Patient engagement & telehealth · White-label virtual care infrastructure
Wheel
Wheel is a virtual care company based in Austin, Texas, that gives pharma companies, digital health brands, and health systems a 50-state clinician network and its Horizon software to run their own telehealth programs, with more than 9 million visits completed.
Strong fit
- Pharma companies launching direct-to-patient programs that need licensed clinicians to see and prescribe for patients
- Digital health brands that want care delivered under their own name in every state
- Health systems that want to add virtual programs without hiring a new clinical team
Weak fit
- Patients looking for a doctor, since Wheel works behind its clients' brands
- Small clinics that only need scheduling and video software
- Programs built on compounded GLP-1 drugs, which Wheel has declined to support
Bottom line
Wheel gives companies a nationwide network of licensed clinicians and the software to run telehealth programs under their own brand, from intake through prescribing and follow-up. It is a strong option for pharma direct-to-patient programs and digital health brands that need care in all 50 states quickly. Companies that want to own their clinicians and every part of the software stack may prefer to build with a platform.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Wheel is used by companies that want to offer virtual care without hiring their own clinicians, mainly pharma companies running direct-to-patient programs, digital health brands, and health systems. Wheel supplies a 50-state network of licensed clinicians and the software for intake, visits, prescribing, prior authorization, and follow-up, all under the client's brand. A Digital Medicine Society profile in April 2026 described Wheel as care infrastructure for pharma direct-to-patient programs.
In October 2026, Wheel renamed itself an enterprise care orchestration company and introduced Horizon, a platform with a Clinical Action Layer and a Horizon Composer for building care programs, according to its announcement. Wheel says it has completed more than 9 million visits across more than 100 treatment areas, and it built its own EMR. Pathway by Wheel is its longevity care unit.
On price, Wheel sells enterprise contracts to companies, so patients do not buy from Wheel. Its competitors include clinician network providers such as OpenLoop and SteadyMD. Companies that want to build care with their own clinicians often use software HIR has reviewed, such as Healthie, Medplum, and Canvas Medical.
Michelle Davey co-founded Wheel in January 2018, and it launched as Enzyme Health, a clinician marketplace. It raised a $150 million Series C at a $1 billion valuation in January 2022. Wheel does not publish revenue. Its revenue is an estimated $50 million a year, based on a third-party estimate of about $54 million and its report of more than 3 million visits a year. Davey told the Slice of Healthcare podcast in August 2026 that Wheel runs more than 100 care programs with fewer than 100 full-time employees, and that it turned down revenue from compounded GLP-1 programs.
What clients say
What people like
"We launched our patient program in all 50 states without hiring a single clinician, and Wheel handled the licensing."
"Intake, the visit, the prescription, and follow-up all run under our brand, so patients never see a second company."
What people don't like
"Pricing only came after several calls about our program design, and we needed it earlier for our budget."
"We wanted our own clinical team in the long run, and moving off a network like Wheel takes planning."
Where customer reviews couldn't be found, our analysts attempted to give a voice to buyer sentiment, drawing on real information from review sites, forums, and product documentation.
Based on: Digital Medicine Society profile of Wheel, Wheel Horizon announcement, and Slice of Healthcare interview with Michelle Davey.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Wheel | 7.3 | 7.2 |
| Healthie | 7.7 | 7.4 |
| Medplum | 7.5 | 6.8 |
| Canvas Medical | 7.5 | 7.2 |
Pricing
| Item | Detail |
|---|---|
| Model | Enterprise contracts with pharma companies, digital health brands, and health systems. Patients do not buy from Wheel. |
| What usually drives cost | Visit volume, the number of states and treatment areas, clinician types, and how much of the Horizon software the program uses. |
| What to ask before you buy | Ask whether prescribing decisions stay independent of your brand, when new states go live, and what data you keep if you leave. |
| Note | Wheel clinicians make their own clinical decisions under evidence-based protocols. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.