MSO

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

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

• Healthcare management services
• IPA management
• Managed care administration
• Medical group consulting
• Health plan contracting

Headquarters

HQ city

Santa Ana

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. 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

Core 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

Named customers22 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

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Health NetcoreStrategic or Co-development Partner · 1 January 2018Health 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 PlancoreStrategic or Co-development PartnerMSO 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

Direct 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

• LinkedInlinkedin.com/company/mso-inc.-of-southern-california

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries2 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 MSO