Community Health Choice

What Community Health Choice does

Community Health Choice is a Houston-based nonprofit managed care organization founded in 1997 by Harris Health System, the regional public academic healthcare system. It delivers government-sponsored health insurance plans — Texas STAR (Medicaid), Texas STAR+PLUS, Texas CHIP, Texas CHIP Perinate Unborn, Medicare D-SNP, and Health Insurance Marketplace plans — to approximately 420,000 members across the Houston and southeast Texas service area. The company is governed as a nonprofit subsidiary of Harris Health System, a public entity, with no outside venture or private-equity capital indicated.

Name

Community Health Choice

Legal name

Community Health Choice Texas, Inc.

Website

https://communityhealthchoice.org

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Community Health Choice is a Houston-based nonprofit managed care organization, founded in 1997 by Harris Health System, that delivers government-sponsored health plans (Texas STAR, STAR+PLUS, CHIP, Marketplace, and Medicare D-SNP) to roughly 420,000 members across southeast Texas.

Ownership category

akta.pro rank

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Medicaid Managed Care HMOs (HLAEAMAI)

akta.pro secondary industries

MA HMO Plans (HLAEACAA), CO-OP / Nonprofit Individual Market Plans (HLAEABAH)

Keywords

• Medicaid managed care
• CHIP health insurance
• Medicare D-SNP plans
• Marketplace HMO plans
• Government health programs

Headquarters

HQ city

Houston

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, Others

Revenue model

1. Government Program Premiums: Revenue received from state and federal government programs (Medicaid, CHIP, Medicare) on a per-member-per-month (PMPM) capitation basis for providing managed care coverage to enrolled beneficiaries.
2. Healthcare Marketplace Premiums: Premium revenue from individual Marketplace plan enrollees who purchase coverage through the Affordable Care Act exchange. Premiums are paid by enrollees often with federal subsidies, with the organization bearing insurance risk.

Go-to-market motion3 records

Distribution channels4 records

Marketing channels6 records

Core offering

Community Health Choice is a Texas-licensed nonprofit HMO that sells government-sponsored and ACA Marketplace health insurance plans to individuals and families in Southeast Texas. Its core products are Texas Medicaid (STAR and STAR+PLUS), Texas CHIP and CHIP Perinate, Medicare Dual-Eligible Special Needs (D-SNP) plans, and ACA Marketplace HMO plans, supported by care management, wellness, and member-services programs.

Product overview

Community Health Choice operates as a health insurance managed care organization offering a portfolio of government-sponsored health plans. The core product suite consists of Texas STAR (Medicaid), Texas STAR+PLUS, Texas CHIP, Texas CHIP Perinate Unborn, Health Insurance Marketplace plans, and Medicare D-SNP, which collectively serve Medicaid-eligible adults, children, pregnant women, individuals with disabilities, and dual-eligible beneficiaries. These plans are supplemented by Life Services/CareerReady scholarship programs and wellness/care management programs for chronic conditions including diabetes, asthma, heart failure, pregnancy, and behavioral health.

Differentiator

Problem solved

Functional benefit

Brands

• CHC Horizonview: Employee resource portal for Community Health Choice employees

Products and services

• Texas STAR (Medicaid)

Quantifiable outcome

• URAC Accredited Health Plan designation demonstrates compliance with rigorous quality standards for health plan operations
• +1 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles3 records

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core and minor.

• BakerRipleycoreStrategic or Co-development PartnerCommunity partnership providing community-based services to underserved Houston populations. BakerRipley serves as a trusted community anchor organization helping connect residents with health coverage options and social services. Community Health Choice participates in BakerRipley community events and programs.
• Houston Community CollegeminorStrategic or Co-development PartnerCareerReady workforce development program partnership providing healthcare career pathways for community members. The program offers training and education opportunities for individuals interested in healthcare careers.
• San Jacinto CollegeminorStrategic or Co-development PartnerCareerReady workforce development program partnership supporting healthcare career training and educational pathways for community members.
• Lone Star CollegeminorStrategic or Co-development PartnerCareerReady workforce development program partnership providing educational resources and career development opportunities in healthcare fields.
• WorkTexasminorStrategic or Co-development PartnerCareerReady workforce development program partnership supporting job training and employment services for Houston-area residents seeking healthcare careers.

Scale indicators4 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• Oscar Health (Marketplace): Tech-enabled ACA Marketplace carrier selling individual coverage in several Texas counties. Direct Marketplace product overlap, particularly in southeast Texas rating regions.
• Blue Cross and Blue Shield of Texas: Large statewide incumbent carrier offering ACA Marketplace plans that overlap with Community Health Choice's Marketplace business across Texas. Broader portfolio but direct overlap on individual-market products.

Direct peers

• Parkland Community Health Plan: North Texas-based nonprofit Medicaid and CHIP plan affiliated with Parkland Health. Closely comparable as another Texas safety-net-system-affiliated, nonprofit Medicaid managed care plan competing for similar populations.
• Sendero Health Plans: Central Texas nonprofit health plan offering STAR, CHIP, and Marketplace coverage in the Austin area. Comparable as another Texas community-based, nonprofit insurer with a similar Medicaid-Marketplace dual-product strategy.
• Cook Children's Health Plan: Provider-affiliated, nonprofit STAR and CHIP plan based in the Dallas-Fort Worth region that also serves Texas Children's Health Insurance Program members. Comparable nonprofit Medicaid MCO model with a strong pediatric focus.
• Amerigroup Texas (Elevance Health): Anthem/Elevance's Texas Medicaid and Medicare Advantage plan serving STAR, CHIP, and D-SNP populations. Overlaps with Community Health Choice across both government program lines in southeast Texas.
• Driscoll Health Plan: Nonprofit STAR and CHIP health plan in the Rio Grande Valley and Corpus Christi region affiliated with Driscoll Children's Hospital. Direct peer as a regional, nonprofit Texas Medicaid MCO.
• Superior HealthPlan (Centene): Centene-owned Medicaid managed care organization that is the largest Texas STAR, CHIP, and STAR+PLUS contractor statewide. Directly competes with Community Health Choice for the same Texas Medicaid enrollees in overlapping service areas.
• Molina Healthcare of Texas: National Medicaid managed care carrier with a sizable Texas presence serving STAR, CHIP, and STAR+PLUS. Competes head-to-head with Community Health Choice for state contracts and members in southeast Texas.
• UnitedHealthcare Community Plan of Texas: Optum/UnitedHealth's Medicaid managed care plan in Texas serving STAR, CHIP, and dual-eligible populations. Direct competitor in the same Texas Medicaid RFP and enrollment ecosystem.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/CHCTexas
• YouTubeyoutube.com/user/CHCCommunityCares
• Facebookfacebook.com/CommunityHealthChoiceTX
• Instagraminstagram.com/communityhealthchoicetx

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

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 Community Health Choice