Turning Health Care’s Biggest Blind Spot Into America’s Fastest-Growing Company

Main Street Health is co-founder Brad Smith’s second No. 1 company on the Inc. 5000, and it’s already having a huge impact.

BY TOM FOSTER @TOMFOSTER2

Illustration by Guillem Casasus

By most measures, American health care is the nation’s largest single industry, driving $5.7 trillion of economic activity—a staggering 18 percent of the GDP. The sector is also widely considered more wasteful and inefficient than any other. This year’s fastest-growing private company in America, Main Street Health, has achieved its astonishing growth—546,533 percent over the past three years—by addressing a single, critical vulnerability in that dysfunctional market. Main Street Health, which notched nearly $4 billion in revenue last year, partners with small-town health clinics—many staffed by a single doctor—to provide dedicated “health navigators” who offer follow-up coordinated care for seniors on Medicare. The company makes its money by signing deals with insurance companies to split the savings when the........

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