolent Health provides value-based care management and specialty care enablement services to provider groups and health plans - overlapping with MSO's medical management, UM/QM, and provider network operations functions.
- Astrana Health (formerly Apollo Medical Holdings): Astrana Health is a California-headquartered MSO/IPA platform that provides management, administrative, and risk-bearing services to IPAs and physician groups - the closest direct comparable to MSO Inc. in terms of geography, customer type, and service scope.
- Privia Health Group: Privia Health is a physician enablement company that provides MSO-style services including practice operations, payer contracting, and population health tooling to medical groups and IPAs - overlapping with MSO's core service suite.
- Heritage Provider Network: Heritage Provider Network is a California-based MSO/IPA network that manages risk-bearing physician organizations across Southern California - directly competitive with MSO in the same geography and IPA customer segment.
- IntegraConnect: IntegraConnect is an MSO that delivers practice management, revenue cycle, and value-based care services to specialty physician groups and IPAs - comparable to MSO's managed services stack for provider organizations.
Broad incumbents
- VillageMD: VillageMD is a primary care platform with affiliated MSO capabilities serving value-based contracts for risk-bearing entities - broader and more vertically integrated than MSO but operating in the same IPA/MSO enablement space.
- Optum Health: Optum Health operates the largest U.S. healthcare services platform including MSO, IPA management, and risk-bearing capabilities - a strategic incumbent with overwhelming scale relative to MSO.
- Carelon Health (Anthem): Carelon Health is the care delivery and care management arm of Elevance Health, offering MSO-style services to provider groups and IPAs at scale - a much larger incumbent competing for the same IPA enablement relationships.
Market position
Strengths1 record
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Customer concentration
MSO social profiles
Digital presenceMSO compliance and trust
Trust signalCompliance2 records
MSO financial estimates
Financial estimateRevenue estimate
Valuation estimate
MSO leadership team
Management profileNumber of profiles
Profiles6 records
MSO subsidiaries and ownership
Company hierarchySubsidiaries2 records
MSO funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MSO M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about MSO
What does MSO do?
MSO Inc. Southern California is a healthcare management services organization that delivers comprehensive operational, financial, clinical, and technology management to Independent Practice Associations (IPAs) and medical groups. Its services span business development, provider network expansion, claims processing, utilization and quality management, regulatory compliance, and information systems support. The company currently manages 8 IPAs covering approximately 50,000 Medi-Cal and 10,000 Medicare lives across Southern California and Texas.
Is MSO a public or private company?
MSO is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was MSO founded?
MSO was founded in 1999. It employs 11 to 50 people.
Where is MSO based?
MSO is headquartered in Santa Ana, United States, in the North America region.
How does MSO make money?
One revenue line is on record: MSO Management Services.
Who are MSO's main competitors?
Direct peers on record are Agilon Health, Aledade, Evolent Health, Astrana Health (formerly Apollo Medical Holdings), Privia Health Group, Heritage Provider Network and IntegraConnect. Broad incumbents are VillageMD, Optum Health and Carelon Health (Anthem).
Does MSO have an API?
No public API is recorded for MSO.
What industry is MSO in?
MSO's product category is Healthcare Management Services. Its primary akta.pro industry code is HLAFAGAE, Primary Care Networks, Groups & MSOs. Its NAICS code is 621491 and its SIC code is 8000.