Sematic Health Announces Marketplace Partnership with athenahealth
Clinics stand to add approximately $700,000 in revenue per 1,000 patient enrollments through the Sematic Health platform.
Seattle, Washington — November 2025 — Sematic Health, a provider of automated care management software, today announced an agreement with athenahealth, Inc. through the company’s award-winning athenahealth® Marketplace program. Now available to athenahealth’s growing network of healthcare providers, the newly integrated platform enables clinics to support Medicare’s new Advanced Primary Care Management (APCM) program without additional overhead. The athenahealth Marketplace empowers athenahealth customers to easily discover and implement solutions that meet their unique needs, fostering a more efficient and patient-centered approach to care.
Helping private practices stay independent
Sematic Health automates the entire APCM workflow—from patient enrollment and eligibility verification to AI-assisted care plan generation, care gap detection, and monthly billing.
The platform integrates directly with athenaOne, allowing practices to:
- Enroll APCM patients in under 1 minute with automated eligibility verification
- Generate comprehensive, compliant care plans using AI assistance
- Proactively identify care gaps and clinical red flags
- Submit monthly claims with minimal staff time, in bulk
- Maintain full CMS compliance with automated audit trails
Built by a practicing physician and clinic owner, Sematic Health addresses the administrative burden that prevents many small practices from participating in value-based care programs.
"Small independent practices are the backbone of American healthcare, but they're being squeezed out by consolidation and declining reimbursements," said Luke Hartman, Co-Founder and CEO of Sematic Health. "APCM offers a lifeline—recurring revenue for the complex care coordination work practices are already doing. Our platform makes it possible to capture that revenue without hiring additional staff or drowning in paperwork."
"Medicare's APCM program represents a significant opportunity for primary care practices to generate sustainable revenue while improving patient outcomes," said Dr. David Brown, Co-Founder and Chief Medical Officer of Sematic Health. "However, the administrative complexity has been a major barrier to adoption. By automating enrollment, documentation, and billing within athenaOne, we're removing that barrier so practices can focus on what matters most: caring for their patients."
Connecting with the athenaOne network
As a new Marketplace partner, Sematic Health joins an expansive, open ecosystem that enables integration with third-party applications, services, and systems to make innovative solutions available to more than 160,000 providers on the athenaOne network. The Marketplace allows athenaOne customers the ability to access and efficiently integrate with solutions that augment the functionality of the athenaOne platform, helping providers and administrators eliminate friction for patients while working to improve practice outcomes and financial performance.
To learn more about Sematic Health’s new integrated application on the Marketplace, please visit Sematic Health’s product listing page.
About Sematic Health
Sematic Health is an athenahealth Marketplace partner providing automated care management software for primary care practices. Co-founded by a practicing physician and clinic owner, the platform automates Medicare's Advanced Primary Care Management (APCM) program from enrollment through billing, enabling small practices to capture recurring revenue with limited administrative burden. Built specifically for athenaOne, Sematic Health combines AI-powered care plan generation, proactive care gap detection, and streamlined billing workflows to help independent practices stay competitive and financially sustainable. Learn more at www.sematichealth.com.
About the athenahealth Marketplace
The athenahealth Marketplace, one of the largest healthcare app stores, offers customers a diverse range of integrated solutions and innovative applications designed to enhance the athenaOne experience. Nearly 75% of athenahealth customers use Marketplace partner solutions to boost practice efficiency and engage patients in their own care. The Marketplace has over 500 solutions across more than 60 medical specialties and capabilities that are integrated with athenaOne, athenahealth’s all-in-one solution that improves clinical effectiveness, patient experience, and financial performance. Learn more about our comprehensive Marketplace program at www.athenahealth.com/solutions/marketplace-program.
Press contact
Luke Hartman
Co-Founder & CEO, Sematic Health
luke@sematichealth.com
(206) 736-1275