Illinois Health Practice Alliance

What Illinois Health Practice Alliance does

Illinois Health Practice Alliance (IHPA) is a clinically-integrated behavioral health network operating as an Independent Practice Association (IPA) that aggregates over 100 community behavioral health centers across Illinois to serve Medicaid beneficiaries. The organization contracts with health plans on value-based arrangements, providing a statewide network of providers trained in value-based payment models and offering coordinated behavioral and physical health services including outpatient counseling, substance abuse treatment, crisis intervention, Assertive Community Treatment, residential services, and care management. IHPA is a joint venture with Centene Corporation, one of the largest US managed care enterprises, and operates as an LLC under Illinois law. The company is led by CEO David Berkey and serves two primary customer segments: health plans/payors seeking a comprehensive behavioral health provider network for their Medicaid members, and Medicaid beneficiaries requiring integrated behavioral and physical health services.

IHPA's core technology infrastructure is the HealthEC care management platform, which provides network providers with full claims history visibility, daily task lists for care management deliverables, HEDIS tracking, and management reports. The platform is augmented by two third-party integrations: Patient Ping for real-time admission, discharge, and transfer (ADT) feeds enabling providers to track client emergency visits and hospital events, and NowPow for social determinants of health referrals covering housing, food, transportation, and employment support services. The organization supplements its technology with a dedicated provider relations team offering in-person visits, orientation, and ongoing training, plus a live training and video library for continuing education in the value-based payment operating environment.

IHPA generates revenue through value-based contracts with health plans, earning compensation tied to demonstrated clinical outcomes and effective cost management for Medicaid beneficiaries served by network providers. The organization markets itself to health plan C-suite executives through direct sales relationships and recruits community behavioral health providers via phone outreach and peer collaboration forums. Distribution is entirely domestic, limited to the state of Illinois, with no evidence of geographic expansion beyond Illinois. Pricing is not publicly disclosed, as all contracts are negotiated individually under value-based arrangements rather than standardized fee schedules.

Name

Illinois Health Practice Alliance

Legal name

Illinois Health Practice Alliance, LLC

Website

https://ilhealthpracticealliance.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

Illinois Health Practice Alliance is a clinically-integrated behavioral health network aggregating over 100 community mental health centers across Illinois to serve Medicaid beneficiaries through value-based contracts with health plans, in joint venture with Centene Corporation.

Ownership category

akta.pro rank

Product category

Behavioral Health Network Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Offices of Mental Health Practitioners (except Physicians) (621330), Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Independent Practice Association (IPA) Model HMOs (HLAEAMAD)

akta.pro secondary industries

Network-Model HMOs (HLAEAMAC), Behavioral Health Benefit Administration (MBHO Core) (HLAEAHAA)

Keywords

• Behavioral health network
• Value-based contracting
• Care management services
• Medicaid provider network
• Clinically integrated network

Headquarters

HQ city

Chicago

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

Revenue model

1. Value-Based Contracting with Health Plans: IHPA generates revenue by serving as an IPA (Independent Practice Association) that contracts with health plans/payors on value-based arrangements. The network earns compensation by demonstrating improved clinical outcomes and effective cost management for Medicaid beneficiaries served by network providers.
2. Provider Network Management Services: Provides network management, care coordination, and administrative services to health plan partners in exchange for contractual compensation tied to value-based performance metrics.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

Illinois Health Practice Alliance (IHPA) is a clinically-integrated behavioral health network that aggregates over 100 community behavioral health centers across Illinois. It contracts with health plans (payors) on value-based arrangements to deliver coordinated behavioral and physical health care to Medicaid beneficiaries, supported by an integrated care management platform (HealthEC) with real-time ADT feeds (Patient Ping) and social determinants of health referral capabilities (NowPow). The network also provides comprehensive clinical services including outpatient counseling, therapy, substance abuse treatment, crisis intervention, assertive community treatment, and care management.

Product overview

Illinois Health Practice Alliance (IHPA) is a clinically-integrated behavioral health network (IPA) serving Medicaid beneficiaries across Illinois. The core offering is the IHPA Network of over 100 community behavioral health centers, supported by the HealthEC care management platform as the primary technology infrastructure. HealthEC provides comprehensive claims views, daily task lists for HEDIS and care tasks, and management reports. The system integrates Patient Ping for ADT feeds and NowPow for social determinant referrals. IHPA supplements its platform with a full range of clinical services, dedicated provider relations support, and training/education resources to support providers in value-based care delivery.

Differentiator

Problem solved

Functional benefit

Products and services

• IHPA Behavioral Health Network A clinically-integrated network aggregating over 100 community behavioral health centers across Illinois to deliver coordinated behavioral and physical health care to Medicaid beneficiaries under value-based contracts with health plans.
• IHPA Clinical Services Comprehensive behavioral health clinical services including outpatient counseling and therapy, group and family therapy, substance abuse treatment, crisis intervention, comprehensive community treatment, assertive community treatment (ACT), mental health and substance abuse residential services, care management, and social determinant of health referral management.
• IHPA Integrated Health Home Services An Integrated Health Home care model providing comprehensive behavioral health services for Medicaid beneficiaries through contracted health plan partners, coordinating behavioral and physical health care with social determinant of health support.

Quantifiable outcome

• 45% improvement in completed health risk assessments (HRAs) within one year of initial health plan agreement
• +3 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

Four partnerships are on record, tiered core and supporting.

• Centene CorporationcoreStrategic or Co-development PartnerCentene Corporation is described as IHPA's joint venture partner. The two organizations worked closely together during the COVID-19 pandemic in sourcing and distributing personal protection equipment (PPE) on behalf of IHPA's statewide provider network in Illinois.
• HealthECcoreTechnology or IntegrationHealthEC is the integrated care management IT platform used by IHPA's network of providers. The platform drives performance by providing a full view of members' care including all claims history, daily task lists for care management deliverables, and comprehensive management reports for HEDIS compliance and outcome tracking.
• Patient PingsupportingTechnology or IntegrationPatient Ping provides the admission, discharge and transfer (ADT) feed integrated into IHPA's HealthEC care management platform, enabling providers to track client emergency visits, admissions, and discharges in real-time.
• NowPowsupportingTechnology or IntegrationNowPow is the social determinant of health referral platform integrated into IHPA's care management platform, permitting providers to address the social needs of their clients and make referrals to support services such as housing, food, transportation, and employment assistance.

Scale indicators7 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Optum Behavioral Health: Optum's behavioral health arm offers a national MBHO platform serving Medicaid, Medicare, and commercial populations. Competes with IHPA for payor contracts in Illinois and across the country, leveraging significantly larger scale, broader provider rosters, and integrated analytics.
• Carelon Behavioral Health: Formerly Beacon Health Options; one of the largest managed behavioral health organizations in the U.S., serving Medicaid and commercial populations with provider networks and value-based contracts. Competes for the same payor RFPs and overlapping provider relationships as IHPA in Illinois.
• Magellan Behavioral Health: A large managed behavioral health organization serving Medicaid, Medicare, and commercial populations with value-based arrangements. Competes with IHPA in Illinois Medicaid behavioral health RFPs and offers a broader national portfolio of services.

Emerging players

• Eleanor Health: A value-based behavioral health and substance use disorder provider operating in multiple states with risk-bearing contracts from Medicaid and commercial payors. Competes for the same value-based Medicaid behavioral health contracts and shares IHPA's outcome-driven positioning.
• Quartet Health: A technology-enabled behavioral health integration platform partnering with health plans and primary care providers to coordinate mental health care. Competes with IHPA for value-based behavioral health contracts but focuses on the technology-and-coordination layer rather than direct network ownership.
• Lyra Health: A mental health benefits platform offering EAP, teletherapy, and provider network management primarily to employers and health plans. Overlaps with IHPA in behavioral health benefit administration and provider recruitment, but skews toward employer-sponsored rather than Medicaid populations.

Regional players

• Carle Health: A vertically integrated regional health system based in Illinois providing behavioral health, primary care, and hospital services. Operates in overlapping Illinois geographies with IHPA's provider network and represents an alternative behavioral health partner for local Medicaid plans.

Direct peers

• Cenpatico Behavioral Health: Centene's own behavioral health subsidiary managing Medicaid behavioral health services in multiple states. Operates as a clinically-integrated MBHO within the same parent ecosystem as IHPA, with similar payor- and value-based-contracting orientation and direct overlap in Illinois Medicaid.
• Community Care Behavioral Health: A non-profit managed behavioral health organization serving Medicaid populations through provider network management and value-based contracting. Operates a structurally similar clinically-integrated IPA model to IHPA in other states.
• New Directions Behavioral Health: A managed behavioral health organization providing EAP, behavioral health benefit administration, and provider network management for health plans and employers. Closely mirrors IHPA's MBHO/IPA service model and payor-relationship orientation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Illinois Health Practice Alliance