Collective Impact Health

We help insurers optimize Medicare advantage populations and help providers improve patient outcomes by keeping them out of the hospital and saving money

Collective Impact Health, LLC is a community-rooted MSO + IPA purpose-built to deliver high-performance,

value-based care to underserved populations — specifically Medicare Advantage (MA), Dual Eligible (patients that

qualify for both Medicare and Medicaid), and Medicaid LTSS patients in high-need urban markets.

CIH equips independent practices and Federally Qualified Health Centers (FQHCs) with embedded care teams, an

AI-powered platform (IMPACT), and performance-aligned contracting — without requiring buyouts or acquisition .

By reallocating existing payer dollars rather than adding cost, CIH improves quality scores, reduces total cost of care,

and creates sustainable revenue for providers while preserving their autonomy.

Current Traction

Providers - 20 independent practices + the largest area FQHC partner

Lives - ~17,000+ attributed lives (MA + Duals + Medicaid LTSS)

Payers - Active payer pipeline with Independence Blue Cross, AmeriHealth Caritas, Jefferson Health Plan,

and Aetna and discussions with two other plans

Network - Proven local network in the 5-county Philadelphia region — a concentrated, high-MLR,

underpenetrated market

Market Opportunity

300K–350K Medicare Advantage lives in the 5-county Philadelphia area

~$4.5 billion in annual payer spend across Medicaid/MA

CIH revenue per patient = $1,387

→

$485 million local TAM

Plans are to expand beyond the 5-county Philadelphia area by or before year 3Problem & Solution

The current system is fragmented: payers cannot control costs or hit regulatory metrics, providers face burnout and

financial pressure, and patients — especially high-risk duals and seniors — experience poor outcomes.

CIH solves this with a dual-entity MSO + IPA model that:

Coordinates care through field-based navigators, social workers, and AI-driven technology

Simplifies payer contracting and dramatically improves quality scores

Aligns incentives via shared savings + PMPM without disrupting existing practice ownership

Competitive Advantage

CIH is ready to implement its playbook - it is not a “cold start”. CIH has 4 payers in final contract negotiations, 20

independent practices, and a large FQHC. We are tapping into the patients that the practices and FQHC currently

serve - we do not need to worry about patient acquisition, unlike ChenMed and Oak Street. The CIH technology

stack features the IMPACT platform, a data aggregator that delivers real-time patient information, including risk

stratification, AI-guided interventions, and measurable performance gains in quality measures and care gaps.

Leadership

Experienced operator team with 100+ combined years in managed care, payer strategy, Medicaid/Medicare product

launches, and network scaling. The management team brings deep entrepreneurship and health care expertise.

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Collective Impact Health

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