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Top 7 Utilization Management Software Companies With $1M–$5M Revenue (September 2026)

As of September 2026, Latka tracks 7 utilization management software companies with $1M–$5M in annual revenue. They have combined revenues of $16.4M and employ 233 people. They have raised $18.5M and serve 1K customers combined.

Every company below sells utilization management software to other businesses and is ranked by its most recent annual revenue. Revenue, funding, headcount and customer figures come from CEO interviews on the Latka podcast, public company filings, and Latka estimates where a company has not disclosed a number.

What Utilization Management Software Companies do

Utilization Management Software (UMS) is designed to streamline the review and approval processes for healthcare services, ensuring that treatment choices are necessary, appropriate, and efficient. Primarily used by healthcare providers, payers, and case management teams, UMS helps prioritize care based on clinical urgency, manage approvals and communications, and analyze utilization patterns to prevent overuse or underuse of healthcare services. Typical features of UMS include automated authorization workflows, real-time case tracking, data analytics for utilization patterns, and integrated communication tools for liaising with members and providers. The software plays a critical role in enhancing patient care while improving operational efficiency, making it an essential tool for healthcare organizations looking to optimize resource utilization and manage costs effectively. The common user personas include healthcare administrators, case managers, and clinical staff who require real-time data and insights to make informed decisions. UMS is fundamental for organizations focused on ensuring quality care delivery while simultaneously managing costs and compliance with healthcare regulations.

Companies
7
Revenue
$16.4M
Funding
$18.5M
Employees
233

Filters

Sorting: Highest -> Lowest

Filters

Top Utilization Management Software Companies With $1M–$5M Revenue

Showing 7 of 7 companies ranked by annual revenue.

1CircleLink Health logo
CircleLink Health

New York, New York, United States

Developer of a SaaS-based healthcare information technology platform designed to treat patients with any kind of chronic illness. The company's platform helps doctors to monitor patients and intervene remotely with customized messages delivered through a range of communications tools including cell phones, landlines, text messaging and the Internet, so as to ensure them adhere to prescribed care plans, enabling healthcare professionals to monitor and manage their patients' conditions through the patients' own mobile phones.

Revenue
$3.9M
Customers
1K
Year founded
2009
Funding
$13M
Team size
81
2VirtualHealth logo
VirtualHealth

Tampa, Florida, United States

Developer of a cloud-based population health and care management platform designed to provide integrated value-based care. The company's SaaS platform service features customizable tools to the payer and provider markets, including person-centered care/case management, disease management, utilization management, interdisciplinary collaborative workflows, broad-spectrum interoperability, patient engagement and configurable analytics and reporting, enabling healthcare organizations to achieve enhanced outcomes while maximizing efficiency, improving transparency and lowering costs.

Revenue
$3.8M
Year founded
2012
Team size
75
3Tagnos logo
Tagnos

Los Angeles, California, United States

Developer of a clinical logistics automation platform for hospitals and clinics. The company's SaaS platform analyzes data from clinical systems, including EHR, CPOE, LIS, RIS, and ADT systems, along with RTLS tracking devices, to facilitate patient flow through the hospital, enabling healthcare organizations to optimize their staff and asset utilization to prevent bottlenecks, reduce wait times and improve throughput, while increasing patient and staff satisfaction.

Revenue
$2.6M
Year founded
2010
Funding
$5.5M
Team size
21
4SAC Digital Health logo
SAC Digital Health

San José, San José, Costa Rica

Salud a un Clic es una empresa que surge el 9 de marzo del 2011, teniendo como sedes principales San José de Costa Rica y Madrid, España. Nace como iniciativa de un grupo de profesionales que percibe la necesidad de mejorar las opciones para acceder a los servicios de salud privada. - Misión: Mejorar el acceso a la salud y el bienestar de las personas que no pueden esperar. - Visión: Ser la plataforma de referencia para el acceso a servicios de salud y bienestar de alta calidad. - Nuestro principal objetivo es aumentar la eficacia, rapidez y sencillez de acceder a servicios de salud.

Revenue
$2.2M
Year founded
2011
Team size
20
5MyOutcomes: Improving Mental Health Treatment logo
MyOutcomes: Improving Mental Health Treatment

Kelowna, British Columbia, Canada

About MyOutcomes® For over 20 years, MyOutcomes® has been at the forefront of innovation in applied behavioral sciences, developing intuitive, evidence-based tools that help mental health professionals deliver better care. In 2008, we pioneered the first web-based version of the Outcome Rating Scale (ORS) and Session Rating Scale (SRS)—validated tools developed by Dr. Scott D. Miller and the ICCE—to support the real-time monitoring and reporting of behavioral health services. Our mission has always been clear: to empower clinicians with practical, effective tools that improve client engagement, reduce early dropout, and increase positive outcomes. MyOutcomes® combines advanced reporting metrics, eLearning modules, and outcome-tracking technology into one user-friendly platform. It is used worldwide in diverse clinical settings—including private practices, government-funded agencies, educational institutions, and divisions of the U.S. military. We continue to lead the way in Feedback-Informed Treatment (FIT), helping organizations translate client feedback into meaningful clinical improvements and measurable success.

Revenue
$1.7M
Year founded
2006
Team size
15
6One Step Software logo
One Step Software

Los Angeles, California, United States

One Step provides patient management and outcomes tracking software to addiction facilities so they can provide better care to patients.

Revenue
$1.2M
Year founded
2017
Team size
11
7Intelligent InSites logo
Intelligent InSites

West Fargo, North Dakota, United States

Intelligent InSites improves healthcare operations with location-based software and services. We work with our customers to decrease patient cycle time and wait time, increase asset and facility utilization, and improve satisfaction for staff and patients in clinics, acute care facilities and health delivery networks. Automatically captured location data from RTLS, RFID and other locating technologies informs in-the-moment decisions, automates workflows and provides advanced reporting used to drive continuous improvement.

Revenue
$1.1M
Year founded
2003
Team size
10

Frequently asked questions about Utilization Management Software Companies With $1M–$5M Revenue

How many utilization management software companies with $1M–$5M in annual revenue are there?

Latka tracks 7 utilization management software companies with $1M–$5M in annual revenue. Together they generate $16.4M in annual revenue and employ 233 people.

Which utilization management software company with $1M–$5M in annual revenue is the largest?

CircleLink Health is the largest, with $3.9M in annual revenue, founded in 2009.

How much revenue does a typical utilization management software company with $1M–$5M in annual revenue make?

The average utilization management software company in this list makes $2.3M a year, across 7 companies with reported revenue. They serve 1K customers combined.

Who are the leading Utilization Management software vendors with $1M–$5M in annual revenue?

Ranked by annual revenue, the leaders are CircleLink Health, VirtualHealth, Tagnos, SAC Digital Health and MyOutcomes: Improving Mental Health Treatment.

How much funding have utilization management software companies with $1M–$5M in annual revenue raised?

The 7 utilization management software companies with $1M–$5M in annual revenue tracked here have raised $18.5M in disclosed funding between them.

Related Vertical Industry Software categories

Inclusion Criteria

- Must facilitate the review process for healthcare service authorizations. - Should provide real-time analytics on patient utilization data. - Must support automated workflows for handling authorization requests. - Should enhance communication between providers and patients regarding care needs. - Must assist with identifying overutilization or underutilization of services. - Not just focused on billing; must also evaluate clinical necessity and appropriateness.