Puzzle Healthcare

What Puzzle Healthcare does

Puzzle Healthcare is a Detroit-based, privately held post-acute care coordination platform founded in 2022 that operates a B2B service model for hospitals, skilled nursing facilities (SNFs), and payors across 15 U.S. states. The company's core offering combines embedded on-site physiatry at SNFs with disease-specific care managers who follow patients from hospital discharge through the SNF stay and continue management for 90 days post-SNF discharge. Its technology stack centers on a proprietary Post-Discharge Tracker that gives health systems visibility into patient health during SNF stays and the 90-day post-discharge window, supplemented by HIPAA-secure instant messaging for care team coordination and structured risk stratification to prioritize interventions aimed at reducing 30-, 60-, and 90-day hospital readmissions.

The platform currently spans 230 SNF deployments, 60+ hospital collaborations, and 18,000–24,000 patients annually in Michigan alone, and is being expanded nationally with growth capital from HCAP Partners (invested December 2025; amount undisclosed). Puzzle sells directly to hospital C-suites, SNF administrators, and payor executives through enterprise field sales, with contracts structured around value-based care outcomes and shared-savings economics rather than disclosed list pricing. The go-to-market motion is anchored in measurable clinical and financial outcomes—readmission reduction, length-of-stay optimization, and total cost of care reduction—and is supported by participation in healthcare industry events, earned media from investment announcements, and an Ernst & Young Entrepreneur of the Year 2026 Michigan/Northwest Ohio award.

The company is HIPAA-compliant, operates with a headcount in the 101–250 range, and competes in the more than $60 billion annual Medicare post-acute market shaped by aging demographics and value-based care reimbursement pressure. Its competitive positioning rests on the vertical integration of physiatry, care management, and post-discharge tracking within a single operating model, generating a proprietary outcomes dataset across its SNF network that compounds over time. Revenue and detailed financial metrics are not publicly disclosed.

Name

Puzzle Healthcare

Legal name

Puzzle

Website

https://puzzlehealthcare.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

101–250 employees

Short description

Puzzle Healthcare is a Detroit-based, value-based post-acute care coordination platform that embeds on-site physiatry and 90-day care management across 230 skilled nursing facilities in 15 states, serving hospitals, SNFs, and payors with a proprietary Post-Discharge Tracker to reduce readmissions.

Ownership category

akta.pro rank

Product category

Post-Acute Care Coordination Services

NAICS

Services for the Elderly and Persons with Disabilities (62412), Services for the Elderly and Persons with Disabilities (624120), Computer Systems Design and Related Services (54151)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Transitions of Care Management (Hospital/SNF/Home) (HLADALAD)

akta.pro secondary industries

Post-Acute & Transitional Care Virtual Platforms (SNF/home health coordination) (HLALABAG), Skilled Nursing Facilities (SNF) (HLAFAFAB)

Keywords

• Post-acute care coordination
• Value-based care services
• Skilled nursing facility support
• Hospital readmission reduction
• On-site physiatry services

Headquarters

HQ city

Detroit

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Go-to-market motion2 records

Distribution channels1 record

Marketing channels3 records

Core offering

Puzzle Healthcare is a post-acute care coordination platform that combines on-site physiatry at skilled nursing facilities (SNFs) with a 90-day dedicated post-discharge care management program spanning hospital discharge, SNF stay, and the 90-day period post-SNF discharge. The platform serves hospitals, SNFs, and payors across 15 states through 230 SNF deployments, using disease-specific care managers, risk stratification, and a proprietary Post-Discharge Tracker to reduce hospital readmissions and total cost of care under value-based arrangements.

Product overview

Puzzle Healthcare operates as a post-acute care coordination platform offering a unified suite of services across Hospital Services, SNF Services, Payor Services, and On-Site Physiatry. The platform centers on a 90-day dedicated care management approach that guides patients from hospital discharge through SNF stay and continues support post-discharge. Key technology tools include the Proprietary Post-Discharge Tracker for patient monitoring and HIPAA-secure messaging for care coordination. Services are delivered through disease-specific care managers and on-site physiatry providers who conduct risk stratification, pain management, and therapy coordination. The architecture is modular, with Hospital Services, SNF Services, and Payor Services representing distinct customer segments, while On-Site Physiatry, Proactive Care Management, and Integrated Care Management function as delivery mechanisms across all segments.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospital Services Post-acute care coordination service for hospitals that delivers readmission prevention, seamless care transitions, and enhanced post-discharge visibility, helping hospital partners reduce readmission penalties under value-based care arrangements.
• SNF Services Care coordination and management service for skilled nursing facilities (SNFs) that delivers enhanced patient care quality, admission streamlining, length-of-stay management, therapy coordination, and improved facility performance metrics.
• Payor Services Value-based care coordination service for health payors that reduces total cost of care through risk-adjusted, outcome-focused interventions, readmission diversion strategies, and proactive post-acute care management.
• On-Site Physiatry On-site physiatry provider service embedded within partner skilled nursing facilities that conducts in-depth patient assessments, risk stratification, pain management, therapy coordination, and Medicare meeting participation to reduce readmissions and elevate SNF care quality.
• Proprietary Post-Discharge Tracker Proprietary software tool that provides health systems with comprehensive visibility into each patient's well-being post-discharge, delivering in-depth insights into patient health during SNF stays and for 90 days post-SNF discharge to enable timely interventions and reduce readmission risks.

Quantifiable outcome

• Remarkable results in reducing readmission rates across 230 SNFs in 15 states
• +2 more outcomes

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• WellSky: Healthcare technology company providing care coordination, analytics, and post-acute software to hospitals, SNFs, and home health agencies. Comparable in serving the same buyer base across the post-acute continuum, though positioned as software rather than a services-led coordinator.
• Strive Health: Value-based kidney care company partnering with health systems and payors to manage CKD/ESRD populations. Comparable in deploying interdisciplinary care teams and risk-bearing contracts for complex Medicare populations, though specialized to nephrology.
• Vesta Healthcare: Value-based care provider for high-need, dual-eligible seniors in home and post-acute settings. Comparable focus on complex Medicare populations, interdisciplinary care teams, and risk-based contracts with payors.

Broad incumbents

• CareMore Health (Anthem): Integrated care delivery subsidiary of Anthem serving complex Medicare and Medicaid patients through coordinated clinical programs. Comparable in serving high-need senior populations with interdisciplinary care models, though operating at scale within a national payor.
• Privia Health: Physician practice enablement and value-based care platform working with medical groups and health systems. Comparable B2B enterprise sales model into provider organizations, with a growing emphasis on risk-bearing arrangements for senior populations.
• Encompass Health: Operator of inpatient rehabilitation hospitals serving post-acute recovery needs. Comparable in the post-acute care continuum and partnerships with hospitals and SNFs, though focused on facility-based IRF care rather than care coordination services.
• CenterWell (Humana): Humana's care delivery arm that includes home health, primary care, and pharmacy serving complex Medicare patients. A scaled incumbent with overlapping capabilities in post-acute and senior care coordination, though operating as part of a much broader portfolio.

Direct peers

• Agilon Health: Value-based care company focused on Medicare Advantage seniors through partnerships with primary care physicians. Comparable in targeting senior populations, value-based reimbursement, and B2B partnership model with provider organizations.
• naviHealth (Optum): Post-acute care coordination platform owned by Optum that partners with health plans and providers to manage post-acute outcomes. Most directly comparable to Puzzle given overlapping value-based post-acute model and buyer base (payors, hospitals, SNFs).
• Aledade: Value-based care platform that partners with independent primary care practices and health systems to take on risk-based contracts. Comparable B2B sales motion into hospitals and providers with a data-driven, outcome-based model serving Medicare populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/puzzle-healthcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds1 record

Investors1 record

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 Puzzle Healthcare