Astiva Health
- Company typePrivate
- Founded2021
- HeadquartersCosta Mesa, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
Astiva Health firmographics
Firmographics- Name
- Astiva Health
- Legal name
- Astiva Health, Inc.
- Website
- https://astivahealth.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
Astiva Health industry classification
Industry- Product category
- Medicare Advantage Health Insurance
- NAICS
- Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
Where Astiva Health is headquartered
LocationHeadquarters
- HQ city
- Costa Mesa
- HQ country
- United States
- HQ region
- North America
Offices8 records
Markets served
Astiva Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicare Advantage Premiums: Monthly premiums from Medicare beneficiaries enrolled in MA plans (HMO and C-SNP). Revenue driven by per-member-per-month (PMPM) payments from CMS based on plan type, demographic factors, and health status coding.
- Quality-Based Revenue (Star Ratings): Revenue enhancement through CMS quality bonus payments tied to Star Ratings performance. 4-Star rating unlocks bonus payments and signals top-tier plan performance.
- Medical Utilization Management: Revenue optimization through strategic focus on reducing overall medical utilization costs and increasing risk-factor reporting to improve per-member-per-month revenue
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicare Advantage HMO Plans |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels6 records
Astiva Health product offering
Product offeringCore offering
Astiva Health is a Medicare Advantage health plan that sells HMO and C-SNP (Chronic Condition Special Needs Plan) products to Medicare-eligible seniors in California. Plans bundle medical coverage, Part D prescription drug coverage, and supplemental benefits (dental, vision, hearing, transportation, OTC items, fitness, grocery allowance, acupuncture) and are distributed through phone enrollment, Activity Centers, insurance brokers, and Medicare.gov. The company emphasizes culturally responsive, multilingual service for diverse AAPI communities.
Product overview
Astiva Health is a Medicare Advantage organization offering a portfolio of HMO plans including Savings Plan, C-SNP (Chronic Condition Special Needs Plan) Deluxe/Wow variants, and Premier Plan. The core Medicare Advantage plan (HMO) with Part D prescription drug coverage serves as the foundation, while supplemental benefits including transportation, OTC items, vision (via VSP), hearing (via Amplifon), dental, acupuncture, fitness, and grocery allowances are integrated as value-added services. The company operates digital platforms including a Broker Portal for insurance agents and a Provider Portal for healthcare providers.
Differentiator
Problem solved
Functional benefit
Products and services
- Astiva Health Medicare Advantage HMO Plan
- Astiva Health C-SNP (Chronic Condition Special Needs Plan)
Quantifiable outcome
- 188% year-over-year membership growth
- +4 more outcomes
Companies that use Astiva Health
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles2 records
Astiva Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
AI capability1 record
Feature3 records
Astiva Health partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and supporting.
- VSP (Vision Service Plan)coreVision care partnership providing members with access to VSP network providers for eye exams, glasses, and other vision services. Members can find VSP providers through the Astiva Health website.
- Avanta (Avanta Mart)coreOver-the-counter (OTC) products partnership. Avanta provides OTC catalog and products that members can purchase using their OTC allowance, with options for home delivery or pickup at Avanta Mart locations.
- Amplifon USAcoreHearing aid benefit partnership offering members access to hearing services with no network restrictions. Members receive an annual benefit amount for hearing aids through Amplifon's network.
- Office AllycoreClaims clearinghouse partnership with Office Ally for electronic claims submission. Payer ID: 84320, Encounter ID: 88875. Providers can submit claims through Office Ally's platform.
- Avanta IPA / Physician NetworkcoreAstiva Health collaborates with more than 60 physician groups (IPAs) with focus on empowering PCPs. The company is co-founded and led by Dr. Tri Nguyen who also owns/operates Avanta IPA.
- MedImpactcorePharmacy benefit management partnership providing prescription drug coverage and pharmacy network access. Members access medications through MedImpact's pharmacy locator system.
- WEX Card (Discovery Benefits)coreFlex Card/WEX Card program allowing members to use pre-loaded allowances for qualifying purchases such as groceries at participating retailers. WEX provides the card infrastructure for benefit disbursement.
- H Mart, 99 Ranch Market, and other Asian grocery chainssupportingGrocery retailer partnerships accepting Astiva Health WEX/Flex cards for grocery allowances. Includes H Mart, 99 Ranch Market, and numerous other Asian grocery chains across California service areas.
- Vietnam Town (San Jose)supportingCommunity partnership hosting the San Jose Activity Center at Vietnam Town shopping center, providing culturally familiar environment for AAPI community engagement.
Scale indicators7 records
Recent moves9 records
Expansion highlights6 records
Astiva Health competitors and assessment
Company assessmentDirect peers
- Alignment Health: California-based Medicare Advantage insurer focused on senior care with technology-enabled member services. Closest comparable to Astiva in geography, target population, and tech-forward MA model.
- SCAN Health Plan: California-focused not-for-profit Medicare Advantage plan serving seniors with culturally aligned care models. Directly comparable in California MA focus and senior-centric service orientation.
- Clover Health: Medicare Advantage insurer leveraging technology and clinical data to manage senior populations. Comparable as a tech-enabled MA carrier, though Clover operates more broadly across states.
Broad incumbents
- Humana: Largest pure-play Medicare Advantage insurer in the U.S. with broad senior-focused offerings. Comparable as the dominant MA incumbent Astiva must compete against for broker and member attention.
- UnitedHealthcare (AARP Medicare Advantage): Largest U.S. health insurer with the biggest Medicare Advantage market share. Comparable as the scale leader in MA that sets network, broker commission, and Star-Rating benchmarks.
- Kaiser Permanente: Integrated California-based MA insurer and care delivery system. Comparable as a major California MA competitor with strong brand and integrated provider network.
- Anthem Blue Cross Medicare: Major California Medicare Advantage carrier with broad provider networks. Comparable as an established incumbent competing for the same California senior population and broker channel.
- Blue Shield of California: California-based health plan with a significant Medicare Advantage book. Comparable as a California-anchored MA competitor with cross-product scale.
- Molina Healthcare: Government-sponsored health plan with a meaningful Medicare footprint and focus on underserved populations. Comparable in mission alignment with low-income and minority seniors.
- Centene: Largest Medicaid managed-care insurer with a growing Medicare presence, particularly via Wellcare. Comparable as a government-program-focused carrier pursuing dual-eligible and Medicare growth.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Astiva Health social profiles
Digital presenceAstiva Health compliance and trust
Trust signalCompliance5 records
Astiva Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Astiva Health leadership team
Management profileNumber of profiles
Profiles6 records
Astiva Health funding detail
Funding detailFunding overview
Funding rounds1 record
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Astiva Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Astiva Health
What does Astiva Health do?
Astiva Health is a Medicare Advantage health plan that sells HMO and C-SNP (Chronic Condition Special Needs Plan) products to Medicare-eligible seniors in California. Plans bundle medical coverage, Part D prescription drug coverage, and supplemental benefits (dental, vision, hearing, transportation, OTC items, fitness, grocery allowance, acupuncture) and are distributed through phone enrollment, Activity Centers, insurance brokers, and Medicare.gov. The company emphasizes culturally responsive, multilingual service for diverse AAPI communities.
Is Astiva Health a public or private company?
Astiva Health is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Astiva Health founded?
Astiva Health was founded in 2021. It employs 11 to 50 people.
Where is Astiva Health based?
Astiva Health is headquartered in Costa Mesa, United States, in the North America region.
How does Astiva Health make money?
Three revenue lines are on record. Medicare Advantage Premiums are the primary driver. The others are quality-Based Revenue (Star Ratings) and medical Utilization Management.
Who are Astiva Health's main competitors?
Direct peers on record are Alignment Health, SCAN Health Plan and Clover Health. Broad incumbents are Humana, UnitedHealthcare (AARP Medicare Advantage), Kaiser Permanente, Anthem Blue Cross Medicare, Blue Shield of California, Molina Healthcare and Centene.
Does Astiva Health have an API?
No public API is recorded for Astiva Health.
What industry is Astiva Health in?
Astiva Health's product category is Medicare Advantage Health Insurance. Its primary akta.pro industry code is FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 52411 and its SIC code is 6321.