Centivo

Centivo is a health plan administrator that focuses on providing affordable, high-quality healthcare to working Americans who struggle to pay their medical bills. By emphasizing the importance of primary care and building a network of high-value providers, Centivo aims to improve healthcare affordability and quality for employers and employees alike.

The company's approach is designed to align incentives among employers, employees, and providers to create a win-win-win partnership, thereby unlocking genuine, sustainable value. Centivo's approach includes offering health plans with features such as free adult and pediatric primary care visits, no deductibles, predictable copays, and integrated virtual primary care, which are intended to reduce overall healthcare costs while enhancing the benefits​​​​. The company claims that, among mid-size and large employers, it reduces employers' healthcare costs by 15%–30% annually while simultaneously decreasing members' out-of-pocket expenses to less than USD 350 per person per year on average.

In May 2024, the company acquired Eden Health, a New York-based direct primary direct care provider, to scale up its healthcare plans centered around primary care. The terms of the transaction were not disclosed. Post-acquisition, Eden Health’s clinical services were integrated into Centivo's offerings, expanding the range of services available to members. This included enhanced access to primary care, mental health services, urgent care, and workplace pop-up clinics. Additionally, Eden Health's technology enabled data-driven engagement and collaborative care through various communication channels.

Key customers and partnerships

Centivo's clients range from small businesses with as few as 51 employees to large Fortune 500 companies. Some of the company’s key clients are Equity Healthcare, Catholic Health Services of Long Island, and Stew Leonard's. As of May 2024, Centivo served over 160 employers across the US.

In July 2023, Centivo partnered with SSM Health, a not-for-profit health system. The partnership offered more primary and specialty care services to Centivo members in Wisconsin, including areas like oncology, and cardiovascular disease. By promoting access to high-value healthcare providers that focus on primary care, the partnership aimed to lower healthcare-related costs for businesses and their employees. The collaboration was also expected to result in fewer emergency room visits and hospital admissions.