Alternative Care Models

Alternative care models are innovative healthcare delivery approaches that move beyond traditional single-provider visits to integrate coordinated teams, community resources, and flexible service methods designed to improve patient outcomes, reduce costs, and enhance accessibility across diverse care settings.
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Personify Health

Personify Health

4.0 (98)
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Founded

2004-08-02

Employees

3,200

Funding Summary

1 Series B

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About Personify Health

Personify Health is the first personalized health platform to bring together holistic wellbeing, health navigation, and flexible health plan administration solutions into a single connected and engaging healthcare experience. We simplify healthcare, resulting in healthier outcomes and more ways to save on healthcare costs. Personify Health offers a comprehensive suite of products. Our wellbeing solution empowers members to actively engage in their health that is designed to create meaningful and measurable results. By combining tools like daily content, habit tracking, and a comprehensive challenge library with social wellbeing features and personalized coaching, we equip individuals with the motivation and resources... Show More
apree health (Castlight + Vera)

apree health (Castlight + Vera)

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Founded

2008

Employees

750

Funding Summary

Not Provided

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About apree health (Castlight + Vera)

apree health’s proven solutions—apree Digital, apree Whole Health, and apree Total Outcomes—are built on a robust data foundation that provides a rich understanding of each person and helps ensure they connect and engage with the right care, at the right time, at the lowest cost.

apree health was formed when leading advanced primary care (APC) provider Vera Whole Health (Vera) merged with digital health innovator Castlight Health (Castlight) on February 17, 2022. Both companies were founded in 2008.

apree health’s APC model was built upon the belief that you must establish trust and... Show More
Galileo

Galileo

Reviews pending
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Founded

2018

Employees

600

Funding Summary

Not Provided

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About Galileo

Galileo is reimagining healthcare to help employers deliver better health outcomes, efficiently and affordably. Our connected, digital-first platform provides employees with 24/7 virtual access to a multidisciplinary care team of primary, specialty, and behavioral care experts. By leveraging our clinical expertise, we bring high-quality care to your team, helping drive improved employee engagement, retention, and productivity. We partner with health plans, employers, and benefit leaders to deliver a streamlined healthcare solution that meets the needs of the modern workforce. Show More
SUMMUS

SUMMUS

Reviews pending
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Founded

2015

Employees

78

Funding Summary

70M Series B

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About SUMMUS

Summus is an end-to-end, doctor-led clinical navigation and specialty care platform that was uniquely developed to answer 100% of health questions, including over 120 different specialties. We empower employees to make better health decisions by simplifying how they navigate healthcare and quickly connecting families with the right medical expertise for any health question, big or small—to drive better, more cost-efficient health outcomes. Show More
Amazon One Medical

Amazon One Medical

Reviews pending
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Founded

2007

Employees

3,300

Funding Summary

Not Provided

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About Amazon One Medical

One Medical challenges the notion that delivering high-quality, accessible health care is unachievable and prohibitively expensive. In fact, we’re working to prove that just the opposite is possible — a system where quality care is affordable and available to everyone. To bring this vision to life, we rely on people-centered design, smart application of technology, and a team of talented primary care providers who have the time and tools to make the right decisions. The integration of these elements allows us to offer a seamless experience that not only saves our patients time and money but also leads to better... Show More
Carrum Health

Carrum Health

Reviews pending
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Founded

2014

Employees

175

Funding Summary

96M Series B

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About Carrum Health

Carrum Health was founded in 2014 with a mission to “bring common sense to healthcare” through a value-based healthcare model that benefits families, employers, and providers. Headquartered in the San Francisco Bay Area, Carrum’s award-winning surgery and cancer care benefits platform connects self-insured employers with top providers under standardized bundled payment arrangements to better manage healthcare costs. By aligning provider incentives with quality performance, Carrum drives improvements in patient experience and health outcomes. Customers include Fortune 500 companies and public sector organizations.
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Cerner Corporation

Cerner Corporation

4.2 (10)
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Founded

1979

Employees

0

Funding Summary

None

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About Cerner Corporation

Together, let’s empower a healthy workforce.

Our goal is to help your organization reduce expenses, improve the health, well-being and productivity of your workforce, and attract and retain talent by offering unique benefits.

As one of the world’s largest health care companies, Cerner is focused on Population Health, helping you to know your population, engage each person, and manage their outcomes.

At Cerner, we work with 200+ employers of different sizes and industries. We live what we do as a company, providing services to more than 28,000 of... Show More
Teladoc Health, Inc.

Teladoc Health, Inc.

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Founded

2002

Employees

5,600

Funding Summary

Not Provided

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About Teladoc Health, Inc.

Teladoc Health is the #1 most recognized and trusted virtual care brand. We have the first-mover advantage in telehealth with a platform built over 20+ years. Our platform is proven to deliver outcomes at an unmatched scale, including 20K+ visits per day. We are executing on a strategy that continues to raise the bar for virtual care for our members and 12K+ clients.

Over 102.4M people in the U.S. now have access to one or more of our services, including over a million enrollees in our chronic condition management programs. In the last year, we've enabled... Show More
Accolade

Accolade

Reviews pending
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Founded

2007

Employees

2,400

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Not Provided

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About Accolade

Accolade is building the first customer obsessed nationwide healthcare delivery company.  Founded in 2007, Accolade has built a member experience that works the way healthcare should. We connect your members to their best care through navigation, care delivery, and provider steerage. This combination of services, deployed across all health and wellness benefits, delivers better health outcomes, a better member experience, and cost savings from personalized care.  

Traditional advocacy models guide members to the right care but stop short of delivering care. Accolade fully integrates the highest quality doctors into our advocacy team. Further, Accolade partners with our customers... Show More
Firefly Health

Firefly Health

Reviews pending
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Founded

2017

Employees

150

Funding Summary

None

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About Firefly Health

Firefly offers a clinically-driven health plan that integrates healthcare delivery and coverage to improve access, quality, outcomes, and cost control. Our solution offers self-funded employers a comprehensive healthcare plan, combining hybrid advanced primary care, a nationwide provider network, and a full suite of TPA services with innovative plan designs. We provide an affordable and differentiated health benefit for employees while providing meaningful cost control for employers.

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Nomi Health

Nomi Health

Reviews pending
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Founded

May 2019

Employees

0

Funding Summary

110M Series A

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About Nomi Health

From patient care to provider payments, we're rebuilding no-nonsense healthcare that is truly direct and affordable by changing how healthcare is delivered, purchased, and paid for. Show More
Proactive MD

Proactive MD

Reviews pending
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Founded

2012

Employees

476

Funding Summary

Not Provided

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About Proactive MD

Proactive MD provides a total healthcare and population health management solution for employers by partnering with them to offer Advanced Primary Care Health Centers for employees. The Proactive MD model is designed to elevate the standard of primary care, and go above and beyond the typical boundaries of healthcare to meet each employee’s unique mental, emotional, social, and physical needs. Proactive MD’s care model is built on the foundation of strong provider-patient relationships and onsite Patient Advocates, empowered by advanced population health insights, who personally guide and advise employees through the full healthcare system. Coupled with reduced-rate access to the... Show More
Apaly Health

Apaly Health

Reviews pending
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Founded

2018

Employees

0

Funding Summary

Not Provided

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About Apaly Health

Apaly makes it simple for TPAs, brokers, consulting firms, and health plans to bring Advanced
Primary Care (APC) to their plan members. Our platform ensures nationwide coverage, seamless
claims-based billing, and powerful analytics—while eliminating administrative burdens. Show More
Best In Class MD

Best In Class MD

Reviews pending
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Founded

2020

Employees

0

Funding Summary

3 Angel Round

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About Best In Class MD

BICMD is dedicated to creating an integrated telemedicine platform focused on personalized musculoskeletal care. We partner with employers, payers, and health facilities to provide virtual telehealth clinical visits and medical second opinions from the top orthopedic experts. Show More
Imagine360

Imagine360

5.0 (1)
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Founded

1968

Employees

1,400

Funding Summary

Not Provided

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About Imagine360

Imagine360 has 50+ years of combined experience. In 2020, Group and Pension Administrators (GPA) joined forces with ELAP Services, EBMS, and Imagine Health, which became sibling corporations through WaterStreet Healthcare Partners. This integration allows our organization to deliver the most experienced and first completely integrated health plan with reference-based pricing as its core.

Imagine360 delivers a fully integrated health plan with the savings of reference-based pricing built in and consistently generates 15–25% savings for 900+ self-funded employers. Imagine360 is entering its next phase of growth with a fresh infusion of capital to expand its comprehensive suite... Show More
Lantern

Lantern

Reviews pending
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Founded

2011

Employees

500

Funding Summary

92M Private Equity Round

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About Lantern

Lantern is transforming access to excellent care for specialty care categories: All Plannable Surgeries, Cancer and Infusions.

Through Lantern Surgery, we guide members to local, excellent care that creates lower cost for both the plan sponsor and the member. We are unique from our peers in that our model is built on a framework that delivers a highly curated surgeon-first network, combined with access to world-class, nationally recognized facilities – using bundles priced at roughly half of typical carrier rates with our Surgery Care solution.

Lantern Cancer Care is designed to support... Show More
Mayo Clinic Complex Care Program

Mayo Clinic Complex Care Program

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Founded

1864

Employees

77,500

Funding Summary

Not Provided

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About Mayo Clinic Complex Care Program

The Mayo Clinic Complex Care Program offers managed access (expedited scheduling and condensed appointment itineraries) to Mayo Clinic’s high-quality, cost-effective care for individuals with complex, rare or undiagnosed medical conditions. In other words, Mayo Clinic helps minimize costs while getting patients exactly the care they need.

If employers have members in their medical plan that are experiencing fragmented care, ineffective treatments, potential misdiagnoses or difficulty accessing specialized care for complex conditions, Mayo Clinic can help. At our campuses in Arizona, Florida and Minnesota, teams of the world’s leading experts from every medical specialty and subspecialty work... Show More
Private Health Management

Private Health Management

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Founded

2007

Employees

200

Funding Summary

Not Provided

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About Private Health Management

Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. We guide individuals and families to top specialists, advanced diagnostics, and personalized care. Trusted by healthcare providers and businesses, PHM offers independent, science-backed insights to help clients make informed decisions and access the best care. Show More
Transcarent

Transcarent

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Founded

2020

Employees

409

Funding Summary

4.5M Series D

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About Transcarent

Founded in 2020, Transcarent is a private health and care experience company aimed at simplifying access to high-quality, affordable care. Our integrated mobile and web platform offers a range of services, including everyday care such as instant provider consultations, behavioral health support, pharmacy services, home care, and comprehensive care for complex needs like surgery or cancer treatment.

What sets Transcarent apart is our commitment to accountability and transparency. We offer at-risk pricing models in which we assume financial responsibility for outcomes, with transparent impact reports that demonstrate measurable improvements in experience, health outcomes, and cost reduction. This... Show More
Vera Whole Health

Vera Whole Health

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Founded

04/2007

Employees

0

Funding Summary

Not Provided

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About Vera Whole Health

Vera Whole Health started out in the business of behavior change with a vision to address the root cause of disease. We began in 2007 as a wellness studio with the mission to help people change behaviors by esteeming them through empathetic listening and applied our approach to the corporate setting in 2009. We opened our first care center in 2012 and now operate 28 care centers in nine states. Vera Whole Health, Inc. is a C-Corporation.
For on-site care centers, our target population size is 2,500 or more employees and their families, justifying a fully staffed care... Show More

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Frequently Asked Questions

What are Alternative Care Models?

Alternative care models are innovative approaches to delivering healthcare services that differ from traditional, single-provider care settings. These models emphasize coordinated, team-based care that integrates multiple healthcare professionals, community resources, and technology to provide more comprehensive and patient-centered services. Examples include Patient-Centered Medical Homes (PCMH), Accountable Care Organizations (ACOs), integrated behavioral health programs, and community-based care coordination services. Unlike conventional care where patients typically see individual providers separately, alternative care models create collaborative networks focused on whole-person wellness and coordinated treatment plans.

How do Alternative Care Models Improve Patient Outcomes compared to Traditional Healthcare?

These models improve outcomes through better care coordination, preventive focus, and comprehensive services that address medical, behavioral, and social needs together. Key benefits include eliminating communication gaps between providers, engaging patients as active partners, and using shared data to track progress. Studies show 15-25% reductions in hospital readmissions, improved chronic disease management, higher patient satisfaction, and often reduced costs while delivering better health outcomes.

What Challenges do Healthcare Organizations Face when Implementing Alternative Care Models?

Main implementation challenges include financial restructuring from fee-for-service to value-based payments, significant technology investments for interoperable systems, staff retraining for team-based care, navigating complex regulatory requirements, developing new outcome-focused metrics, and educating patients about new care processes. Success typically requires 12-24 months of careful planning, stakeholder buy-in, and phased implementation with ongoing monitoring.

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