Peak Health
Peak Health is a provider-owned health insurer and third-party administrator headquartered in Morgantown, West Virginia, jointly owned by WVU Medicine, Marshall Health Network, and Valley Health. It offers Medicare Advantage PPO plans and self-insured employer administration to nearly 50,000 members across West Virginia and Pennsylvania.
- Company typePrivate
- Founded2021
- HeadquartersMorgantown, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingServices
What Peak Health does
Peak Health is a provider-owned health insurer and third-party administrator headquartered in Morgantown, West Virginia, founded in 2021 by WVU Health System. The company operates two licensed entities: Peak Health Insurance Corporation, a West Virginia-licensed accident and sickness insurer offering the Peak Advantage Medicare Advantage PPO plan, and Peak Health, LLC, a third-party administrator licensed in West Virginia, Pennsylvania, and Kentucky that administers self-insured employer health plans. Ownership is held jointly by three not-for-profit health systems: WVU Health System, Marshall Health Network, and Valley Health, with Mountain Health Network having previously joined as a co-owner, creating a structurally aligned payer-provider model.
The company serves two primary customer segments: Medicare-eligible seniors in West Virginia (and now expanding into Pennsylvania) through the Peak Advantage MA PPO plan, and self-insured employer groups, principally large health systems, through administrative services only contracts. Its largest accounts are WVU Medicine (approximately 32,000 employees and dependents on the ASO plan since January 2023) and Valley Health (approximately 8,000 employees added in 2024). Total membership reached nearly 50,000 across commercial and Medicare Advantage plans by mid-2024, with Medicare Advantage enrollment tripling to over 10,000 members for the 2026 plan year.
Peak Health's technology foundation is built on Epic EHR integration for claims processing and provider-payer interoperability, the MyPeak member portal accessible via Epic MyChart, a provider portal, and a member cost-transparency tool. National provider access is delivered through an Aetna First Health Network partnership covering all 50 states. Revenue derives from CMS-paid Medicare Advantage premiums and per-employee ASO administrative fees, with the provider-led model demonstrating a 12% premium reduction for WVU Medicine employees versus the prior Highmark commercial plan. The company employs approximately 100 staff across Morgantown and Bridgeport offices and earned the Press Ganey 2025 Human Experience Pinnacle of Excellence Award for top CAHPS ratings in the Local PPO category.
Peak Health firmographics
Firmographics- Name
- Peak Health
- Legal name
- Peak Health Insurance Corporation
- Website
- https://peakhealth.org
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Peak Health is a provider-owned health insurer and third-party administrator headquartered in Morgantown, West Virginia, jointly owned by WVU Medicine, Marshall Health Network, and Valley Health. It offers Medicare Advantage PPO plans and self-insured employer administration to nearly 50,000 members across West Virginia and Pennsylvania.
- Ownership category
- akta.pro rank
Peak Health industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI), MA Care Coordination & Utilization Management (UM) Programs (HLAEACAK)
Keywords
Where Peak Health is headquartered
LocationHeadquarters
- HQ city
- Morgantown
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Peak Health business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Medicare Advantage Premiums: Revenue from Medicare Advantage plan premiums paid by the federal government (CMS) and Medicare-eligible members for providing healthcare coverage
- Third-Party Administration Fees: Claims processing and administrative services fees charged to self-insured employer groups (WVU Health System, Valley Health, and other partner health systems) instead of commercial carriers
- Self-Funded Employer Administration: Administrative services for self-insured employer groups including claims administration, provider network management, and wellness program coordination
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Peak Advantage Medicare Advantage PPO Plan |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
Peak Health product offering
Product offeringCore offering
Peak Health is a provider-led health insurance company headquartered in Morgantown, West Virginia, offering Medicare Advantage PPO plans (Peak Advantage) for seniors and Administrative Services Only (ASO) administration for self-insured employer groups. Owned jointly by three not-for-profit health systems (WVU Health System, Marshall Health Network, and Valley Health), the company processes claims, manages provider networks, and operates member and provider digital portals integrated with Epic EHR.
Product overview
Peak Health is a provider-led health insurance company offering a portfolio of insurance products and administrative services. The core products include Peak Advantage Medicare Advantage PPO plans and ASO (Administrative Services Only) plans for self-insured employers. These are supported by the MyPeak digital member portal accessible via web and Epic MyChart integration, provider network access through a combination of local WV/VA providers and the Aetna First Health national network, and wellness programs like MyPARK Pass for member fitness benefits. The company was founded in 2021 and serves approximately 50,000 members across commercial and Medicare Advantage plans.
Differentiator
Problem solved
Functional benefit
Products and services
- Peak Advantage Medicare Advantage PPO Plan A Medicare Advantage PPO plan offered by Peak Health Insurance Corporation under a CMS contract, providing Medicare Part C coverage for seniors aged 65+ across West Virginia and Pennsylvania, with access to a local provider network including WVU Medicine and Marshall Health.
- ASO (Administrative Services Only) Self-Insured Employer Plans Administrative services for self-insured employers including claims processing, benefits management, provider network access, and wellness program coordination. Peak Health acts as third-party administrator in place of commercial carriers for employer groups such as WVU Medicine, Valley Health, Mountain Health Network, and Marshall Health.
- MyPeak Member Portal A members-only digital portal providing 24-hour access to account information, personalized health data, plan benefits, claim statements, ID cards, cost transparency tools, and plan-related documents. Accessible via web browser and Epic MyChart mobile app integration.
- Peak Provider Portal
Quantifiable outcome
- 12% premium reduction for WVU Medicine employees vs previous Highmark plan
- +3 more outcomes
Companies that use Peak Health
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Peak Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature3 records
Peak Health partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered minor and core.
- Mylan ParkminorMylan Park partnership provides Peak Health members free access to Aquatic Center and fitness facilities through MyPARK Pass program. The Aquatic Center was renamed Peak Health Aquatic Center at Mylan Park and Track Complex renamed Peak Health Track and Field Complex. Up to four beneficiaries per family can be added to the membership.
- Valley HealthcoreValley Health, a six-hospital system serving Northern Shenandoah Valley of Virginia and Eastern Panhandle of West Virginia, joined as fourth owner in January 2023. Peak Health anticipated serving up to 8,000 Valley Health employees starting January 1, 2024. CEO Mark Nantz stated the partnership brings providers closer to premium payers.
- WVU Health System (WVU Medicine)coreWVU Health System is the founding owner of Peak Health, having invested $15 million in startup costs and approximately $10 million annually for operations. The health system provides 32,000 employees as initial captive market. Albert L. Wright, Jr. serves as Board Chair of Peak Health while also President and CEO of WVU Health System. The integrated model allows providers and payers to align financially.
- Marshall HealthcoreMarshall Health, the clinical enterprise of Marshall University and Joan C. Edwards School of Medicine, joined as a founding owner in February 2022. Provides 400 providers across 75 specialty areas. CEO Beth L. Hammers stated the partnership creates jobs and keeps economic resources in West Virginia.
- Mountain Health NetworkcoreMountain Health Network, a West Virginia not-for-profit health delivery system including Cabell Huntington Hospital, St. Mary's Medical Center, and Hoops Family Children's Hospital, joined as founding owner providing coverage across 23 counties.
- Aetna's First Health NetworkcorePeak Health partnered with Aetna's First Health Network to provide national provider network access in all 50 states, complementing the local West Virginia service area. This allows access for members regardless of residence through the First Health Complementary Network.
Scale indicators6 records
Recent moves10 records
Expansion highlights6 records
Peak Health competitors and assessment
Company assessmentBroad incumbents
- Humana: One of the largest Medicare Advantage insurers in the United States with a national PPO and HMO footprint. Major incumbent competitor in the West Virginia and Pennsylvania MA markets where Peak Health is expanding.
- Highmark Blue Cross Blue Shield West Virginia: Dominant commercial insurer in West Virginia and Pennsylvania with established Medicare Advantage, ASO, and individual products. The incumbent against which Peak Health is competing and the natural benchmark for its premium savings claims.
- CareFirst BlueCross BlueShield: Major Mid-Atlantic Blue Cross Blue Shield licensee serving Maryland, the District of Columbia, and portions of Virginia. Broad incumbent competitor for employer and MA business in the same regional footprint as Peak Health's expansion.
Direct peers
- Geisinger Health Plan: Provider-owned health insurance plan operated by Geisinger Health System in Pennsylvania, offering Medicare Advantage, commercial, and ASO products. Direct structural analog as a health-system-led regional payer in an adjacent geography to Peak Health's Pennsylvania expansion.
- SelectHealth (Intermountain Healthcare): Provider-owned health plan owned by Intermountain Healthcare, offering Medicare Advantage, individual, and employer plans in Utah and Idaho. Highly comparable to Peak Health as a health-system-sponsored payer with deep provider integration and a regional footprint.
- Sentara Health Plans: Health-plan arm of Sentara Healthcare, a Virginia-based integrated delivery system offering Medicare Advantage and commercial plans. Comparable as a provider-sponsored regional plan in the Mid-Atlantic, with overlap in West Virginia and Virginia geographies.
- UPMC Health Plan: Provider-owned health plan affiliated with UPMC, offering Medicare Advantage, commercial, and ASO products across Pennsylvania and surrounding states. Direct competitor in the regional provider-led payer model, with significantly greater scale but the same fundamental approach.
- Health Alliance Plan (Henry Ford Health): Provider-affiliated health plan owned by Henry Ford Health System in Michigan offering commercial, Medicare Advantage, and ASO products. Comparable as a health-system-led regional payer with similar integrated model, though at greater scale.
Others
- Aetna (CVS Health): National health insurer that owns the First Health Network — the network partner Peak Health uses to provide national in-network coverage. Both a distribution partner and a broader competitor offering commercial and Medicare Advantage products.
Regional players
- Optima Health (Sentara): Virginia-based health plan owned by Sentara offering commercial and Medicare Advantage products. Comparable regional provider-sponsored payer operating in an adjacent market with overlapping geography into West Virginia.
Market position
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Peak Health social profiles
Digital presencePeak Health compliance and trust
Trust signalCompliance5 records
Peak Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Peak Health leadership team
Management profileNumber of profiles
Profiles4 records
Peak Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Peak Health 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 Peak Health
What does Peak Health do?
Peak Health is a provider-led health insurance company headquartered in Morgantown, West Virginia, offering Medicare Advantage PPO plans (Peak Advantage) for seniors and Administrative Services Only (ASO) administration for self-insured employer groups. Owned jointly by three not-for-profit health systems (WVU Health System, Marshall Health Network, and Valley Health), the company processes claims, manages provider networks, and operates member and provider digital portals integrated with Epic EHR.
Is Peak Health a public or private company?
Peak Health is a private company. It is classified as corporate owned and is currently operating.
When was Peak Health founded?
Peak Health was founded in 2021. It employs 101 to 250 people.
Where is Peak Health based?
Peak Health is headquartered in Morgantown, United States, in the North America region.
How does Peak Health make money?
Three revenue lines are on record. Medicare Advantage Premiums are the primary driver. The others are third-Party Administration Fees and self-Funded Employer Administration.
Who are Peak Health's main competitors?
Broad incumbents on record are Humana, Highmark Blue Cross Blue Shield West Virginia and CareFirst BlueCross BlueShield. Direct peers are Geisinger Health Plan, SelectHealth (Intermountain Healthcare), Sentara Health Plans, UPMC Health Plan and Health Alliance Plan (Henry Ford Health). Aetna (CVS Health) is listed as an others. Optima Health (Sentara) is listed as a regional player.
Does Peak Health have an API?
No public API is recorded for Peak Health.
What industry is Peak Health in?
Peak Health's product category is Health Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of FSAIAFAE, Large Group Health Insurance (Mid-Market & National Accounts). Its NAICS code is 524114 and its SIC code is 6324.