Health Partners Network

Name

Health Partners Network

Legal name

Health Partners Network

Website

https://healthpartnersnetwork.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Healthcare Provider Network (PPO)

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Health Services (8000)

akta.pro primary industry

Regional & Local PPO Networks (HLAEANAB)

Keywords

• Preferred provider organization
• Clinically integrated network
• Value-based care contracting
• Provider network management
• Self-funded health plans

Headquarters

HQ city

Gainesville

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 Fees: Health Partners generates revenue by providing access to its provider network for employers, insurance companies, and third-party administrators. The network arranges for healthcare service delivery in local communities through negotiated rates with providers.
2. Administrative Services: Provides administrative support for self-funded employer plans, including access to network providers, disease management programs, and pharmacy benefit management services designed to reduce healthcare costs and improve employee wellness.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Health Partners Network operates a Preferred Provider Organization (PPO) that arranges and manages access to a network of more than 900 physicians, 10 hospitals, and 150 ancillary providers across a 16+ county service area in northeast Georgia. The company also runs HP2, a physician-led Clinically Integrated Network (CIN) of 500+ physicians and advanced practice providers that enables performance-based contracting with insurance companies and population health management. Supporting services include self-funded plan administration, disease management, pharmacy benefit management, and out-of-area coverage through affiliate network partnerships.

Product overview

Health Partners Network is a Preferred Provider Organization (PPO) that functions as the core platform, comprising over 900 physicians, 10 hospitals, and 150 ancillary providers serving northeast Georgia. The company operates HP2 as its clinically integrated network (CIN) sub-brand—a physician-led network of 500+ providers focused on value-based care and population health management with performance-based reimbursement. The offering includes a provider search tool for member access, self-funded plan administration services, disease management programs, pharmacy benefit management, and out-of-area coverage through affiliate network partnerships. The HP2 network specifically enables performance-based contracting and reimbursement tied to quality outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• HP2: HP2 is a physician-led clinically integrated network (CIN) comprised of physicians and advanced practitioners from Northeast Georgia Medical Center, Longstreet Clinic, Georgia Heart Institute, Northeast Georgia Physicians Group, and other independent practices. It focuses on improving quality of care, reducing costs, and pursuing performance-based contracting with insurance companies at a community level.

Products and services

• Health Partners Network PPO A Preferred Provider Organization (PPO) comprising over 900 physicians, 10 hospitals, and 150 ancillary providers across a 16+ county service area in northeast Georgia; provides in-network access to employers, insurance companies, and third-party administrators without referrals for most services.
• HP2 Clinically Integrated Network A physician-led clinically integrated network (CIN) of five hospitals and 500+ physicians and advanced practice providers (including 327+ primary care), enabling performance-based contracting with insurance companies, value-based reimbursement tied to quality outcomes, and population health management for payers, employers, and providers.
• Self-Funded Plan Administration Administrative services for self-funded employer health plans including fixed costs management (administrative fees, stop loss premiums, network costs, claims management) and claims funding administration via third-party administrators.
• Disease Management Programs Population health management programs designed to reduce healthcare costs and improve employee wellness, including diabetes management initiatives reported to achieve 30.58% improvement in A1C levels from 2018 to 2021 for Medicare Shared Savings Program ACO beneficiaries.
• Pharmacy Benefit Management Pharmacy programs designed to control prescription drug costs as part of the overall health benefits package delivered through the Health Partners network.
• Out-of-Area Coverage Network Extended coverage through affiliate network partnerships with PHCS, MultiPlan, First Health, and Aetna, providing employers and members access to physicians and hospitals beyond Health Partners' 14-county primary northeast Georgia service area.

Quantifiable outcome

• 30.58% improvement in A1C levels from 2018 to 2021 for diabetic Medicare patients through HP2 population health initiative
• +1 more outcomes

Named customers5 records

Segments3 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

Nine partnerships are on record, tiered core and supporting.

• Northeast Georgia Health SystemcoreStrategic or Co-development PartnerHealth Partners is a wholly-owned subsidiary of Northeast Georgia Health System, in partnership with regional physicians and hospitals. NGHS serves as the parent organization providing strategic direction, hospital facilities, and integration with the broader health system operations.
• Longstreet CliniccoreStrategic or Co-development PartnerHP2 CIN member with 200+ providers across 20 specialties. Longstreet Clinic is a physician-owned multi-specialty practice and leader in Health Partners Network's population health strategy.
• Georgia Heart InstitutecoreStrategic or Co-development PartnerFormerly The Heart Center of Northeast Georgia Medical Center; participates in HP2 clinically integrated network. Provides cardiovascular and heart care services within the CIN.
• Northeast Georgia Physicians Group (NGPG)coreStrategic or Co-development PartnerMulti-specialty physician group participating in HP2 CIN with providers across primary and specialty care. NGPG providers represent a significant portion of HP2's 327+ primary care physicians and APPs.
• LumeriscoreStrategic or Co-development PartnerPopulation health strategy firm partnered with Northeast Georgia Health System and Health Partners Network on the CMS Direct Contracting program to evolve from fee-for-service toward value-based care models.
• PHCS (MultiPlan)supportingChannel Partner/ Reseller/ DistributorAffiliate network partnership for expanded statewide coverage beyond Health Partners' 14-county primary service area.
• MultiPlansupportingChannel Partner/ Reseller/ DistributorOut-of-area coverage affiliate providing access to physicians and hospitals throughout Georgia and beyond Health Partners' regional service area.
• First HealthsupportingChannel Partner/ Reseller/ DistributorOut-of-area coverage affiliate for extended network access beyond Health Partners' primary service region.
• AetnasupportingChannel Partner/ Reseller/ DistributorNational carrier partnership for out-of-area coverage options combined with Health Partners local network.

Scale indicators11 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• Lumeris: Lumeris is a population health strategy and value-based care enabler that partners with health systems on CMS Direct Contracting and risk-bearing models. Health Partners/NGHS partners with Lumeris, making it directly comparable as a value-based care infrastructure partner.
• Stratum Med: Stratum Med is a physician-led clinically integrated network aggregator that partners with regional health systems to build CINs. It is comparable to HP2 as a CIN-focused organization that aligns independent and employed physicians for value-based contracting with payers.

Broad incumbents

• Humana: Humana is a major national health insurer with PPO products, value-based care programs, and PBM services. It is a broad incumbent that competes for employer-sponsored PPO business and offers capabilities similar to Health Partners' network + PBM combined offering.
• UnitedHealthcare: UnitedHealthcare is the largest U.S. health insurer and operates a national PPO network used by employers and individuals. It is a broad incumbent peer in offering PPO network access and value-based contracting at a scale that dwarfs regional network operators like Health Partners.
• Cigna Healthcare: Cigna is a global health services company that provides PPO network access and value-based care programs to employers. It is a broad incumbent comparable to Health Partners in offering PPO network products and population health management, though at vastly larger scale.
• Blue Cross Blue Shield of Georgia: BCBS Georgia is a major regional health insurer operating PPO products across the same state as Health Partners. It is a broad incumbent that competes for employer-sponsored PPO business and offers network access at greater scale than Health Partners' local network.
• Aetna (CVS Health): Aetna is a national health insurer and PPO network operator that partners with Health Partners for out-of-area coverage. It is a broad incumbent competitor offering PPO products, network access, and value-based contracting at a national scale well beyond what Health Partners serves.

Direct peers

• First Health (Aetna): First Health is a national PPO network owned by Aetna/CVS and is a Health Partners affiliate. It is a direct peer offering employer and insurer access to contracted provider networks, with overlapping value proposition though operating at much larger scale.
• MultiPlan: MultiPlan operates a national PPO network and is one of Health Partners' affiliate network partners. It is a direct comparable as a PPO network administrator that contracts with providers and offers network access to employers and TPAs, though at far greater national scale.
• PHCS (MultiPlan): PHCS is a national PPO network operated by MultiPlan and is another one of Health Partners' affiliate network partners. It is a directly comparable PPO network product for employer-sponsored and self-funded plans, with comparable contracting and credentialing models.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries1 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 Health Partners Network