What Longevity Health Plan does

Longevity Health Plan is a private Medicare Advantage Institutional Special Needs Plan (I-SNP) that contracts with CMS to provide coordinated medical, social, and emotional care for Medicare-eligible seniors residing in long-term care and assisted living facilities. Founded in 2017 and headquartered in Palm Beach Gardens, Florida, the company operates through two legal entities — Longevity Health Plan Inc. (HMO I-SNP) and Longevity Health Plan of New Jersey Inc. (PPO I-SNP) — and is described as the nation's second-largest I-SNP. It serves members across 16 states through partnerships with more than 500 skilled nursing communities and a network of over 75,000 providers, with primary customers being dual-eligible and Medicare-only seniors with multiple chronic conditions who require institutional-level care.

The core platform combines I-SNP products with on-site clinical care delivery, care coordination, medication management, and supplemental benefits including dental, vision, and therapeutic music sessions. Its technology stack is built on Innovaccer's cloud-based healthcare data platform, deployed across more than 200 facilities, which has demonstrated a nearly 20% reduction in inpatient costs and approximately $1 million in savings over a 12-month period. The company has extended this infrastructure with an Enterprise AI Center of Excellence (launched March 2026) that introduces AI-powered chatbots, retrieval-augmented generation agents, custom business intelligence models, and natural language interfaces for enterprise data access. Operational tooling includes a HIPAA-compliant provider portal for eligibility verification, authorization history, and claims management.

Longevity Health Plan generates revenue primarily through Medicare Advantage plan premiums paid by CMS, including Part D prescription drug coverage, with members paying plan premiums in exchange for comprehensive benefits under capitated arrangements that transfer financial risk to the company. Its go-to-market combines direct sales to skilled nursing and senior living facility partners, value-based joint ventures with facility operators (e.g., Journey Skilled Nursing), and an extended distribution partnership with Humana through 2030. Leadership transitioned in September 2025, with Ben Lerer succeeding René Lerer as CEO and René Lerer moving to Executive Chairman of the Board. Quality performance has been externally validated through three CMS 5-Star ratings (Illinois, North Carolina, New Jersey) and three PQA Quality Awards in 2026.

Name

Longevity Health Plan

Legal name

Longevity Health Plan Inc.

Website

https://longevityhealthplan.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

251–500 employees

Short description

Longevity Health Plan is the nation's second-largest Medicare Advantage Institutional Special Needs Plan (I-SNP), serving Medicare-eligible seniors across 16 states through partnerships with over 500 skilled nursing facilities and capitated CMS contracts.

Ownership category

akta.pro rank

Product category

Medicare Advantage Special Needs Plans

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

Institutional Special Needs Plans (I-SNP) (HLAEAGAB)

akta.pro secondary industries

Institutional Special Needs Plans (I-SNP) (FSAIAGAF), SNP Utilization Management & Transitions of Care (HLAEAGAJ), SNP Model of Care (MOC) & Care Management Programs (HLAEAGAE), I-SNP Institutional Level Categories (NF/ICF/IID/LTC Hospital/Psych/ALF-Equivalent) (HLAEAGAD)

Keywords

• Medicare Advantage plans
• Special Needs Plans
• Senior healthcare services
• Skilled nursing care
• Long-term care insurance

Headquarters

HQ city

Palm Beach Gardens

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Advantage Plan Premiums: Longevity Health operates Medicare Advantage Special Needs Plans (I-SNPs) providing medical, social, and emotional care coverage for senior living residents. Revenue is generated through Medicare Advantage plan premiums paid by CMS, including Medicare Part D drug coverage. Members (including dual-eligible individuals with Medicaid) pay plan premiums in exchange for comprehensive benefits, with the company assuming financial risk under capitated arrangements with providers and facilities.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Longevity Health Plan operates Medicare Advantage Institutional Special Needs Plans (I-SNPs) under contract with CMS, providing coordinated medical, social, and emotional care for Medicare-eligible seniors living in long-term care and assisted living facilities. The company offers both HMO and PPO I-SNP variants, integrates Medicare Part D drug coverage, and delivers onsite care through advanced practice clinicians in partnership with skilled nursing facilities and senior living communities across 16 states.

Product overview

Longevity Health Plan is a clinical services company and national Medicare Advantage Special Needs Plan (I-SNP) that operates a platform-plus-modules architecture. The core offering consists of Institutional Special Needs Plans (both HMO and PPO variants) designed for individuals in long-term care and assisted living facilities, contracted with CMS under Medicare. The platform is complemented by integrated care modules including clinical care services, provider portal access, member advocacy, dental/vision benefits, therapeutic music sessions, diagnostic testing, preventive care visits, and high-level case management. A partnership-enabled AI Center of Excellence with Innovaccer extends capabilities with enterprise AI tools for data access and analytics. The company serves members across 16 states in partnership with over 500 skilled nursing communities, with drug plan services integrated through pharmacy partners.

Differentiator

Problem solved

Functional benefit

Products and services

• HMO Institutional Special Needs Plan (HMO I-SNP) Health Maintenance Organization-based Medicare Advantage Institutional Special Needs Plan providing coordinated medical, social, and emotional care for Medicare-eligible individuals living in long-term care or assisted living facilities. Requires Medicare Part A and B eligibility and residence in a contracted facility.
• PPO Institutional Special Needs Plan (PPO I-SNP) Preferred Provider Organization-based Institutional Special Needs Plan (Longevity Health Plan of New Jersey Inc.) with Medicare contract, serving members in long-term care facilities in New Jersey.
• Provider Portal Secure web-based portal offering providers access to member eligibility verification, authorization history, claims status, and general reference information. Protects HIPAA privacy of members and supports over 75,000 providers in the network.
• Clinical Care Services Comprehensive, patient-centered care for senior living residents' full range of medical, social, and emotional needs. Includes dedicated clinical point of contact, care coordination with facility staff and family members, diagnostic testing, medication review, and on-site clinical visits.
• Medicare Part D Prescription Drug Coverage Prescription drug coverage integrated with Longevity Health Plan Medicare Advantage plans, supporting medication safety and appropriate use across the member population. Recognized with 3 of 10 PQA Quality Awards in 2026.

Quantifiable outcome

• Nearly 20% reduction in inpatient costs and approximately $1 million in savings over 12 months after deploying Innovaccer's cloud-based platform across more than 200 facilities
• +4 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• Journey Skilled NursingcoreStrategic or Co-development PartnerMulti-state value-based joint venture with Journey Skilled Nursing to care for Special Needs Plan members living in Journey nursing facilities across Georgia, Ohio, and Kentucky. The partnership marks Longevity's first expansion into Georgia, increasing its footprint to 16 states and over 500 skilled nursing communities nationwide. Collaboration aims to improve care delivery and financial performance for residents with complex medical needs through a transparent, value-based approach.
• HumanacoreGTM or Marketing PartnerExtended partnership with Humana through 2030 (five additional years beyond initial 2023 launch). Partnership provides special needs health plan offerings for Medicare-eligible individuals in skilled nursing and senior living facilities. Currently serving members across seven states. Companies plan significant expansion into new markets, solutions, customer segments, and members served through transparent value-based model.
• InnovaccercoreTechnology or IntegrationExpanded partnership to establish enterprise-wide AI Center of Excellence, building on measurable financial and operational outcomes from prior collaboration. Initial project led to nearly 20% reduction in inpatient costs and about $1 million in savings over 12 months by improving population health management and operational efficiency across 200+ facilities. AI Center of Excellence extends capabilities with AI-powered chatbots, retrieval-augmented generation agents, custom business intelligence models, and natural language interfaces for data access.

Scale indicators12 records

Recent moves7 records

Expansion highlights5 records

Emerging players

• Scan Health Plan: Scan Health Plan is a mission-driven, senior-focused Medicare Advantage insurer with strong California presence and expanding Special Needs Plan offerings, comparable to Longevity as a quality-oriented, senior-centric MA plan.

Broad incumbents

• UnitedHealthcare: UnitedHealthcare operates the largest portfolio of Medicare Advantage plans in the U.S. including Institutional Special Needs Plans, representing the dominant incumbent competitor against Longevity in I-SNP markets.
• Cigna: Cigna offers Medicare Advantage plans with growing Special Needs Plan exposure, including institutional products that overlap with Longevity's target member population of long-term care residents.
• Humana: Humana is a leading Medicare Advantage insurer with significant I-SNP presence and is simultaneously Longevity's largest distribution partner. Comparable as both competitor and partner in the I-SNP space.
• Aetna (CVS Health): Aetna, owned by CVS Health, offers Medicare Advantage plans including Special Needs Plan products and competes broadly with Longevity for senior living residents and SNF partnerships nationally.
• Elevance Health: Elevance Health (Anthem) operates a large Medicare Advantage portfolio including D-SNP and I-SNP products through affiliated plans, providing overlapping coverage with Longevity's senior-focused offerings.
• Centene: Centene, through WellCare and other subsidiaries, is a major Medicare Advantage carrier with substantial Special Needs Plan membership including I-SNP products serving dual-eligible and institutionalized seniors.

Direct peers

• AllyAlign Health: AllyAlign Health operates Medicare Advantage Institutional and Dual-Eligible Special Needs Plans targeting senior living residents, directly competing with Longevity in the same facility-based, value-based I-SNP segment.
• Provider Partners Health Plans: Provider Partners Health Plans is a Medicare Advantage Institutional Special Needs Plan operator focused exclusively on residents of skilled nursing and assisted living facilities, making it one of the closest direct competitors to Longevity Health's I-SNP business model.
• PruittHealth: PruittHealth is a large skilled nursing and senior living operator that also offers its own health plans (including I-SNP products), competing with Longevity on both facility partnerships and direct plan offerings.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds2 records

Investors2 records

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

M&A

Investments

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

Frequently asked questions about Longevity Health Plan