CSMS-IPA, Inc.

What CSMS-IPA, Inc. does

CSMS-IPA, Inc. (Connecticut State Medical Society - Independent Practice Association, Inc.) is a physician-governed Accountable Care Organization headquartered in Connecticut, founded in 1986 as the IPA arm of the Connecticut State Medical Society. It operates value-based care programs for a statewide network of more than 1,000 primary care providers and 10,000 specialists, working alongside Federally Qualified Health Centers (including Community Health and Wellness Center of Greater Torrington, Generations Family Health Center and Southwest Community Health Center), hospital systems (Middlesex Hospital, Bristol Hospital Multi Specialty Group, Day Kimball Medical Group) and independent primary care practices. Astrana Health is identified as a parent / strategic operating company, and the two parties operate a joint venture — Connecticut Value-Based Care Venture, LLC — for payor contracting, clinical support, quality and risk assessment.

The organization's revenue is generated through value-based care contracts with CMS (ACO REACH), Medicare Advantage plans (WellCare, Anthem, United HealthCare, Molina) and commercial / governmental payors (CCI/Molina, Anthem State of CT, Cigna and the State of CT employee plan), with income derived from hitting quality and utilization targets rather than fee-for-service billing. A small in-house clinical team of nurses and a data coordinator supports practices with pre-visit planning, HEDIS/quality tracking, annual wellness visit outreach, care transitions, risk adjustment and coding. Practice enablement tooling is delivered through the Astrana Provider Portal — a pre-visit planning, gaps-in-care, and practice performance system integrated with Astrana Health's national ACO technology stack.

CSMS-IPA operates as a healthcare services and network organization, not a packaged software vendor. Its resources include ACO REACH foundations presentations, a provider manual, and ICD-10 reference guides for the 2026 performance year. Pricing is not publicly disclosed because VBC contracts are negotiated with each payor and provider group; economic value to physicians accrues as financial incentives layered on top of standard fee-for-service payments, contingent on quality and utilization performance.

Name

CSMS-IPA, Inc.

Legal name

Connecticut State Medical Society - Independent Practice Association, Inc.

Website

https://csms-ipa.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

CSMS-IPA, Inc. is a physician-governed Accountable Care Organization, founded in 1986, that delivers value-based care programs to a Connecticut network of more than 1,000 primary care providers and 10,000 specialists under Medicare, ACO REACH, and commercial payor contracts, through a joint venture with Astrana Health.

Ownership category

akta.pro rank

Product category

Value-Based Care Services (Accountable Care Organization)

NAICS

Offices of Physicians (62111), All Other Outpatient Care Centers (621498)

SIC

Services-Health Services (8000), Services-Management Services (8741)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industries

MA Care Coordination & Utilization Management (UM) Programs (HLAEACAK), Care Management & Population Health Program Administration (HLAEALAG), Cost of Care, Spend Analytics & Financial Performance Management (HLACAHAJ)

Keywords

• Value-based care programs
• Accountable care organization
• Population health management
• Medicare Advantage contracting
• Provider network services

Headquarters

HQ city

Connecticut

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. Value-Based Care Contracts: CSMS-IPA generates revenue through value-based care contracts with payors including ACO REACH, Medicare Advantage plans (WellCare, Anthem, United HealthCare, Molina), and commercial insurers (CCI/Molina, Anthem State of CT, Cigna). Revenue is generated through achieving quality and utilization targets rather than fee-for-service.
2. Population Health Management Services: The Connecticut Value-Based Care Venture, LLC joint partnership with Astrana Health provides value-based care payor contracting and supporting clinical, quality and risk assessment support programs for the provider network.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

CSMS-IPA, Inc. is a Connecticut-based Accountable Care Organization delivering value-based care (VBC) programs to over 1,000 primary care providers and 10,000 specialists across the state. The organization partners with FQHCs, hospitals, and independent primary care practices, and holds ACO REACH, Medicare Advantage, commercial, and governmental VBC contracts with major insurers. A clinical team of nurses and population-health specialists supports providers in meeting quality and utilization targets, complex care management, risk adjustment, coding, and care transitions across the continuum.

Product overview

CSMS-IPA, Inc. is an Accountable Care Organization (ACO) delivering value-based care (VBC) programs to over 1,000 primary care providers and 10,000 specialists across Connecticut. The organization collaborates with FQHCs, hospitals, and independent primary care practices to deliver population health care services. Payor programs include ACO REACH, Medicare Advantage, commercial, and governmental VBC contracts with major insurance organizations. The CSMS-IPA Clinical Team of nurses assists primary care providers in meeting quality and utilization targets. The organization also has a joint partnership with Astrana Health through Connecticut Value-Based Care Venture, LLC for payor contracting and clinical, quality, and risk assessment support. Services include complex care management for high-risk populations, chronic disease management protocols, transitions of care support, risk adjustment and accurate coding support, and provider education and training programs. The organization does not appear to offer a distinct branded software product; rather, it operates as a healthcare services and network organization with value-based care programs as its core offering.

Differentiator

Problem solved

Functional benefit

Products and services

• ACO REACH Program Value-based care program under CMS's ACO REACH model delivered by CSMS-IPA for Connecticut providers, supported by Astrana Health's integrated patient management approach. Aimed at primary care providers and specialists participating in the ACO REACH model.
• Medicare Advantage Value-Based Care Program Value-based care contracting and clinical support for Medicare Advantage plans (WellCare, Anthem, United HealthCare, Molina) on behalf of Connecticut primary care providers and specialists. Focused on health equity and care coordination for Medicare beneficiaries.
• Commercial Value-Based Care Program Commercial value-based care contracting for CCI/Molina, Anthem State of CT, and Cigna, including Connecticut state employee benefit plans, supporting cost optimization, quality outcomes, and efficient healthcare delivery for commercial populations.
• Connecticut Value-Based Care Venture (Joint Partnership with Astrana Health) Connecticut Value-Based Care Venture, LLC — a joint partnership between CSMS-IPA and Astrana Health providing value-based care payor contracting and supporting clinical, quality, and risk assessment support programs across the CSMS-IPA provider network.
• Provider Network and Population Health Management Services Population health management services delivered across the healthcare continuum for Connecticut providers, including care coordination, complex care management for high-risk populations, chronic disease management protocols, transitions of care support, risk adjustment and accurate coding support, and provider education and training programs.

Quantifiable outcome

• Financial incentives represent distinct revenue streams over and above standard fee-for-service payments
• +1 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• Astrana HealthcoreStrategic or Co-development PartnerCSMS-IPA has a joint partnership with Astrana Health through the Connecticut Value-Based Care Venture, LLC. This partnership provides value-based care payor contracting and supporting clinical, quality and risk assessment support programs. Astrana Health provides national ACO capabilities and resources including the Astrana Provider Portal for pre-visit planning, patient gap analysis, and practice performance tracking.
• FQHCs (Federally Qualified Health Centers)coreStrategic or Co-development PartnerCSMS-IPA collaborates with Federally Qualified Health Centers serving communities across Connecticut on delivering population health care services to patients. FQHCs are part of the diverse provider network including Community Health and Wellness Center of Greater Torrington, Generations Family Health Center, Inc., and Southwest Community Health Center.
• Hospitals and Health SystemscoreStrategic or Co-development PartnerCSMS-IPA collaborates with hospitals and integrated healthcare delivery systems across Connecticut. Partner hospitals include Middlesex Hospital, Bristol Hospital Multi Specialty Group, and Day Kimball Medical Group for coordinated care delivery and population health management.

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Cano Health: Value-based primary care operator focused on seniors, primarily through MA full-risk contracts. Direct peer in senior-focused PCP networks under VBC economics.
• ChenMed: Family-owned primary care group serving low-to-moderate-income seniors through MA full-risk capitation. Comparable in VBC economics, senior-focused risk-bearing primary care, and quality/outcomes-driven revenue model.
• Aledade: Largest independent PCP-focused ACO network in the U.S., running ACO REACH, MSSP, and MA contracts for thousands of independent practices. Direct peer with very similar physician-network ACO model and payor mix.
• CareMore Health (Anthem): Integrated care delivery subsidiary of Anthem serving complex Medicare and Medicaid populations through VBC models. Direct peer in risk-bearing population health for Medicare beneficiaries.
• P3 Health Partners: Value-based care company focused on senior primary care, taking global risk contracts with MA payors in multiple states. Direct peer in PCP-led MA risk arrangements and population health.
• VillageMD: Primary care-focused value-based care operator with significant MA risk arrangements; affiliated with Walgreens Boots Alliance. Direct peer in operating risk-bearing primary care networks and population health management for seniors.
• Privia Health Group: Multi-state physician enablement company operating ACO and value-based care programs for independent primary care and specialty practices. Directly comparable business model: enables independent practices to succeed in VBC contracts with payors, similar to CSMS-IPA's provider-facing mission.
• Oak Street Health: Primary care operator focused on seniors with value-based contracts, especially Medicare Advantage. Now part of CVS Health. Direct peer in senior-focused VBC primary care delivery.
• Agilon Health: Value-based care platform partnering with independent primary care physicians under global capitation and MA risk arrangements. Direct peer — similar core activity of organizing independent PCPs into risk-bearing networks and earning shared savings on quality and utilization.
• Astrana Health: National ACO and value-based care platform that is both CSMS-IPA's strategic parent and joint venture partner (Connecticut Value-Based Care Venture, LLC). Directly comparable as a risk-bearing physician network organization executing MA, ACO REACH, and commercial VBC contracts across multiple states.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/csms-ipa-inc.

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 CSMS-IPA, Inc.