Icario

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.

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

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

• Member engagement platform
• Health action software
• Medicare Star Ratings
• Care gap closure
• Health plan analytics

Headquarters

HQ city

Minneapolis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. 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

Go-to-market motion1 record

Distribution channels1 record

Marketing channels7 records

Core 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

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability8 records

Feature8 records

Partnerships

Two partnerships are on record, tiered minor and core.

• Rex Wallace ConsultingminorStrategic or Co-development Partner · 1 January 2025Rex 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 ConnectcoreStrategic or Co-development Partner · 21 November 2019Icario 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

Emerging 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

• YouTubeyoutube.com/@icariohealth
• LinkedInlinkedin.com/company/icario

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

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 Icario