HealthInsight

What HealthInsight does

HealthInsight, operating commercially as Comagine Health, is a private, non-profit, community-based healthcare quality improvement organization founded in 1973 with a workforce of 251–500 employees. Its operational headquarters is in Salt Lake City and it serves the Southwest and Mountain West regions of the United States, including active engagements in Nevada, Oregon and surrounding states. The organization has held a position in federal healthcare quality improvement for more than four decades, anchored today by five-year Centers for Medicare & Medicaid Services (CMS) contracts to operate ESRD Networks 15 and 18, supporting more than 76,000 dialysis patients across the region. It also operates the Nevada AHEC Program, which has spent over 40 years recruiting, training and placing health care professionals in rural and underserved communities.

The organization's service portfolio spans five core offerings: Systemwide Quality Improvement (collaboration on systemic care delivery initiatives), Care Management (utilization review and case management), Data Solutions (health information technology optimization and analytics), Research and Evaluation (healthcare landscape analysis and consulting), and a specialized COVID-19 Pandemic Response service. Its technology footprint centers on a data and analytics platform for healthcare quality improvement, with a Community Information Exchange (CIE) capability designed for technology-enabled collaboration and data sharing across community organizations. Sales and delivery are conducted through a partnership-based model working directly with healthcare providers, payers, community organizations, public health agencies and federal/state stakeholders — supported by thought-leadership content (blog, press releases, social, events) targeted at healthcare decision-makers.

Revenue is generated primarily through government contracts with CMS and related state health departments, supplemented by professional services engagements (consulting, research, evaluation) to healthcare organizations of various sizes. Pricing is not publicly disclosed and operates within the structure of multi-year federal and state awards rather than transaction-level SaaS pricing. Customer segments include healthcare providers (hospitals, clinics, physician practices), payers (health insurers and managed care organizations), community organizations, dialysis patients, and rural/underserved communities. Concentrated federal contracting provides revenue predictability but also creates significant concentration risk to CMS program decisions.

Name

HealthInsight

Legal name

Comagine Health

Website

https://healthinsight.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

251–500 employees

Short description

HealthInsight, operating as Comagine Health, is a non-profit healthcare quality improvement organization serving Southwest and Mountain West providers, payers and CMS programs, anchored by five-year federal ESRD network contracts supporting over 76,000 dialysis patients and a 40-plus-year workforce development program in Nevada.

Ownership category

akta.pro rank

Product category

Healthcare Quality Improvement Services

NAICS

Ambulatory Health Care Services (621), All Other Outpatient Care Centers (621498)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Health Systems Performance & Quality Measurement (Public Sector) (HLAJANAK)

akta.pro secondary industries

Care Management & Population Health Program Administration (HLAEALAG), Healthcare Terminology, Ontology & Code Set Management (SNOMED/LOINC/ICD/RxNorm) (HLACAIAF), Data Governance, Standards & Interoperability (ICD, HL7/FHIR, LOINC, SNOMED) (HLAJAJAM)

Keywords

• Healthcare quality improvement
• Care management services
• Health data analytics
• Government healthcare contracting
• Community health programs

Headquarters

HQ city

Albuquerque

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. Government Contracts: Government contracting with CMS (Centers for Medicare & Medicaid Services) for specialized healthcare quality improvement programs including ESRD network management.
2. Professional Services: Consulting and advisory services for healthcare organizations including research and evaluation, systemwide quality improvement, and care management.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

HealthInsight operates as Comagine Health, a healthcare quality improvement organization that collaborates with providers, payers, stakeholders, community organizations, and consumers on systemic care delivery improvements. It delivers Systemwide Quality Improvement, Care Management, Data Solutions, Research and Evaluation, and COVID-19 Pandemic Response services through government contracts (notably with CMS for ESRD Networks) and professional services engagements.

Product overview

HealthInsight operates as a health care quality improvement organization offering a portfolio of integrated services. The core offerings include Systemwide Quality Improvement (collaboration on systemic care delivery initiatives), Care Management (utilization review and case management), Data Solutions (health IT optimization and analytics), Research and Evaluation (health care landscape analysis), and COVID-19 Pandemic Response. These services work together to support providers, payers, and community organizations in improving health outcomes and care efficiency.

Differentiator

Problem solved

Functional benefit

Products and services

• Systemwide Quality Improvement Collaboration with providers, payers, stakeholders, community organizations and consumers on systemic initiatives that improve care delivery and patient outcomes. Targets healthcare organizations seeking system-level transformation.
• Care Management Utilization review and case management service for better clinical outcomes, higher patient satisfaction, and increased cost savings. Used by health insurance payers and managed care organizations.
• Data Solutions Turning data into best practices and optimizing use of health information technology for improved quality, efficiency, and outcomes. Includes Community Information Exchange (CIE) technology-enabled collaboration and data sharing across community organizations.
• Research and Evaluation Making sense of the health care landscape and how to thrive in it for organizations of all sizes and types. Provides consulting research and analytical insights for healthcare organizations.
• COVID-19 Pandemic Response Services focused on pandemic response support for health care systems and communities. Specialized service offering for COVID-19-related healthcare system support.

Quantifiable outcome

• Supporting 76,000+ dialysis patients across Southwest and Mountain West through ESRD network contracts
• +1 more outcomes

Named customers5 records

Segments5 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

One partnership is on record.

• Centers for Medicare & Medicaid Services (CMS)coreStrategic or Co-development PartnerComagine Health has been awarded five-year contracts from CMS for ESRD Networks 15 and 18, supporting over 76,000 dialysis patients across the Southwest and Mountain West regions. These contracts represent a core strategic partnership for federal healthcare quality improvement initiatives.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Quality Insights: Quality Insights is a QIO focused on healthcare quality measurement, chronic disease management, and ESRD network operations — overlapping with Comagine's QI, ESRD Networks 15/18, and care management work.
• Stratis Health: Stratis Health is a Minnesota-based QIO delivering community-based healthcare quality improvement, patient safety, and care transitions programs — a close peer to Comagine's regional QI and community health focus.
• MetaStar: MetaStar is a Wisconsin-based QIO providing healthcare quality improvement, utilization review, and case management — directly comparable in scope of services and federal-contract orientation.
• IPRO: IPRO is a multi-state QIO offering healthcare quality improvement, utilization review, and data analytics — closely aligned with Comagine's federal-contract QI and care management services.
• Health Services Advisory Group (HSAG): HSAG is a QIO providing healthcare quality improvement, patient safety, and analytics services across multiple states — directly comparable to Comagine's CMS-contracted QI portfolio.
• Telligen: Telligen is a CMS-aligned Quality Improvement Organization (QIO) and population health services firm operating in multiple states — directly comparable to Comagine Health's federal-contract QI, care management, and data analytics work.

Emerging players

• Cynosure Health: Cynosure Health is a healthcare quality improvement and transformation consulting firm — a comparable QI-focused peer, smaller in scale, with overlap in provider-facing improvement work.

Broad incumbents

• RTI International: RTI International is a major nonprofit research institute conducting federal health services research and evaluation — comparable to Comagine's research/evaluation and CMS-facing work but at significantly larger scale.
• Premier Inc. Premier is a large healthcare improvement company offering performance services, analytics, and supply chain solutions to providers — overlapping with Comagine's data solutions and systemwide QI offerings but as part of a much broader portfolio.
• Mathematica: Mathematica is a large research and evaluation consultancy with extensive federal health policy contracts — overlapping with Comagine's Research and Evaluation, systemwide QI, and federal contracting capabilities at greater scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks4 records

Key highlights6 records

Customer concentration

• Xx.com/HealthInsight_
• Facebookfacebook.com/ComagineHealth
• LinkedInlinkedin.com/company/81788

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 HealthInsight