Edison Healthcare

What Edison Healthcare does

Edison Healthcare is a privately held Centers of Excellence (COE) healthcare benefits company headquartered in Tulsa, Oklahoma (with a corporate office in Jenks, Oklahoma), founded in 2013 and operating with approximately 32 employees. The company contracts with self-funded employers to provide their employees and dependents access to a curated network of "SmartCare Medical Centers" — elite specialty hospitals including Mayo Clinic, Cleveland Clinic, and Beverly Hills Cancer Center — for second opinions, complex treatment plans, and surgeries across spine, orthopedic, heart, cancer, bariatric, transplant, women's health, and complex care conditions, as well as pediatric specialty care.

The underlying platform combines a Patient Portal for digital forms and authorization, a Care Coordination service operated by the Edison Healthcare Service Team, dedicated Nurse Navigators at each SmartCare Center, and a Concierge Travel Service that covers flights, hotel, ground transportation, and meal allowances for the patient and one companion. The company's central proposition is reducing misdiagnosis and unnecessary surgery by routing patients to multidisciplinary specialist teams practicing accountable, outcome-aligned medicine — surgeons are compensated based on patient results rather than procedure volume. The company cites that 88% of patients visiting Mayo Clinic through the program received a new or refined diagnosis.

Commercially, Edison Healthcare operates a B2B managed-services model with multi-year contracts to self-funded employers (HR and benefits leaders as buyers); eligible employees access the service at no out-of-pocket cost for covered diagnoses on non-HSA plans, with all deductibles, co-pays, coinsurance, and travel expenses paid. The company does not disclose pricing publicly. Distribution is exclusively through enterprise field sales to self-funded employer benefit plans, supported by thought-leadership content from founder Tom Emerick (former Walmart VP of Global Benefits Design, now retired and succeeded as CEO by Managing Partner Jarrod Frie), whose Cracking Health Costs blog and bestselling book generate top-of-funnel awareness. The company has not disclosed any funding rounds and appears to operate as a bootstrapped, independently held private firm.

Name

Edison Healthcare

Legal name

Edison Healthcare

Website

https://edisonhealthcare.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Edison Healthcare is a Centers of Excellence (COE) healthcare benefits company that contracts with self-funded employers to provide employees access to a curated network of elite specialty hospitals — including Mayo Clinic, Cleveland Clinic, and Beverly Hills Cancer Center — for second opinions, complex surgeries, and care coordination, with all medical and travel costs covered for eligible members.

Ownership category

akta.pro rank

Product category

Healthcare Benefits Management (Centers of Excellence)

NAICS

All Other Outpatient Care Centers (621498)

SIC

Services-Health Services (8000)

akta.pro primary industry

Primary Care & General Medicine Virtual Care (Employer-Sponsored) (HLALADAA)

Keywords

• Healthcare benefits program
• Centers of excellence
• Medical second opinions
• Employer health benefits
• Care coordination services

Headquarters

HQ city

Tulsa

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Employer-Sponsored Benefit Program: Edison Healthcare generates revenue by partnering with self-funded employers to provide their employees access to the SmartCare Medical Center network. Employers pay for this benefit program as part of their health benefits package. The service is free for eligible employees and their dependents.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Edison Healthcare provides a Centers of Excellence (COE) healthcare benefits program to self-funded employers, giving their employees and dependents access to a curated SmartCare Medical Center Network (Mayo Clinic, Cleveland Clinic, Beverly Hills Cancer Center) for second opinions, treatment plans, and complex surgeries at no cost to the patient. The offering bundles virtual second opinions, nurse navigator support, care coordination, and full concierge travel (flights, hotel, transportation, meals) for approved on-site visits.

Product overview

Edison Healthcare operates as a unified healthcare benefits platform offering the Edison COE (Centers of Excellence) Program, which integrates a network of SmartCare Medical Centers with patient-facing services including the Patient Portal, SmartCare Planning, Concierge Travel Services, Virtual Second Opinions, and Nurse Navigator support. The COE Program serves as the core product connecting eligible employees (via employer partnerships) to specialty hospitals like Mayo Clinic and Cleveland Clinic, with all services coordinated through a single concierge experience covering medical costs, travel, and lodging at no cost to the patient.

Differentiator

Problem solved

Functional benefit

Products and services

• Edison Healthcare COE (Centers of Excellence) Program A Centers of Excellence medical benefits program offered to eligible employees through their self-funded employer, providing access to SmartCare Medical Centers for second opinions, treatment plans, and surgeries for complex medical conditions at no cost to the patient.
• SmartCare Medical Centers Network A curated network of specialty hospitals including Mayo Clinic, Cleveland Clinic, and Beverly Hills Cancer Center, selected for outstanding outcomes in treating complex conditions such as spine, orthopedic, heart, cancer, bariatric, and transplant surgeries.
• Patient Portal An online portal allowing eligible patients to access forms, download Edison Patient Forms (Medical Release and Patient Authorization), and initiate the care journey process.
• SmartCare Planning Care coordination service in which the Edison Healthcare Service Team and SmartCare Center Nurse Navigator work with patients and local physicians to obtain medical records and develop customized care plans.
• Concierge Travel Services Full-service travel coordination including flight scheduling, hotel accommodations, transportation, and prepaid debit cards for meals and incidentals, provided at no cost to eligible patients and one companion.
• Virtual Second Opinions Remote medical consultation service enabling patients to receive expert second opinions for conditions including Cancer, Spine, Orthopedic, Heart, Women's Health, and Complex Care before scheduling surgery or treatment.
• Nurse Navigator Service Dedicated nursing support assigned to patients throughout their care journey, providing guidance, coordination, and advocacy from initial contact through post-treatment follow-up.

Quantifiable outcome

• 88% of patients who visited Mayo Clinic SmartCare Center for a second opinion received a new or refined diagnosis
• +1 more outcomes

Named customers4 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

Feature3 records

Partnerships

Three partnerships are on record, tiered flagship and core.

• Mayo ClinicflagshipStrategic or Co-development PartnerMayo Clinic is a key SmartCare Medical Center partner in the Edison Healthcare network. Patients can receive second opinions, accurate diagnoses, and treatment plans for complex conditions including cancer, spine, heart, and transplant surgeries. 88% of patients visiting Mayo Clinic through the program receive a new or refined diagnosis.
• Cleveland ClinicflagshipStrategic or Co-development PartnerCleveland Clinic has been designated as a Smart Care Medical Center partner. It is recognized as one of the nation's leading hospitals for complex medical conditions and procedures.
• Beverly Hills Cancer CentercoreStrategic or Co-development PartnerBeverly Hills Cancer Center is part of the Edison Healthcare SmartCare Network, providing cancer diagnosis and treatment services to eligible patients.

Scale indicators2 records

Expansion highlights3 records

Broad incumbents

• Included Health: Included Health (formerly Doctor On Demand + Grand Rounds) offers employer-sponsored virtual care, expert medical opinions, and care navigation across a broad range of conditions, competing with Edison across both virtual second opinions and navigation.
• Premise Health: Premise Health operates employer-sponsored primary care, pharmacy, and wellness centers, sharing Edison's B2B employer-sponsored care model but at much larger scale and broader clinical scope.
• Accolade: Accolade is an established, publicly-traded personalized healthcare navigation and benefits platform serving large employers, overlapping with Edison's care coordination and concierge navigation functionality at greater scale.
• Quantum Health: Quantum Health provides healthcare navigation and care coordination services to large self-funded employers, functioning as a broader incumbent to Edison's more narrowly focused COE and complex-care navigation offering.

Direct peers

• Carrum Health: Carrum Health is a direct competitor operating a Centers of Excellence platform for self-funded employers, bundling surgery, cancer care, and virtual second opinions through a curated provider network — virtually identical business model to Edison.
• Health Advocate: Health Advocate (a West Corporation subsidiary) provides employee assistance and healthcare advocacy programs, offering services that overlap with Edison's care coordination and benefits support functions for employer clients.
• Surgery Plus: Surgery Plus is a direct competitor offering employer-sponsored Centers of Excellence for surgical procedures with bundled pricing and travel coordination, mirroring Edison's core COE and concierge offering.
• 2nd.MD: 2nd.MD provides expert medical second opinions and care navigation as an employer-sponsored benefit, closely overlapping with Edison's Virtual Second Opinion and Nurse Navigator service modules.
• Rightway Health: Rightway Health is a care navigation and pharmacy benefits platform sold to self-funded employers, competing head-to-head with Edison on navigation, cost containment, and member engagement.

Emerging players

• Hinge Health: Hinge Health is a fast-growing employer-sponsored virtual musculoskeletal care platform; it competes with Edison's orthopedic and spine COE offering through a virtual-first delivery model rather than in-person Centers of Excellence.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/edisonhealthcare

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Edison Healthcare