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Overview
Somatus provides value-based care for people with kidney and heart conditions by offering personalized care management. Local support teams coach, advocate, and guide patients to navigate the healthcare system and access resources. The business model aligns incentives in value-based contracts with providers and payers, rewarding better outcomes and lower costs, and Somatus earns revenue through these partnerships. The goal is to improve quality of life and health outcomes while reducing hospitalizations and expanding transplant options.
About Somatus
Industries
Healthcare
Company Size
501-1,000
Company Stage
Series E
Total Funding
$476.1M
Headquarters
McLean, Virginia
Founded
2016
Simplify's Take
What believers are saying
- Manages over 500,000 patients across 50 states, $14B costs in 2025.
- Achieved 100% customer retention in 2024 and 2025.
- Expanded to heart failure, serving 1,500+ self-funded groups.
What critics are saying
- Meridian terminated partnership July 1, 2023, slashing Medicaid revenue.
- Sunshine Health ended contract August 1, 2023, cutting patient volume.
- CMS 2026 rule cuts ESRD payments 15-20%, crippling dialysis margins.
What makes Somatus unique
- Somatus leads value-based kidney care with RenalIQ platform ingesting billions of data lines.
- Nurse Navigator Program launched across five Inova hospitals in January 2023.
- Acquired Lumiata assets to predict high-cost claimants and disease progression.
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Funding
Total Funding
$476.1M
Above
Industry Average
Funded Over
6 Rounds
Industry standards
Growth & Insights and Company News
6 month growth
↑ 0%1 year growth
↑ 0%2 year growth
↑ 0%Sun Life US <i class="fa fa-info-circle company-popover" data-content="h3Sun Life US/h3. div. table
Sun Life partners with Somatus to provide comprehensive services for late-stage kidney disease and cardiovascular care.
Blue Cross Complete (BCC) is working with Somatus, a value-based kidney care organization to offer an integrated care delivery program to support eligible members with or at risk of developing Chronic Kidney Disease or End Stage Kidney Disease (ESKD).
Effective July 1, 2023, Meridian will no longer partner with Somatus Inc., a provider of care management services for chronic kidney disease (CKD) and end-stage renal disease (ESRD).
Effective August 1, 2023, Sunshine Health will no longer be partnering with Somatus Inc., which provided care management services for members with chronic kidney disease (CKD) and end-stage renal disease (ESRD).
There are no jobs for Somatus right now.
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About Somatus
Industries
Healthcare
Company Size
501-1,000
Company Stage
Series E
Total Funding
$476.1M
Headquarters
McLean, Virginia
Founded
2016
There are no jobs for Somatus right now.
Find jobs on Simplify and start your career today