
Icon Health offers comprehensive orthopedic care management solutions designed to lower total costs while improving access and outcomes for health plan members and VBC organizations. They achieve this through a full-risk partnership model, utilizing AI-powered predictive risk algorithms for targeted patient engagement and a nationwide network of 5,000 orthopedic specialists, 3,500 physical therapists, and affiliated imaging and surgery centers. Their proprietary Provider Efficiency Scores, powered by extensive claims and patient data, ensure patients receive high-quality care. Icon Health focuses on empowering patients with immediate access to expert providers, aligning providers through a national network, and driving real impact through fewer hospitalizations and faster recovery times, ultimately improving HEDIS measure performance and reducing orthopedic spend.

Icon Health offers comprehensive orthopedic care management solutions designed to lower total costs while improving access and outcomes for health plan members and VBC organizations. They achieve this through a full-risk partnership model, utilizing AI-powered predictive risk algorithms for targeted patient engagement and a nationwide network of 5,000 orthopedic specialists, 3,500 physical therapists, and affiliated imaging and surgery centers. Their proprietary Provider Efficiency Scores, powered by extensive claims and patient data, ensure patients receive high-quality care. Icon Health focuses on empowering patients with immediate access to expert providers, aligning providers through a national network, and driving real impact through fewer hospitalizations and faster recovery times, ultimately improving HEDIS measure performance and reducing orthopedic spend.
What they do: Full-risk, technology-enabled orthopedic (MSK) care management and navigation for health plans and value-based care organizations
Network: Nationwide network of ~5,000 orthopedic specialists and ~3,500 physical therapists
Tech: AI-powered predictive outreach and proprietary Provider Efficiency Scores using claims and patient data
Location: Headquartered in Stamford, Connecticut
Funding: Seed round announced Jan 1, 2023; investor listed as Montage Ventures
Musculoskeletal (orthopedic) care management for health plans and value-based care organizations
2021
Healthcare; Musculoskeletal/Orthopedics; Value-based Care
“Montage Ventures participation in Seed round”