LivantaCares
LivantaCares (Commence Health) is a federally contracted BFCC-QIO under CMS that handles Medicare appeals, quality-of-care complaints, and immediate advocacy for beneficiaries across 27 states and U.S. territories, funded by a single government contract.
- Company typePrivate
- Founded-
- Headquarters—
- Headcount11–50
- GTM typeB2B and B2C
- OfferingServices
What LivantaCares does
LivantaCares, the doing-business-as name of Commence Health, is a federally contracted Beneficiary and Family Centered Care – Quality Improvement Organization (BFCC-QIO) that performs case review, appeals processing, and quality-of-care investigations for Medicare beneficiaries. The company operates under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services, and is the designated QIO for five CMS regions (2, 3, 5, 7, and 9), covering 27 states and U.S. territories including Puerto Rico, the U.S. Virgin Islands, American Samoa, Guam, and the Northern Mariana Islands.
The core platform supports medical records review, expedited appeal hearings for hospital discharge and termination of Medicare-covered services, quality-of-care complaint processing, and immediate advocacy services. Supporting tooling includes e-LiFT (Live File Transfer), a secure electronic file exchange for medical records between providers and the QIO, and Arrow (Case Lookup), a case status and tracking system. A provider-facing portal handles medical records submission, reimbursement processing, physician attestation, and memorandum of agreement workflows.
Revenue is derived entirely from the CMS government contract (managed services), and all services are provided at no cost to Medicare beneficiaries. Beneficiaries reach the company through CMS and Medicare.gov routing, regional helplines, and a self-service web portal, while providers engage directly through the institutional portal and field outreach. The company is privately held, with no disclosed parent, subsidiaries, funding rounds, or executive leadership identified in the available data.
LivantaCares firmographics
Firmographics- Name
- LivantaCares
- Legal name
- Commence Health
- Website
- https://livantaqio.cms.gov
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- LivantaCares (Commence Health) is a federally contracted BFCC-QIO under CMS that handles Medicare appeals, quality-of-care complaints, and immediate advocacy for beneficiaries across 27 states and U.S. territories, funded by a single government contract.
- Ownership category
- akta.pro rank
LivantaCares industry classification
Industry- Product category
- Medicare Quality Improvement & Case Review Services
- NAICS
- Services for the Elderly and Persons with Disabilities (62412), Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Health Services (8000), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)
- akta.pro secondary industry
- Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
LivantaCares business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure
Revenue model
- Government Contract Revenue: LivantaCares operates under contract with the Centers for Medicare & Medicaid Services (CMS) to provide BFCC-QIO case review services. Revenue is derived from federal government contracts to perform medical records review, appeals review, and quality of care concern investigations for Medicare beneficiaries across designated CMS regions.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Others | Cost-Free Services for Medicare Beneficiaries |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels3 records
LivantaCares product offering
Product offeringCore offering
LivantaCares operates as a Beneficiary and Family Centered Care – Quality Improvement Organization (BFCC-QIO) under contract with the Centers for Medicare & Medicaid Services (CMS). It provides federally-mandated case review services for Medicare beneficiaries across 27 states and U.S. territories, including discharge and service termination appeals, quality of care complaint investigations, immediate advocacy, medical records review, and reimbursement processing. All services are provided at no cost to Medicare beneficiaries and funded through government contracts.
Product overview
LivantaCares (operated as Commence Health) is a Beneficiary and Family Centered Care – Quality Improvement Organization (BFCC-QIO) that provides a unified platform of Medicare-related services. The core offerings include appeal filing for discharge/termination of services, quality of care complaint resolution, and immediate advocacy. Supporting tools include e-LiFT (Live File Transfer) for secure document exchange and Arrow (Case Lookup) for case management. Provider-facing services include medical records review, medical record reimbursement, memorandum of agreement processing, and physician attestation. All services are provided at no cost to Medicare beneficiaries.
Differentiator
Problem solved
Functional benefit
Products and services
- Appeal of Discharge/Termination of Services A service allowing Medicare beneficiaries to file an appeal when their Medicare-covered services are ending too soon. Provided under the BFCC-QIO program at no cost to beneficiaries.
- File a Quality of Care Concern A complaint filing service for Medicare beneficiaries who have concerns about the quality of care they received.
- Immediate Advocacy An immediate assistance service to help resolve healthcare concerns for Medicare beneficiaries.
- Medical Records Review Review services for medical records as part of the BFCC-QIO case review process, performed for the federal Medicare program.
- Medical Record Reimbursement Reimbursement services for medical records provided to the QIO by healthcare providers.
- Memorandum of Agreement (MOA) Agreement services for providers regarding QIO collaboration.
- Physician Attestation/Acknowledgement Services for physician attestation and acknowledgement processes required under the BFCC-QIO framework.
Companies that use LivantaCares
Customer profileNamed customers2 records
Segments2 records
Ideal customer profiles3 records
LivantaCares technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
LivantaCares partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Centers for Medicare & Medicaid Services (CMS)coreLivantaCares operates as the Beneficiary and Family Centered Care - Quality Improvement Organization (BFCC-QIO) under contract with CMS. This is the primary federal agency contract that authorizes and funds LivantaCares to provide case review services, appeals processing, and quality of care investigations for Medicare beneficiaries in designated regions. Services are delivered in Regions 2, 3, 5, 7, and 9 under this government contract with the U.S. Department of Health and Human Services.
Scale indicators2 records
Recent moves5 records
Expansion highlights2 records
LivantaCares competitors and assessment
Company assessmentDirect peers
- Telligen: Telligen is a QIO providing quality measurement, improvement, and clinical review services under federal and state contracts. It is comparable because it performs the same BFCC-QIO and quality improvement work for Medicare populations and competes for similar CMS review contracts.
- IPRO: IPRO is a long-standing independent QIO holding various quality review and utilization management contracts with CMS and state Medicaid agencies. It is comparable because it operates the same federal quality review infrastructure for Medicare and Medicaid populations and competes for similar contract vehicles.
- Health Services Advisory Group (HSAG): HSAG is one of the nation's largest QIOs, providing quality review and improvement services under CMS contracts. It is comparable to LivantaCares because it operates the same BFCC-QIO and quality improvement contract framework, serving Medicare beneficiaries in its designated regions and competing for federal quality review work.
- Acentra Health: Acentra Health (formerly Kepro) is the other federally-designated BFCC-QIO contractor, holding Regions 1, 4, 6, 8, and 10 under the same CMS contract structure. It is the closest direct peer because it performs the identical case review, appeals, and quality-of-care services as LivantaCares under the same federal program, and competes with LivantaCares for QIO contract retention and expansion.
Regional players
- MPRO: MPRO is a QIO primarily serving Michigan and adjacent regions under CMS contract for quality review and utilization management. It is comparable as a regional QIO peer operating under the same federal framework, though with smaller geographic scope than LivantaCares.
- Kansas Foundation for Medical Care: KFMC is a regional QIO providing Medicare quality review and improvement services in Kansas and surrounding states. It is comparable as a smaller regional QIO operating under the same CMS framework.
- FMQAI (Florida Medical Quality Assurance): FMQAI is a QIO serving Florida and adjacent regions under CMS contract for Medicare quality review. It is comparable as a regional QIO peer operating under the same federal program structure.
Broad incumbents
- Maximus: Maximus is a large government services contractor operating across multiple federal health programs including Medicare and Medicaid contact center, eligibility, and quality review work. It is comparable as a broad incumbent in the same federal health services ecosystem that LivantaCares operates in, though with a much larger and more diversified government services portfolio.
- Conduent: Conduent is a large government and commercial services provider with significant Medicare and Medicaid program administration, claims processing, and contact center operations. It is comparable as a broad incumbent in federal health program administration, with overlapping capabilities in case processing and beneficiary services.
Others
- Cognosante (now part of NTT DATA): Cognosante, now part of NTT DATA, provides federal health IT and program administration services including Medicare and Medicaid systems integration. It is comparable as an adjacent government health services firm operating in the same CMS ecosystem, with overlapping technology and program administration capabilities.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights6 records
Customer concentration
LivantaCares social profiles
Digital presenceLivantaCares financial estimates
Financial estimateRevenue estimate
Valuation estimate
LivantaCares leadership team
Management profileNumber of profiles
Profiles1 record
LivantaCares funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
LivantaCares M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about LivantaCares
What does LivantaCares do?
LivantaCares operates as a Beneficiary and Family Centered Care – Quality Improvement Organization (BFCC-QIO) under contract with the Centers for Medicare & Medicaid Services (CMS). It provides federally-mandated case review services for Medicare beneficiaries across 27 states and U.S. territories, including discharge and service termination appeals, quality of care complaint investigations, immediate advocacy, medical records review, and reimbursement processing. All services are provided at no cost to Medicare beneficiaries and funded through government contracts.
Is LivantaCares a public or private company?
LivantaCares is a private company. It is classified as unknown and is currently operating.
When was LivantaCares founded?
LivantaCares was founded in -1. It employs 11 to 50 people.
How does LivantaCares make money?
One revenue line is on record: government Contract Revenue.
Who are LivantaCares's main competitors?
Direct peers on record are Telligen, IPRO, Health Services Advisory Group (HSAG) and Acentra Health. Regional players are MPRO, Kansas Foundation for Medical Care and FMQAI (Florida Medical Quality Assurance). Broad incumbents are Maximus and Conduent. Cognosante (now part of NTT DATA) is listed as an others.
Does LivantaCares have an API?
No public API is recorded for LivantaCares.
What industry is LivantaCares in?
LivantaCares's product category is Medicare Quality Improvement & Case Review Services. Its primary akta.pro industry code is HLAEALAO, Government Program Administrative Services (Medicare/Medicaid ASO/TPA), with a secondary code of FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 62412 and its SIC code is 8000.