Aledade

Aledade is a Bethesda, Maryland-based health care technology company that organizes and operates accountable care organizations (ACOs) for primary care organizations, including independent practices, community health centers and health systems. It supplies data analytics, software, workflow tools, coaching and administrative support so that clinicians can adopt value-based care while remaining independent, and it holds contracts with Medicare, Medicaid and commercial payers under which participating practices earn shared savings.

The company's offerings are grouped into a technology platform that centralizes and surfaces patient data at the point of care, expert support and coaching, practice resources covering contracting and financial/operational support, and patient engagement solutions. Additional programs include Aledade FIRST, a value-based care curriculum for PGY2 and PGY3 primary care residents that includes subsidized clinical rotations, job placement with partner practices and financial incentives of up to $60,000 aligned with loan-forgiveness programs; a turnkey program in select states to help clinicians start an independent practice; and the Aledade Policy Institute, which conducts state and national policy advocacy. Aledade Access is a Medicare-covered, physician-referred remote monitoring and coaching program for patients with high blood pressure, high cholesterol, high blood sugar or early kidney disease that provides a connected blood pressure cuff at no cost to the patient; participation is tied to a federal payment model test run by CMS in which some beneficiaries are randomly assigned to a comparison group.

Aledade is structured as a public benefit corporation and describes itself as the largest network of independent primary care practices in the United States. A third-party profile also notes integrations with over 100 EHRs and more than 300 external data sources.

Founding story

Aledade was founded in 2014 on the premise that value-based primary care can be scaled by giving primary care accountability for total cost and quality of care, according to co-founder and CEO Farzad Mostashari. A third-party profile states it was founded by Farzad Mostashari, Mat Kendall and Edwin Miller, and that Mostashari, formerly head of the Office of the National Coordinator for Health Information Technology at HHS, started the company with seed funding from Venrock after concluding that small independent primary care physicians were well positioned for value-based care but lacked tools and support.

Business model

Aledade contracts with payers on behalf of networks of primary care organizations and shares in the savings generated when those practices reduce total cost of care while meeting quality targets; the company states its model succeeds only when its practices succeed. Practices retain ownership and independence rather than being acquired.

Revenue is derived from value-based care contracts with Medicare (including the Medicare Shared Savings Program), Medicare Advantage plans, Medicaid and commercial payers, with shared savings distributed to participating practices. Reported revenue exceeded $475 million for 2022, more than 50% growth over 2021.

Traction

As of the current website, more than 3,000 primary care partners across 46 states and D.C. and more than 3 million lives under management, with 84% of decision-makers rating its products and services as high quality in a 2025 customer experience survey. At the time of the 2023 Series F, the network covered more than 1,500 practices in 45 states and D.C., more than 150 value-based care contracts covering over two million patients and more than $20 billion in total health care spending, including more than one million Medicare Shared Savings Program patients and nearly 250,000 Medicare Advantage patients, with more than $1.7 billion in cumulative savings to the U.S. health care system through 2022.

Latest developments

The company has announced the hiring of a new chief technology officer and a chief scientist to accelerate AI innovation, published a case study on community hypertension management, and is running the Aledade Access remote monitoring program tied to a CMS payment model test. A third-party profile lists a $500 million debt financing announced in December 2025.