Tfa Analytics
TFA Analytics is a healthcare analytics firm that enables value-based care for complex and seriously ill populations through cost modeling, risk stratification, and benefit-design advisory for state Medicaid agencies, payers, and provider systems.
- Company typePrivate
- Founded-
- HeadquartersSan Luis Obispo, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What Tfa Analytics does
TFA Analytics is a healthcare analytics and consulting firm that enables value-based care for complex and seriously ill populations. The company is organized around five core capabilities — Cost Modeling, Value Calculations and Pricing, Population Identification and Risk Stratification, Performance Management, and Network and Utilization Management — delivered through structured "Pathway to Risk" programs. The firm claims a 33% reduction in total cost of care across its engagements and operates in 14 or more US states including Hawaii, Louisiana, Colorado, Maine, Maryland, and Ohio. Its platform holds SOC 2 Type II certification, allowing it to handle protected health data for state Medicaid and payer engagements.
The company's customers are healthcare payors (Medicaid agencies and health plans), providers (health systems, hospice and home health agencies such as Care Oregon, Housecall Providers, Adventist Health, and OHSU), and policy coalitions (C-TAC, NASHP, AHA, Together for Supportive Cancer Care). TFA Analytics was founded and is led by Torrie Fields (MPH), with a small core team supplemented by advisors in operations and security (Rick A. Moore, CISO). The firm leverages coalition partnerships as a primary go-to-market channel to access state Medicaid and enterprise payer opportunities.
The business model is enterprise consulting and managed services rather than a self-serve software product: no public app or API is offered, no pricing is disclosed, and there are no announced funding rounds. Revenue mechanics appear to rest on multi-month to multi-year advisory and implementation engagements with state Medicaid agencies and provider systems, where TFA Analytics contributes cost modeling, benefit design, and risk stratification work in exchange for fees that are not publicly broken out.
Tfa Analytics firmographics
Firmographics- Name
- Tfa Analytics
- Legal name
- TFA Analytics
- Website
- https://tfa-analytics.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- TFA Analytics is a healthcare analytics firm that enables value-based care for complex and seriously ill populations through cost modeling, risk stratification, and benefit-design advisory for state Medicaid agencies, payers, and provider systems.
- Ownership category
- akta.pro rank
Tfa Analytics industry classification
Industry- Product category
- Healthcare Analytics
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)
- akta.pro secondary industry
- Workers’ Compensation & Occupational Health TPA (HLAEALAL)
Keywords
Where Tfa Analytics is headquartered
LocationHeadquarters
- HQ city
- San Luis Obispo
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Tfa Analytics business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations
Revenue model
- Value-Based Care Enablement Services: TFA Analytics provides technology-driven value-based care enablement platform services to help payors and providers develop and manage high-performing networks. Revenue appears to be derived from consulting and platform services focused on reducing total cost of care through value-based arrangements.
Go-to-market motion3 records
Distribution channels4 records
Marketing channels4 records
Tfa Analytics product offering
Product offeringCore offering
TFA Analytics operates a technology-enabled value-based care enablement platform that helps healthcare payors, providers, and communities develop and manage high-performing provider networks for complex and seriously ill populations. The platform combines five analytical capabilities (Cost Modeling, Value Calculations and Pricing, Population Identification and Risk Stratification, Performance Management, and Network and Utilization Management) delivered through structured Provider and Payor Pathway to Risk programs. The company also provides actuarial analysis, policy consulting, and technical assistance to state Medicaid agencies.
Product overview
TFA Analytics offers a technology-enabled, two-sided value-based care enablement platform that connects payors and providers to facilitate better integration through value-based arrangements. The platform consists of five core analytical capabilities — Cost Modeling, Value Calculations and Pricing, Population Identification and Risk Stratification, Performance Management, and Network and Utilization Management — delivered through structured Pathway to Risk programs for both providers and payors. The platform helps payors and providers develop and manage high-performing networks of independent providers and supports the transition of people with complex conditions from uncoordinated to value-based care.
Differentiator
Problem solved
Functional benefit
Products and services
- Value-Based Care Enablement Platform A technology-enabled, two-sided value-based care enablement platform that helps healthcare payors, providers, and communities develop and manage high-performing networks of independent providers and supports the transition of people with complex conditions from uncoordinated to value-based care. Delivered as a SOC 2 Type II certified platform with five core analytical capabilities.
- Provider Pathway to Risk A structured progression program for healthcare providers (health systems, hospitals, hospice providers, home health agencies) to move from uncoordinated care to value-based arrangements, including assessment, implementation, monitoring, scaling, and value realization stages.
- Payor Pathway to Risk A structured progression program for healthcare payors (health plans, Medicaid agencies, Medicare plans, managed care organizations) to transition populations with complex conditions into value-based care, including assessment, implementation, monitoring, scaling, and value realization stages.
Quantifiable outcome
- Reduce total cost of care by 33%
- +1 more outcomes
Companies that use Tfa Analytics
Customer profileNamed customers10 records
Segments4 records
Ideal customer profiles3 records
Tfa Analytics technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Tfa Analytics partnerships and signals
Strategic signalPartnerships
Eleven partnerships are on record, tiered core and major.
- Together for Supportive Cancer CarecoreTFA Analytics joined this national coalition of over 40 organizations to expand early, equitable access to whole-person supportive care for all people with cancer. TFA Analytics collaborates within the research workstream to promote new and existing research.
- National Academy for State Health Policy (NASHP)coreTFA Analytics provides technical support and actuarial analysis to state teams selected for NASHP's State Policy Institute to Improve Care for People with Serious Illness, assisting with development of state-specific actuarial models for Medicaid palliative care benefits.
- American Heart Association (AHA)coreTFA Analytics collaborates with AHA and C-TAC on the Palliative Care in Heart Failure (PCHF) initiative, which aims to establish criteria for palliative care referrals and develop standardized processes for heart failure patients.
- Coalition to Transform Advanced Care (C-TAC)coreTFA Analytics maintains a close strategic partnership with C-TAC, working together on the ACT Index, palliative care policy initiatives, and multi-payor learning collaboratives. Torrie Fields serves as Strategic Advisor at C-TAC while also leading TFA Analytics.
- C-TAC InnovationsmajorC-TAC Innovations, along with HPCANYS and TF & Associates (TFA), partnered to develop recommendations to expand access to palliative care and caregiver services in New York State through state benefit design.
- Goals of Care Coalition of New JerseymajorPartners with TFA Analytics and C-TAC in the Multi-Payor Learning Collaborative to identify gaps in palliative care access for cancer patients and advocate for increased access and workforce training.
- Adventist HealthmajorWorking with TFA Analytics to pilot a reimbursement mechanism for Community Based Nursing Services (CBNS) delivery to high-risk and complex beneficiaries in Oregon, in partnership with OHSU.
- Oregon Health and Sciences University (OHSU)majorPartnering with Adventist Health and TFA Analytics to pilot CBNS reimbursement mechanisms for high-risk beneficiaries in the Tillamook region of Oregon.
- CBIZ OptumasmajorWorked with TFA Analytics under subcontract with NASHP to develop actuarial analysis for Medicaid palliative care benefits, including the report 'Palliative Care in Medicaid Costing Out the Benefit.'
- Care OregonmajorPartner health organization collaborating on palliative care and value-based care initiatives, including the CareOR Housecall Providers project.
- Housecall ProvidersmajorPartner provider organization in the CareOR initiative, delivering home-based care and palliative care services to Medicaid members.
Scale indicators4 records
Recent moves6 records
Expansion highlights5 records
Tfa Analytics competitors and assessment
Company assessmentBroad incumbents
- Aledade: Aledade partners with primary care providers and health plans to build value-based care networks with shared analytics, risk stratification, and performance management — comparable in spirit to TFA's two-sided network enablement platform.
- Evolent Health: Evolent Health is a large public value-based care services company serving health plans, providers, and Medicaid programs with population health, specialty care management, and analytics — overlapping TFA's payor-provider enablement work at greater scale.
- Health Catalyst: Health Catalyst provides enterprise healthcare data and analytics infrastructure, including population health, cost-of-care, and performance benchmarking modules that overlap with TFA's core analytics capabilities.
Direct peers
- Aspire Health (CenterWell): Aspire Health, part of CenterWell, delivers community-based palliative care to seriously ill patients covered by Medicare Advantage and other health plans. Its payor-aligned palliative model closely mirrors TFA's serious-illness focus.
- Cedar Gate Technologies: Cedar Gate provides value-based care analytics, payment model design, and population health software for payers and providers — directly analogous to TFA's Cost Modeling, Value Calculations, and Risk Stratification capabilities.
- Turn-Key Health (CenterWell): Turn-Key Health, acquired by Humana/CenterWell, provides palliative care solutions and actuarial/analytics support to health plans serving complex and seriously ill populations — directly overlapping TFA's payor-facing serious-illness value-based care work.
- Vital Decisions: Vital Decisions is a healthcare company that works with health plans and providers to enable advance care planning and serious-illness patient engagement, sharing TFA's focus on complex-population, value-based conversations.
- Archway Health: Archway Health helps providers and payers design and operate value-based care arrangements, including specialty and serious-illness populations, with analytics and actuarial support similar to TFA's offering.
Emerging players
- Iris Plans: Iris Plans provides technology-enabled advance care planning and serious-illness engagement for health plans and providers, addressing the same seriously ill, high-cost populations TFA targets through value-based care design.
- Vynca: Vynca offers advance care planning software and serious-illness care planning tools for health systems and payers, intersecting with TFA's serious-illness population focus from a technology rather than actuarial angle.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Tfa Analytics social profiles
Digital presenceTfa Analytics compliance and trust
Trust signalCompliance1 record
Tfa Analytics financial estimates
Financial estimateRevenue estimate
Valuation estimate
Tfa Analytics leadership team
Management profileNumber of profiles
Profiles4 records
Tfa Analytics funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Tfa Analytics 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 Tfa Analytics
What does Tfa Analytics do?
TFA Analytics operates a technology-enabled value-based care enablement platform that helps healthcare payors, providers, and communities develop and manage high-performing provider networks for complex and seriously ill populations. The platform combines five analytical capabilities (Cost Modeling, Value Calculations and Pricing, Population Identification and Risk Stratification, Performance Management, and Network and Utilization Management) delivered through structured Provider and Payor Pathway to Risk programs. The company also provides actuarial analysis, policy consulting, and technical assistance to state Medicaid agencies.
Is Tfa Analytics a public or private company?
Tfa Analytics is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Tfa Analytics founded?
Tfa Analytics was founded in -1. It employs 1 to 10 people.
Where is Tfa Analytics based?
Tfa Analytics is headquartered in San Luis Obispo, United States, in the North America region.
How does Tfa Analytics make money?
One revenue line is on record: value-Based Care Enablement Services.
Who are Tfa Analytics's main competitors?
Broad incumbents on record are Aledade, Evolent Health and Health Catalyst. Direct peers are Aspire Health (CenterWell), Cedar Gate Technologies, Turn-Key Health (CenterWell), Vital Decisions and Archway Health. Emerging players are Iris Plans and Vynca.
Does Tfa Analytics have an API?
No public API is recorded for Tfa Analytics.
What industry is Tfa Analytics in?
Tfa Analytics's product category is Healthcare Analytics. Its primary akta.pro industry code is FSAIAGAI, Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing), with a secondary code of HLAEALAL, Workers’ Compensation & Occupational Health TPA. Its NAICS code is 524292 and its SIC code is 7370.