Healthvana is working toward an ambitious goal: helping end the spread of HIV by making comprehensive PrEP care affordable and easier to access nationwide.

Through its telehealth model, Healthvana connects patients across the country with PrEP, HIV treatment, and STI care. Its One-for-One model expands that impact further. Every time an insured patient receives PrEP care through Healthvana, the organization helps an uninsured patient access PrEP care at no cost.

Since 2015, Healthvana has served nearly one million sexual health patients across all 50 states. That experience has reinforced a central belief within the organization: healthcare should be easier to navigate, affordable, and available wherever patients live.

Reaching patients nationwide, however, required more than a strong clinical model. Healthvana also needed the compliance infrastructure to activate clinicians in every state.

Healthvana chose Zivian Health as the compliance partner behind that nationwide reach.

The Challenge: Scaling an NP-Integrated Care Model Across State Lines

As Healthvana prepared to expand its telehealth services, it faced the same barrier that slows many growing healthcare organizations: every new state introduced a different set of clinical practice requirements.

Healthvana needed support establishing physician-owned professional entities in applicable states. It also needed to manage the growing number of collaborating physicians required to support nurse practitioners in states with collaboration requirements.

The challenge was not simply finding physicians. Healthvana needed to build a collaboration model that could scale without creating unnecessary administrative complexity for its clinicians.

As more nurse practitioners became licensed across additional states, each provider could require multiple collaborating relationships. Without careful planning, that structure could quickly become fragmented and difficult to manage.

Zivian worked with Healthvana to keep its NP-physician collaboration structures as streamlined as possible. This allowed Healthvana to plan and scale its clinical model thoughtfully and efficiently.

Why Healthvana Chose Zivian

Healthvana initially partnered with Zivian for physician PC ownership support as the organization prepared to launch telehealth services in several states.

The team selected Zivian because of its end-to-end compliance platform, strong leadership vision, and experienced account management team.

“We chose Zivian because of their long-term vision for a compliance platform, strong leadership, and knowledgeable, warm account management team. At the time, success meant being able to support PC ownership and launch telehealth in a handful of states. By 2025, with Zivian’s support, we were able to provide care in every state.” – Gabriella Palmeri, VP of Partnerships at Healthvana

At the beginning of the partnership, success meant creating a compliant foundation for professional corporation ownership and launching care in a targeted group of states. The partnership ultimately supported something much larger.

By late 2025, Healthvana was able to provide care nationwide.

From Foundational Structure to Broader Clinical Operations

As patient demand grew across the country, Healthvana’s clinical operations needed to scale quickly.

Its nurse practitioners expanded their state licenses, allowing the organization to reach more patients. But licensing alone did not make those clinicians ready to practice. In states that required physician collaboration, Healthvana also needed to establish and maintain compliant relationships before its NPs could begin delivering care.

Zivian helped Healthvana keep pace with that expansion by supporting the collaborations required for its providers to practice.

The relationship evolved from foundational physician PC ownership support into a broader clinical operations partnership. This allowed Healthvana to maintain an efficient, NP-integrated care model while navigating different requirements across states.

Rather than rebuilding its compliance processes with every expansion, Healthvana gained infrastructure that could support growth as its clinician footprint changed.

Greater Visibility and Confidence While Scaling

One of the most important operational benefits was visibility.

Through Zivian, Healthvana could identify which states required physician collaborations to be submitted, approved, or active before an NP could practice. This gave the team a clearer view of provider readiness and helped reduce uncertainty during state launches.

That visibility also supported a more flexible workforce strategy.

As Healthvana grew, the organization transitioned several highly restrictive states from NP-Zivian collaborations to relationships with its internal physicians. It continued using Zivian in states where the partnership supported efficient care delivery.

Zivian’s flexible terms, including 30-day notice provisions, allowed Healthvana to adjust its collaboration structure as its internal clinician team evolved.

This gave the organization the ability to use external physician support when needed without locking its care model into a rigid structure that no longer reflected its operations.

Get PrEP. Give PrEP. The Patient Impact of Nationwide Access

For Healthvana, national expansion is ultimately about reaching people who may otherwise struggle to afford or access preventive care.

That includes uninsured patients, people living in rural communities, and individuals who may face financial, geographic, or social barriers to sexual healthcare.

One patient described the impact:

“I used to think PrEP wasn’t an option for me because I didn’t have insurance and because of the cost. Thanks to Healthvana, I was able to access the free service without any hassle. I’m so grateful to the whole team for their support and how they treated me. Now I can take care of my health without worrying about money, and that makes all the difference.”

Stories like this reflect what compliant clinical expansion can make possible.

Regulatory infrastructure is often invisible to patients. But when it works, it allows care teams to reach people faster, enter communities that lack local resources, and deliver services without avoidable operational delays.

Building the Next Phase of HIV Prevention Access

Healthvana continues to focus on expanding access to HIV prevention through telehealth.

Its next phase of growth will continue to prioritize uninsured patients, rural communities, and populations that have historically faced unequal access to care.

The organization also plans to expand its One-for-One program, extending free PrEP care to more people who may otherwise go without it.

Compliance Infrastructure That Supports the Mission

Healthvana’s growth shows that multi-state healthcare expansion is as much a licensing or staffing challenge as an infrastructure challenge.

Healthcare organizations need a clear view of where clinicians are authorized to practice, which collaboration requirements apply, and what must happen before care begins. They also need the flexibility to adapt as their internal teams and operating models change.

By supporting physician ownership, NP-physician collaborations, and state-specific compliance visibility, Zivian helped Healthvana move from launching in a handful of states to serving patients nationwide.

That infrastructure enabled Healthvana to spend less time managing regulatory complexity and more time advancing its mission: making HIV prevention, treatment, and sexual healthcare available to everyone who needs it.

Scale Your Clinical Workforce With Confidence

Zivian Health provides the compliance infrastructure healthcare organizations need to deploy and oversee NP and PA workforces across states.

From physician sourcing and collaboration management to regulatory intelligence, licensing, credentialing, and clinical quality oversight, Zivian helps care organizations reduce administrative friction and expand patient access.

Connect with Zivian Health to learn how your organization can scale compliant care delivery across the country.