Maryland Physicians Care

What Maryland Physicians Care does

Maryland Physicians Care (MPC) is a Maryland-based, provider-owned Medicaid Managed Care Organization that has delivered healthcare coverage under the Maryland Department of Health's HealthChoice program since 1996. The company serves over 200,000 Medicaid-eligible residents across the state, providing comprehensive benefits including medical, dental (via Maryland Healthy Smiles), vision, prescription drug coverage, behavioral health, and maternal health services at no cost to members. MPC is owned by a consortium of four Maryland health systems — Saint Agnes Healthcare, Holy Cross Health, Meritus Health, and UPMC Western Maryland — which collectively provide the plan's provider network infrastructure and community-rooted care delivery.

MPC's product portfolio centers on its core Medicaid managed care plan and is supplemented by a set of digital and community-engagement programs: MyVirtualMPC, a 24/7 telehealth platform offering text and video doctor visits; the Belong member rewards program, which incentivizes healthy behaviors with prize drawings; MPC Well Aware, a member e-newsletter; MPC Well on Wheels, a mobile health outreach initiative; the Diabetes Prevention Program; and maternal health services supported by the Pacify app. Marketing and enrollment operate through the state-run Maryland Health Connection exchange, direct online enrollment, and an active community events program across the state.

MPC generates revenue exclusively through capitation payments from the Maryland Department of Health for each enrolled member under the HealthChoice program. The organization employs 51–100 people and operates with a lean corporate footprint, relying on its owner-provider systems for clinical delivery and administrative scale. Revenue, funding, and membership growth figures are not publicly disclosed. The company holds NCQA Health Plan Accreditation and operates exclusively within the state of Maryland, with no disclosed plans for geographic expansion.

Name

Maryland Physicians Care

Legal name

Maryland Physicians Care Inc.

Website

https://marylandphysicianscare.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

51–100 employees

Short description

Maryland Physicians Care is a provider-owned Medicaid Managed Care Organization that delivers no-cost healthcare coverage to over 200,000 Maryland HealthChoice members through a statewide network of owned-provider systems.

Ownership category

akta.pro rank

Product category

Medicaid Managed Care

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Medicare Advantage (MA) Plans (FSAIAGAA)

akta.pro secondary industry

MA Care Coordination & Utilization Management (UM) Programs (HLAEACAK)

Keywords

• Medicaid managed care
• Healthcare benefits administration
• Telehealth services
• Maternal health support
• Chronic disease prevention

Headquarters

HQ city

Linthicum Heights

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Capitation Revenue: MPC operates as a Medicaid MCO receiving capitated payments from the Maryland Department of Health for each enrolled member. The organization provides comprehensive healthcare coverage including doctor visits, dental, vision, virtual care, and behavioral health services under the HealthChoice program.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Maryland Physicians Care is a Medicaid Managed Care Organization that administers free HealthChoice Medicaid health coverage to eligible Maryland residents through a statewide network of doctors, hospitals, and pharmacies. Its offering bundles medical, dental (via Maryland Healthy Smiles), vision, prescription, behavioral health, and maternal/child health benefits, supplemented by 24/7 virtual care (MyVirtualMPC), member rewards (Belong), and mobile outreach (Well on Wheels). The company is reimbursed via capitation payments from the Maryland Department of Health.

Product overview

Maryland Physicians Care is a Medicaid Managed Care Organization (MCO) participating in Maryland's HealthChoice program. The company provides free healthcare coverage to Maryland residents through a network of trusted doctors, hospitals, and pharmacies. Their product portfolio centers on the core Medicaid managed care plan supplemented by digital health services including MyVirtualMPC (telehealth), the Belong member rewards program, MPC Well Aware e-newsletter, MPC Well on Wheels mobile health services, and the Diabetes Prevention Program. Additional offerings include maternal health support services with the Healthy Babies Equity Act, dental benefits through the Maryland Healthy Smiles Dental Program partnership, and the Family Resource Center for health education. The company serves over 200,000 members across Maryland and is owned by Maryland healthcare providers including Saint Agnes, Holy Cross, Meritus Health, and UPMC Western Maryland.

Differentiator

Problem solved

Functional benefit

Brands

• Belong: A free membership rewards program for MPC members that offers chances to win prizes like blenders, air fryers, laundry supplies, cozy blankets, and grocery gift cards, along with health tips and support.
• MyVirtualMPC
• MPC Well Aware
• MPC Well on Wheels

Products and services

• Medicaid Managed Care Plans (HealthChoice)

Quantifiable outcome

• Over 200,000+ members served across Maryland

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• Saint Agnes HealthcarecoreStrategic or Co-development PartnerSaint Agnes Healthcare is one of the Maryland healthcare providers that owns Maryland Physicians Care, contributing to the organization's local healthcare network and community-based care model.
• Holy Cross HealthcoreStrategic or Co-development PartnerHoly Cross Health is one of the founding Maryland healthcare provider owners of Maryland Physicians Care, providing hospital and clinical network integration.
• Meritus HealthcoreStrategic or Co-development PartnerMeritus Health is a key Maryland healthcare provider owner of Maryland Physicians Care, contributing to the western Maryland service area.
• UPMC Western MarylandcoreStrategic or Co-development PartnerUPMC Western Maryland is an owner of Maryland Physicians Care, providing healthcare network access in the western regions of the state.
• Maryland Department of HealthcoreStrategic or Co-development PartnerMPC operates under contract with the Maryland Department of Health as a HealthChoice Managed Care Organization, following state Medicaid program guidelines.
• Maryland Health ConnectioncoreChannel Partner/ Reseller/ DistributorMaryland's state Medicaid exchange where eligible residents enroll and select their Managed Care Organization, including Maryland Physicians Care.
• Maryland Healthy Smiles Dental ProgramcoreChannel Partner/ Reseller/ DistributorCarved-out dental program providing dental services to MPC members through a specialized network.
• Planet FitnessminorGTM or Marketing PartnerPlanet Fitness gym memberships available for MPC members in select Maryland counties for health and wellness.

Scale indicators2 records

Recent moves2 records

Expansion highlights4 records

Direct peers

• CareFirst Community Health Plan Maryland: A Maryland Medicaid MCO in the HealthChoice program (formerly University of Maryland Health Partners), a direct regional competitor to MPC.
• Priority Partners MCO: A Johns Hopkins/Maryland Community Health System-owned Medicaid MCO competing directly in the Maryland HealthChoice program for the same Medicaid-eligible members.
• Jai Medical Systems Managed Care Organization: A Maryland-based Medicaid MCO participating in HealthChoice, competing head-to-head with MPC for enrollment across the state.
• MedStar Family Choice: A provider-owned (MedStar Health) Medicaid MCO in Maryland's HealthChoice program, sharing MPC's provider-sponsored model and target population.
• Wellpoint Maryland (formerly Amerigroup): Elevance Health's Medicaid managed care brand operating in Maryland HealthChoice, a national-scale competitor for the same Medicaid members.
• Aetna Better Health of Maryland: CVS/Aetna's Medicaid MCO serving Maryland HealthChoice enrollees, competing directly with MPC in the same market.
• Kaiser Permanente (Mid-Atlantic): An integrated managed care organization offering Medicaid coverage in Maryland HealthChoice, competing for the same members with an integrated care model.

Broad incumbents

• Molina Healthcare: A national Medicaid-focused managed care company operating in numerous states; comparable in business model (capitated Medicaid MCO) though not concentrated in Maryland.
• Centene Corporation: The largest US Medicaid managed care organization by membership, offering the same capitated government-sponsored coverage model as MPC at national scale.
• UnitedHealthcare Community Plan of Maryland: UnitedHealth's Medicaid managed care arm operating in Maryland, a large national incumbent overlapping MPC's HealthChoice membership base.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UCqV0KyqQ1jQgJNpvX8vtxPw
• Facebookfacebook.com/MarylandPhysiciansCare
• Instagraminstagram.com/marylandphysicianscare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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 Maryland Physicians Care