What Accountable for Health does

Accountable for Health (A4H) is a 501(c)(4) nonpartisan national advocacy and policy analysis organization founded in 2023 and headquartered in Washington, DC. The organization accelerates the adoption of effective accountable care in the U.S. healthcare system through three pillars: federal advocacy with Congress, the Administration, and CMS; education that elevates community voices from accountable care practitioners; and research that builds an evidence base on accountable care performance. A4H operates two core coalitions: the Kidney Care Coalition (DaVita, Interwell Health, Strive Health, Evergreen Nephrology, and U.S. Renal Care), focused on chronic kidney disease and end-stage renal disease, and the Complex Care Alliance (15+ providers including BrightSpring Health Services, HarmonyCares, Curana Health, agilon health, Bloom Healthcare, and Essen Health Care), focused on High Needs ACO models for complex Medicare beneficiaries. The organization is led by CEO Mara McDermott and operates with 1-10 employees.

A4H has no commercial product or technology platform; its outputs are policy briefs, issue papers, case studies, the Evidence Hub data portal, and a Legislation Tracker. The organization does not hold patents or trademarks, does not offer APIs or software products, and reports no AI/ML capability. Its distribution model is direct: the organization engages policymakers through coalition representation and member organizations, and reaches broader audiences through its newsletter, press releases, and Health Care Value Week events.

Revenue is generated exclusively through membership dues paid by healthcare organizations interested in advancing accountable care priorities, with no publicly disclosed pricing. A4H has achieved notable policy impact, most prominently the October 2025 CMS skin substitute payment reform (cutting spending by 90%) that followed A4H's coordinated advocacy campaign. Additional wins include published policy recommendations for the Comprehensive Kidney Care Contracting (CKCC) model beyond its 2027 expiration, supported by independent Wakely actuarial analysis.

Name

Accountable for Health

Legal name

Accountable for Health

Website

https://accountableforhealth.org

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

1–10 employees

Short description

Accountable for Health is a 501(c)(4) nonprofit national advocacy organization accelerating U.S. accountable care adoption through federal policy engagement, member coalitions (Kidney Care Coalition, Complex Care Alliance), and policy research on ACO performance and value-based care models.

Ownership category

akta.pro rank

Product category

Healthcare Policy Advocacy

NAICS

Social Advocacy Organizations (8133), Administration of Public Health Programs (923120), Administration of Public Health Programs (92312), Executive, Legislative, and Other General Government Support (921)

SIC

Services-Health Services (8000)

akta.pro primary industry

Public Health Governance, Interagency Coordination & Partnerships (HLAJAMAD)

akta.pro secondary industries

Public Health Policy, Planning & Governance (BPAIAJAB), Healthcare Compliance & Enforcement Authorities (HLAJACAB), Health Technology Assessment (HTA) & Reimbursement Policy Bodies (HLAJACAF), Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Healthcare policy advocacy
• Accountable care organizations
• Value-based care models
• Medicare policy reform
• Coalition-based advocacy

Headquarters

HQ city

Washington, DC

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Membership Dues: A4H is a 501(c)(4) nonprofit organization that generates revenue through membership fees from healthcare organizations interested in advancing accountable care priorities.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels7 records

Core offering

Accountable for Health (A4H) is a 501(c)(4) nonprofit national advocacy and policy analysis organization that accelerates the adoption of effective accountable care in the U.S. healthcare system through federal advocacy, education, and research. The organization convenes healthcare stakeholders through coalitions, produces policy analysis, issue briefs, and data-driven research on accountable care organizations (ACOs) and value-based care models, and represents members in engagements with Congress, the Administration, and CMS.

Product overview

Accountable for Health (A4H) is a nonpartisan national advocacy and policy analysis organization, not a commercial product company. A4H accelerates the adoption of effective accountable care through federal advocacy, education, and research. The organization does not offer a commercial software product, platform, or technology service. Instead, A4H provides advocacy support, policy analysis, and produces research materials, issue briefs, case studies, and data resources related to accountable care organizations (ACOs) and value-based care models.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• MSSP delivered $2.48 billion in net savings in 2024, 8th consecutive year of savings
• +3 more outcomes

Named customers13 records

Segments5 records

Ideal customer profiles4 records

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

29 partnerships are on record, tiered core and supporting.

• DaVitacoreStrategic or Co-development PartnerKidney Care Coalition member organization committed to improving care for Medicare beneficiaries with chronic kidney disease and end-stage renal disease through accountable, specialty-focused care models. Part of A4H's coalition-based approach to policy advocacy.
• Interwell HealthcoreStrategic or Co-development PartnerCKCC model participant providing care coordination for kidney disease patients. Member of Kidney Care Coalition working to improve outcomes through accountable care approaches.
• Strive HealthcoreStrategic or Co-development PartnerKidney Care Coalition member focused on accountable, specialty-focused kidney care models to improve outcomes for Medicare beneficiaries with kidney disease.
• Evergreen NephrologycoreStrategic or Co-development PartnerKidney Care Coalition member contributing to specialty-focused accountable care models for kidney disease patients in Medicare.
• U.S. Renal CarecoreStrategic or Co-development PartnerKidney Care Coalition member supporting policies that strengthen care coordination and value-based kidney care in Medicare.
• BrightSpring Health ServicescoreStrategic or Co-development PartnerComplex Care Alliance member providing high-quality, coordinated care for Medicare's most complex and vulnerable patients in the High Needs ACO program.
• CareConnect MDcoreStrategic or Co-development PartnerComplex Care Alliance member participating in High Needs ACO program focused on complex Medicare beneficiaries.
• Curana HealthcoreStrategic or Co-development PartnerComplex Care Alliance member supporting the High Needs ACO model for vulnerable Medicare beneficiaries.
• Ennoble CarecoreStrategic or Co-development PartnerComplex Care Alliance member participating in High Needs ACO program for complex patient care.
• Essen Health CarecoreStrategic or Co-development PartnerComplex Care Alliance member focused on improving models of care for the sickest Medicare beneficiaries.
• HarmonyCarescoreStrategic or Co-development PartnerComplex Care Alliance member serving high-needs Medicare beneficiaries through accountable care models.
• HealthDrivecoreStrategic or Co-development PartnerComplex Care Alliance member participating in High Needs ACO program.
• Intrinsia HealthcoreStrategic or Co-development PartnerComplex Care Alliance member contributing to complex care coordination for Medicare beneficiaries.
• National Church ResidencescoreStrategic or Co-development PartnerComplex Care Alliance member providing care for complex and vulnerable Medicare beneficiaries.
• Provider Partners Connect CarecoreStrategic or Co-development PartnerComplex Care Alliance member participating in High Needs ACO model.
• Theoria MedicalcoreStrategic or Co-development PartnerComplex Care Alliance member supporting care for high-needs Medicare beneficiaries.
• Upperline HealthcoreStrategic or Co-development PartnerComplex Care Alliance member participating in High Needs ACO program.
• Wellbe Senior MedicalcoreStrategic or Co-development PartnerComplex Care Alliance member contributing to complex care models for Medicare beneficiaries.
• Advanced Care InnovationscoreStrategic or Co-development PartnerComplex Care Alliance member focused on improving care delivery for high-needs patients.
• Bloom HealthcarecoreStrategic or Co-development PartnerComplex Care Alliance member known for behavioral health integration, achieving 34% reduction in depression scores and 39% reduction in anxiety scores.
• American Academy of Home Care Medicine (AAHCM)supportingStrategic or Co-development PartnerPartner organization supporting the Complex Care Alliance's mission to improve care for high-needs Medicare beneficiaries.
• America's Physician Groups (APG)supportingStrategic or Co-development PartnerPartner organization supporting the Complex Care Alliance through physician group representation.
• Coalition to Transform Advanced Care (C-TAC)supportingStrategic or Co-development PartnerPartner organization collaborating with A4H on care transformation, including recommendations for Comprehensive Kidney Care Contracting model improvements.
• Home Centered Care Institute (HCCI)supportingStrategic or Co-development PartnerPartner organization supporting home-centered care models within the Complex Care Alliance.
• National Association of ACOs (NAACOS)supportingStrategic or Co-development PartnerPartner organization representing ACOs and supporting accountable care policy advocacy.
• SNP AlliancesupportingStrategic or Co-development PartnerPartner organization supporting the Complex Care Alliance's policy initiatives for special needs plans.
• Health Care Payment Learning and Action Network (HCP-LAN)coreOthersA4H references HCP-LAN's definition of accountable care as care that centers on the patient and aligns their care team to support shared decision-making and help realize the best achievable health outcomes.
• Wakely (Actuarial Firm)supportingStrategic or Co-development PartnerIndependent actuaries partnered with A4H's Kidney Care Coalition to reassess early financial performance of Medicare's Comprehensive Kidney Care Contracting Model.
• West Health Policy CentersupportingStrategic or Co-development PartnerA4H Institute partnered with West Health Policy Center to identify core competencies for accountable care providers and create a framework for measurement activities.

Scale indicators17 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• American Hospital Association (AHA): AHA is a much larger established healthcare advocacy organization representing hospitals and health systems; it overlaps with A4H on broader Medicare payment reform and value-based care policy but is not a specialist in ACO advocacy.
• AHIP (America's Health Insurance Plans): AHIP is the major health insurance industry advocacy organization that engages in federal policy on payment and delivery reform; it shares A4H's advocacy mode (federal engagement, evidence-based policy) but represents payers rather than providers.
• Premier Inc: Premier is a large healthcare improvement alliance with a policy advocacy function that touches value-based care; it is comparable as a broader incumbent with overlapping accountable care and population health interests, though its primary focus is supply chain and performance services.

Direct peers

• Healthcare Leadership Council: Healthcare Leadership Council is a coalition of healthcare CEOs that advocates for value-based care and payment reform; it is comparable as a similarly structured C-suite/leadership advocacy organization pushing for accountable care adoption.
• America's Physician Groups (APG): APG is a listed A4H partner organization representing physician groups practicing value-based care; it pursues parallel advocacy for accountable care payment models and risk-bearing provider organizations, making it a closely aligned peer.
• SNP Alliance: SNP Alliance is a partner organization supporting A4H's Complex Care Alliance on policy for special needs plans serving dual-eligible Medicare beneficiaries; both organizations work on federal policy for vulnerable Medicare populations through coalition advocacy.
• Coalition to Transform Advanced Care (C-TAC): C-TAC is a supporting partner of A4H's Complex Care Alliance that advocates for policy reforms to improve care for people with serious illness; it shares A4H's coalition-based model and federal advocacy focus on high-needs populations.
• National Association of ACOs (NAACOS): NAACOS is a directly comparable ACO-focused advocacy organization that represents accountable care organizations in federal policy discussions; A4H explicitly partners with NAACOS and operates in the same accountable care policy space, making it the closest peer.

Emerging players

• Bipartisan Policy Center: Bipartisan Policy Center is a nonpartisan think tank producing health policy research and recommendations; it is comparable as a research-and-evidence producer that informs the same accountable care policy debates A4H engages in, though it is not a membership advocacy organization.
• American Academy of Home Care Medicine (AAHCM): AAHCM is a supporting partner of A4H's Complex Care Alliance focused on home-centered care for complex patients; it serves a narrower use case than A4H but overlaps on federal advocacy for high-needs Medicare populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xtwitter.com/Acct4Health
• LinkedInlinkedin.com/company/acct4health

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries2 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Accountable for Health