The CLARITY Advocate Index

The independent ranking of medical advocacy.

The most comprehensive independent directory of medical advocates, second-opinion services, records-transfer platforms, and complex-case navigators. Every entry graded on outcomes, transparency, cost, and adoption — not on marketing.

Browse the Index → Read the methodology 64+ entries · Updated quarterly
Advocate Firm · White-glove

PinnacleCare

A-
84/100

Long-established concierge medical navigation firm. High-touch, high-cost, deep relationships at top academic centers.

Focus Complex diagnoses Cost $$$$
Advocate Firm · Enterprise scale

Health Advocate

B+
77/100

Largest employer-sponsored advocacy service in the US. Broad coverage, variable per-case depth.

Focus Employer-based Cost $$
Advocate Firm · Second opinions

MediGuide America

A
88/100

Insurance-covered access to Cleveland Clinic, Mayo, Johns Hopkins for written second opinions. Excellent value when covered.

Focus Global network Cost $
Advocate Firm · Digital second opinions

Grand Rounds Health / Included Health

A-
83/100

Digital-first second-opinion platform. Strong outcomes reporting, backend to major employers, expanding to direct-to-consumer.

Focus Enterprise + direct Cost $$$
Advocate Firm · Expert consult

Best Doctors (Teladoc)

B+
78/100

Now part of Teladoc. Physician-to-physician expert consultation model. Coverage is patient-specific.

Focus Insurance-backed Cost $$
Institution · Written second opinion

Cleveland Clinic MyConsult

A
91/100

Direct-to-patient written second opinions from Cleveland Clinic specialists. Transparent pricing, strong pathology second-read tradition.

Focus Direct to patient Cost $500-1500
Institution · Direct consultation

Mayo Clinic Second Opinion

A+
94/100

In-person or virtual second opinions from Mayo. Multi-day evaluation model for complex cases. Gold standard for many conditions.

Focus Complex cases Cost $$$
Institution · Direct consultation

Johns Hopkins Second Opinion

A
92/100

Johns Hopkins direct second-opinion pathway. Especially strong in oncology, cardiology, and neurosurgery.

Focus Complex cases Cost $$$
Institution · Digital consult

Massachusetts General 2nd.MD

A-
85/100

Mass General virtual second-opinion service. Rapid turnaround, especially useful when travel isn't feasible.

Focus Complex cases Cost $$$
Institution · Oncology only

Memorial Sloan Kettering (MSK Direct)

A+
94/100

MSK's direct-access pathway for cancer patients. Second opinions, treatment planning, clinical trial matching.

Focus Cancer Cost Varies
Case Management · Complex chronic

Karis Group

B
74/100

Case management model for chronic and complex cases. Longer-term arc than second-opinion services.

Focus Employer / direct Cost $$$
Navigation · Emergency-adjacent

Guidewell Emergency Doctors (Concierge)

B
72/100

Real-time medical decision support during an ER or hospital admission. Emerging category.

Focus Real-time Cost $$$$
Concierge Primary Care · Team-based virtual

Firefly Health

A-
82/100

Team-based virtual primary care with strong care-coordination arm. Membership model, growing footprint.

Focus Direct to consumer Cost $$
Navigation · Chronic-condition specific

Nurx

B+
76/100

Focused on specific chronic conditions with a nurse-led coordination model. Narrow but effective.

Focus Direct Cost $
Navigation · Direct-to-provider

Sesame

B+
78/100

Cash-market specialist access with transparent pricing. Helps skip insurance friction when specialists don't take yours.

Focus Direct Cost $-$$
Directory · General booking

ZocDoc

B
68/100

General appointment booking. Not advocacy, but useful for finding availability quickly. Filter by subspecialty carefully.

Focus Consumer Cost Free
Directory · Ratings

Vitals / Healthgrades

B-
65/100

Physician ratings and outcomes data. Read carefully — signal-to-noise varies. Best for outcomes stats, not reviews.

Focus Consumer Cost Free
Directory · Peer-nominated

Castle Connolly Top Doctors

B+
76/100

Peer-nominated top-doctor list. Better signal than review sites but skewed toward established names in metro areas.

Focus Consumer Cost Free listing
Analytics · Evidence lookup

Doctor Evidence

B
72/100

Evidence-lookup platform. Not consumer-facing, but useful for advocates and prepared patients.

Focus Clinicians Cost $$$
Records · Radiology transfer

PocketHealth

A-
83/100

Get your imaging out of the hospital and to a second radiologist. Underused, high-leverage.

Focus Consumer Cost $$
Records · Chronic condition records

PicnicHealth

A-
82/100

Aggregates and organizes your medical records automatically. Excellent for chronic-condition patients.

Focus Consumer Cost Free-Paid
Records · Patient portal

MyChart / EPIC portal

B+
78/100

Not advocacy, but 90% of patients don't fully use it. Records download and lab results in real time.

Focus Consumer Cost Free
Records · Records aggregation

Health Gorilla

B
74/100

Aggregates records across systems. Newer, patient-facing options growing.

Focus Consumer / enterprise Cost $$
Nonprofit · Advocate directory

APHA (Alliance of Professional Health Advocates)

A
87/100

Verified directory of independent patient advocates. Filter by specialty, location, and credential type.

Focus Consumer Cost Free
Nonprofit · Directory

Greater National Advocates

B+
78/100

Nonprofit directory of independent patient advocates. Older directory, still useful.

Focus Consumer Cost Free
Nonprofit · Case management

Patient Advocate Foundation

A+
93/100

Free case management for patients with chronic or serious diagnoses. Especially strong on insurance appeals.

Focus Chronic / serious Cost Free
Nonprofit · Rare diseases

NORD (National Organization for Rare Disorders)

A+
94/100

The rare-disease home base. Disease-specific patient support, financial assistance, expert directories.

Focus Rare-condition patients Cost Free
Solo Advocate · Board-Certified Patient Advocate

Independent BCPA advocates

A-
82/100

Board-Certified Patient Advocates (BCPA credential from PACB). Independent, hourly. Vet the individual person.

Focus Consumer Cost $100-250/hr
Solo Firm · Nurse-led

Guardian Nurses Healthcare Advocates

A-
84/100

Nurse-led advocacy firm. Strong for elderly and complex chronic cases.

Focus Complex chronic Cost $$$
Advocate Marketplace · Insurance-covered

Solace Health

B+
78/100

Newer platform matching patients to advocates covered by insurance. Growing fast, worth monitoring.

Focus Chronic conditions Cost Insurance-based
Nonprofit · Cancer patients

Cancer Support Community

A
89/100

Free psychosocial and navigation support for cancer patients and families. National footprint.

Focus All types Cost Free
Nonprofit · Breast cancer

Susan G. Komen Helpline

A
88/100

Breast-cancer-specific helpline, financial navigation, and treatment guidance.

Focus Patients + caregivers Cost Free
Nonprofit · Cancer

Livestrong Navigation Services

A
87/100

Cancer-focused navigation. Especially strong for fertility preservation before treatment.

Focus Fertility + more Cost Free
Genetics · Virtual genetics

Genome Medical

A-
84/100

Virtual genetic counseling and testing coordination. Excellent when insurance is a hurdle.

Focus Consumer Cost $$-$$$
Nonprofit · Undiagnosed disease

Rare Genomics Institute

A
88/100

Nonprofit connecting undiagnosed patients to research programs. Very good if your case is stuck.

Focus Rare Cost Free
Legal / Insurance · Insurance appeals

Cakewalk Health

B+
78/100

Insurance-appeals automation for denied claims. Especially strong on complex cases.

Focus Consumer Cost $$
Legal / Insurance · Insurance appeals

Claimable

B
72/100

AI-drafted insurance appeals. Newer, worth watching.

Focus Consumer Cost $$
Legal · Patient rights

The Health Law Center

B+
76/100

Patient-rights legal counsel. When the situation crosses into legal, this is a starting point.

Focus Consumer Cost $$$$
Analytics · Case brief tool

Cortex.md

B+
76/100

AI-assisted medical case summary tool. Best for patients preparing for a second opinion.

Focus Consumer / advocates Cost $$
Analytics · Differential diagnosis

DXplain

B
70/100

Long-running clinical decision-support tool. Not consumer-facing but useful reference.

Focus Clinicians Cost $$
Analytics · Differential diagnosis

Isabel Healthcare

B
72/100

Symptom-to-differential-diagnosis tool used clinically. Consumer version available. Use as one input.

Focus Consumer + clinician Cost Free-$$
Institution · Neurology direct

Cleveland Clinic Neurological Institute

A+
93/100

Direct pathway to Cleveland Clinic Neurological Institute — often faster than general referral.

Focus Complex neuro Cost $$$
Institution · Rare disease

Mass General Brigham Rare Disease

A
90/100

MGH rare disease program. Multi-day workup model.

Focus Rare Cost $$$
Institution · Rare disease

UCLA Center for Rare Diseases

A
89/100

West Coast rare-disease center. Genomics-forward.

Focus Rare Cost $$$
Institution · Undiagnosed

Stanford Undiagnosed Diseases Network

A+
94/100

Stanford's arm of the NIH Undiagnosed Diseases Network. Application-based.

Focus Rare Cost Funded
Institution · Autoimmune

Duke Center for Autoimmunity

A
90/100

Duke autoimmune program. Strong for lupus-adjacent and complex overlaps.

Focus Complex autoimmune Cost $$$
Program · Federal program

NIH Undiagnosed Diseases Program

A+
96/100

The federal undiagnosed-diseases program. Application-based, no cost when accepted. Long process.

Focus Rare Cost Free
Institution · Pediatric complex

Boston Children's Complex Care

A+
94/100

Boston Children's second-opinion and complex-care programs. Pediatric gold standard.

Focus Pediatric Cost $$$
Institution · Pediatric

Cincinnati Children's Second Opinion

A
90/100

Cincinnati Children's second-opinion pathway. Strong pediatric subspecialties.

Focus Pediatric Cost $$$
Institution · Pediatric

CHOP Second Opinion

A
89/100

Children's Hospital of Philadelphia direct second-opinion access.

Focus Pediatric Cost $$$
Nonprofit · Pediatric advocacy

Family Voices

A
87/100

Nonprofit supporting families of children with special health care needs. National + state chapters.

Focus Pediatric Cost Free
International · Cross-border care

EU Direct Access Programs

B+
76/100

Structured cross-border care programs for EU residents. US residents rarely use, worth knowing about.

Focus Consumer Cost Varies
International · Medical tourism

MEDIGO

B
72/100

Curated medical travel platform. Vet each destination facility separately.

Focus Consumer Cost Varies
Nonprofit · Mental health

NAMI (National Alliance on Mental Illness)

A
89/100

Family and patient support for serious mental illness. Especially strong on legal / rights education.

Focus Consumer Cost Free
Nonprofit · Mental health

Depression and Bipolar Support Alliance

B+
79/100

Peer support and navigation for mood disorders.

Focus Consumer Cost Free
Digital health · Young adult health

Caraway

B
74/100

Whole-person health navigation for young adults. Newer, worth watching.

Focus 18-30 Cost $$
Directory · Therapist directory

Alma

B+
78/100

Vetted therapist directory. Not advocacy, but higher signal than most.

Focus Mental health Cost Free directory
Directory · In-network therapy

Rula

B+
76/100

Insurance-covered therapy access. Good triage tool.

Focus Mental health Cost Free directory
Directory · Same-day booking

Zocdoc Now for Specialists

B
71/100

Same-day specialist booking where available. Useful in acute situations.

Focus Consumer Cost Free
AI · Symptom research

Perplexity Health Pages

C+
63/100

Not advocacy, but useful for pre-appointment research if used carefully. Cross-check every claim.

Focus Consumer Cost Free
AI · Research lookup

Consensus.app

B+
78/100

Research-paper Q&A tool. Excellent for prepared patients to check whether a claim has evidence.

Focus Consumer Cost Free-$$
Community · Peer input

Reddit r/medicine + r/AskDocs

C+
64/100

Not medical advice, but pattern-recognition sanity check from clinicians and patients. Careful triage.

Focus Consumer Cost Free
Community · Condition-specific

PatientsLikeMe

B
74/100

Longtime patient community. Strongest for chronic-condition patterns.

Focus Chronic Cost Free
Community · Condition-specific

Inspire Health Communities

B+
77/100

Condition-specific communities for over 100 conditions.

Focus Chronic + rare Cost Free
Methodology

How every entry is graded.

Every entry in the CLARITY Advocate Index gets a letter grade (A+ through C) and a 0-100 score. The score is weighted:

40%

Outcomes & efficacy

Documented case outcomes, patient-reported resolution rates, second-opinion changes.

25%

Access & transparency

Time to first appointment, clarity of pricing, ease of records transfer.

20%

Cost fit

Value delivered per dollar. Free doesn't automatically win; overpriced doesn't automatically lose.

15%

Independence

Freedom from hospital-system or insurer conflict of interest.

What we don't do