Mso Of Puerto Rico, Llc

What Mso Of Puerto Rico, Llc does

MSO of Puerto Rico, LLC is a private healthcare administrative services organization and wholly-owned subsidiary of MMM Puerto Rico (MMM Holdings, LLC). Established in Puerto Rico in 2007 as the pioneer entity supporting medical practice through a coordinated care network, MSO administers a network of 14,000+ contracted providers, 14 multispecialty clinics (including Castellana Multisalud, PHM Multisalud, MMM Multiclínica, Todo Salud, and Vita Care), 93 urgent care centers, six Unidad Dorada in-hospital care transition units, 1,000 dental providers (representing roughly 90% of the island's dental providers), and 400-500+ partner pharmacies. It serves nearly 500,000 Medicare Advantage and Medicaid (Plan Vital) beneficiaries, anchoring it as the largest coordinated care delivery platform on the island.

The company's core technology is the InnovaMD provider portal and mobile application, which support care coordination, clinical program administration, real-time pharmacy communication (Innova Chat, Rx Connection Tool), and provider analytics. Surrounding clinical programs include Unidad Dorada (intra-hospital care transitions, achieving an 18% readmission reduction), MMM Te Cuida (post-discharge Clinical Liaison support), the Medication Adherence Program (PAM), My Emotions© (April 2024 mental health self-assessment), OTC A Tu Puerta (free maintenance medication delivery), Five Star Operations (CMS quality program), and the Office Advantage Leadership Academy (provider staff education). The platform and programs operate under HIPAA, NCQA (via parent MMM), and CMS regulatory frameworks, with seven consecutive APG Standards of Excellence Elite awards.

MSO makes money through long-term managed services contracts with MMM Healthcare (Medicare Advantage, ~720,000 beneficiaries cumulatively over 20 years) and MMM Multihealth (Medicaid/Plan Vital), as well as through its wholly-owned IPA subsidiaries, Castellana Physicians Services and PHM Multisalud (the two largest IPAs in Puerto Rico). Distribution runs through direct enterprise sales to health plans (captive parent relationship), provider contracting via DocuSign onboarding, and physical care delivery across its owned clinic, urgent care, hospital, dental, and pharmacy network. Pricing is contract-based and not publicly disclosed.

Name

Mso Of Puerto Rico, Llc

Legal name

MSO of Puerto Rico, LLC

Website

https://mso-pr.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

501–1,000 employees

Short description

MSO of Puerto Rico, LLC is a healthcare administrative services subsidiary of MMM Puerto Rico that manages a coordinated care network of 14,000+ providers, 14 clinics, 93 urgent care centers, and 500+ partner pharmacies serving nearly 500,000 Medicare Advantage and Medicaid beneficiaries across Puerto Rico.

Ownership category

akta.pro rank

Product category

Healthcare Administrative Services

NAICS

HMO Medical Centers (621491)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industries

Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), Medicaid Managed Care HMOs (HLAEAMAI)

Keywords

• Healthcare administration services
• Care coordination
• Provider network management
• Managed care services
• Clinical program management

Headquarters

HQ city

San Juan Capistrano

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Administrative Services / Managed Services: MSO of Puerto Rico provides comprehensive administrative and clinical support services to health plans (MMM Healthcare, MMM Multihealth) and medical groups. Revenue is generated through managed services contracts supporting provider network management, care coordination, clinical programs, pharmacy management, and analytics. The company operates on a value-based care model aligned with shared financial performance with providers.

Pricing tiers

Go-to-market motion2 records

Distribution channels6 records

Marketing channels7 records

Core offering

MSO of Puerto Rico is a healthcare administrative services organization that manages provider networks and delivers coordinated care management for Medicare Advantage (MMM Healthcare) and Medicaid (MMM Multihealth / Plan Vital) beneficiaries across Puerto Rico. It contracts, credentials, and supports a network of 14,000+ healthcare providers; runs clinical programs (Unidad Dorada, Medication Adherence, mental health); operates the InnovaMD digital platform; and delivers pharmacy, analytics, and care transition services on a value-based, managed-services contract basis.

Product overview

MSO of Puerto Rico operates a multi-component healthcare management ecosystem rather than a single unified product. Its core offering centers on coordinated care support for Medicare Advantage and Medicaid beneficiaries through provider network administration, care management programs, and digital platforms. The product portfolio comprises the InnovaMD Provider Portal and InnovaMD Mobile App as the primary digital platforms; clinical programs including Unidad Dorada (intra-hospital care transitions), MMM Te Cuida (post-discharge support), Medication Adherence Program (PAM), and Five Star Operations (quality management); mental health tools such as My Emotions© self-assessment and the Integrated Mental Health Department; pharmacy services including Rx Connection Tool and OTC A Tu Puerta delivery; provider support through Office Advantage Leadership Academy; and a network of healthcare facilities including MMM Multiclínica, Castellana Multisalud, PHM Multisalud, and Vita Care Clinics.

Differentiator

Problem solved

Functional benefit

Brands

• InnovaMD: Provider portal and mobile application platform offered by MSO of Puerto Rico for providers and administrators of medical practices.
• Unidad Dorada
• Office Advantage Leadership Academy
• Programa de Adherencia a Medicamentos (PAM)
• MMM Te Cuida
• My Emotions©

Products and services

• InnovaMD Provider Portal Web-based portal for healthcare providers and practice administrators to access patient data, exchange clinical information, and manage administrative tasks within MSO's network.
• InnovaMD Mobile Application Mobile application for MMM members and providers offering prescription refill with home delivery, pharmacy locator, medication price comparison, and real-time drug interaction alerts.
• Unidad Dorada (In-Hospital Care Transition Program) Intra-hospital care transition program operating 6 dedicated units at partner hospitals across Puerto Rico, providing specialized care coordination, caregiver support, and discharge planning for MMM Medicare Advantage members.
• Medication Adherence Program (PAM) Pharmacy-based medication adherence program with 400+ participating pharmacies, integrating pharmacists as part of the care team to improve adherence and therapy safety for chronic disease patients.
• OTC A Tu Puerta Medication Delivery Service Free home delivery service for maintenance medications to MMM members with chronic conditions, fulfilled through a network of 500+ Puerto Rico pharmacies.
• My Emotions© Virtual Mental Health Self-Assessment Tool Virtual mental health self-assessment feature embedded in MMM and MMM Multihealth mobile apps, screening for depression, anxiety, and substance abuse and routing results to a mental health call center for risk assessment and referral.
• Vita Care Clinics Multispecialty clinics in Bayamón and Caguas with interdisciplinary teams treating chronic conditions such as lung disease, cardiovascular disease, and diabetes in coordination with primary care physicians.
• MMM Multiclínica Network Multispecialty clinic network with interdisciplinary specialist teams (cardiologists, endocrinologists, neurologists, psychologists, Doctors of Pharmacy) providing integrated specialty care for MMM affiliates.
• Castellana Multisalud Clinic Network Multispecialty clinic network offering cardiology, endocrinology, neurology, dermatology, nutrition, nephrology, psychiatry, podiatry, and social work under one roof, with locations across Puerto Rico including the Aibonito clinic.
• MMM Te Cuida Post-Discharge Program Post-discharge support program staffed by Clinical Liaisons (CL) coaching methodology, transitioning patients from Unidad Dorada hospitals to home to reduce readmissions and close care gaps.
• Office Advantage Leadership Academy Curriculum-based professional development program for medical office staff, created with a local university, covering clinical best practices, quality management, and patient experience; 2,963 medical offices and 5,000+ participants.
• Five Star Operations (Operaciones 5 Estrellas) Quality management program supporting providers in meeting CMS Star Ratings standards, including Health Outcome Survey data collection and holistic patient care interventions.
• Provider Contracting and Credentialing Services End-to-end contracting, credentialing, and re-credentialing services for physicians, specialists, clinics, hospitals, pharmacies, and dental providers joining the MSO network, processed via online portal and DocuSign.
• Rx Connection Tool Pharmacy-facing digital tool inside the MMM Mobile App providing real-time drug coverage, prior authorization requirements, patient cost information, and up to five lower-cost generic or brand alternatives.

Quantifiable outcome

• 18% reduction in hospital readmission through Unidad Dorada care transition program
• +5 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• MMM Puerto Rico (Parent Company)coreOthers · 1 November 2023MSO of Puerto Rico is a subsidiary of MMM Puerto Rico (MMM Holdings, LLC), the leading Medicare Advantage plan in Puerto Rico. MMM Healthcare is the pioneer Medicare Advantage plan in Puerto Rico (founded 2001), the first MA organization to obtain NCQA accreditation in Puerto Rico, and the only plan to achieve 4.5 stars from CMS.
• America's Physician Group (APG)coreStrategic or Co-development Partner · 1 May 2020MSO of Puerto Rico is a member of America's Physician Group, the national association representing approximately 335+ medical groups with nearly 170,000 physicians providing care to millions of patients. Through this partnership, MSO participates in the Standards of Excellence (SOE) program and the APG/HealthBegins Social Needs Learning Collaborative, contributing to national dialogue on coordinated care and social determinants of health.
• HealthBeginscoreStrategic or Co-development Partner · 1 May 2020HealthBegins is a national consulting firm dedicated to improving care and social factors that impact health. MSO was selected as the first and only organization representing Puerto Rico in the APG/HealthBegins Social Needs Learning Collaborative to address Social Determinants of Health, exchanging and evaluating strategies implemented in Puerto Rico.
• Bayhealth Medical Center (Dover, DE)minorStrategic or Co-development Partner · 1 May 2020One of several national organizations collaborating with MSO in the APG/HealthBegins Social Needs Learning Collaborative to address social determinants of health across communities.
• Chinese Community Health Care Association (San Francisco, CA)minorStrategic or Co-development Partner · 1 May 2020One of several national organizations collaborating with MSO in the APG/HealthBegins Social Needs Learning Collaborative focused on social needs and health equity.
• Mount Sinai Health System (New York, NY)minorStrategic or Co-development Partner · 1 May 2020One of several national organizations collaborating with MSO in the APG/HealthBegins Social Needs Learning Collaborative focused on social needs and health equity.
• Providence Medical Institute (Torrance, CA)minorStrategic or Co-development Partner · 1 May 2020One of several national organizations collaborating with MSO in the APG/HealthBegins Social Needs Learning Collaborative focused on social needs and health equity.
• Local University (Unnamed)minorStrategic or Co-development PartnerMSO collaborates with a local university in Puerto Rico to develop and deliver the curriculum for the Office Advantage Leadership Academy, providing values-based education of care for medical office staff.

Scale indicators16 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Oak Street Health (CVS Health): Oak Street Health operates senior-focused primary care clinics under value-based Medicare Advantage contracts. MSO of Puerto Rico's Vita Care Clinics and multispecialty networks serving MA beneficiaries pursue the same MA-focused, capitated-population strategy.
• P3 Health Partners: P3 Health Partners is an MA-focused population health management company that partners with PCPs and IPAs to deliver value-based care. Its IPA aggregation and capitated revenue model is highly comparable to MSO of Puerto Rico's IPA-centric, MMM-aligned care delivery model.
• Astrana Health (formerly Apollo Medical Holdings / Network Medical Management): Astrana Health operates IPAs and delegated MSO services for Medicare Advantage, Medicaid, and commercial populations in multiple U.S. states. Like MSO of Puerto Rico, it generates revenue by managing capitated lives on behalf of health plans through owned/affiliated IPAs and physician groups, making it the closest publicly traded comparable operating model.
• Privia Health: Privia Health operates a multi-state medical group platform that partners with independent physicians and provides MSO services including credentialing, contracting, care coordination, and analytics—mirroring MSO of Puerto Rico's InnovaMD-enabled provider services across PCPs, specialists, and IPAs.
• Aledade: Aledade runs a national ACO/MSO network of independent primary care practices in value-based arrangements with Medicare Advantage, Medicare ACO REACH, and Medicaid plans. Its PCP-aggregation and risk-bearing technology platform directly parallels MSO of Puerto Rico's IPA-driven population health model.
• agilon health: agilon health is a value-based care MSO that partners with primary care physicians to manage Medicare Advantage populations under full-risk contracts. Its model of aggregating independent PCPs to take capitation from MA plans is structurally analogous to MSO of Puerto Rico's IPA-anchored MA strategy.
• VillageMD (Walgreens Boots Alliance): VillageMD operates value-based primary care clinics and provides MSO platform services (data, care coordination, payer contracting) for affiliated groups. Like MSO of Puerto Rico, it ties provider enablement and care management to capitated MA revenue.
• ChenMed: ChenMed operates senior primary care clinics that accept Medicare Advantage and dual-eligible patients under full-risk, value-based arrangements. Its vertically integrated delivery model mirrors MSO of Puerto Rico's clinic-plus-IPA platform serving chronically ill MA members.

Broad incumbents

• Carelon Health (formerly CareMore Health / Aspire Health): Carelon Health, an Elevance Health subsidiary, delivers integrated chronic and complex care management for Medicare Advantage, Medicaid, and dual-eligible populations through owned clinics and home-based programs. Its care-coordination-first MA model overlaps with MSO of Puerto Rico's clinical programs (Unidad Dorada, MMM Te Cuida, PAM).
• Humana / CenterWell: Humana is the largest U.S. Medicare Advantage insurer and through CenterWell operates owned senior-focused primary care clinics and care management services. As a broad incumbent in MA, it competes for the same capitated lives MSO of Puerto Rico serves and overlaps with CenterWell's MSO-like care delivery capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/clinicascastellanamultisalud
• LinkedInlinkedin.com/company/mso-of-puerto-rico-inc.

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Mso Of Puerto Rico, Llc