Accolade provides personalized healthcare navigation and advocacy services, primarily sold to large self-insured and fully-insured employers. At its core, Accolade acts as a single point of contact for employees — called members — helping them find doctors, understand benefits, manage chronic conditions, and make better healthcare decisions. Accolade pairs trained human "Care Advocates" with clinicians and a proprietary technology platform to help members navigate the fragmented U.S. healthcare system. Beyond navigation, Accolade has expanded into virtual primary care and mental health (through Accolade Care and PlushCare), expert medical second opinions (Accolade Expert MD), and a curated network of condition-specific point solutions (e.g., diabetes, musculoskeletal, behavioral health) integrated into its platform. Accolade sells primarily through a direct sales force targeting mid-market and enterprise employers, with a growing health plan distribution channel (including UnitedHealthcare, Aetna, and Blue Shield of California) and a government channel. The core B2B business is priced on a per-member-per-month recurring fee, typically under three-year contracts, with roughly 10–15% of fees at risk through performance guarantees tied to measurable healthcare cost savings. On top of the base fee, Accolade charges usage-based fees for add-on services, which have grown to roughly 27% of total revenue. PlushCare also operates as a direct-to-consumer virtual primary care service, generating visit and subscription fees.