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Tech-enabled value-based care platform serving Medicare Advantage and Medicaid populations

Listing Code:

BEACON

State:

Not Disclosed

Category:

Software & Technology

Asking Price:

-

Revenue:

$58,700,000

BEACON
Company Overview

PRIME exits® and American Healthcare Capital proudly and exclusively represent this opportunity. Project Beacon is a scaled, pre-paid, payer-embedded value-based care platform that helps health plans manage complex Medicare Advantage and Medicaid members.

In simple terms, the Company helps plans find high-risk members earlier, stay engaged over time, and steer care to lower-cost settings before medical problems become more serious or more expensive.

The model combines recurring per-member-per-month management fees with performance-based upside tied to cost, quality, and documentation improvement.

Business Model

1. Find risk early

Use real-time data, predictive models, and local care teams to identify members before acute events occur.

2. Stay engaged longer

Maintain longitudinal relationships through field-based and virtual care coordination, follow-up, and transitions of care.

3. Improve plan economics

Reduce avoidable hospital use, improve documentation of illness burden, close quality gaps, and support better medical loss ratio performance.

Why health plans buy the model •Embedded inside payer workflows rather than sold as a detached point solution.

• Recurring PMPM fee base with additional upside from performance, quality, and coding improvement.

• Attribution-agnostic approach designed to serve broader Medicare Advantage and Medicaid populations, including PPO members.

• Clinical model built to improve cost performance, documentation, quality metrics, and medical loss ratio.

Why the opportunity stands out

• Scaled platform with 100k+ managed lives and a path from 7 contracts in 2026 to 10 contracts by 2030.

• Proprietary data and AI platform ingests 500+ feeds and supports earlier risk identification, care coordination, reporting, and quality management.

• 2026 is a reset year after contract rebasing and portfolio clean-up, creating a cleaner go-forward base.

• Embedded partner expansion, a >$90mm unweighted new-business pipeline, and specialty / platform adjacencies provide multiple growth paths.


Projected financial profile

Management presents 2026 as a rebased year, with re-acceleration expected from 2027 onward.

Important: total revenue includes significant risk revenue; investors

must focus heavily on recurring management fee revenue and normalized

EBITDA.


Growth drivers

Expansion inside existing payer relationships, including a major national Medicare Advantage partner.

• Growth from 7 contracts in 2026 to 10 by 2030, with managed lives increasing to roughly 338k.

• More than $90mm of unweighted annual management fee revenue in the current pipeline.

• Specialty and technology-enabled adjacencies may broaden revenue sources over time.


Risk reset and diligence focus

•  Legacy exposure is presented as reduced, largely isolated, and mostly structured, bounded, or timing driven.

• Remaining hard exposure is described at roughly $25mm, primarily one structured settlement under $10mm and one timing-driven deficit of about $15mm.

• Planned capital is intended mainly for settlements, debt refinancing, working capital, and growth - not for ongoing operating losses.

• Key diligence areas include customer concentration, durability of post-reset contract economics, and confirmation that reserve / reinsurance plans are sufficient.


Valuation guidance and deal structure

Valuation will be determined through discussion, diligence, and negotiation, with emphasis on normalized go-forward management fee revenue, forward adjusted EBITDA, the quality of embedded payer relationships, platform scalability, and visible growth opportunities.

Leadership is open to value-maximizing structures, including a majority recapitalization or majority sale, a strategic growth investment, and performance-based elements such as rollover equity and earn-out components where appropriate.

Inquire About This Listing:

In order to learn more about our listing, you must:

1. Complete a Buyer Profile:

This profile will be used to pre-qualify buyers and determine whether we can share additional details about our listings. If you have already completed a Buyer Profile, disregard.

YOU ONLY NEED TO COMPLETE A BUYER PROFILE ONCE. 

2. Sign NDA with Listing Code:

To learn more about this listing, you must sign an NDA. When completing the NDA, you will need to copy the exact LISTING CODE and LISTING TITLE.

Listing Code:

BEACON

Listing Title:

Tech-enabled value-based care platform serving Medicare Advantage and Medicaid populations

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Need to learn more before Signing an NDA- Contact the Lead Advisor For This Mandate

Listing Title:

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Contact the Team

Jack Eskenazi American Healthcare Capital

Jack Eskenazi

President/Founder

American HealthCare Capital

Dr. Allen Nazeri DDS MBA.jpg

Dr. Allen Nazeri 

Managing Partner

PRIME exits

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About PRIME exits®

​PRIME exits® is a middle-market M&A advisory firm focused on founder-led, owner-operated, and legacy businesses across Healthcare, Engineering, Manufacturing, Robotics, Automation, and related sectors. We represent business owners seeking a full or partial liquidity event and provide strategic guidance designed to prepare companies for institutional capital, enhance valuation, and position them for successful transactions with strategic acquirers, private equity firms, family offices, and institutional investors.

Our services include exit planning, value enhancement, transaction preparation, buyer identification, negotiation support, and transaction execution. We work closely with founders and executive teams to help maximize shareholder value and achieve their personal and financial objectives.

Important Disclosure

PRIME exits® does not provide legal, tax, accounting, investment, or other regulated professional advice. Clients are encouraged to seek independent advice from qualified legal, tax, accounting, and financial professionals regarding matters specific to their circumstances.

From time to time, PRIME exits® may introduce clients to third-party service providers, including attorneys, accountants, quality of earnings providers, consultants, lenders, valuation experts, and other professionals. Any fees collected on behalf of such third-party providers are processed solely as an administrative convenience. PRIME exits® does not assume responsibility for the services, advice, or work product of any third-party provider.

PRIME exits® is a registered trademark of Nazeri & Company LLC (United States) and Nazeri & Company Co., Ltd. (Thailand), two separate and independent legal entities operating within their respective jurisdictions.

Healthcare-related transactions are conducted through American Healthcare Capital and its affiliated partners, subject to applicable regulatory and licensing requirements.

Through PRIME exits®, American Healthcare Capital, and their affiliated independent managing directors, advisory services are provided across more than 35 virtual office locations throughout the United States, Southeast Asia, and Europe. Each independent managing director operates under separate contractual arrangements and may be subject to jurisdiction-specific licensing, regulatory, and professional requirements.

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