The Nation's Virtual Primary Care Practice — Built for Plan Performance
A dedicated, lifelong primary care doctor at every member's fingertips. HealthTap is a Joint Commission–accredited virtual medical group — 100% board-certified MDs/DOs — that augments your network to engage unattributed members, improve Stars and HEDIS, optimize RAF coding, and reduce total cost of care.
10,074 adults — 27.5% lower total cost of care, 47.5% fewer hospitalizations, and a dose-response relationship proving more engagement = greater savings.
Six Reasons Health Plans Choose Us
Every card answers a question your leadership team is already asking.
Engage Unattributed & Under-Engaged Members
Over 100M Americans lack a PCP. We turn your "invisible" members into attributed, engaged patients with longitudinal PCP relationships that drive quality scores and reduce avoidable utilization.
Improve HEDIS & Star Ratings
Our board-certified PCPs manage chronic conditions, close quality gaps, and drive medication adherence — systematically. We perform at the 90th percentile for eligible care gap closure.
Rate Flexibility & Transparency Aligned to Value
No black-box PMPM access fee. Transparent pricing billed through claims and aligned to your MLR: FFS, discounted FFS + shared savings, PEMPM, or capitation. Start with FFS; evolve to VBC.
Optimized / Appropriate RAF Coding
Our PCPs conduct comprehensive Eval360 wellness visits with thorough data intake and accurate HCC/Risk Adjustment coding for otherwise undocumented members — ensuring appropriate risk scores.
Reduce ER & Avoidable Utilization
A trusted virtual PCP relationship — backed by on-demand urgent care with sub-15-minute wait times — redirects avoidable ED visits and lowers total medical expense.
CIN and ACO Partners Steerage & Coordination
HealthTap physicians generate referrals within our EMR — steering members to your high value network of specialists, ancillaries and care partners via your provider directory or navigator team. Clinical data flows back to your programs.
Visit Types
HealthTap can manage 80–90% of typical PCP encounters virtually. All care delivered by U.S.-licensed, board-certified MDs/DOs with an average of 28 years of clinical experience.
Comprehensive Wellness Visits
Gaps/Stars/HEDIS-focused visits aligned to your key quality initiatives. AWVs, HRAs, care gap closure, and accurate HCC documentation via our Eval360 protocol.
General Primary Care
Ongoing, relationship-based primary care for unengaged and unattributed members. Members choose and keep their own board-certified PCP for chronic disease management, behavioral health, preventive care, and medication management.
Urgent Care
365-day on-demand access to the first available physician for non-emergency issues. Sub-15-minute average wait times. Synergistic with primary care for instant access and ED cost avoidance. Available regardless of partnership model.
Omnichannel Member Engagement
"How do you actually get my members to use this?" — We manage the full funnel from eligibility list receipt through visit completion.
Multi-Channel Outreach
Every campaign is co-branded with the health plan for trust and recognition. Warm hand-offs, timely data exchange, and clear member communication at every step.
Engagement Results
Target Cohorts
Plans typically begin with one or more high-impact populations, then expand as outcomes are proven.
Unattributed Lives
Members with no PCP on file — the largest untapped source of attribution, coding, and quality improvement.
New Member Activation & Coding
Newly enrolled members who need an initial wellness visit, HRA, and baseline HCC documentation.
Rural Populations
Members in HPSAs or rural areas with limited PCP access — 92% of rural counties are shortage areas.
Urban Centers with Poor Access
Dense markets where network adequacy looks adequate on paper but wait times exceed 31 days.
AWV Target Cohorts
MA members overdue for their Annual Wellness Visit — a direct lever for Stars and RAF accuracy.
Care Gap Closure Cohorts
Members with open HEDIS gaps not reached by existing programs (diabetes, depression, A1c, etc.).
What Sets Us Apart
Relationship-Based Care
Members choose and keep their own PCP. 91% continuity rate. Not a random call center.
Nationwide Capacity
50–100+ MDs/DOs across all 50 states. Same-day appointments. Sub-15-min urgent care.
Clinically Proven Outcomes
The largest published outcomes study in virtual primary care: 10,074-member matched cohort proving 27.5% TCOC reduction. Unprecedented claims-level evidence of virtual primary care's impact at population scale.
Accredited Excellence
Only virtual PCP practice with Joint Commission Gold Seal. SOC 2 Type II. NCQA. 28 yrs avg. experience.
Partnership Models
Start focused, expand as outcomes are proven. A mix of models is possible based on market need.
Wellness & Gap Closure
AWVs, care gap closure, and targeted quality visits for members who already have a PCP.
Primary Care
Engage and establish care for unattributed members — becoming their virtual medical home.
Comprehensive
Full scope: wellness visits, gap closure, ongoing primary care, and urgent care for targeted populations.
Urgent care is available regardless of model and can be scaled up or down based on market need.
Outcomes Proven at Population Scale
A 10,074-member propensity-score matched cohort study across a 434,000-member national plan. 12-month outcomes. Peer-reviewed manuscript in preparation.
More Engagement = Greater Savings
Each additional primary care visit produces progressively greater cost reductions vs. the comparison group ($248 PMPM).
Both Beat the Control
Average monthly claims cost per member. Both HealthTap visit types beat the comparison group.
The physician-patient relationship drives the deepest, most sustained cost reduction.
The largest published outcomes study in virtual primary care. The first claims-level evidence of its kind in the industry. Robust across all sensitivity analyses (top 1%/5% trimmed, 1:5 matching).
How It Works
Getting started is operationally simple.
Credential & Configure
Enroll HealthTap as an in-network provider for selected plans and markets.
Configure platform, co-brand materials, prepare engagement campaigns.
Engage & Deliver Care
Provide eligibility files for targeted cohorts. Market HealthTap as a quality in-network PCP option.
Execute omnichannel engagement. Conduct visits, close gaps, document accurately.
Measure & Expand
Reimburse at the negotiated rate (FFS, PEMPM, or VBC).
Submit claims and clinical data. Steer to in-network referrals and formulary meds. Report outcomes.
What Our Partners Say
HealthTap has been a star partner to collaborate with by every measure. They have worked diligently to seamlessly incorporate Clover's technology into their workflows, resulting in stellar usage compliance by their physicians. We're impressed by how well HealthTap PCPs have adapted to providing technology-enabled virtual care for our members.
HealthTap is an example of a healthcare innovator fostering a trusted physician-patient relationship based on longitudinal care. I absolutely believe the future is distributed care — and the direction of HealthTap is, in my opinion, right on target.
Lines of Business Supported
Let's Build a Virtual Primary Care Strategy Tailored to Your Plan
Start with a focused pilot or deploy at scale — we'll design the right model for your population, your quality priorities, and your economics.
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