Orb Health

Orb Health operates a "Care Management as a Service" platform that provides remote contact center and clinical care coordination services to healthcare organizations. The company's Universal Patient Engagement Center staffs licensed administrative and clinical agents who work on behalf of health centers, hospitals, ACOs, and unions to manage patient access, coordinate care, and close care gaps while integrating with existing EMR systems.

The service model includes multiple program options spanning contact center scaling, chronic care management (CCM, TCM, PCM), managed services, and outbound campaigns. Orb Health's approach leverages existing IT investments and requires no additional infrastructure or staff from client organizations. Their teams handle enrollment, compliance, billing, and documentation while syncing all interactions back to the client's EMR system.

The company reports significant outcomes across implementations, including a 54% reduction in ED visits at CHC Pinellas' ACO, 70% care gap closure rates, and $6.22 million in Medicare savings per 1,000 patients. Their programs achieve a break-even point at 9 months and maintain 4.8/5 patient satisfaction scores.

Choose Orb Health when your organization needs to rapidly implement or scale chronic care management programs without capital investment in contact center infrastructure or staff hiring. Their turnkey approach handles the entire service delivery chain from patient identification through billing, making them particularly valuable for organizations transitioning to value-based care models or seeking to capture CCM reimbursements.

Expect a partner-based implementation that works within your existing EMR ecosystem. The service is designed for organizations that want clinical outcomes and financial returns without operational complexity or technology learning curves.

Orb Health operates exclusively in healthcare, specializing in Federally Qualified Health Centers, community health centers, ACOs, hospital systems, and health plans. The company demonstrates deep expertise in Medicare and Medicaid reimbursement models, particularly CPT codes for chronic care management (99490, 99493, 99487, 99489), transitional care management (99495, 99496), and principal care management (G2065).

Their HIPAA-compliant operations integrate with major EMR systems and support healthcare-specific workflows including care gap identification, HEDIS measure improvement, and ACO performance optimization. Partnership with Mayo Clinic and integration platforms like Redox and Validic demonstrates established healthcare ecosystem connections.

Organizations managing 1,000+ chronically ill patients in Medicare/Medicaid populations who are either entering value-based care arrangements, struggling with contact center capacity constraints, or seeking to monetize CCM/TCM opportunities. Best fit for FQHCs, ACOs, and hospital systems with limited internal resources for building care coordination programs but strong existing clinical infrastructure.