Icario
Icario is a US health action company that sells outcome-based member engagement programs and its Aivella Platform-as-a-Service to Medicare Advantage and Medicaid health plans to improve Star Ratings, close care gaps, and drive health equity outcomes.
- Company typePrivate
- Founded2006
- HeadquartersMinneapolis, United States
- Headcount—
- GTM typeB2B
- OfferingSoftware
What Icario does
Icario is a privately held US health action company headquartered in St. Louis Park, Minnesota, that sells outcome-based member engagement programs to Medicare Advantage and Medicaid health plans. The company monetizes only on achieved outcomes — HRA completions, care gaps closed, CAHPS/HOS score improvements, Star Ratings gains, and rewards-program participation — under multi-year enterprise contracts sourced through direct field sales, with no channel partners or resellers referenced. Its named customer base includes Molina Healthcare in the Medicaid segment.
The core technology is Aivella, a headless, API-first, machine learning-ready Platform-as-a-Service with five modules (Engage, Assess, Move, Motivate, Converge) that supports omnichannel outreach across five channels and integrates with health plan clinical and member ecosystems. Layered on Aivella are vertical engagement programs: Health Risk Assessments, Gaps in Care, CAHPS & HOS surveys, Rewards & Incentives (including the Icario Benefits Care Card), the Agent Portal, the Star Navigator tool, the Health Equity Index solution, the Digital Bridge Program, and the Mom & Baby Prenatal Program. Reported client outcomes include 2x+ increases in HRA completions, 85% care gap closure among activated members, 56% churn reduction, and 400% program ROI in rewards deployments.
The company is led by CEO Jeff Fritz, with Chief Medical Officer Robert Mirsky, VP of Strategy & Sales Enablement Cory Busse, and Senior Director of Analytics & Data Science Peter Eliason. Strategic partnerships include Shared Purpose Connect (SDoH roundtables, 2019) and Rex Wallace Consulting (2025 Star Ratings webinar). No funding rounds, ownership details, or financial disclosures are publicly available, and revenue, headcount, and founding date are not stated in the available sources.
Icario firmographics
Firmographics- Name
- Icario
- Legal name
- Icario, Inc.
- Website
- https://icariohealth.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Short description
- Icario is a US health action company that sells outcome-based member engagement programs and its Aivella Platform-as-a-Service to Medicare Advantage and Medicaid health plans to improve Star Ratings, close care gaps, and drive health equity outcomes.
- Ownership category
- akta.pro rank
Icario industry classification
Industry- Product category
- Healthcare Member Engagement Software
- NAICS
- Health Care and Social Assistance (62)
- SIC
- Services-Health Services (8000), Services-Prepackaged Software (7372)
- akta.pro primary industry
- Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
Where Icario is headquartered
LocationHeadquarters
- HQ city
- Minneapolis
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Icario business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Outcome-Based Health Action Programs: Pay-for-outcomes model where Icario is compensated based on measurable health outcomes achieved. The company states 'Icario is a health action company so you only pay for outcomes.' Programs include Health Risk Assessments, care gap closure, CAHPS/HOS improvement, and rewards programs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Multi-year contract | Outcome-based health action programs |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels7 records
Icario product offering
Product offeringCore offering
Icario sells a health action platform-as-a-service called Aivella that runs personalized, omnichannel member engagement programs for Medicare Advantage and Medicaid health plans. Its core offerings include Health Risk Assessments, Gaps in Care outreach, CAHPS/HOS survey programs, Rewards & Incentives (including the Icario Benefits Care Card), Medicare Star Ratings optimization, Health Equity Index support, and the Icario Agent Portal — all delivered under an outcome-based pricing model where clients pay for measurable results.
Product overview
Icario is a health action company offering a unified member engagement platform-as-a-service called Aivella, along with specialized engagement programs. The platform combines advanced analytics, personalized content, and omnichannel outreach across 5 channels. Key engagement programs include Health Risk Assessments (HRA), Gaps in Care, CAHPS & HOS survey programs, and Rewards & Incentives (including the Benefits Care Card). For Medicare Star Ratings, Icario provides Star Navigator tool, Health Equity Index support, and 2026 Star Ratings guidance. Additional services include the Agent Portal for real-time insights, Pre-CAHPS Surveys, Propensity Modeling, Digital Bridge Program for digital equity, and the Mom & Baby Prenatal Program. The Aivella platform is API-first and machine learning-ready, enabling integration with health plan ecosystems while offering built-in modules for Engage, Assess, Move, Motivate, and Converge.
Differentiator
Problem solved
Functional benefit
Brands
- Aivella: Platform-as-a-Service product designed to enable modern, streamlined member engagement, provide enhanced data and insights, and seamlessly integrate with health plans' broader clinical and member ecosystems. Features include headless API-first architecture, machine learning capabilities, and dynamic omni-channel outreach.
- Star Navigator
- Health Equity Index
- Digital Bridge Program
Products and services
- Aivella Platform Icario's proprietary Platform-as-a-Service that integrates advanced analytics, personalized content, omnichannel outreach, and reward strategies for Medicare Advantage and Medicaid health plans. API-first architecture integrates with health plan ecosystems and supports next-best-engagement AI solutions.
- Health Risk Assessments (HRA) High-ROI HRA programs delivered to health plan members to gather SDoH, ADL, and care gap data while increasing HRA completion rates through personalized, multichannel outreach.
- Gaps in Care Programs Outreach and intervention programs designed to close care gaps through personalized member engagement, with reported 85% of activated members closing one or more care gaps.
- CAHPS & HOS Programs Pre-CAHPS and pre-HOS survey programs that move CAHPS and HOS scores for Medicare Advantage plans using digital outreach, with reported 86.5% overall participation rate and 2x projected completion rate.
- Rewards & Incentives (R&I) Programs that tie rewards to healthy actions to incentivize member engagement, including the Icario Benefits Care Card for flexible multi-benefit funds. Reported 400% program ROI and 56% decrease in churn.
- Medicare Star Ratings Solutions Programs and tools to help Medicare Advantage plans move Star Ratings higher, including 2026 Star Ratings guidance, strategic planning, and performance optimization across Stars measures.
- Icario Agent Portal Reporting and insights platform that empowers agents to capture HRAs effortlessly during enrollment with real-time performance visibility and member-level insights.
- Health Equity Index (HEI) Solution that helps Medicare Advantage plans address health disparities and capture HEI rewards by targeting members with Social Risk Factors, including LIS, DSNP, and members with disabilities.
- Star Navigator Tool Complimentary tool that provides health plans with insights into their unrounded Medicare Star Rating, scenario planning capabilities, and identification of measures closest to improving Star Ratings.
- Mom & Baby Prenatal Program Comprehensive prenatal program designed to improve maternal and infant health outcomes through engagement, with reported nearly 10,000 critical prenatal, postpartum, and well-child activities completed.
- Digital Bridge Program Program that helps plans improve broadband access and digital literacy for Medicaid and Medicare members through free or low-cost devices, internet service provider access, and technical troubleshooting support.
- Pre-CAHPS Surveys Strategic pre-CAHPS survey programs that help Medicare Advantage plans enhance member satisfaction, retention, and CAHPS scores with actionable behavioral insights and early indicators of Star Ratings challenges.
- Icario Benefits Care Card Flexible multi-benefit card offering that helps plans give members a flexible way to use reward incentives for grocery, transportation, and other health-related funds.
Quantifiable outcome
- 2x+ increase in HRA completions
- +4 more outcomes
Companies that use Icario
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles3 records
Icario technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability8 records
Feature8 records
Icario partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered minor and core.
- Rex Wallace ConsultingminorRex Wallace Consulting partnered with Icario for 2025 Star Ratings webinar, providing strategic consulting expertise on Medicare Star Ratings performance and health plan strategy.
- Shared Purpose ConnectcoreIcario partnered with Shared Purpose Connect for virtual roundtables on social determinants of health, hosting expert panels discussing how SDoH insights and personalized interventions can drive health action. Collaborated on multiple webinar events including 'Are We Missing the Boat on SDoH?' roundtable.
Scale indicators17 records
Recent moves6 records
Expansion highlights5 records
Icario competitors and assessment
Company assessmentEmerging players
- Reveleer: Reveleer is a healthcare technology company focused on risk adjustment, quality improvement, and member data aggregation for health plans — adjacent to Icario's Stars/HEI analytics work but with a stronger emphasis on chart retrieval and HCC coding.
Broad incumbents
- Cotiviti: Cotiviti provides payment accuracy, risk adjustment, and quality/stars analytics to health plans at scale — offering overlapping Stars and quality measure capabilities as part of a broader portfolio competing for the same payer budget.
- Optum (UnitedHealth Group): Optum is the largest healthcare services and analytics platform, offering in-house member engagement, Stars optimization, and risk-adjustment tools to UnitedHealth and external payers — a broad incumbent that competes with and could absorb Icario's TAM.
- Health Catalyst: Health Catalyst is a healthcare analytics and population health platform serving payers and providers, with overlapping Stars, HEDIS, and member-level analytics capabilities, though its broader portfolio targets systems and ACOs as well.
Direct peers
- ZeOmega: ZeOmega provides the Jiva population health management platform to Medicaid and Medicare payers, including member engagement, care gap analytics, and SDoH workflows that overlap with Icario's Aivella platform capabilities.
- Healthmine: Healthmine is a member engagement platform specifically built for Medicare Advantage plans, offering rewards, HRA, and Stars-focused outreach — a tightly overlapping specialty peer to Icario's MA segment.
- mPulse Mobile: mPulse Mobile is a healthcare member engagement platform that delivers omnichannel SMS, IVR, and email outreach to drive HRA completion, care gap closure, and Stars improvement for Medicare and Medicaid health plans — directly overlapping Icario's core offering and target buyers.
- Welltok: Welltok operates a consumer activation platform for health plans, combining predictive analytics with omnichannel outreach to drive Stars, HEDIS, and CAHPS performance — the same buyer persona and outcome-based value proposition as Icario.
- NovuHealth (Reward Health): NovuHealth / Reward Health pioneered Medicare-focused member rewards and incentives programs that close care gaps and improve Stars, directly competing with Icario's Rewards & Incentives and Benefits Care Card offerings.
- Carenet Health: Carenet Health provides healthcare engagement and clinical support services, including member outreach, HRA administration, and Stars support for Medicare Advantage and Medicaid plans — competing with Icario for the same health plan contracts and programs.
Market position
Strengths1 record
Competitive moat5 records
Key highlights1 record
Customer concentration
Icario social profiles
Digital presenceIcario financial estimates
Financial estimateRevenue estimate
Valuation estimate
Icario leadership team
Management profileNumber of profiles
Profiles4 records
Icario funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Icario 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 Icario
What does Icario do?
Icario sells a health action platform-as-a-service called Aivella that runs personalized, omnichannel member engagement programs for Medicare Advantage and Medicaid health plans. Its core offerings include Health Risk Assessments, Gaps in Care outreach, CAHPS/HOS survey programs, Rewards & Incentives (including the Icario Benefits Care Card), Medicare Star Ratings optimization, Health Equity Index support, and the Icario Agent Portal — all delivered under an outcome-based pricing model where clients pay for measurable results.
Is Icario a public or private company?
Icario is a private company. It is classified as unknown and is currently operating.
When was Icario founded?
Icario was founded in 2006.
Where is Icario based?
Icario is headquartered in Minneapolis, United States, in the North America region.
How does Icario make money?
One revenue line is on record: outcome-Based Health Action Programs.
Who are Icario's main competitors?
Reveleer is listed as an emerging player. Broad incumbents are Cotiviti, Optum (UnitedHealth Group) and Health Catalyst. Direct peers are ZeOmega, Healthmine, mPulse Mobile, Welltok, NovuHealth (Reward Health) and Carenet Health.
Does Icario have an API?
No public API is recorded for Icario.
What industry is Icario in?
Icario's product category is Healthcare Member Engagement Software. Its primary akta.pro industry code is FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 62 and its SIC code is 8000.