Affinity Health Plan
Affinity Health Plan is a New York State Medicaid and Essential Plan managed care organization, now operating as 'Affinity by Molina Healthcare' following acquisition by Molina Healthcare. It serves low-income New York residents through capitated state contracts and a digital member/provider platform, including a mobile app and OTC benefit card.
- Company typePrivate
- Founded1987
- HeadquartersBronx, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
What Affinity Health Plan does
Affinity Health Plan is a not-for-profit managed care organization founded in 1987 and headquartered in the Bronx, New York. Following acquisition by Molina Healthcare, Inc. (NYSE: MOH), it operates under the brand 'Affinity by Molina Healthcare' as one of three Molina brands serving New York State, alongside Molina Healthcare of New York and Senior Whole Health of New York. The legal operating entity is Molina Healthcare of New York, Inc.
Affinity delivers government-sponsored health coverage to New York residents, primarily through New York State Medicaid managed care contracts and the New York Essential Plan for individuals who do not qualify for Medicaid but require subsidized coverage. Members receive comprehensive benefits including medical care, prescription drugs, preventive services, mental health support, maternal and pediatric care, hospital services, and over-the-counter allowances via the Essential Plan OTC card. The company also extends into social determinants of health through the Social Care Network and Molina Help Finder community resource locator.
The product portfolio is centered on a Medicaid health plan delivered through a digital platform stack that includes the My Molina member portal, the My Molina mobile app, and — for providers — the Availity Essentials administrative portal and the Sapphire threesixtyfive provider/pharmacy directory. Revenue is generated through capitation payments from New York State Medicaid on a per-member-per-month basis and Essential Plan premiums combining state subsidies with member contributions. Distribution occurs via state Medicaid enrollment systems for the Medicaid product, licensed broker channels for the Essential Plan, and a contracted network of New York health care professionals.
Affinity Health Plan firmographics
Firmographics- Name
- Affinity Health Plan
- Legal name
- Molina Healthcare of New York, Inc.
- Website
- https://affinityplan.org
- Company type
- Private
- Founded year
- 1987
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Affinity Health Plan is a New York State Medicaid and Essential Plan managed care organization, now operating as 'Affinity by Molina Healthcare' following acquisition by Molina Healthcare. It serves low-income New York residents through capitated state contracts and a digital member/provider platform, including a mobile app and OTC benefit card.
- Ownership category
- akta.pro rank
Affinity Health Plan industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411), Ambulatory Health Care Services (621), Other Individual and Family Services (624190)
- SIC
- Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Specialty HMOs (e.g., Behavioral Health, Dental, Vision) (HLAEAMAJ)
- akta.pro secondary industry
- Embedded Insurance & Affinity Distribution Platforms (FSAGAGAL)
Keywords
Where Affinity Health Plan is headquartered
LocationHeadquarters
- HQ city
- Bronx
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Affinity Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Medicaid Capitation Revenue: Affinity operates as a Managed Care Organization receiving capitated payments from state Medicaid programs for providing covered health care services to enrolled members. Revenue is based on per-member-per-month arrangements with New York State.
- Essential Plan Premium Revenue: Revenue from Essential Plan enrollment, a New York State-sponsored health insurance program for individuals who don't qualify for Medicaid but need affordable coverage. Premiums are paid through a combination of state subsidies and member contributions.
Go-to-market motion1 record
Distribution channels5 records
Marketing channels7 records
Affinity Health Plan product offering
Product offeringCore offering
Affinity by Molina Healthcare is a not-for-profit managed care organization that provides government-sponsored health plans, including Medicaid, the Essential Plan, Child Health Plus, and Qualified Health Plans, to eligible individuals and families across New York State. It operates as a subsidiary of Molina Healthcare, Inc. (NYSE: MOH) and focuses on serving low-income and vulnerable populations through coordinated care delivery.
Product overview
Affinity by Molina Healthcare is a Medicaid health plan operating in New York as part of the Molina Healthcare family. The portfolio includes the core Affinity by Molina Healthcare plan, the My Molina member portal, the My Molina mobile app, the Molina Help Finder community resource tool, an Essential Plan OTC card benefit, a Social Care Network program, and a Prior Authorization LookUp Tool for providers. Molina Healthcare of New York and Senior Whole Health of New York are related sub-brands within the same organization, all accessible through shared digital platforms including the My Molina portal, Availity Essentials provider portal, and Sapphire threesixtyfive doctor finder.
Differentiator
Problem solved
Functional benefit
Products and services
- Affinity by Molina Healthcare Medicaid Plan
- Essential Plan
- Child Health Plus
- Qualified Health Plan
Companies that use Affinity Health Plan
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles1 record
Affinity Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature4 records
Affinity Health Plan partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- AvailitycoreAvaility provides the essential provider portal used by health care professionals to verify member eligibility, submit claims, and manage administrative tasks with Affinity by Molina Healthcare. The Availity Essentials platform serves as the primary digital interface between providers and the health plan.
- New York State Department of HealthcoreAffinity by Molina Healthcare operates as a contracted Managed Care Organization under agreement with New York State Medicaid programs. The company receives capitated payments to provide covered health services to eligible Medicaid enrollees as part of the state's managed care initiative.
- Social Care Network PartnerscoreAffinity participates in Molina Healthcare's Social Care Network, connecting members to community-based organizations and social services addressing social determinants of health including housing, food security, transportation, and mental health support.
Scale indicators2 records
Recent moves6 records
Expansion highlights5 records
Affinity Health Plan competitors and assessment
Company assessmentDirect peers
- Healthfirst: Healthfirst is the largest not-for-profit Medicaid managed care plan in New York, serving Medicaid, Essential Plan, Medicare Advantage, and individual members in the NYC metro. It is Affinity's most direct competitor for NY Medicaid enrollment and broker-distributed Essential Plan volume.
- MetroPlus Health Plan: MetroPlus is a NYC Health + Hospitals-affiliated Medicaid and Essential Plan MCO serving primarily NYC residents. It directly competes with Affinity for Medicaid managed care lives in the same Bronx and Manhattan geographies.
- Fidelis Care: Fidelis Care, a wholly-owned subsidiary of Centene, is one of the largest Medicaid and Essential Plan providers in New York. It competes head-to-head with Affinity for government-sponsored enrollment across the state.
- EmblemHealth: EmblemHealth is a New York-based not-for-profit health plan offering Medicaid, HMO, and Medicare products. It is a direct peer in NYC Medicaid and Essential Plan markets where Affinity operates.
- Amida Care: Amida Care is a New York Medicaid Special Needs Plan focused on HIV/AIDS, behavioral health, and homeless populations. It is a niche peer in NY government-sponsored managed care, comparable in regulatory model and member population.
- Health Insurance Plan of Greater New York (HIP): HIP is EmblemHealth's NYC-focused HMO serving Medicaid, Medicare, and commercial members. It competes with Affinity in the same Bronx and greater NYC markets as an established HMO brand.
Broad incumbents
- UnitedHealthcare Community & State: UnitedHealthcare's Community & State division operates Medicaid plans in dozens of states including New York. As a national incumbent with broad scale, it competes with Affinity for NY state contracts and provider network participation.
- Centene Corporation: Centene is the largest publicly traded Medicaid managed care company in the US and operates multiple NY plans including Fidelis Care and WellCare. It is the dominant broad incumbent competing against Affinity in NY government health programs.
Others
- Molina Healthcare: Molina Healthcare is Affinity's publicly traded parent company (NYSE: MOH), operating Medicaid and government-sponsored plans across 22 states. It is the corporate parent and infrastructure provider rather than a direct market competitor.
Emerging players
- Oscar Health: Oscar Health is a New York-based technology-driven health insurer with ACA Marketplace and growing Medicare Advantage presence. While not primarily Medicaid-focused, it competes in the broader NY individual/subsidized insurance market adjacent to Affinity's Essential Plan business.
Market position
Strengths5 records
Weaknesses2 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Affinity Health Plan social profiles
Digital presenceAffinity Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
Affinity Health Plan leadership team
Management profileNumber of profiles
Profiles2 records
Affinity Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Affinity Health Plan 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 Affinity Health Plan
What does Affinity Health Plan do?
Affinity by Molina Healthcare is a not-for-profit managed care organization that provides government-sponsored health plans, including Medicaid, the Essential Plan, Child Health Plus, and Qualified Health Plans, to eligible individuals and families across New York State. It operates as a subsidiary of Molina Healthcare, Inc. (NYSE: MOH) and focuses on serving low-income and vulnerable populations through coordinated care delivery.
Is Affinity Health Plan a public or private company?
Affinity Health Plan is a private company. It is classified as corporate owned and is currently operating.
When was Affinity Health Plan founded?
Affinity Health Plan was founded in 1987. It employs 501 to 1,000 people.
Where is Affinity Health Plan based?
Affinity Health Plan is headquartered in Bronx, United States, in the North America region.
How does Affinity Health Plan make money?
Two revenue lines are on record. Medicaid Capitation Revenue is the primary driver. The others are essential Plan Premium Revenue.
Who are Affinity Health Plan's main competitors?
Direct peers on record are Healthfirst, MetroPlus Health Plan, Fidelis Care, EmblemHealth, Amida Care and Health Insurance Plan of Greater New York (HIP). Broad incumbents are UnitedHealthcare Community & State and Centene Corporation. Molina Healthcare is listed as an others. Oscar Health is listed as an emerging player.
Does Affinity Health Plan have an API?
No public API is recorded for Affinity Health Plan.
What industry is Affinity Health Plan in?
Affinity Health Plan's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAMAJ, Specialty HMOs (e.g., Behavioral Health, Dental, Vision), with a secondary code of FSAGAGAL, Embedded Insurance & Affinity Distribution Platforms. Its NAICS code is 524114 and its SIC code is 6324.