Healthcare in Pennsylvania is a dynamic sector comprising companies offering a variety of services from insurance to direct medical care. This industry serves a vast client base ranging from individuals to large employers and government agencies. With innovative approaches in health technology and patient management, organizations are increasingly focused on personalized and affordable care solutions. As telehealth and digital health tools gain traction, the industry is undergoing a significant transformation aimed at improving access and outcomes. Trends such as value-based care and integrated health services underscore a commitment to holistic health management.

This list includes a range of 20 healthcare companies based in Pennsylvania, varying in size and specialization. From large entities like AmeriHealth Caritas and MedRisk to innovative startups like Vitable Health, these companies operate in locations such as Philadelphia and King of Prussia. Founded between 1982 and 2021, these organizations concentrate on services such as managed care, wellness support, and telehealth solutions. This snapshot reflects the evolving nature of healthcare in the state and highlights key players shaping the future of patient care.

Read on to discover the top healthcare companies in Pennsylvania.

Top 20 Healthcare Companies Companies in Pennsylvania

1. Health Advocate

• Website: healthadvocate.com
• Ownership type: Corporate
• Headquarters: Plymouth Meeting, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 93%, Other 7%
• Latest funding: May 2014
• Founded year: 2001
• Headcount: 1001-5000
• LinkedIn: health-advocate

Health Advocate, Inc., based in Plymouth Meeting, Pennsylvania, is a health advocacy service founded in 2001. The company specializes in assisting individuals and organizations with healthcare and insurance challenges. They offer a variety of services, including wellness programs, clinical care management, and health screenings. Health Advocate's clientele includes businesses and consumers who seek help with health-related issues. By combining personal support with technology, they aim to enhance health outcomes and lower costs. The company is NCQA-certified and accredited, which underscores its commitment to quality in healthcare management. With a workforce of over 1,180 employees, Health Advocate has established itself as a significant entity in the healthcare industry, providing essential services that address the needs of its members and clients.

2. AmeriHealth Caritas

• Website: amerihealthcaritas.com
• Ownership type: Private
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1983
• Headcount: 10001+
• LinkedIn: the-amerihealth-mercy-family-of-companies

AmeriHealth Caritas, founded in 1983 and based in Philadelphia, Pennsylvania, is a private healthcare provider specializing in managed care solutions. The company offers a comprehensive range of services, including Medicaid managed care, Medicare plans, and behavioral health care. With over 40 years of experience, AmeriHealth Caritas focuses on serving individuals and families who are often eligible for government assistance programs. Their mission is to improve access to care and address the health needs of underserved populations. The company operates with a commitment to quality care, evidenced by their various awards and accreditations. AmeriHealth Caritas also emphasizes the importance of social determinants of health, recognizing that factors such as access to nutritious food, safe housing, and community support significantly impact overall health outcomes. Their integrated approach includes health outreach programs, job placement initiatives, and efforts to combat the opioid crisis, showcasing their dedication to community well-being. AmeriHealth Caritas operates entirely within the United States, ensuring a focused impact on local communities.

3. PA Health & Wellness

• Website: pahealthwellness.com
• Ownership type: Private
• Headquarters: Camp Hill, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 99%
• Founded year: 2016
• Headcount: 501-1000
• LinkedIn: pa-health-wellness

PA Health & Wellness, based in Camp Hill, Pennsylvania, is a healthcare provider that specializes in Medicaid and Medicare services. Founded in 2016, the company operates as a subsidiary of Centene Corporation, which is known for its focus on managed care. PA Health & Wellness aims to deliver quality healthcare through community-based solutions, ensuring that individuals and families have access to necessary medical services. The organization emphasizes coordinated care and has developed various programs to support its members, including Community HealthChoices and Medicare Advantage plans. With a workforce of approximately 252 employees, PA Health & Wellness is dedicated to improving the health of its beneficiaries by providing compassionate and focused care tailored to the needs of the local population.

4. Geneia

• Website: geneia.com
• Ownership type: Private
• Headquarters: Harrisburg, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2006
• Headcount: 51-200
• LinkedIn: geneia

Geneia, based in Harrisburg, Pennsylvania, is a private health insurance provider that operates under the Capital Blue Cross brand. Founded in 2006, the company offers a variety of health plans tailored to meet the needs of individuals, families, and employers. Their offerings include individual and family health plans, Medicare options, and employer health plans, catering to a wide range of healthcare needs. Geneia emphasizes not just coverage but also wellness resources, aiming to help members manage their healthcare effectively. The company serves 21 counties in Central Pennsylvania and the Lehigh Valley, focusing on providing accessible and affordable health insurance solutions. Geneia's commitment to customer service and health management makes it a relevant player in the healthcare industry.

5. Preferred Health Care

• Website: phcunity.com
• Ownership type: Private
• Headquarters: Lancaster, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1986
• Headcount: 11-50
• LinkedIn: preferred-health-care

Preferred Health Care (PHC), based in Lancaster, Pennsylvania, is a private healthcare provider established in 1986. With a workforce of around 44 employees, PHC specializes in case management, medical management, and wellness programs. They serve a variety of clients, including individuals and businesses, helping them navigate healthcare needs and manage costs effectively through self-funded health insurance solutions. PHC operates as a licensed Preferred Provider Organization (PPO) in several counties, boasting a network of thousands of healthcare providers. Their services include support for self-funded employer health plans, Medicaid, Medicare Advantage, and CHIP programs. PHC also collaborates with Eliance Health Solutions to offer self-funded group health insurance and corporate wellness services, aiming to enhance health outcomes while controlling costs. Their commitment to quality care and community engagement underscores their role in the healthcare industry.

6. AmeriHealth Administrators

• Website: amerihealth.com
• Ownership type: Corporate
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Latest funding: January 2004
• Founded year: 1988
• Headcount: 501-1000
• LinkedIn: amerihealth-administrators

AmeriHealth Administrators, based in Philadelphia, Pennsylvania, is a health insurance provider that has been in operation since 1988. The company offers a variety of health plans and services designed for individuals, families, and employers. Their focus is on making health coverage accessible and affordable, which includes options for Medicare and wellness programs. AmeriHealth serves a broad customer base, including consumers seeking personal health insurance and businesses looking to provide employee health benefits. They also provide third-party administration services, showcasing their capability to manage self-funded health plans and offer tailored solutions to meet unique client needs. With a workforce of around 380 employees, AmeriHealth is dedicated to improving health outcomes and addressing health inequities in the communities they serve.

7. Highmark Blueshield

• Website: highmarkblueshield.com
• Ownership type: Private
• Headquarters: Allentown, Pennsylvania, United States (USA)
• Founded year: 1930
• Headcount: 11-50
• LinkedIn: highmark-blueshield

Highmark Blueshield, based in Allentown, Pennsylvania, is a private health insurance provider that has been serving consumers and businesses since its founding in 1930. The company offers a range of health plans, including individual and family plans, Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Highmark Blueshield aims to help its members access affordable healthcare and manage health-related expenses through various insurance products. In addition to traditional health insurance offerings, the company places a strong emphasis on mental health support services, addressing issues such as depression, anxiety, and substance use disorders. This focus on mental health reflects a broader trend in the industry towards holistic care. Highmark Blueshield is committed to corporate responsibility, emphasizing diversity, inclusion, and sustainability in its operations. The company does not report any recent funding, indicating stability in its operations without reliance on external investment.

8. Jefferson Health Plans

• Website: jeffersonhealthplans.com
• Ownership type: Private
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1984
• Headcount: 501-1000
• LinkedIn: jefferson-health-plans

Jefferson Health Plans, based in Philadelphia, Pennsylvania, is a private health insurance provider that has been serving the community since 1984. The company specializes in a variety of insurance products, including Medicare Advantage Plans and Individual & Family Plans. Jefferson Health Plans aims to provide affordable healthcare coverage, ensuring that individuals and families have access to essential medical services. They emphasize a broad network of providers and offer plans with features such as $0 medical deductibles and free initial primary care visits. Their recent partnership with Lehigh Valley Health Network further enhances their service offerings, allowing them to expand their reach and improve care delivery. Jefferson Health Plans operates entirely within the United States, focusing on the needs of its local communities without any reported external funding.

9. Imagine360

• Website: imagine360.com
• Ownership type: Private
• Headquarters: Wayne, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2003
• Headcount: 1001-5000
• LinkedIn: elap-services

Imagine360, founded in 2003 and based in Wayne, Pennsylvania, is a private health plan provider that specializes in self-funded health insurance solutions tailored for employers. The company offers a range of services, including customized health plans and reference-based pricing, aimed at helping businesses manage healthcare costs while enhancing the quality of care for their employees. Imagine360 partners with healthcare providers to create effective solutions that address the complexities of rising healthcare expenses. With a workforce of approximately 693 employees, the company has served over 1,000 clients and has facilitated more than $1 billion in savings for its customers. Their commitment to member support and advocacy is evident in their approach, which emphasizes a personalized experience for both employers and employees. Imagine360's innovative strategies and focus on cost-effective healthcare solutions make it a notable entity in the health insurance industry.

10. MedRisk

• Website: medrisknet.com
• Ownership type: Private Equity
• Headquarters: King Of Prussia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 71%, Philippines 27%, Other 2%
• Latest funding: February 2021
• Founded year: 1994
• Headcount: 1001-5000
• LinkedIn: medrisk-inc-

MedRisk, founded in 1994 and based in King of Prussia, Pennsylvania, is a healthcare service provider that specializes in physical medicine tailored for workers' compensation. The company offers a range of services, including physical therapy, occupational therapy, and chiropractic care, aimed at facilitating the recovery of injured employees. MedRisk collaborates closely with payers and providers to optimize rehabilitation processes, ensuring that treatments align with clinical guidelines. They manage a significant network of over 148,000 credentialed providers, which allows them to deliver personalized care efficiently. MedRisk employs advanced analytics to track treatment outcomes and provide transparency to clients, ultimately reducing the duration of care and associated costs. Their focus on clinical oversight and evidence-based practices underscores their commitment to improving recovery outcomes for injured workers.

11. Vitable Health

• Website: vitablehealth.com
• Ownership type: Venture Capital
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Latest funding: Series A, $16.0M, July 2024
• Founded year: 2020
• Headcount: 11-50
• LinkedIn: vitable-health

Vitable Health, based in Philadelphia, Pennsylvania, is a healthcare provider that specializes in enhancing access to affordable health benefits, particularly for hourly workers. Founded in 2020, the company offers a range of services including direct primary care, mental health support, and solutions for ACA compliance. Vitable Health aims to improve healthcare accessibility and affordability through its unique model that emphasizes in-home and virtual visits. This approach not only caters to individual consumers but also serves businesses looking to provide comprehensive health benefits to their employees. The company has recently secured $16 million in Series A funding, which underscores its growth trajectory and the confidence investors have in its mission to transform healthcare delivery. Vitable Health's commitment to providing high-quality care, with features like free prescriptions and a user-friendly mobile app, positions it as a noteworthy player in the healthcare industry.

12. Belong Health

• Website: belong-health.com
• Ownership type: Venture Capital
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 96%, United Kingdom (UK) 4%
• Latest funding: Series A, $40.0M, December 2021
• Founded year: 2021
• Headcount: 51-200
• LinkedIn: belonghealth

Belong Health is a healthcare services company based in Philadelphia, Pennsylvania, established in 2021. The firm specializes in insurance solutions and care management for individuals eligible for Medicare and Medicaid. By partnering with regional health plans and hospital systems, Belong Health aims to improve care delivery for those with complex health needs. Their offerings include Medicare Advantage and Dual-Eligible Special Needs Plans (D-SNP), which are designed to provide comprehensive support for providers and patients alike. The company emphasizes integrated services and innovative technology to enhance health outcomes. In December 2021, Belong Health secured $40 million in Series A funding, reflecting strong investor interest in their approach to addressing the challenges faced by underserved populations. Their focus on patient-centered care and collaboration with local health plans positions them as a significant player in the healthcare industry.

13. Highlight Health

• Website: highlight.health
• Ownership type: Private
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2020
• Headcount: 11-50
• LinkedIn: highlighthealth

Highlight Health is a healthcare solutions provider based in Philadelphia, Pennsylvania, established in 2020. The company specializes in offering affordable healthcare plans and advocacy services tailored for individuals, employers, and self-funded health plans. Highlight Health's mission is to reduce healthcare costs and enhance access to care, particularly for those who are uninsured or underinsured. Their flagship programs, Highlight Access and Highlight Advantage, provide services such as virtual doctor visits, mental healthcare, and 24/7 advocate support. The company emphasizes transparency in pricing and aims to protect consumer rights within the healthcare system. By leveraging technology and a dedicated team of advocates, Highlight Health seeks to simplify the healthcare experience for its members, ensuring they receive the care they need at a fair price. Their innovative approach positions them as a significant player in the ongoing efforts to reform healthcare access and affordability in the United States.

14. TriValley Primary Care, PC

• Website: trivalleypc.com
• Ownership type: Private
• Headquarters: Perkasie, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1995
• Headcount: 51-200
• LinkedIn: trivalley-primary-care-pc

TriValley Primary Care, PC is a private healthcare provider based in Perkasie, Pennsylvania, established in 1995. The practice specializes in primary care services, catering to individuals and families across several locations in southeastern Pennsylvania. With a workforce of approximately 77 employees, TriValley emphasizes preventive medicine and patient-centered care. They offer a variety of medical services, including telehealth options, which have become increasingly important in modern healthcare. The practice is dedicated to coordinating care with local hospitals and specialists, ensuring continuity for their patients. TriValley is also involved in occupational health assessments, providing services to local employers. Their mission is to deliver ethical, comprehensive, and compassionate care, reflecting their commitment to the community they serve.

15. Keystone First

• Website: keystonefirstpa.com
• Ownership type: Private
• Headquarters: Philadelphia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1982
• Headcount: 501-1000
• LinkedIn: keystone-mercy-health-plan

Keystone First, established in 1982 by the Sisters of Mercy, is a managed care health plan based in Philadelphia, Pennsylvania. The company specializes in providing medical assistance services, primarily focusing on Medicaid and Medicare programs. Keystone First aims to enhance healthcare access for low-income residents in southeastern Pennsylvania, offering tailored programs such as Community HealthChoices and the VIP Choice plan for individuals with dual eligibility. Their commitment to community health is evident through various initiatives designed to prevent illness and promote wellness among their members. Keystone First operates with a mission to create a medical home for its members, ensuring they receive the necessary services to lead healthier lives. The company is a part of the Keystone Family Health Plan and operates under the Blue Cross and Blue Shield Association, further solidifying its position in the healthcare industry.

16. GrayHawk Health

• Website: grayhawkhealth.com
• Ownership type: Private
• Headquarters: Chesterbrook, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Latest funding: $13.2M, May 2023
• Founded year: 2022
• Headcount: 51-200
• LinkedIn: grayhawk-home-care-i-llc

GrayHawk Health, founded in 2022 and based in Chesterbrook, Pennsylvania, is a healthcare service provider dedicated to empowering individuals with complex medical conditions. The company offers personalized in-home primary care, wellness coaching, and support services aimed at helping clients manage their health effectively. Their primary focus is on individuals receiving Medicaid or Medicare benefits, who often require tailored healthcare solutions to improve their well-being. GrayHawk Health operates as a Health Empowerment Organization (HEO), bridging clinical, social, behavioral health, and logistical gaps to optimize patient outcomes. The company has recently secured $13.25 million in funding, reflecting its commitment to enhancing healthcare delivery for high-risk populations. Through its innovative care model, GrayHawk Health aims to reduce hospital readmissions and emergency room visits while increasing patient engagement and satisfaction.

17. Genex Services

• Website: genexservices.com
• Ownership type: Private Equity
• Headquarters: Wayne, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 98%, Other 2%
• Latest funding: February 2018
• Founded year: 1978
• Headcount: 1001-5000
• LinkedIn: genexservices

Genex Services, LLC, based in Wayne, Pennsylvania, is a managed care provider that has been operational since 1978. The company specializes in workers' compensation and disability management, offering a comprehensive suite of services aimed at assisting injured employees in their recovery and facilitating their return to work. Genex's services include telephonic case management, crisis response, and vocational case management, among others. They also provide solutions for navigating claims, such as independent medical exams and functional capacity evaluations. With a workforce of over 2,300 employees, Genex is dedicated to improving outcomes for injured workers while helping employers and insurers manage claims effectively. Their expertise in clinical services and claims navigation is designed to reduce costs and enhance recovery processes, making them a significant player in the healthcare industry.

18. Tandigm Health

• Website: tandigmhealth.com
• Ownership type: Private
• Headquarters: West Conshohocken, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Latest funding: $1.9M, April 2022
• Founded year: 2014
• Headcount: 51-200
• LinkedIn: tandigm-health

Tandigm Health, founded in 2014 and based in West Conshohocken, Pennsylvania, is a private healthcare management company dedicated to enhancing population health management and clinical services. With a workforce of approximately 223 employees, Tandigm Health collaborates with primary care and specialty practices to improve patient care and health outcomes. They utilize innovative health management tools and administrative services to support healthcare providers, payors, and patients primarily in the Greater Philadelphia region. Their services include complex care management, medication management, and transitions of care, all aimed at reducing hospital admissions and improving patient satisfaction. Tandigm Health has also received funding, with a notable amount of $1,881,536 reported in April 2022, which underscores their growth and commitment to advancing healthcare delivery.

19. PeopleOne Health

• Website: peopleonehealth.com
• Ownership type: Venture Capital
• Headquarters: Pittsburgh, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 97%, United Arab Emirates 3%
• Latest funding: Series B, $32.3M, October 2024
• Founded year: 2021
• Headcount: 51-200
• LinkedIn: spark360

PeopleOne Health, based in Pittsburgh, Pennsylvania, is a healthcare provider that specializes in value-based primary care services. Founded in 2021, the company offers a comprehensive range of services, including primary care, mental health support, and pharmacy services, primarily targeting employers and their employees. Their innovative model is designed to enhance health outcomes while simultaneously lowering overall healthcare costs. PeopleOne Health operates health centers that provide unlimited access to primary care without copays or deductibles, emphasizing preventive care to reduce the need for more expensive treatments. The company has recently secured $32.3 million in Series B funding, which will support its expansion efforts, including the opening of new clinics in Florida. With a focus on improving employee health and well-being, PeopleOne Health aims to create healthier workplaces and communities.

20. Medecision

• Website: medecision.com
• Ownership type: Corporate
• Headquarters: King Of Prussia, Pennsylvania, United States (USA)
• Employee distribution: United States (USA) 100%
• Latest funding: June 2008
• Founded year: 1988
• Headcount: 201-500
• LinkedIn: medecision

Medecision, founded in 1988 and based in King of Prussia, Pennsylvania, is a healthcare technology firm that specializes in care management and data analytics. The company offers a suite of solutions aimed at improving health outcomes and operational efficiency for health plans, health systems, and third-party administrators. Their flagship product, the Aerial Data Platform, allows organizations to manage and analyze vast amounts of healthcare data in real-time, facilitating better decision-making and personalized care. Medecision also provides consulting services through its Aveus division, helping organizations navigate the complexities of healthcare delivery and improve patient experiences. The company has a workforce of approximately 242 employees and operates entirely within the United States, focusing on innovative solutions that address the challenges faced by healthcare providers and payers.

Healthcare Companies Insights: Key Companies in Pennsylvania

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