Managed Health Care Associates

What Managed Health Care Associates does

Managed Health Care Associates (MHA) is a privately held healthcare services and software company headquartered in Florham Park, New Jersey, founded in 1989 as a long-term care pharmacy business and transformed over 35 years into a leading platform for alternate-site healthcare providers. The company operates the largest alternate-site group purchasing organization (GPO) in the United States, serving 16,000+ members across 26 classes of trade through 900+ contracts with 600+ manufacturers and suppliers. Its core offerings span group purchasing (pharmaceuticals, medical products, business products, and food service via Navigator Group Purchasing), the first Medicare Part D Reimbursement Network in the LTC pharmacy market, a Pharmacy Services Administrative Organization (PSAO), pharmacy operating software (Net-Rx, RxPertise, SoftWriters FrameworkLTC), clinical consulting, data analytics, and legislative affairs, all unified through the MHA Connect platform.

MHA's underlying technology is a vertically integrated suite of healthcare services and software, anchored by Net-Rx (reconciliation, reimbursement verification, prescription pricing, and financial analytics), RxPertise (Medication Regimen Review software for consultant pharmacists), SoftWriters FrameworkLTC (pharmacy management software), SHP (real-time outcomes analytics for skilled nursing and home infusion), and MHALink powered by Citus Health (HIPAA-compliant patient engagement). Members include LTC pharmacies, specialty pharmacies, home infusion providers, senior living facilities, home medical equipment providers, combo pharmacies, retail and mail order pharmacies, clinics, and physician practices, with MHA's member pharmacies representing over 50% of LTC Part D claims based on 2023 independent third-party analysis.

The business model is a multi-revenue-stream platform generating recurring revenue through GPO membership and contract fees, software licensing (Net-Rx, RxPertise, SoftWriters), PSAO managed-care contracting services, clinical consulting and professional services, and rebate processing. Distribution is primarily direct via regionally based account managers organized by class of trade, supported by an annual Business Summit drawing 1,400+ attendees and a member portal. MHA is founder/management-controlled with no parent company, no disclosed private equity backers, and a wholly-owned subsidiary structure that includes The MED Group (acquired 2010), Navigator Group Purchasing (acquired 2011), SoftWriters (operating as part of MHA since 2015), Net-Rx, and Strategic Healthcare Programs (SHP).

Name

Managed Health Care Associates

Legal name

Managed Health Care Associates, Inc.

Website

http://www.mhainc.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

251–500 employees

Short description

Managed Health Care Associates is a private healthcare services and software company operating the largest alternate-site GPO in the U.S., serving 16,000+ members across 26 classes of trade with group purchasing, PSAO services, pharmacy software, and Medicare Part D reimbursement network access.

Ownership category

akta.pro rank

Product category

Healthcare Group Purchasing Organization

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Home Health Care Services (62161), Home Health Care Services (621610)

SIC

Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122), Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Group purchasing organization
• Pharmacy reimbursement network
• Long-term care pharmacy services
• Pharmacy management software
• Alternate site healthcare

Headquarters

HQ city

Florham Park

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Group Purchasing Organization (GPO) Fees: MHA negotiates with over 600 manufacturers and suppliers providing over 900 contracts covering 26 classes of trade for 16,000+ members. Revenue is generated through membership fees and/or transaction-based arrangements with pharmaceutical, medical products, business products, and food service vendors.
2. Pharmacy Software Licensing: Net-Rx and RxPertise software solutions are licensed to pharmacy members and customers for reconciliation, reimbursement verification, prescription pricing, and medication regimen review. Includes subscription-based pricing for ongoing software access and support.
3. Navigator Group Purchasing (Food Service): Food service group purchasing through Navigator Group Purchasing for assisted living facilities, skilled nursing facilities, and continuing care retirement communities, providing customized food service contracts.
4. Pharmacy Services Administrative Organization (PSAO) Services: MHA serves as a PSAO providing network administration, managed care contracting, and payor contracting services for LTC pharmacies including Medicare Part D reimbursement network management.
5. Clinical Services and Consulting: Clinical consulting software, clinical services, and legislative affairs support provided to members as part of the comprehensive service offering.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

Managed Health Care Associates (MHA) is a U.S. health care services and software company that operates the largest alternate site group purchasing organization (GPO), serving 16,000+ members with 900+ contracts across 600+ manufacturers in 26 classes of trade. MHA delivers integrated solutions including pharmaceutical/medical/business/food-service group purchasing, the first Medicare Part D Reimbursement Network for LTC pharmacies, proprietary pharmacy software (Net-Rx, RxPertise, FrameworkLTC, MHALink, MHA Connect), clinical and legislative affairs support, and IRA mitigation services to help alternate site providers manage costs, improve operational efficiencies, and grow.

Product overview

Managed Health Care Associates (MHA) is a health care services and software company offering a platform-plus-modules architecture for alternate site health care providers. The core offerings include Group Purchasing (Pharmaceuticals, Medical Products & Services, Business Products & Services, and Food Service via Navigator Group Purchasing) serving 16,000+ members with 600+ manufacturer contracts. The LTC Reimbursement Network is the first Medicare Part D Reimbursement Network in the LTC pharmacy market. MHA's software portfolio includes Net-Rx (reimbursement verification, prescription pricing, financial analytics), RxPertise (Medication Regimen Review software), and SoftWriters FrameworkLTC (pharmacy management). The MHA Connect platform provides ecosystem access with real-time dashboards. Additional solutions include Clinical Services, Legislative Affairs, MHA IRA Mitigation Solutions, Data Analytics & Benchmarking, and the MHALink patient engagement platform powered by Citus Health. Navigator Group Purchasing, an MHA company, serves senior living with specialized food service contracts.

Differentiator

Problem solved

Functional benefit

Brands

• Navigator Group Purchasing: Food service group purchasing program for senior living providers, operating as an MHA company.
• Net-Rx
• MHA Long Term Care Services
• MHALink

Products and services

• Group Purchasing Pharmaceuticals Core GPO service negotiating with 600+ manufacturers and suppliers to provide 900+ contracts covering 26 classes of trade, offering branded and generic pharmaceuticals with regionally based account managers focused on class-of-trade specific services for 16,000+ members.
• Group Purchasing Medical Products & Services GPO service expanding MHA's contract portfolio with innovative medical products and services, combining broad-based industry research with member input to deliver maximum value and quality.
• Group Purchasing Business Products & Services GPO service applying MHA's contract negotiation expertise to business operation fundamentals including office supplies, phone/mobile services, delivery/shipping, and facility maintenance to help drive down costs for members.
• Navigator Group Purchasing - Food Service Customized food service contracts for Assisted Living Facilities, Skilled Nursing Facilities, and Continuing Care Retirement Communities, offering flexibility across manufacturer contracts, distributor private label programs, and local/regional supplier programs with transparent SKU-level reporting.
• LTC Reimbursement Network The first Medicare Part D Reimbursement Network in the Long-Term Care pharmacy market, providing reconciliation solutions, reimbursement services, and proactive support for LTC pharmacies to optimize claims processing and maximize reimbursement under PBM contracts.
• MHA IRA Mitigation Solutions Solutions designed to help LTC pharmacies navigate and mitigate impacts from the Inflation Reduction Act, including Maximum Fair Price methodology, Medicare Prescription Payment Plan, and related regulatory changes.
• Rebate Processing Service providing rebate processing capabilities for members to recoup value from contracts and optimize financial performance across the MHA contract portfolio.
• Net-Rx Reconciliation, reimbursement verification, prescription pricing, and financial analytics solutions helping pharmacies reduce operational costs and improve profitability. Includes Price-It-Rx for real-time drug pricing, EditRx for error reduction, RecRx for claim reconciliation, and Metric-Rx for business analytics.
• RxPertise Acclaimed Medication Regimen Review (MRR) software application for consultant pharmacists serving long-term care and assisted living facilities, supported by SoftWriters since September 2018.
• SoftWriters FrameworkLTC Pharmacy management software for long-term care, assisted living, independent living, group homes, correctional facilities, specialty pharmacies, and 340B contracts, with modules for inventory control, dispensing, clinical screening, pharmacy automation, workflow, reporting, and business intelligence.
• MHALink powered by Citus Health Patient engagement platform for specialty and infusion pharmacies that streamlines patient support, enables real-time communications between staff and patients, and provides HIPAA-compliant messaging accessible via mobile devices or computers.
• MHA Connect Integrated member connectivity platform providing access to MHA's ecosystem of solutions, tools, and services, including real-time dashboards and intuitive tools for business management.
• Pharmacy Operating Software Software solutions for pharmacy operations including dispensing, inventory control, clinical screening, and pharmacy automation for long-term care, assisted living, and specialty pharmacies.
• Data Analytics & Benchmarking Analytics solutions providing data collection, validation, and reporting on critical metrics to ensure maximum efficiency, with benchmarking capabilities across member operations.
• Clinical Services Clinical team ensuring members are notified of critical product recalls and latest clinical advancements, offering disease-state and therapy-specific resources including immunoglobulin therapy support and clinical education programs.
• Legislative Affairs Legislative affairs team helping members identify, analyze, and advocate on issues affecting their business, providing Town Halls, webinar recordings, and coordinating advocacy positions with trade associations.
• Vaccine Buying Group Group purchasing program for vaccines providing members with access to vaccine contracts and procurement optimization.
• MED Professional Services (The MED Group) Parallel business offering to MED GPO Services through The MED Group, an MHA company, providing payer network access, credentialing, clinical education, outcomes programs, and marketing services for complex rehab, sleep, and home medical equipment markets.
• MHA Specialty Pharmacy Solutions Specialty pharmacy solutions helping align specialty pharmaceutical, biologic, and biosimilar business partners with specialty pharmacies, including trade relations providing customized contracts, clinical support, and proprietary Clinical Therapy Management software for immunoglobulin therapy.

Quantifiable outcome

• 3-5% COGs savings through GPO membership (based on 1Q23 MHA data)
• +3 more outcomes

Named customers4 records

Segments9 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature8 records

Partnerships

Twelve partnerships are on record, tiered core, major and minor.

• Navitus Health SolutionscoreStrategic or Co-development Partner · 16 October 2025New agreement with both Commercial and Medicare Part D contracts designed to protect LTC pharmacies from IRA market volatility. Includes appropriate dispensing fees under Maximum Fair Price methodology and safeguards against regulatory pressures. Recognizes growing demand for LTC pharmacy services delivered at home.
• Express Scripts (Evernorth)coreStrategic or Co-development Partner · 5 August 2025Renewed three-year agreement empowering LTC pharmacies with real-time dashboards, intuitive tools, and tailored pricing. Streamlines claims processing, optimizes cost savings, and provides actionable insights through MHA's ecosystem. New enhanced reimbursement model addressing dispensing fees under Maximum Fair Price.
• FoodbuymajorStrategic or Co-development Partner · 16 July 2025Extended strategic partnership between Navigator Group Purchasing and Foodbuy (with $35B+ managed spend) providing Navigator members enhanced purchasing options, tailored analytics, culinary consulting, and comprehensive programs supporting operational excellence for senior living communities.
• National Association of Specialty Pharmacy (NASP)minorGTM or Marketing Partner · 21 November 2024MHA associates serve on NASP Education Committee (Cynthia Robbins) and Marketing Committee (Cindy Schifano) to expand MHA's network within specialty pharmacy community.
• National Home Infusion Association (NHIA)coreStrategic or Co-development Partner · 15 March 2024MHA joined NHIA's Future of Infusion Advisory Council (FIAC), a strategic advisory group addressing critical issues, challenges, and opportunities in the home and alternate site infusion industry. Builds on MHA's long history of supporting infusion providers through NHIA educational programs.
• Citus HealthmajorTechnology or Integration · 6 August 2018Exclusive partnership to launch MHALink powered by Citus Health - patient engagement platform for specialty and infusion pharmacies enabling real-time communications, HIPAA-compliant messaging, and streamlined digital workflows accessible via mobile devices.
• Immunoglobulin National Society (IgNS)majorStrategic or Co-development Partner · 22 June 2018Two-year corporate sponsorship for educational initiatives development and member access to IgNS practice standards, resources, and programs. MHA's Stacey Ness served as IgNS President.
• Strategic Healthcare Programs (SHP)coreStrategic or Co-development Partner · 6 February 2018Collaboration between NHIA and SHP for collection of clinical and business performance data to develop national standards for home infusion quality. SHP provides web-based real-time data solution to collect, aggregate, and report patient outcomes data.
• The MED GroupcoreOthersMED Group, an MHA company since 2010, provides MED Professional Services to complex rehab, sleep, and home medical equipment markets including payer network, credentialing, clinical education, and marketing services.
• SoftWriterscoreOthersSoftWriters develops pharmacy management software for LTC, assisted living, specialty, and correctional pharmacies. Since 2015, operates as part of MHA. Responsible for RxPertise MRR software support and development.
• Senior Care Pharmacy Coalition (SCPC)majorGTM or Marketing PartnerStrategic advocacy partnership to develop unified policy initiatives and create supportive environment for LTC pharmacies. MHA collaborates with SCPC to ensure LTC member pharmacies have voice in shaping healthcare regulations.
• American Society of Consultant Pharmacists (ASCP)majorGTM or Marketing PartnerMHA LTC Clinical Services Director Jeanne Manzi served as President-Elect (2021-2022) and President (2022-2023) of ASCP. Partnership for industry advocacy and senior care pharmacy leadership.

Scale indicators12 records

Recent moves9 records

Expansion highlights8 records

Broad incumbents

• Vizient: Largest healthcare performance improvement GPO serving hospitals and non-acute providers. Comparable to MHA as a major GPO, though focused on hospital systems rather than alternate site pharmacy, making MHA's LTC focus distinct.
• McKesson: Major pharmaceutical distributor and healthcare services company with GPO functions through ClarusONE (Walmart JV) and extended care offerings. Comparable to MHA across drug distribution and pharmacy services, with far broader scale and direct distribution capabilities.
• ClarusONE: Pharmaceutical GPO joint venture between Walmart and McKesson serving Walmart and other pharmacy operators. Comparable to MHA as a pharmacy-focused GPO, though serving retail/specialty pharmacy rather than LTC.
• Cencora (formerly AmerisourceBergen): Global pharmaceutical distributor and solutions provider with specialty distribution and pharmacy services. Comparable to MHA in pharmaceutical distribution and specialty pharmacy services, with significantly larger scale and broader international footprint.
• Premier Inc. Healthcare GPO and performance improvement company serving hospitals, health systems, and ambulatory providers. Comparable to MHA as an established GPO with data analytics and supply chain capabilities, though hospital-centric rather than alternate site pharmacy-focused.

Direct peers

• Smith Drug Company: Wholesale drug distributor serving independent retail, LTC, and specialty pharmacies. Comparable to MHA in serving the LTC pharmacy channel with distribution and procurement support, with overlapping customer base.
• PharMerica: LTC and senior living pharmacy services provider owned by KKR. Directly competes with MHA's member LTC pharmacies for end-customer relationships and overlaps with MHA's customer base across the skilled nursing and assisted living pharmacy market.
• Capital GPO: Group purchasing organization serving independent specialty and community pharmacies. Directly comparable to MHA as a GPO targeting the pharmacy segment, though smaller in scale and limited to specific pharmacy verticals.
• Consonus Healthcare: LTC pharmacy and consulting services to skilled nursing and assisted living facilities. Comparable to MHA as a service provider to the LTC pharmacy market with overlapping customer base among senior care providers.

Regional players

• HealthPRO Heritage: Sourcing and service provider for pharmacy, dietary, and environmental services in senior care and post-acute settings. Comparable to MHA's Navigator Group Purchasing in serving senior living with food service and operational procurement.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/managed-health-care-associates-inc-

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Subsidiaries5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A5 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Managed Health Care Associates