Carelon Health

What Carelon Health does

Carelon Health, operating through its CareMore Health brand (legal entity per source), is a private U.S. primary care provider founded in 1995 and headquartered in Cerritos, California. The company delivers team-based, whole-person primary care across four states — Arizona, California, Nevada, and Tennessee — with a documented 30+ year operating history. Its core product is a coordinated primary care model featuring same-day appointments, virtual visits, a 24/7 Nurse HelpLine, and chronic disease management across cardiovascular, diabetes, hypertension, lung, kidney, skin, and wound conditions, plus palliative care services referenced at the parent level.

The company operates a multi-channel delivery stack: physical clinic locations across four states, virtual visit telehealth, an athenahealth-powered patient portal for scheduling, records, and secure messaging, and a dedicated Provider Portal for care coordination. Patient access is enabled through in-network partnerships with nine major insurers including Alignment, Allwell, SCAN, UCLA Health, Aetna, Blue Cross Blue Shield of California, Clever Care, Humana, and HealthSpring (Cigna). The company accepts Medicare, Medicaid, Medicare Advantage, and commercial plans, and has launched a dedicated brokers channel for B2B referral partnerships.

Carelon Health's business model is a value-based primary care provider reimbursed through patient insurance plans (Medicare, Medicaid, MA, commercial), with patient acquisition supported by digital marketing (Facebook, LinkedIn, YouTube, company website) and broker partnerships. The company employs between 1,001 and 5,000 people and reports no disclosed funding rounds, parent company, M&A activity, or revenue figures in the available source data. Active brand and URL migration toward carelonhealth.com domains suggests ongoing corporate-level integration under the Carelon Health umbrella.

Name

Carelon Health

Legal name

CareMore Health

Website

https://carelonhealth.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Carelon Health (operating as CareMore Health) is a private U.S. primary care provider delivering team-based, whole-person care and chronic disease management across Arizona, California, Nevada, and Tennessee, reimbursed through Medicare, Medicaid, Medicare Advantage, and commercial insurance partnerships with nine major payers.

Ownership category

akta.pro rank

Product category

Primary Care Services

NAICS

Offices of Physicians (62111), Ambulatory Health Care Services (621), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industries

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD), Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL)

Keywords

• Primary care services
• Chronic care management
• Coordinated whole-person care
• Medicare Advantage care
• Palliative care services

Headquarters

HQ city

Cerritos

HQ country

United States

HQ region

North America

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Distribution channels5 records

Marketing channels4 records

Core offering

Carelon Health operates a coordinated, team-based primary care delivery model through its CareMore Health brand, providing same-day in-clinic appointments, virtual visits, and a 24/7 Nurse HelpLine. Services cover whole-person care with extended visit times, specialist referrals, insurance authorization handling, and chronic disease management for cardiovascular disease, diabetes, hypertension, lung disease, kidney disease, skin conditions, and wound care. The company also offers a dedicated Provider Portal and an athenahealth-powered Patient Portal for records access and care coordination.

Product overview

CareMore Health operates as a primary care health system offering coordinated healthcare services across four states (Arizona, California, Nevada, and Tennessee). The core product is their team-based primary care model, which provides same-day appointments, virtual visits, and 24/7 Nurse HelpLine access. The Provider Portal enables healthcare providers to manage patient care and coordinate with the care team. CareMore Health specializes in chronic condition management including cardiovascular disease, diabetes, hypertension, lung diseases, kidney disease, skin conditions, and wound care. Patients access their health records through an athenahealth-powered patient portal. The company accepts multiple health plans including Medicaid, Medicare, Medicare Advantage, and works with insurers such as Aetna, Blue Cross CA, Humana, and others.

Differentiator

Problem solved

Functional benefit

Products and services

• CareMore Health Primary Care Coordinated, team-based primary care delivered at physical clinics in Arizona, California, Nevada, and Tennessee, with same-day appointments, virtual visits, and chronic disease management for cardiovascular disease, diabetes, hypertension, lung disease, kidney disease, skin conditions, and wound care. Services are available to Medicare, Medicaid, Medicare Advantage, and commercial plan members.
• Provider Portal

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Partnerships

Nine partnerships are on record, tiered core.

• Alignment HealthcarecoreChannel Partner/ Reseller/ DistributorAlignment Healthcare is a Medicare Advantage plan provider that includes CareMore Health in their provider network, enabling CareMore patients to access care through Alignment insurance plans.
• AllwellcoreChannel Partner/ Reseller/ DistributorAllwell is a Medicare Advantage plan provider partnered with CareMore Health to provide in-network care coverage for their members.
• SCAN Health PlancoreChannel Partner/ Reseller/ DistributorSCAN Health Plan is a Medicare Advantage organization that partners with CareMore Health to deliver healthcare services to their senior membership.
• UCLA HealthcoreChannel Partner/ Reseller/ DistributorUCLA Health is included as an in-network provider partner, allowing CareMore patients to access specialty care through UCLA Health's network of specialists and facilities.
• AetnacoreChannel Partner/ Reseller/ DistributorAetna, a major health insurance provider, includes CareMore Health in their provider network for Medicare, Medicaid, and commercial plan members.
• Blue Cross Blue Shield of CaliforniacoreChannel Partner/ Reseller/ DistributorBlue Cross Blue Shield of California includes CareMore Health clinics in their California provider network for various plan types.
• Clever CarecoreChannel Partner/ Reseller/ DistributorClever Care is a Medicare Advantage plan that partners with CareMore Health to provide in-network primary care services to their members.
• HumanacoreChannel Partner/ Reseller/ DistributorHumana, a leading health insurance company, includes CareMore Health in their provider networks across markets where CareMore operates clinics.
• HealthSpringcoreChannel Partner/ Reseller/ DistributorHealthSpring (part of Cigna) is a Medicare Advantage plan provider that includes CareMore Health in their provider network for senior care coverage.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Iora Health (One Medical / Amazon): One Medical absorbed the Iora Health model after Amazon's acquisition; operates risk-bearing primary care for seniors and employer populations. Directly comparable in capitated PCP economics and tech-enabled care delivery.
• ChenMed: Family-owned value-based primary care provider serving low-to-moderate income seniors through owned clinics; takes full risk on Medicare Advantage panels. Comparable PCP-led, capitated, senior-focused model.
• Cano Health: Value-based care provider operating primary care centers for Medicare Advantage and ACA members; exited several markets in 2023–2024 but remains a directly comparable capitated senior PCP model.
• P3 Health Partners: Population health and value-based care company managing MA lives via affiliated PCP networks across multiple states; directly comparable senior-focused capitation model in overlapping geographies.
• VillageMD (Walgreens Boots Alliance): Primary care platform majority-owned by Walgreens with Sumitomo Mitsui; runs value-based senior primary care via Village Medical. Operates in many of the same multi-state corridors as Carelon Health with comparable risk-sharing economics.
• agilon health: Partnership-model value-based care enabler for PCPs taking risk on MA seniors; comparable capitated economics and chronic-condition focus across a multi-state footprint.
• Oak Street Health (CVS Health): Value-based primary care group exclusively serving Medicare-eligible seniors across multiple U.S. states; acquired by CVS Health in 2023. Closest direct competitor — same risk-bearing senior PCP model, same MA/FFS payer mix, same chronic-disease management orientation.
• Astrana Health (formerly Apollo Medical Holdings): Risk-bearing physician group management organization serving MA, Medicaid, and ACO populations through capitated contracts. Closely matches Carelon's capitated PCP delivery economics in California and similar markets.
• CenterWell Senior Primary Care (Humana): Humana-owned senior-focused primary care subsidiary; operates hundreds of clinics targeting MA members. Direct competitor owned by a major MA payer (analogous to Carelon's payer-affiliated structure).

Broad incumbents

• Privia Health: Physician enablement platform supporting primary and specialty practices in value-based arrangements; not exclusively senior-focused but operationally adjacent to Carelon's coordinated PCP delivery model and partner-rich payer mix.

Market position

Strengths5 records

Weaknesses5 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@CareMoreHealth
• Facebookfacebook.com/CarelonHealth
• LinkedInlinkedin.com/company/carelon-health

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Carelon Health