Vandalia Health Network

What Vandalia Health Network does

Vandalia Health Network operates a physician-led clinically integrated network (CIN) and Accountable Care Organization (ACO) headquartered in Charleston, West Virginia, operating under the legal entity CAMC Health Network LLC. The organization coordinates care across more than 20 member entities — including hospitals (CAMC, Mon Health, Davis Health System, ARH, Logan Regional Medical Center), federally qualified health centers (Cabin Creek, FamilyCare, West Virginia Health Right), rural health clinics (Robert C. Byrd Clinic, Rural Health Access Corporation), and independent physician practices — through shared data infrastructure, EHR interface support, and population health software accessed via the HealtheIntent registries platform. The organization participates in the CMS Medicare Shared Saving Program and reported shared savings distributions of approximately $3.1 million in Performance Years 2020 and 2022, with clinical outcomes such as Depression Remission at Twelve Months reaching 31.08% against a 17.35% mean benchmark.

The core product surface is the CIN/ACO platform itself: shared data, performance benchmarking, best-practice dissemination, and collectively negotiated value-based payment arrangements with five commercial and Medicaid managed care partners (United HealthCare, Humana, Aetna Better Health of West Virginia, Wellpoint, and The Health Plan). Additional offerings include mobile mammography and low-dose CT lung cancer screening units that travel to community sites across West Virginia, a wholly-owned subsidiary (PARS Healthcare), and an annual cross-stakeholder conference ('Transforming Care Together') entering its sixth year at the Charleston Coliseum and Convention Center.

Revenue is generated through two principal streams: (1) shared savings distributions and administrative fees from the CMS MSSP arrangement, and (2) collectively negotiated value-based contracts with commercial payers and self-funded employers for network physician services. The customer base spans Medicare beneficiaries served through the MSSP, member healthcare providers participating in the network, and commercial/Medicaid managed care plans contracting for value-based care delivery. Governance is exercised through a 12-member ACO board with equal voting power among ACO participant representatives and community stakeholders, including a Medicare beneficiary representative. The organization is a non-profit consortium rather than a single-entity owned business.

Name

Vandalia Health Network

Legal name

CAMC Health Network LLC

Website

https://vandaliahealthnetwork.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Vandalia Health Network operates a physician-led clinically integrated network and Medicare Shared Savings Program ACO in West Virginia, coordinating care across 20+ hospitals, FQHCs, RHCs, and physician practices through shared data, population health software, and value-based contracts with five commercial payers.

Ownership category

akta.pro rank

Product category

Healthcare Provider Network Coordination

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industry

Hospital-Owned Physician Networks & Medical Groups (HLAFAAAL)

Keywords

• Clinically integrated network
• Accountable care organization
• Value-based care coordination
• Population health management
• Medicare shared savings

Headquarters

HQ city

Charleston

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. Medicare Shared Savings Program (MSSP): Revenue generated through CMS Medicare Shared Saving Program as an Accountable Care Organization (ACO). The organization coordinates care for Medicare patients and shares in savings achieved through reduced costs and improved quality metrics.
2. Commercial Health Plan Value-Based Incentives: Collectively negotiated value-based payments with commercial health plans and self-funded employers for network physician services.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Vandalia Health Network is a physician-led clinically integrated network (CIN) and Accountable Care Organization (ACO) that brings together physicians, hospitals, FQHCs, and RHCs through technology, shared data, and performance benchmarks to coordinate care. It operates under the legal entity CAMC Health Network LLC and participates in the CMS Medicare Shared Saving Program (MSSP), while also negotiating value-based contracts with commercial payers and offering mobile preventive screening services across West Virginia.

Product overview

Vandalia Health Network is a clinically-integrated network (CIN) that operates as both a CIN and an Accountable Care Organization (ACO), providing a coordinated healthcare delivery platform. The network's core offerings include the Clinically-Integrated Network platform for physicians and hospitals to share data and performance benchmarks, and the ACO for Medicare Shared Saving Program participation. The organization also operates mobile health services including a Mobile Mammography Unit and Mobile Lung Cancer CT Screening program that deliver preventive care directly to communities. Population health software provides member practices with quality data analytics. An annual conference program supports continuing education and networking for network participants.

Differentiator

Problem solved

Functional benefit

Products and services

• Clinically-Integrated Network (CIN) A physician-led and patient-centered approach to healthcare management and coordination that brings together physicians, hospitals, and health systems through technology, shared data, and performance benchmarks to improve quality of care, enhance patient experience, and reduce healthcare costs. Members receive access to shared best practices, a network-wide quality program, patient quality data and reports, and the resources of a large physician-centric network while remaining independent.
• Accountable Care Organization (ACO) A group of doctors, hospitals, and other healthcare providers who come together voluntarily to deliver coordinated high-quality care to Medicare patients and participate in the CMS Medicare Shared Saving Program (MSSP), sharing in savings achieved through reduced costs and improved quality metrics.
• Population Health Software Platform A technology platform offered to network member physicians and practices that provides access to patient quality data, reports, and EHR interface support for continuous quality improvement of care delivery.
• Mobile Mammography Screening A mobile mammography screening service that travels to various locations across West Virginia to provide breast cancer screening to community members, requiring a referral from a local healthcare provider.
• Mobile Lung Cancer CT Screening A mobile low-dose CT lung cancer screening service that provides screenings at community locations across West Virginia, requiring a referral from a healthcare provider.

Quantifiable outcome

• Shared savings distribution of $3,125,747.22 achieved in Performance Year 2022
• +1 more outcomes

Named customers1 record

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

16 partnerships are on record, tiered core and secondary.

• Charleston Area Medical Center (CAMC)coreStrategic or Co-development PartnerCAMC is the primary organizational host for Vandalia Health Network. The ACO is legally structured as CAMC Health Network LLC. CAMC provides leadership representation on the board and executive positions including ACO President Michelle Coon and Board Chair Jyotirmaya Nanda.
• Mon HealthcoreStrategic or Co-development PartnerMon Health is a participating hospital system member of the network, represented on the ACO governing board.
• Davis Health SystemcoreStrategic or Co-development PartnerDavis Health System participates as a hospital member with representation on the ACO governing board through James Gainer.
• Appalachian Regional Healthcare (ARH)secondaryStrategic or Co-development PartnerARH is a network member hospital system participating in the CIN.
• Cabin Creek Health SystemcoreStrategic or Co-development PartnerFQHC member with multiple locations participating in the network and hosting mobile medical unit events.
• West Virginia School of Osteopathic Medicine (WVSOM)coreStrategic or Co-development PartnerWVSOM provides physician representation on the governing board and hosts educational events including mobile mammography at their Lewisburg location.
• Greenbrier Valley Medical CentersecondaryStrategic or Co-development PartnerCAMC-affiliated hospital member hosting mobile mammography and lung CT screening events.
• United HealthCaresecondaryGTM or Marketing PartnerCommercial payer partner providing resources and portal access for network providers through Practice Assist platform.
• HumanasecondaryGTM or Marketing PartnerCommercial payer partner providing Population Health Compass portal for providers with additional reporting features.
• Aetna Better Health of WVsecondaryGTM or Marketing PartnerMedicaid managed care partner providing prior authorization submission resources and HEDIS toolkit for providers.
• WellpointsecondaryGTM or Marketing PartnerManaged care partner providing access to provider manuals, policies, HEDIS reference, and prior authorization resources.
• The Health PlansecondaryGTM or Marketing PartnerRegional health plan partner providing training, patient care programs, claims support, and clinical support resources.
• CMS (Centers for Medicare & Medicaid Services)coreStrategic or Co-development PartnerFederal agency overseeing the Medicare Shared Saving Program in which the ACO participates. CMS sets quality metrics and performance benchmarks.
• WV Bureau for Medical ServicessecondaryStrategic or Co-development PartnerWest Virginia state agency managing Medicaid programs, providing resources and coordination for network providers.
• West Virginia Health RightsecondaryStrategic or Co-development PartnerFQHC member organization providing care coordination services within the network.
• FamilyCare Health CenterssecondaryStrategic or Co-development PartnerFQHC member providing primary care services within the network.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Collaborative Health Systems: A subsidiary of Centene, CHS operates ACOs and clinically integrated networks for independent practices participating in MSSP. Closely analogous MSSP-focused ACO operator model.
• Agilon Health: Agilon Health partners with primary care physicians to operate value-based care networks serving Medicare Advantage populations. Comparable CIN/ACO operating model and revenue dependence on value-based contracts.
• Aledade: Aledade partners with independent primary care physicians to form ACOs participating in MSSP and other value-based programs. Most directly comparable to Vandalia's physician-led ACO/CIN model.
• Catalyst Health Network: Catalyst Health Network is a Texas-based clinically integrated network of independent primary care physicians participating in MSSP and commercial value-based contracts. Closely comparable regional CIN/ACO model.
• Privia Health: Privia Health operates a national physician enablement platform and medical group network with ACO capabilities serving Medicare and commercial value-based contracts. Highly comparable multi-payer CIN model.
• Astrana Health: Astrana Health (formerly Apollo Medical Holdings) operates value-based care organizations and ACOs serving Medicare Advantage and ACO REACH patients. Directly comparable full-risk ACO and physician network operator.

Broad incumbents

• VillageMD: VillageMD operates value-based primary care clinics and provider networks (including through its relationship with Walgreens Boots Alliance). Comparable value-based primary care and ACO infrastructure at larger scale.
• Evolent Health: Evolent Health provides value-based care enablement services, including ACO management and specialty care management for health plans and provider systems. Comparable enabling services for value-based contracts at greater scale.
• CVS Health (Oak Street Health): CVS Health owns Oak Street Health, a value-based primary care provider serving Medicare beneficiaries. Represents the scaled, well-capitalized incumbent direction the value-based care market is consolidating toward.

Regional players

• CHESS Health Solutions: CHESS operates a clinically integrated network and ACO serving North Carolina providers. Highly analogous physician-led CIN/ACO structure for MSSP and commercial value-based contracts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/vandaliahealthnetwork

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Subsidiaries1 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 Vandalia Health Network