Avail Health
Avail Health is a clinician-led virtual care delivery company providing behavioral health, dementia care, and risk adjustment services to Medicare-aged adults across five U.S. states (CA, OH, IN, MD, WV), billing Medicare and major Medicare Advantage plans and participating in the CMS GUIDE Model for dementia care.
- Company typePrivate
- Founded2024
- HeadquartersDanville, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
What Avail Health does
Avail Health is a clinician-led, tech-enabled virtual care delivery company serving Medicare-aged adults across the United States. Founded in 2024 and headquartered in Danville, California, the company operates a portfolio of three integrated services delivered via telemedicine and remote care platforms: Comprehensive Behavioral Health (virtual psychiatry, therapy, and nurse care management), Dementia Care Management (structured care and caregiver support delivered under the CMS GUIDE Model), and Risk Adjustment & Management (multi-disciplinary care for institutionalized and high-acuity members, including I-SNP support). Services are coordinated by interprofessional teams that include board-certified psychiatric nurse practitioners, licensed therapists, and nurse care managers, and the company uses remote therapeutic monitoring and data-driven treatment approaches to manage Medicare beneficiaries in their homes and senior living communities.
The company monetizes through professional services billing to Medicare, Medicare Advantage, Medi-Cal, and commercial insurers, supplemented by value-based care arrangements with health plans, ACOs, IPAs, and MSOs in which compensation is tied to outcomes, cost savings, STAR ratings, and HEDIS measure closure. Its go-to-market is enterprise B2B sales targeting Medicare Advantage plans, ACOs, and senior living operators, with a secondary patient-referral channel via website and fax. Operations are structured as state-specific professional corporations in California, Ohio, Indiana, Maryland, West Virginia, and a pre-incorporated Florida PC, with active patient services in five states and publicly stated plans to add Florida, Arizona, and Texas.
Ownership is founder-controlled (Joe Harrison, ARNP, CEO; Randy Gross, Esq., Co-Founder/General Counsel) with no disclosed institutional investors, no funding rounds, and no public listing. The company maintains HIPAA-compliant privacy practices across a joint notice covering its multiple legal entities, integrates with state health information exchanges (e.g., CRISP in Maryland), and is supported by a 10-member advisory board with deep geriatric, value-based care, and health-tech operating experience.
Avail Health firmographics
Firmographics- Name
- Avail Health
- Legal name
- Avail Health, Inc.
- Website
- https://availhealthcare.co
- Company type
- Private
- Founded year
- 2024
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Avail Health is a clinician-led virtual care delivery company providing behavioral health, dementia care, and risk adjustment services to Medicare-aged adults across five U.S. states (CA, OH, IN, MD, WV), billing Medicare and major Medicare Advantage plans and participating in the CMS GUIDE Model for dementia care.
- Ownership category
- akta.pro rank
Avail Health industry classification
Industry- Product category
- Virtual Geriatric Care Services
- NAICS
- Offices of Physicians, Mental Health Specialists (621112), Outpatient Mental Health and Substance Abuse Centers (621420)
- SIC
- Services-Health Services (8000)
- akta.pro industry
- Virtual Behavioral Health Integration PlatformsHealthcare & Life Sciences/Telehealth Platforms/Provider-Integrated Virtual Care Platforms (Health Systems/Clinics)Chronic Condition Virtual Care & Disease Management (Payer-Sponsored)Virtual Specialty Care Programs (Payer-Sponsored)
Keywords
Where Avail Health is headquartered
LocationHeadquarters
- HQ city
- Danville
- HQ country
- United States
- HQ region
- North America
Offices5 records
Markets served
Avail Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Virtual Healthcare Services Billing: Virtual psychiatry, therapy, and nurse care management services billed to Medicare, Medicare Advantage plans, and other insurance providers. Services are provided to patients in their homes and communities.
- Value-Based Care Partnerships: Revenue generated through value-based care arrangements with health plans, ACOs, and Medicare Advantage plans. Compensation tied to outcomes, cost savings, and quality metrics (STAR ratings, HEDIS measure closure).
- CMS GUIDE Model Dementia Care: Dementia care management services under CMS GUIDE Model, with revenue sharing opportunities for practice partners and payments to senior living partners for qualifying services.
- Risk Adjustment Services: Multi-disciplinary medical and care management for institutionalized and high-acuity members, improving documentation and coding integrity for partner revenue targets.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Pay-as-you-go | Insurance-covered healthcare services - no direct patient billing |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels3 records
Avail Health product offering
Product offeringCore offering
Avail Health is a clinician-led virtual healthcare organization that delivers behavioral health, dementia care, and risk adjustment services directly into Medicare-aged adults' homes and communities. Its three core service lines are Comprehensive Behavioral Health (virtual psychiatry, therapy, and nurse care management), Dementia Care Management (structured care and caregiver support as a CMS GUIDE Model participant), and Risk Adjustment & Management (multi-disciplinary care for institutionalized and high-acuity members including I-SNP support). Services are reimbursed through Medicare, Medicare Advantage, Medi-Cal, and commercial insurers via value-based care partnerships.
Product overview
Avail Health is a clinician-led virtual healthcare organization offering an integrated suite of services for Medicare-aged adults. The portfolio consists of three core offerings: Comprehensive Behavioral Health (virtual psychiatry, therapy, and nurse care management), Dementia Care Management (CMS GUIDE Model participant providing structured care and caregiver support), and Risk Adjustment & Management (multi-disciplinary care for institutionalized and high-acuity members, including I-SNP support). Services are delivered through an interprofessional team-based care model directly into patients' homes and communities via virtual care platforms.
Differentiator
Problem solved
Functional benefit
Products and services
- Comprehensive Behavioral Health Virtual psychiatry, therapy, and nurse care management services delivered to Medicare-aged adults that close behavioral health access gaps, reduce avoidable utilization, and improve member satisfaction. Delivered through interprofessional teams directly into patients' homes and communities.
- Dementia Care Management Structured dementia care management, caregiver support, and coordinated services that reduce costly hospitalizations for Medicare beneficiaries. Avail Health is a participant in the CMS GUIDE Model and offers revenue sharing to practice partners and payments to senior living partners for qualifying services.
- Risk Adjustment & Management Multi-disciplinary medical and care management services for institutionalized and high-acuity members, including I-SNP support, clinical oversight, and proactive care management designed to improve documentation accuracy, coding integrity, and reduce readmissions for partner organizations.
Quantifiable outcome
- Reduces avoidable hospital use and ED utilization
- +7 more outcomes
Companies that use Avail Health
Customer profileNamed customers9 records
Segments5 records
Ideal customer profiles4 records
Avail Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Avail Health partnerships and signals
Strategic signalPartnerships
Twelve partnerships are on record, tiered core.
- CMS (Centers for Medicare & Medicaid Services)coreAvail Health is a participant in CMS's GUIDE Model, bringing structured dementia care management, caregiver support, and coordinated services. This partnership enables the company to deliver scalable, value-driven dementia care aligned with CMS priorities and generates revenue through CMS reimbursement for qualifying services.
- Medi-CalcoreCalifornia's Medicaid program covering eligible low-income adults, families, seniors, and people with disabilities. Avail Health accepts Medi-Cal for covered healthcare services in California.
- Alignment HealthcoreMedicare Advantage plan provider. Avail Health accepts Alignment Health insurance for covered services delivered to their members.
- Blue Zones HealthcoreMedicare Advantage plan provider. Avail Health accepts Blue Zones Health insurance for covered services.
- SCAN Health PlancoreMedicare Advantage plan focused on seniors. Avail Health accepts SCAN Health Plan insurance for covered healthcare services.
- AetnacoreMajor national health insurance provider. Avail Health accepts Aetna insurance plans for covered services in California.
- United HealthcarecoreMajor national health insurance provider. Avail Health accepts United Healthcare insurance plans for covered services.
- HumanacoreMedicare Advantage and health insurance provider. Avail Health accepts Humana insurance plans for covered healthcare services.
- Blue Cross of CaliforniacoreCalifornia's Blue Cross affiliate. Avail Health accepts Blue Cross of California insurance plans for covered services.
- Value-Based Care Partners (Health Plans, ACOs, IPAs, MSOs)coreStrategic partnerships with health plans, Medicare Advantage plans, ACOs, IPAs, and MSOs to deliver integrated virtual behavioral health, dementia care, and risk adjustment services. Partnerships aim to reduce hospitalizations, improve quality metrics, and lower total cost of care.
- Senior Living PartnerscorePartnerships with Independent Living, Assisted Living, Memory Care, and Board & Care operators. Avail Health provides behavioral health services and dementia care coordination, with CMS GUIDE Model participation enabling additional revenue payments to partners for qualifying services.
- Practice PartnerscorePartnerships with medical groups and primary care practices to integrate behavioral health services through virtual psychiatry, therapy, and nurse care management programs. Includes revenue sharing through CMS GUIDE Model dementia care program.
Scale indicators2 records
Recent moves7 records
Expansion highlights5 records
Avail Health competitors and assessment
Company assessmentDirect peers
- Brightside Health: Virtual mental health provider combining therapy and psychiatry with payor contracting. Comparable on virtual behavioral health delivery, clinician-led model, and insurance billing.
- Tembo Health: Virtual neurology and dementia-specialty care for seniors, often delivered into senior living communities. Comparable on dementia focus, senior living partnerships, and virtual delivery to Medicare populations.
- Patina Health: Virtual-first primary care built specifically for older adults on Medicare Advantage. Comparable in target population (MA seniors), virtual delivery model, and value-based partnership GTM.
- Talkspace: Public virtual behavioral health platform with payor and enterprise partnerships serving diverse populations. Comparable in virtual therapy/psychiatry delivery and payor-billed revenue model, though Avail focuses specifically on seniors.
- Talkiatry: Virtual psychiatry platform delivering psychiatric care to patients including Medicare populations via payor contracts. Directly comparable to Avail's virtual psychiatry offering and insurance-billed model.
- Cerebral: Virtual mental health platform offering therapy, psychiatry, and care management. Comparable service mix (psychiatry, therapy, care coordination), though Cerebral skews younger/self-pay vs. Avail's Medicare focus.
- Rippl Care: Virtual dementia and neurocognitive care provider for seniors, including Medicare Advantage members. Highly comparable to Avail's dementia care management line and CMS GUIDE-aligned go-to-market.
Emerging players
- Homethrive: Caregiver support and dementia care coordination platform serving older adults and their families, often via payor partnerships. Comparable on dementia care focus and payor-sponsored distribution, with narrower scope than Avail's bundled offering.
Broad incumbents
- Aledade: Value-based care enablement platform partnering with independent primary care practices and ACOs on Medicare contracts. Comparable on ACO/IPA partnership GTM and Medicare risk arrangements, though operates as a network/enabler rather than direct care provider.
- Agilon Health: Public value-based care platform partnering with primary care groups to manage Medicare Advantage populations. Comparable in MA value-based contracting, risk-bearing economics, and senior population focus, but at materially larger scale and with broader primary care scope.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Avail Health compliance and trust
Trust signalCompliance1 record
Avail Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Avail Health leadership team
Management profileNumber of profiles
Profiles22 records
Avail Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Avail Health 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 Avail Health
What does Avail Health do?
Avail Health is a clinician-led virtual healthcare organization that delivers behavioral health, dementia care, and risk adjustment services directly into Medicare-aged adults' homes and communities. Its three core service lines are Comprehensive Behavioral Health (virtual psychiatry, therapy, and nurse care management), Dementia Care Management (structured care and caregiver support as a CMS GUIDE Model participant), and Risk Adjustment & Management (multi-disciplinary care for institutionalized and high-acuity members including I-SNP support). Services are reimbursed through Medicare, Medicare Advantage, Medi-Cal, and commercial insurers via value-based care partnerships.
Is Avail Health a public or private company?
Avail Health is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Avail Health founded?
Avail Health was founded in 2024. It employs 51 to 100 people.
Where is Avail Health based?
Avail Health is headquartered in Danville, United States, in the North America region.
How does Avail Health make money?
Four revenue lines are on record. Virtual Healthcare Services Billing is the primary driver. The others are value-Based Care Partnerships, CMS GUIDE Model Dementia Care and risk Adjustment Services.
Who are Avail Health's main competitors?
Direct peers on record are Brightside Health, Tembo Health, Patina Health, Talkspace, Talkiatry, Cerebral and Rippl Care. Homethrive is listed as an emerging player. Broad incumbents are Aledade and Agilon Health.
Does Avail Health have an API?
No public API is recorded for Avail Health.
What industry is Avail Health in?
Avail Health's product category is Virtual Geriatric Care Services. Its primary akta.pro industry code is HLALABAE, Virtual Behavioral Health Integration Platforms, with a secondary code of HLALACAE, Chronic Condition Virtual Care & Disease Management (Payer-Sponsored). Its NAICS code is 621112 and its SIC code is 8000.