quality alliance

What quality alliance does

Quality Alliance, the legal name Cleveland Clinic Quality Alliance d/b/a, is a clinically integrated network (CIN) operated by The Cleveland Clinic Health System Physician Organization since 2009, with headquarters in Independence, Ohio. It is one of the largest clinically integrated networks in the United States, spanning 46+ Ohio counties and combining 8,500+ Cleveland Clinic employed providers (across 15 institutes) with 1,850+ independent providers (411 primary care physicians and 1,481 specialists), supported by 23 hospitals and 276 outpatient facilities and serving 15 million+ patients with 14.2 million+ annual outpatient visits. The network is physician-led, governed by a Board of Trustees chaired by Dr. Bruce Rogen, and holds continuous NCQA accreditation for credentialing and recredentialing since 2009.

The core technology is a cloud-based data aggregation platform delivered through a member portal, built on a third-party data aggregator that ingests structured data from multiple electronic medical record systems, practice management systems, billing systems, hospitals, labs, and imaging sources into a secure central data repository. This repository powers a care-gap registry for patients with multiple co-morbidities, performance analytics comparing physicians against peers and national benchmarks, HCC risk scoring support, and quality measure reporting. Product offerings are organized around four solution pillars — Population Health Management (Transitional Care Management, Chronic Disease Management, Chronic Care Management, and Network Navigation coordinated with primary care), Physician Engagement (training, onboarding, and ongoing education), Data Analytics & Reporting, and an Accountable Care Organization — plus supporting services in Value-Based Contracting, NCQA-accredited Credentialing, Training & Implementation, and Systems Support.

Quality Alliance generates revenue primarily through value-based contracting arrangements in which physicians share in savings and earn incentives tied to quality and cost targets, shared savings distributions from the Cleveland Clinic Medicare ACO under the Medicare Shared Savings Program, and recurring population health management program fees. The go-to-market is sales-led through a Provider Engagement Team that conducts direct office visits, educational forums, and a structured 6-month onboarding process. Customer segments include independent physician practices, Cleveland Clinic employed physicians, Medicare fee-for-service beneficiaries attributed to the ACO, and patients seeking in-network primary and specialty care. Distribution is regional, concentrated in Northeast Ohio, with strategic co-marketing via the Cleveland Clinic + Oscar insurance product and NCQA-accredited delegated credentialing arrangements with multiple health plans.

Name

quality alliance

Legal name

The Cleveland Clinic Health System Physician Organization d/b/a Cleveland Clinic Quality Alliance

Website

https://ccqualityalliance.org

Company type

Private

Founded year

2009

Operating status

Operating

Short description

Quality Alliance is a Cleveland Clinic-affiliated clinically integrated network spanning 46+ Ohio counties, combining 8,500+ employed and 1,850+ independent providers to deliver population health management, ACO shared savings, value-based contracting, and NCQA-accredited credentialing services.

Ownership category

akta.pro rank

Product category

Clinically Integrated Healthcare Network

SIC

Services-Health Services (8000)

akta.pro primary industry

Hospital-Owned Physician Networks & Medical Groups (HLAFAAAL)

akta.pro secondary industry

Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK)

Keywords

• Clinically integrated network
• Population health management
• Value-based contracting
• Accountable care organization
• Physician credentialing

Headquarters

HQ city

Independence

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Value-Based Contracting: Physicians share in savings and receive incentives for reaching quality targets. Providers are rewarded for encouraging patient participation in their own care. Quality Alliance physicians negotiate for value-based payments that reward quality and cost improvements.
2. Accountable Care Organization (ACO): Cleveland Clinic Medicare ACO participates in Medicare Shared Savings Program (MSSP), delivering coordinated care to assigned Medicare fee-for-service beneficiaries with shared savings distributed among participating providers.
3. Population Health Management Programs: Programs including Transitional Care Management, Chronic Disease Management, Chronic Care Management, and Network Navigation coordinated with primary care physicians to support high-risk patients.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Quality Alliance operates a clinically integrated physician network that brings together Cleveland Clinic employed physicians and independent practices to deliver coordinated, value-based care. The network provides population health management programs (Transitional Care Management, Chronic Disease Management, Chronic Care Management, Network Navigation), data analytics and reporting through a central portal, NCQA-accredited credentialing services, and participation in the Medicare Shared Savings Program via the Cleveland Clinic Medicare ACO.

Product overview

Quality Alliance is a clinically integrated network (CIN) operated by the Cleveland Clinic Health System Physician Organization. The organization offers a unified platform of healthcare management solutions built around four core pillars: Population Health Management, Provider Engagement, Data Analytics & Reporting, and Accountable Care Organization services. The integrated product suite includes Care Coordination programs (Transitional Care Management, Chronic Disease Management, Chronic Care Management, Network Navigation), Value-Based Contracting capabilities, NCQA-accredited Credentialing, Training & Implementation services, and Systems Support. All offerings are unified through the Quality Alliance Portal, which serves as the central interface for data analytics, reporting, and performance monitoring against quality metrics. The network spans 46+ counties in Northeast Ohio, serving over 8500 employed providers, 1850+ independent providers, and 15 million+ patients worldwide.

Differentiator

Problem solved

Functional benefit

Products and services

• Population Health Management (Care Coordination) Four targeted programs including Transitional Care Management (TCM), Chronic Disease Management (CDM), Chronic Care Management (CCM), and Network Navigation. Nurse care coordinators and network navigators collaborate with primary care physicians to support high-risk patients, address barriers to care, and streamline navigation of the healthcare system.
• Physician Engagement Provider engagement team serves as primary point of contact for members, offering educational opportunities related to clinical measures, utilization measures, HCC risk scoring, access to care, and other current topics, including relationship building, training, and portal support.
• Data Analytics & Reporting Central platform for clinical integration that collects, aggregates, and manages data from EMRs and other sources. Provides a secure central data repository and user portal enabling access to robust registries, care gap identification, performance analytics, and reporting tools.
• Accountable Care Organization (ACO) Cleveland Clinic Medicare ACO, LLC participates in the Medicare Shared Savings Program (MSSP). The ACO brings together Cleveland Clinic employed physicians and independent primary care physicians in the Quality Alliance to deliver coordinated care to assigned Medicare fee-for-service beneficiaries.
• Value-Based Contracting Enables Quality Alliance physicians to negotiate for value-based payments that reward quality and cost improvements. Payment model options include pay-for-performance, which rewards providers for adhering to evidence-based medical practices and reaching quality targets.
• Credentialing NCQA-accredited credentialing program that ensures all participating physicians and practitioners are measured by definable and consistent criteria. Includes delegated credentialing arrangements with health plans, compliance maintenance, and recredentialing activities.
• Training & Implementation Standardized onboarding and orientation process for new physicians and practices. Includes program education, portal demo, credentialing, data exploration, EMR/billing/hospital/lab/imaging connectivity, data ingestion, integration, and portal training.
• Systems Support Ongoing technical and customer service support including data connection troubleshooting, data transfer management from EMR/billing/laboratory/hospital sources, user access management, and portal technical support.

Quantifiable outcome

• 15 Million+ patients served with 14.2 million+ outpatient visits
• +1 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability3 records

Feature3 records

Partnerships

Five partnerships are on record, tiered core and key.

• Third-Party Data AggregatorcoreTechnology or IntegrationQuality Alliance has partnered with a third-party data aggregator to provide a common systems platform that includes a secure central data repository and user interface (portal). The aggregator collects data from various EMRs, practice management systems, billing systems, hospitals, labs, and imaging sources.
• National Committee for Quality Assurance (NCQA)coreStrategic or Co-development PartnerNCQA accreditation for credentialing and recredentialing activities, first achieved in 2009 and maintained continuously. NCQA is the gold standard in healthcare quality evaluation and is required by many health plans.
• Cleveland Clinic Health SystemcoreStrategic or Co-development PartnerParent organization providing employed physicians and hospital facilities to the network. The Quality Alliance is the clinically integrated network of the Cleveland Clinic Health System Physician Organization. Cleveland Clinic hospitals benefit from membership by aligning care with independent physicians and managing risk under alternative payment models.
• Cleveland Clinic Medicare ACO, LLCcoreStrategic or Co-development PartnerSeparate legal entity formed by Cleveland Clinic to participate in the Medicare Shared Savings Program (MSSP) as an Accountable Care Organization. Combines Cleveland Clinic employed physicians and independent Quality Alliance physicians for coordinated care to Medicare fee-for-service beneficiaries.
• Health Plans and Insurance CompanieskeyChannel Partner/ Reseller/ DistributorQuality Alliance contracts with health plans requiring NCQA accreditation. In-network providers are available to patients covered by Cleveland Clinic Employee Health Plan and many other insurers. Aggregate performance data shared with health plans and employers.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Astrana Health: A physician-centric integrated-care company that partners with physician groups and risk-bearing organizations to deliver value-based care, care management, and population-health capabilities. Its risk-based provider network and physician-enablement model closely resemble Quality Alliance’s clinically integrated, value-based network.
• Privia Health: A technology-enabled physician-enablement and independent-practice network that helps physicians transition to value-based care. Its mix of independent practices, payer contracting, and care-management infrastructure is directly comparable to Quality Alliance’s model.

Emerging players

• agilon health: A value-based-care company that partners with independent physician groups and provides analytics, care enablement, and risk-bearing arrangements. It is comparable to Quality Alliance’s ACO, population-health, and physician-engagement capabilities, although it is organized primarily as a partnership platform.
• Aledade: An independent primary-care ACO and technology platform that helps practices manage Medicare and commercial value-based contracts. It is comparable through its physician network, data and registry capabilities, and care-coordination model, but it does not operate a hospital-integrated network like Quality Alliance.
• Oak Street Health: A risk-bearing primary-care organization focused on older adults, using interdisciplinary teams and value-based contracts to manage chronic and high-risk populations. It is relevant to Quality Alliance’s value-based care and care-coordination model, though it is clinic-centric rather than a broad clinically integrated network.
• VillageMD: A value-based primary-care platform that partners with physicians and health systems and operates risk-bearing clinics. Its physician alignment, data infrastructure, and population-health focus overlap with Quality Alliance, though its clinic network and ownership structure differ.
• ChenMed: A physician-led, value-based primary-care model serving seniors through high-touch, risk-bearing care teams. It is comparable to Quality Alliance’s high-risk patient management and quality-and-cost incentives, but its concentrated senior primary-care model is narrower.

Broad incumbents

• Evolent Health: A value-based-care platform offering provider networks, specialty-care enablement, analytics, and care management to payers and health systems. It overlaps with Quality Alliance’s analytics, ACO, and population-health capabilities at a broader enterprise scale.
• Optum: A health-services and technology business with value-based care, provider, analytics, and care-management capabilities used by payers and health systems. It is a broad incumbent benchmark for Quality Alliance’s integrated network, data, and population-health model.

Others

• Innovaccer: A healthcare data and analytics company that aggregates clinical data, supports registries, care management, and value-based care workflows. It is an enabling peer to Quality Alliance’s secure data repository, care-gap registry, and performance analytics.

Market position

Strengths5 records

Weaknesses6 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 quality alliance