Fold Health is building an operating system for healthcare organizations operating in value-based care models. The company's platform unifies data from disparate systems such as electronic health records, claims systems, and CRMs, creating a single layer for interoperability. This supports functions including risk adjustment, quality metrics reporting, and collaborative care coordination.
Central to the company's offering is its Clin-Ops Automation Engine, which automates repetitive clinical workflows to scale care team capacity. The system handles longitudinal care pathways and targeted patient outreach, freeing clinical staff to focus on direct patient care. The technology stack includes FHIR-based data models, intelligent automation, robotic process automation (RPA), and AI.
Fold Health targets organizations involved in population health management, including Accountable Care Organizations (ACOs), Management Services Organizations (MSOs), Independent Physician Associations (IPAs), and risk-bearing provider groups. Its technical domains span healthcare IT, APIs, and interoperability standards.
