OneCity Health

What OneCity Health does

OneCity Health is a New York City Performing Provider System (PPS) established in 2014 under the state's Delivery System Reform Incentive Payment (DSRIP) program. The entity is structured to coordinate care delivery and value-based payment arrangements across the NYC Health + Hospitals provider network, which is the largest municipal health care system in the United States and is wholly owned by the City of New York. OneCity Health operates with 101–250 employees and is headquartered in New York, NY. As a PPS, it functions as a contracting and care-coordination vehicle under New York State's Medicaid 1115 waiver framework rather than as a standalone clinical provider.

The parent NYC Health + Hospitals system provides the operational substrate: 70+ locations across all five NYC boroughs, including 11 acute care hospitals (e.g., Jacobi, Bellevue, Kings County, Elmhurst), Gotham Health FQHCs, post-acute/long-term care centers, and Correctional Health Services. The technology stack includes the MyChart patient portal, Virtual ExpressCare, video and telephone visit platforms, and a multi-language service capability covering 200+ languages including sign languages. The system serves over 1.1 million New Yorkers annually and employs 43,000+ health care professionals.

The business model is publicly funded and publicly operated. Revenue is generated through a combination of City of New York budget appropriations, federal Medicaid and Medicare reimbursements, patient fees (including private insurance), capitation through the affiliated MetroPlusHealth health plan, and the NYC CARE program for uninsured individuals who do not qualify for health insurance. As a public safety-net system, services are delivered regardless of ability to pay, with financial assistance policies in place. Customer segments include the general NYC public, uninsured individuals (NYC CARE), correctional populations, and community health users served through FQHCs.

Name

OneCity Health

Legal name

NYC Health + Hospitals

Website

https://onecityhealth.org

Company type

Public

Founded year

1969

Operating status

Operating

Headcount range

51–100 employees

Short description

OneCity Health is a 2014 New York City Performing Provider System formed under the DSRIP program to coordinate value-based care across the NYC Health + Hospitals network, the largest municipal health system in the US, serving over 1.1 million New Yorkers annually.

Ownership category

akta.pro rank

Product category

Performing Provider System (Medicaid Delivery System Reform)

SIC

Services-Hospitals (8060), Services-Nursing & Personal Care Facilities (8050), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Social Services (8300)

akta.pro industry

PRIMARYHLAJAAAC

City/Municipal Public Health Departments

Healthcare & Life Sciences/Public Health, Government & Regulators/Public Health Agencies & Health Departments

Keywords

• Performing provider system
• Medicaid care coordination
• Value-based healthcare
• Population health management
• DSRIP program services

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Public Health Care Services: NYC Health + Hospitals operates as a municipal public health care system. As a public hospital system, revenue is generated through government funding, patient insurance reimbursements (Medicare, Medicaid, private insurance), and the NYC CARE program for uninsured patients. The system provides essential inpatient, outpatient, and home-based services.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels6 records

Core offering

OneCity Health is a New York City Performing Provider System (PPS) formed under the DSRIP program. It coordinates a network of healthcare partners to deliver integrated care for Medicaid beneficiaries and uninsured populations, focusing on system transformation, care coordination, and population health outcome improvements. Its activities center on performance-based contracting and clinical-community integration across the NYC region.

Product overview

The provided source data does not contain information about OneCity Health. The source data pertains to NYC Health + Hospitals (nychealthandhospitals.org), which is the largest municipal health care system in the US, providing essential inpatient, outpatient, and home-based services to more than one million New Yorkers every year in more than 70 locations across the city's five boroughs. Services include virtual care options (MyChart patient portal, telephone visits, Virtual ExpressCare, video visits), primary and preventive care, specialized care centers (Gotham Health Centers), NYC Care program, and various clinical services including cardiology, diabetes care, surgical services, women's health, and maternal health. However, no information about OneCity Health specifically was found in the source material.

Differentiator

Problem solved

Functional benefit

Products and services

• Performing Provider System (DSRIP) Coordination Services Coordination of a network of hospital, clinic, and community-based partners delivering integrated care for Medicaid and uninsured populations under NY DSRIP performance contracts.

Quantifiable outcome

• 1.1 million New Yorkers receive care annually
• +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

Feature5 records

Partnerships

One partnership is on record.

• MetroPlusHealthcoreStrategic or Co-development Partner · 1 January 2026NYC Health + Hospitals and MetroPlusHealth have been recognized together among New York's top healthcare organizations by City and State New York. MetroPlusHealth is the health plan affiliated with NYC Health + Hospitals, providing integrated care coverage.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Harris Health System: Public safety-net system serving Houston/Harris County, Texas, with hospital and ambulatory operations. Comparable as a county-level public health system focused on uninsured and underinsured populations.
• LA County Department of Health Services: Public safety-net health system operating hospitals and ambulatory clinics across Los Angeles County. Comparable as one of the largest public hospital systems in the US serving a similarly diverse, high-uninsured population.
• Cook County Health: Public safety-net health system serving Chicago's Cook County. Comparable as a large county/municipal health system providing care regardless of ability to pay, with a similar academic and ambulatory footprint.

Direct peers

• Mount Sinai Health System: NYC academic health system that led its own DSRIP PPS (Mount Sinai PPS). Comparable as a NYC integrated delivery network engaged in DSRIP value-based care contracting.
• Montefiore Health System: Bronx-based academic health system that led a separate DSRIP PPS (Bronx Health Access). Comparable as a NYC regional safety-net provider participating in DSRIP value-based care transformation.
• NYU Langone Health: NYC academic health system that led the NYU Langone PPS under DSRIP. Comparable as a major NYC delivery network participating in the same value-based reform program.
• NYC Health + Hospitals: The municipal public health system under which OneCity Health was formed as a DSRIP PPS. Operationally the same entity; treated here as a peer because the data structure conflates the two.
• Maimonides Medical Center: Brooklyn-based acute care hospital and community health system that led a separate DSRIP Performing Provider System (Community Care of Brooklyn). Comparable as a NYC safety-net provider participating in NY Medicaid reform alongside OneCity Health.
• NewYork-Presbyterian: Large NYC academic health system with a hospital footprint across multiple boroughs. Comparable as a major NYC delivery network competing for inpatient and ambulatory volume across the same geography.

Regional players

• Cambridge Health Alliance: Public safety-net health system in the Greater Boston area affiliated with Tufts and Harvard. Comparable as a public, mission-driven health system serving a diverse urban population with academic affiliations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/nychealthhosp
• Facebookfacebook.com/NYCHealthHospitals
• LinkedInlinkedin.com/company/nyc-health-hospitals

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries15 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 OneCity Health