Vatica Health

Vatica Health

Risk adjustment and quality-of-care solutions

Overview

Vatica Health provides risk adjustment and quality-of-care solutions to healthcare providers, health plans, and patients. Its products help clinicians capture accurate health data at the point of care, using proprietary technology that speeds up coding so clinicians can spend more time delivering care. The platform emphasizes compliance to lower audit risk and supports the delivery of Annual Wellness Visits and preventive services. Revenue comes from partnerships with providers and health plans, with growth aided by strategic investment (notably from Great Hill Partners since 2019). The company differentiates itself through a clear focus on compliance and financial performance improvements enabled by its proprietary technology. Its goal is to transform the risk adjustment industry by improving patient outcomes and the financial health of its clients through efficient, compliant clinical encounters.

About Vatica Health

Simplify's Rating
Why Vatica Health is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Enterprise Software

Healthcare

Company Size

201-500

Company Stage

Early VC

Total Funding

$1.2M

Headquarters

Georgia

Founded

2012

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Simplify's Take

What believers are saying

  • February 2026 Best in KLAS win strengthens sales credibility with health plans.
  • Combined network spans 26 health plan clients and 100,000 providers across 48 states.
  • Revelio shows 817 employees in March 2026 and continued hiring momentum.

What critics are saying

  • Integration risk rises after the October 2025 merger across platforms, teams, and sales motions.
  • Payer dependence remains concentrated; losing Blue Shield or major plans would hit revenue quickly.
  • HITRUST, NCQA, and CMS rule changes can compress margins and slow deployments.

What makes Vatica Health unique

  • October 2025 merger pairs Vatica’s nurse-led risk adjustment with Cozeva’s quality platform.
  • 2026 Best in KLAS recognition validates a differentiated, compliance-first point-of-care workflow.
  • Blue Shield of California uses Cozeva for member digital health records.

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Funding

Total Funding

$1.2M

Above

Industry Average

Funded Over

1 Rounds

Early VC funding comparison data is currently unavailable. We're working to provide this information soon!
Early VC Funding Comparison
Coming Soon

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Paid Vacation

401(k) Retirement Plan

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

-1%

2 year growth

11%
The Manila Times
Nov 10th, 2025
Vatica Health earns consistent high performer award

Vatica Health earns consistent high performer award. ATLANTA, Nov. 10, 2025 (GLOBE NEWSWIRE) - Vatica Health, the leader in provider-centric risk adjustment and clinical quality solutions, has earned the distinction of being named a 2025 Consistent High Performer from KLAS Research. Consistent High Performers 2025 is a new report from KLAS that identifies companies delivering exceptional client satisfaction and performance over a longer period of time. While the annual Best in KLAS(R) report draws from client data collected over the prior 12-18 months, the new report analyzes performance on a three-year rolling basis. Criteria included how the companies were rated across KLAS' customer experience pillars: culture, loyalty, operations, product, relationship and value. The report also draws from surveys of the consistent high performers who shared nearly identical best practices for maintaining high client customer satisfaction. KLAS issued the new report to help healthcare organizations identify future partners and prompt other HIT vendors to implement these best practices. For three years in a row (December 2021 - December 2024), Vatica has been fully rated and has had an overall performance score of 90+ on a 100-point scale, based on feedback from customers. Vatica is the only company in the risk and quality category recognized as a Consistent High Performer. "We are honored to receive this new recognition from KLAS," said Whitney Chernoff, Vatica's executive vice president of customer success. "This distinction validates the consistent high level of service the Vatica team provides to produce better results for health plans, providers and patients. We're deeply grateful to our clients for their ongoing collaboration and partnership." This recognition reinforces Vatica's commitment to delivering innovative, provider-centric solutions that drive superior clinical and financial performance across the healthcare ecosystem. Details on the KLAS Consistent High Performers 2025 report can be found here. About Vatica Health Founded in 2011, Vatica Health is the #1 ranked risk adjustment and quality of care solution for health plans and health systems. By pairing expert clinical teams with cutting-edge technology at the point of care, Vatica increases patient engagement and wellness, improves coding accuracy and completeness, identifies and closes gaps in care and enhances communication and collaboration between providers and health plans. The company's unique solution helps providers, health plans and patients achieve better outcomes, together. Vatica Health is trusted by many of the leading health plans and thousands of providers nationwide. More information can be found here. KLAS has been providing accurate, honest and impartial insights for the healthcare IT (HIT) industry since 1996. The KLAS mission is to improve the world's healthcare by amplifying the voice of providers and payers. The scope of KLAS research is constantly expanding to best fit market needs as technology becomes increasingly sophisticated. KLAS finds the hard-to-get HIT data by building strong relationships with payers and providers in the industry. Follow KLAS on LinkedIn. Learn more at klasresearch.com.

GlobeNewswire
Nov 3rd, 2025
Vatica Health merges with Cozeva

Vatica Health has merged with Cozeva, combining Vatica's top-rated risk adjustment platform with Cozeva's leading quality platform to enhance value-based care enablement. This merger aims to improve patient and financial outcomes by offering integrated solutions for risk adjustment, quality, data analytics, and clinical services. The combined entity will support providers and payers in optimizing care and performance in the healthcare ecosystem.

Business Wire
Feb 7th, 2024
Vatica Health Earns Second Consecutive Best In Klas Award

ATLANTA--(BUSINESS WIRE)--Vatica Health, the leader in provider-centric risk adjustment and clinical quality solutions, is pleased to announce that it has earned the 2024 Best in KLAS distinction in the Risk Adjustment Software and Professional Services category. This is the second year in a row Vatica has received this honor. KLAS’ analysis of the risk adjustment competitive landscape included numerous vendors and in-depth interviews with dozens of payers and providers. Customers rate each solution across six customer experience categories—culture, loyalty, operations, product, relationship and value—providing an overall assessment of customer satisfaction. Based on extensive client feedback, Vatica received an overall score of 93.6 (on a 100-point scale), the highest in the risk adjustment category. This reflects Vatica’s intense commitment to client success, innovation and delivering tangible results that significantly exceed customer expectations

Business Wire
Feb 7th, 2024
Vatica Health Earns Second Consecutive Best in KLAS Award

Vatica Health earns second consecutive Best in KLAS award.

The Bakersfield Californian
Feb 8th, 2023
Vatica Health Wins Best in KLAS Award for Risk Adjustment | News | bakersfield.com

Vatica Health, the leader in provider-centric risk adjustment and clinical quality solutions, has been awarded the 2023 Best in KLAS distinction in the Risk Adjustment Software and Professional Services category.

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