PrimeCare America

What PrimeCare America does

PrimeCare America is a privately held U.S. healthcare solutions company that has operated for over three decades as a multi-service advisory and operations partner to healthcare providers, pharmacies, self-funded employers, and healthcare practice buyers and sellers. Its product surface spans five core offerings: PrimeCare 340B (full-lifecycle 340B drug pricing program management including evaluation, implementation, ESP submission, compliance, and third-party mock auditing via GCA340B), Employer Savings (a bundled payment marketplace combined with pharmacy benefit management, independent PPO networks, and real-time analytics for self-funded employers), Buyer/Seller (healthcare practice valuation with statewide representation enabling values usable in legal settlements and transactions), Remote Therapeutic Monitoring (a reimbursement-driven clinical coordination service for providers and pharmacies built around CMS RTM codes), and Financing (loans and leases supporting acquisition, expansion, or launch of healthcare businesses, with documented capacity up to 100% of acquisition costs).

The company positions itself as a software-and-operations partner layered on top of human advisory expertise, with technology principally oriented to 340B ESP platform data submission, real-time PBM formulary and analytics tooling, and RTM reimbursement workflows rather than AI-native systems. Distribution is dual-channel: direct sales via an internal network of associates with decades of healthcare operating experience, and a partner channel that includes CARR for lease evaluations and GCA340B for compliance auditing, supported by field-based account management and quarterly business reviews.

Revenue mechanics combine professional services (340B program management, practice valuation, M&A advisory), subscription-style recurring arrangements (PBM services, RTM), and origination/financing fees (healthcare practice loans and leases), all priced via quote-based engagements with a complimentary initial 340B evaluation used as a lead-generation mechanism. The firm serves customers throughout the United States, claims representation in every state, and reports quantifiable outcomes including 35% employer savings on bundled networks, a 50%+ lift in eligible patient populations for primary care clients using RTM, and individual transaction outcomes such as a $5.3 million acquisition loan to a southwestern U.S. clinic network.

Name

PrimeCare America

Legal name

PrimeCare America

Website

https://primecareamerica.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

51–100 employees

Short description

PrimeCare America is a privately held U.S. healthcare solutions firm that provides 340B program management, employer PBM and bundled-network savings programs, healthcare practice valuation and acquisition financing, and Remote Therapeutic Monitoring services to healthcare providers, pharmacies, self-funded employers, and healthcare practice buyers and sellers across all 50 states.

Ownership category

akta.pro rank

Product category

Healthcare Business Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Formulary Management & Clinical Pharmacy Programs (HLAEAKAA)

akta.pro secondary industry

Copay Assistance, Patient Support & Affordability Programs (HLAEAKAI)

Keywords

• Healthcare business valuation
• 340B program management
• Pharmacy benefit management
• Remote therapeutic monitoring
• Healthcare acquisition financing

Headquarters

HQ city

Glidden

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 340B Program Management: Comprehensive 340B program services including initial evaluation, implementation, compliance, reporting, audit support, and ESP management for covered entities and contract pharmacy partners.
2. Pharmacy Benefit Management (PBM): PBM services for self-funded employers including formulary management, real-time analytics, pharmacist counseling, medication adherence monitoring, and patient assistance programs.
3. Healthcare Business Valuation: Business valuation services for healthcare practice buyers and sellers with representation in each state. Includes appraisal and financing services up to 100% of acquisition costs.
4. Remote Therapeutic Monitoring (RTM): RTM services for providers and pharmacists enabling increased AWP reimbursements and reduced DIR fees through improved patient engagement and clinical coordination.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels2 records

Core offering

PrimeCare America provides healthcare business solutions to providers, pharmacies, and self-funded employers across the United States. Core offerings include 340B drug pricing program management, Pharmacy Benefit Management (PBM) with bundled payment networks for self-funded employers, healthcare practice business valuation and acquisition financing (up to 100%), and Remote Therapeutic Monitoring (RTM) reimbursement services. The company also partners with CARR to provide free lease evaluation services to healthcare practices.

Product overview

PrimeCare America offers a multi-product healthcare solutions platform consisting of five core service offerings: PrimeCare 340B (specialized 340B drug pricing program management), Employer Savings (a bundled payment marketplace with pharmacy benefit management and independent PPO networks), Buyer/Seller (healthcare business valuation and transactional expertise), Remote Therapeutic Monitoring (RTM) for providers and pharmacies, and Financing services. These products work together to serve healthcare providers, pharmacies, self-funded employers, and healthcare practice owners throughout the United States.

Differentiator

Problem solved

Functional benefit

Products and services

• PrimeCare 340B Comprehensive 340B drug pricing program management for covered entities and contract pharmacy partners, including initial evaluation, implementation, compliance, reporting, audit support, and 340B ESP platform submission management. Includes third-party mock audits for HRSA compliance.
• Employer Savings Pharmacy Benefit Management (PBM) program and bundled payment marketplace designed for self-funded employers to reduce medical costs, featuring direct physician contracting, independent PPO networks, real-time analytics, formulary management, pharmacist counseling, medication adherence monitoring, and patient assistance programs.
• Buyer/Seller Business Valuation Business valuation services for healthcare practice buyers and sellers across all healthcare specialties. PrimeCare has representation in each state with evaluators familiar with unique market characteristics, enabling accurate valuations supported in legal settlements and business sales.
• Remote Therapeutic Monitoring (RTM) Remote Therapeutic Monitoring services for healthcare providers and pharmacies providing an improved reimbursement model, with clinical coordination programs to increase patient engagement, reduce hospitalizations and ER visits, and enable increased AWP reimbursements while reducing DIR fees.
• Healthcare Business Financing Healthcare business financing services assisting medical professionals and business management groups with up to 100% financing for acquisitions, business expansions, or start-ups, including loan and lease programs.

Quantifiable outcome

• 35% savings realized by self-funded employers who added the bundled network
• +5 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered supporting and core.

• CARRsupportingStrategic or Co-development PartnerPrimeCare America partners with CARR to provide lease evaluation services free of charge to healthcare practices. The partnership aims to help ensure practices maximize profitability through real estate by offering professionally negotiated leases.
• GCA340BcoreImplementation/ SI/ Consulting PartnerGCA340B serves as the third-party auditor for annual mock audits to ensure HRSA compliance and provides annual updates of Policy and Procedures for PrimeCare America's 340B program clients.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• Avita Pharmacy: Avita is a 340B specialty pharmacy contract pharmacy partner — comparable to PrimeCare's contract pharmacy partnerships and 340B program services on the covered-entity side.
• CareSimple: CareSimple delivers Remote Patient and Therapeutic Monitoring software to providers — an emerging competitor in the same RTM reimbursement category PrimeCare targets for providers and pharmacies.
• Wellvana: Wellvana enables direct physician contracting and value-based care networks for self-funded employers — directly comparable to PrimeCare's bundled payment marketplace and independent PPO network approach.

Direct peers

• Sentry Data Systems: Sentry Data Systems is a 340B program management platform serving covered entities and contract pharmacies — directly competing with PrimeCare's core 340B offering through software, compliance, and ESP management.
• Macro Helix: Macro Helix provides 340B software and services including split-billing, contract pharmacy, and HRSA compliance — directly comparable to PrimeCare's 340B evaluation, implementation, and audit support.
• SunRx: SunRx is a transparent PBM serving self-funded employers with formulary management and real-time analytics — directly competing with PrimeCare's Employer Savings PBM offering on a transparency differentiation.
• Health Recovery Solutions: Health Recovery Solutions provides Remote Therapeutic Monitoring platforms and clinical coordination programs to reduce readmissions — directly comparable to PrimeCare's RTM offering and clinical coordination outcomes.
• CaptureRx: CaptureRx is a 340B solutions provider focused on contract pharmacy program management and compliance — overlapping PrimeCare's 340B professional services and ESP platform submission work.

Broad incumbents

• Express Scripts: Express Scripts (Cigna) is a large incumbent PBM offering formulary management and pharmacy benefit administration — PrimeCare competes for self-funded employer wallet share against its scale and rebate leverage.
• OptumRx: OptumRx is one of the largest PBMs in the U.S., providing formulary management, pharmacy network, and analytics services — PrimeCare's transparent PBM positioning competes against OptumRx's scale advantages.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/primecare-america

Revenue estimate

Valuation estimate

Number of profiles

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 PrimeCare America