Access One Billion is a company.
Access One Billion is a company.
Key people at Access One Billion.
Access One Billion was founded by Carol Realini (Entrepreneur, Founder, Investor).
Key people at Access One Billion.
Access One Billion was founded by Carol Realini (Entrepreneur, Founder, Investor).
AccessOne is a healthcare payments and receivables financing platform that provides patient financing solutions to remove affordability barriers for patients while improving collection rates for healthcare providers. It offers 0% interest options, accepts all patients regardless of credit score without credit reporting, and emphasizes empathetic, mobile-first payment experiences with automation and digitization.[2][4] The company supports healthcare systems by balancing patient access to care with provider financial stability, contributing an expected $8 million in revenue to acquirer Phreesia in fiscal 2026, rising to $36 million in 2027.[4]
Previously operating independently with estimated annual revenue of $26.2 million and 164 employees (up 22% year-over-year), AccessOne was acquired by Phreesia Inc. (NYSE: PHR) in late fiscal 2026 Q3, enhancing Phreesia's patient payment solutions amid strong growth in its client base to 4,520 average healthcare services clients.[1][4]
AccessOne's story centers on addressing the tension between healthcare access and payment burdens, starting with the development of medical financing programs that work for both patients and providers. The company emerged to prevent patients from avoiding care or facing bankruptcy due to costs, while ensuring providers receive compensation for services.[2] Key leadership includes CEO Brian Barkley, EVP Enzo Scafidi, General Counsel Joel Miller, and VP Finance Anthony Giordano, though specific founding details are not detailed in available sources.[1][5]
The platform gained traction through its "do no harm" philosophy, extending ethical care principles to payments with flexible, sustainable options. Its acquisition by Phreesia in late 2026 marks a pivotal moment, integrating it into a larger patient intake and engagement ecosystem with projected revenue synergies.[4]
AccessOne stands out in healthcare financing through:
Post-acquisition, it bolsters Phreesia's offerings with specialized receivables financing.[4]
AccessOne rides the wave of digital transformation in healthcare payments, where rising costs and consumer expectations demand frictionless, empathetic financing amid trends like patient-centric care and value-based reimbursement. Its timing aligns with post-pandemic shifts toward mobile-first health tech, as providers seek higher collection rates (often below 70% industry-wide) without alienating patients.[2][4] Market forces favoring it include Phreesia's expanding ecosystem—13% Q3 revenue growth to $120M and 7% client increase—plus regulatory pushes for affordability that penalize aggressive billing.[4]
By influencing the ecosystem through acquisition, AccessOne accelerates integrated platforms combining intake, engagement, and payments, potentially setting standards for 24% of Phreesia's payment revenue by 2028 while normalizing no-credit-check models.[4]
AccessOne's Phreesia integration positions it for accelerated growth, with revenue tripling from $8M in 2026 to $36M in 2027, fueled by cross-selling to 4,500+ clients and AI-driven payment optimizations. Trends like ubiquitous digital health wallets and regulatory affordability mandates will shape its path, evolving its influence from niche financier to core pillar in end-to-end patient journeys. Expect deeper ecosystem impact as Phreesia targets double-digit growth across segments, turning AccessOne's differentiators into scalable standards.[4] This builds on its foundational mission, making affordable care not just possible, but standard.