Provider Partners
Provider Partners Health Plans operates value-based Medicare Fee-for-Service programs through Provider Partners Health Plan (PPHP) for SNF/ALF/personal care home partners and ConnectCare ACO REACH for primary care physicians serving attributed seniors.
- Company typePrivate
- Founded-
- HeadquartersEagan, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Provider Partners does
Provider Partners Health Plans operates a value-based care platform targeting Medicare Fee-for-Service seniors through two coordinated programs. The first, Provider Partners Health Plan (PPHP), partners with skilled nursing facilities (SNFs), assisted living facilities (ALFs), and personal care homes to manage long-term and post-acute care populations under risk-bearing arrangements. The second, ConnectCare, enrolls primary care physicians into the federal ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) direct-contracting model, enabling community-based PCPs to participate in shared savings for attributed Medicare FFS beneficiaries. The company is described as tech-enabled, supporting care coordination across its facility and physician partner network, though specific underlying technology components are not disclosed in the available data.
The business model centers on Medicare value-based care revenue streams: value-based premiums associated with PPHP risk arrangements and shared savings distributions generated through the ConnectCare ACO REACH program. The company is privately held, headquartered in Eagan, MN with additional operations in Linthicum Heights, MD, and employs approximately 219 people. No funding rounds, acquisitions, leadership changes, or third-party validations are disclosed in the available input data. Customer concentration, geographic footprint beyond the two identified locations, and revenue figures are similarly undisclosed, limiting the precision of any external benchmarking or comparable analysis.
Provider Partners firmographics
Firmographics- Name
- Provider Partners
- Legal name
- Provider Partners Health Plans
- Website
- https://myproviderpartners.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Provider Partners Health Plans operates value-based Medicare Fee-for-Service programs through Provider Partners Health Plan (PPHP) for SNF/ALF/personal care home partners and ConnectCare ACO REACH for primary care physicians serving attributed seniors.
- Ownership category
- akta.pro rank
Where Provider Partners is headquartered
LocationHeadquarters
- HQ city
- Eagan
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Provider Partners business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Value-Based Care Premiums: Provider Partners generates revenue through value-based care arrangements with healthcare facilities and providers. The company offers payment programs including premiums above the Medicare Fee Schedule for E&M codes, annual incentive payments tied to quality metrics and shared savings tied to improved outcomes and reduced hospitalizations.
- Shared Savings Distribution: Skilled Nursing Facilities receive 100% share of savings based on lower expenses from improved outcomes and fewer unnecessary hospitalizations. This represents the financial incentive structure for provider partners in the value-based care model.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Annual | Value-Based Care Partnership Program - Facilities |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels3 records
Provider Partners product offering
Product offeringCore offering
Provider Partners operates a tech-enabled value-based care model that partners with Skilled Nursing Facilities, Assisted Living Facilities, Personal Care homes, and Primary Care Physicians. Through its Provider Partners Health Plan (PPHP) it delivers Medicare-aligned health plan coverage with on-site clinical staff at partner facilities, and through ConnectCare it enrolls PCPs in the CMS ACO REACH program to capture shared savings.
Product overview
Provider Partners offers a dual-product healthcare platform focused on tech-enabled, value-based care for seniors. The core portfolio consists of two interconnected offerings: (1) Provider Partners Health Plan (PPHP) — a health plan partnering with Skilled Nursing Facilities, Assisted Living Facilities, and Personal Care homes, providing onsite clinical staff and supplemental benefits not covered by traditional Medicare; and (2) ConnectCare — an ACO REACH program for Primary Care Physicians delivering coordinated care for Medicare Fee-for-Service Beneficiaries with performance-based payment incentives. Together, these products form an integrated value-based care ecosystem targeting improved patient outcomes and reduced hospitalizations.
Differentiator
Problem solved
Functional benefit
Brands
- PPHP Health Plans: Health plan brand partnering with Skilled Nursing Facilities, Assisted Living Facilities, and Personal Care homes to offer tech-enabled value-based care.
- Connect Care
Products and services
- Provider Partners Health Plan (PPHP)
Quantifiable outcome
- 100% share of savings for Skilled Nursing Facilities based on lower expenses from improved outcomes and fewer unnecessary hospitalizations
- +2 more outcomes
Companies that use Provider Partners
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Provider Partners technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
Provider Partners partnerships and signals
Strategic signalScale indicators1 record
Expansion highlights4 records
Provider Partners competitors and assessment
Company assessmentDirect peers
- Cano Health: Cano Health provides value-based primary care to Medicare seniors, with supplemental benefits and care coordination. Comparable to Provider Partners in targeting high-needs Medicare populations with supplemental benefits and care coordination.
- ConcertoCare: ConcertoCare delivers in-home and community-based value-based care to seniors with complex needs, including dual-eligible and Medicare FFS beneficiaries. Comparable to Provider Partners on senior-focused, high-needs care coordination with risk-bearing arrangements.
- VillageMD: VillageMD operates value-based primary care clinics for seniors, often co-located with Walgreens, and partners with payors in risk arrangements. Comparable to Provider Partners on PCP-led, senior-focused value-based care.
- Astrana Health: Astrana Health (formerly Apollo Medical Holdings) operates a value-based care platform serving Medicare Advantage and ACO REACH populations through affiliated PCP groups. Directly comparable to Provider Partners' senior-focused, risk-bearing care model.
- InnovAge: InnovAge operates the PACE program, a comprehensive value-based care model for frail seniors that combines clinical care, social support, and supplemental benefits. Compares to Provider Partners on integrated, senior-focused care delivery with supplemental benefits.
- Agilon Health: Agilon Health partners with primary care physicians to deliver value-based care to Medicare seniors through risk-bearing arrangements. Compares directly to Provider Partners in senior-focused, value-based care delivery with PCP partnerships.
- Privia Health: Privia Health enables physician groups to transition into value-based care arrangements with payors, including ACO REACH. Comparable to Provider Partners on physician enablement and multi-payor value-based care infrastructure.
- Oak Street Health: Oak Street Health (now part of CVS Health) operates value-based primary care clinics exclusively for Medicare seniors, including those with complex needs. Closely comparable to Provider Partners' high-needs Medicare focus and supplemental benefits offering.
- Aledade: Aledade operates a national network of physician-led ACOs, including ACO REACH participation, helping independent PCPs deliver value-based care to Medicare beneficiaries. Directly comparable to Provider Partners' ConnectCare ACO REACH program and physician enablement model.
- P3 Health Partners: P3 Health Partners is a value-based care company focused on Medicare seniors, partnering with PCPs to manage risk and improve outcomes. Comparable to Provider Partners in senior-focused, PCP-anchored value-based care delivery.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Provider Partners social profiles
Digital presenceProvider Partners financial estimates
Financial estimateRevenue estimate
Valuation estimate
Provider Partners leadership team
Management profileNumber of profiles
Provider Partners funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Provider Partners 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 Provider Partners
What does Provider Partners do?
Provider Partners operates a tech-enabled value-based care model that partners with Skilled Nursing Facilities, Assisted Living Facilities, Personal Care homes, and Primary Care Physicians. Through its Provider Partners Health Plan (PPHP) it delivers Medicare-aligned health plan coverage with on-site clinical staff at partner facilities, and through ConnectCare it enrolls PCPs in the CMS ACO REACH program to capture shared savings.
Is Provider Partners a public or private company?
Provider Partners is a private company. It is classified as unknown and is currently operating.
When was Provider Partners founded?
Provider Partners was founded in -1. It employs 101 to 250 people.
Where is Provider Partners based?
Provider Partners is headquartered in Eagan, United States, in the North America region.
How does Provider Partners make money?
Two revenue lines are on record. Value-Based Care Premiums are the primary driver. The others are shared Savings Distribution.
Who are Provider Partners's main competitors?
Direct peers on record are Cano Health, ConcertoCare, VillageMD, Astrana Health, InnovAge, Agilon Health, Privia Health, Oak Street Health, Aledade and P3 Health Partners.
Does Provider Partners have an API?
No public API is recorded for Provider Partners.