Integrated Solutions Health Networks

What Integrated Solutions Health Networks does

Integrated Solutions Health Network (ISHN) is a regional health solutions company headquartered in Johnson City, Tennessee, that operates as the network integration and accountable care vehicle for Mountain States Health Alliance (MSHA). The company assembles and coordinates approximately 2,000 physicians across 275+ provider groups, 14 community hospitals, and a full continuum of post-acute and outpatient facilities (skilled nursing, home health, hospice, laboratory, rehabilitation, DME, and ambulatory surgical centers) across Northeast Tennessee, Southwest Virginia, and Western North Carolina. Its stated mission is to eliminate redundancy, standardize processes, and integrate care at a member/patient level through a community-based accountable care model.

ISHN's product portfolio is anchored by two core operating subsidiaries formed in 2012: AnewCare Collaborative, a CMS-approved Accountable Care Organization operating under the Medicare Shared Savings Program, and CrestPoint Health, an affiliated insurance company offering Medicare Advantage plans, commercial plans to large employers, and (as of late 2012) individual plans. Supporting capabilities include disease management programs (AsthmaCare, DiabetesCare, DepressionCare, HeartCare, PregnancyCare) with predictive modeling-driven enrollment, the Plan Central online portal for eligibility and claims self-service, EDI-based electronic claims processing, and a credentialing/contracting infrastructure that onboards and recredentials participating providers. Customer-facing distribution is entirely provider-, employer-, and government-program-mediated; there is no direct-to-consumer sales motion. Provider training, clinical guidelines, and downloadable resources support mid-funnel enablement across the regional network.

The business model combines recurring network access fees, MSSP shared savings earned on attributed Medicare lives, CrestPoint Health insurance premiums (Medicare Advantage and commercial employer plans), and managed disease management services. Customer segments span Medicare beneficiaries, large employer groups, Virginia Medicaid managed care enrollees (via six MCO partnerships), and chronic-condition patients automatically enrolled in disease management based on claims data. The company was founded circa 2009–2011 and was led through 2014 by CEO Robert S. Slattery and successive Chief Clinical Integration Officers. Source material does not include financials or AI/ML depth beyond a basic predictive modeling reference.

Name

Integrated Solutions Health Networks

Legal name

Integrated Solutions Health Network, LLC

Website

https://ishnonline.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

ISHN is a Johnson City, Tennessee-based regional health solutions company that operates as Mountain States Health Alliance's accountable care network, integrating ~2,000 physicians, 14 hospitals, and post-acute providers across Northeast Tennessee, Southwest Virginia, and Western North Carolina via its AnewCare ACO and CrestPoint Health insurance subsidiaries.

Ownership category

akta.pro rank

Product category

Healthcare Network and Accountable Care Services

NAICS

General Medical and Surgical Hospitals (6221), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Ambulatory Health Care Services (621)

SIC

Services-Hospitals (8060), Services-Skilled Nursing Care Facilities (8051), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Integrated Delivery Networks (IDNs) & Multi-Hospital Systems (HLAFAAAC)

akta.pro secondary industries

Hospital-Owned Physician Networks & Medical Groups (HLAFAAAL), Medicare Provider Networks & Delegated Medical Groups (MA-focused) (FSAIAGAK), Post-Acute Care Networks & Care Management Organizations (HLAFAFAN), Provider Network & Care Management for Commercial Members (HLAEAAAL)

Keywords

• Accountable care organization
• Healthcare provider network
• Medicare shared savings
• Integrated care delivery
• Disease management programs

Headquarters

HQ city

Johnson City

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. Network Access and Integration Services: ISHN generates revenue through network access fees, coordination of care delivery, and shared savings earned under the Medicare Shared Savings Program ACO model for Medicare Part A and B attributed patients.
2. CrestPoint Health Insurance Premiums: CrestPoint Health, an ISHN-affiliated insurance company, generates premium revenue by selling private Medicare Advantage plans and commercial health plans to large employers. CrestPoint branched into individual plan offerings from its initial MSHA employee coverage.
3. Disease Management and Care Coordination Services: ISHN provides disease management programs for members with chronic conditions (asthma, diabetes, depression, heart failure, pregnancy), with members automatically enrolled based on claims information using predictive modeling software.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

ISHN operates a regional health information and provider network that integrates approximately 2,000 physicians, 275+ provider groups, 14 community hospitals, skilled nursing facilities, home health, hospice, laboratory, rehabilitation, DME, and ambulatory surgical centers across Northeast Tennessee, Southwest Virginia, and Western North Carolina. The network delivers coordinated care through its AnewCare Collaborative Accountable Care Organization (ACO) under the CMS Medicare Shared Savings Program, offers insurance plans via its subsidiary CrestPoint Health, and runs disease management programs for chronic conditions.

Product overview

Integrated Solutions Health Network (ISHN) is a regional health solutions company serving the Mountain States (Northeast Tennessee, Southwest Virginia, and Western North Carolina) with a network of approximately 2,000 physicians, 275 provider groups, 530 primary care physicians, 1,375 specialists, 14 community hospitals, 5 skilled nursing facilities, and additional care settings. The company's product portfolio centers on AnewCare Collaborative (its Accountable Care Organization providing coordinated patient care) and CrestPoint Health (its affiliated insurance company offering Medicare and employer health plans). Supporting these core offerings are Disease Management Programs (AsthmaCare, DiabetesCare, DepressionCare, HeartCare, PregnancyCare), the Plan Central online portal for eligibility and claims management, the Medicare Shared Savings Program (MSSP) for ACO shared savings, and provider resources including EDI capabilities. ISHN's goal is to create a new standard of healthcare delivery through coordination, integration, and cost management.

Differentiator

Problem solved

Functional benefit

Brands

• AnewCare Collaborative: Accountable Care Organization (ACO) comprised of healthcare practitioners and partners providing exceptional healthcare and greater value for health & wellness services.
• CrestPoint Health

Products and services

• AnewCare Collaborative Accountable Care Organization (ACO) comprised of healthcare practitioners and partners providing community healthcare, greater value for health and wellness services, and better member/patient experience outcomes.
• CrestPoint Health Health insurance company affiliated with MSHA through ISHN, offering private Medicare health plans and plans available to large employers and individuals.
• ISHN Provider Network Regional healthcare provider network consisting of approximately 2,000 physicians, 275+ provider groups, 530 primary care physicians, and 1,375 specialists across Northeast Tennessee, Southwest Virginia, and Western North Carolina, including 14 community hospitals, skilled nursing facilities, home health, hospice, laboratory, rehabilitation, DME providers, and ambulatory surgical centers.
• Disease Management Programs Chronic condition management programs including AsthmaCare, DiabetesCare, DepressionCare, HeartCare, and PregnancyCare, providing preventive and self-care education, ongoing educational mailings, nurse phone access, and predictive modeling-based surveillance.
• AnewCare Medicare Shared Savings Program (MSSP) Medicare-approved ACO program permitting qualified organizations to earn shared savings bonuses based on fee-for-service payments for Medicare recipients attributed to primary care physician members.

Quantifiable outcome

• Coordinate and manage patient care with a 'wholistic' approach to create a new standard of healthcare delivery and cost management for a regional population
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Ten partnerships are on record, tiered core, secondary and minor.

• AnewCare CollaborativecoreStrategic or Co-development Partner · 1 January 2012AnewCare Collaborative is ISHN's regional accountable care organization, the first community-based ACO in the region, formed in 2012. It is comprised of healthcare practitioners and partners providing exceptional healthcare, greater value for health & wellness services, and better member/patient experience outcomes. ISHN and AnewCare share leadership, with Dr. Tom Lundquist serving as CCIO for ISHN and President/CEO of AnewCare.
• CrestPoint HealthcoreStrategic or Co-development Partner · 1 January 2012CrestPoint Health is an insurance company launched by ISHN and Mountain States Health Alliance in 2012. It began serving MSHA team members and has expanded to offer plans to large employers and individuals. CrestPoint Health provides Medicare Advantage and commercial health plans, branching out from initial internal coverage to external market offerings.
• Mountain States Health Alliance (MSHA)coreStrategic or Co-development Partner · 1 January 2012MSHA is the largest hospital system in Northeast Tennessee and Southwest Virginia and the parent/backing organization for ISHN, CrestPoint Health, and AnewCare Collaborative. MSHA's foray into insurance through CrestPoint represents a significant integration of provider and payer services.
• AmeriGroup (VA Medicaid)secondaryChannel Partner/ Reseller/ DistributorAmeriGroup is a Virginia Medicaid managed care organization operating in partnership with ISHN's provider network. ISHN provides provider training and resources for AmeriGroup participants.
• Anthem HealthKeepers (VA Medicaid)secondaryChannel Partner/ Reseller/ DistributorAnthem HealthKeepers is a Virginia Medicaid MCO partnered with ISHN for provider network access. ISHN delivers provider training materials for Anthem HealthKeepers programs.
• CareNet (VA Medicaid)secondaryChannel Partner/ Reseller/ DistributorCareNet is a Virginia Medicaid managed care organization partnered with ISHN. Provider training sessions and prior authorization codes are provided through ISHN's education resources.
• Optima HealthsecondaryChannel Partner/ Reseller/ DistributorOptima Health is a health plan partner of ISHN. ISHN provides training, provider memos, and member ID card samples for Optima Health plans. ISHN also created an affordable network access solution for CIGNA members transitioning away from MSHA.
• VA Premier (VA Medicaid)secondaryChannel Partner/ Reseller/ DistributorVA Premier is a Virginia Medicaid MCO partnered with ISHN's provider network. ISHN provides provider expansion training materials for VA Premier participants.
• MajestaCare (VA Medicaid)minorChannel Partner/ Reseller/ DistributorMajestaCare is a Virginia Medicaid managed care organization partnered with ISHN for Far Southwest Virginia provider network access. ISHN provides provider training resources for MajestaCare.
• CIGNAminorOthersAfter CIGNA's network changes excluded MSHA on January 1, 2012, ISHN created an innovative solution allowing CIGNA-insured patients to continue accessing MSHA services at lower in-network rates. This was a temporary solution to a terminated network contract.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Caravan Health: Caravan Health (acquired by Signify Health/then CVS) helped community hospitals and health systems form ACOs under MSSP with shared-savings infrastructure. Directly comparable to ISHN's AnewCare ACO offering the same community-hospital-backed ACO model for value-based Medicare contracts.
• Privia Health Group: Privia Health operates a national physician enablement platform with multi-payer ACO and value-based contracts, including MSSP participation. Closely comparable to ISHN's model of aggregating physicians across geographies under ACO/PCN arrangements with payer partnerships.
• agilon health: agilon health partners with primary care physician groups to manage Medicare Advantage populations through value-based care contracts, taking global risk. Comparable to ISHN's AnewCare ACO and CrestPoint MA in deploying a physician network to capture value-based care economics for senior populations.
• Evolent Health: Evolent Health provides value-based care services and population health infrastructure to health systems and physician groups transitioning to risk. Comparable to ISHN as a value-based care enablement partner for hospital systems managing MSSP and MA populations, though operating at much larger scale.
• Lumeris: Lumeris provides population health management, value-based care technology, and ACO enablement for health systems and physician groups. Comparable to ISHN/AnewCare in operating ACOs and value-based contracts on behalf of physician networks, with similar MSSP and MA capabilities.
• Aledade: Aledade partners with independent primary care physicians to form ACOs participating in MSSP and other value-based programs. Comparable as a direct ACO operator that aggregates physicians into risk-bearing arrangements, though ISHN has hospital system backing unlike Aledade's independent PCP focus.

Broad incumbents

• Landmark Health (Optum): Landmark Health, owned by Optum, provides in-home medical care for complex chronic patients under value-based contracts, particularly Medicare Advantage. Comparable to ISHN's HeartCare and chronic disease management programs for MA members, though operating at much greater scale under Optum.
• Oak Street Health (CVS Health): Oak Street Health, acquired by CVS Health, operates value-based primary care clinics for Medicare beneficiaries under full-risk contracts. Comparable to ISHN's primary care physician network (530 PCPs) and MA value-based contracts, though Oak Street delivers care directly via owned clinics rather than through a contracted network model.
• naviHealth (Optum): naviHealth, owned by UnitedHealth Group/Optum, manages post-acute care transitions and value-based care for complex patients. Comparable to ISHN's post-acute integration (SNF, home health, hospice) within its network, though naviHealth operates nationally and is bundled into Optum's broader value-based care platform.

Emerging players

• Castellan Health (formerly Hancock Whitney): Castellan-style population health management organizations support health systems in managing risk arrangements and quality programs for ACOs and VBC contracts. Comparable to ISHN's population health management function for its regional ACO, though focused more on consulting/enablement than direct ACO operation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/integrated-solutions-health-networks-llc

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 Integrated Solutions Health Networks