Martin's Point Health Care
Martin's Point Health Care is a not-for-profit integrated payer-provider organization in Portland, Maine, offering Generations Advantage Medicare Advantage plans, the US Family Health Plan for TRICARE families, and primary and specialty care across nine Health Care Centers in Maine and New Hampshire.
- Company typePrivate
- Founded1983
- HeadquartersPortland, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
What Martin's Point Health Care does
Martin's Point Health Care is a not-for-profit healthcare organization headquartered in Portland, Maine, founded in 1983. The company operates an integrated payer-provider model serving the Northeast United States, with nine Health Care Centers across Maine and New Hampshire delivering primary and specialty care services including preventive care, chronic disease management, mental health, pediatric care, heart health, and cancer resources. The organization is led by President and CEO Paul F. Kasuba, MD, with Edward McKersie serving as board chair and Teresa Schulz as Chief Human Resources Officer.
The company's revenue is generated through three core product lines: Generations Advantage, a Medicare Advantage plan offering hospital, medical, and prescription drug benefits; the US Family Health Plan (USFHP), a TRICARE Prime option providing military families with access to civilian healthcare providers; and direct Primary and Specialty Care services delivered through owned-and-operated Health Care Centers. Revenue mechanics are predominantly subscription-based, driven by per-member-per-month premiums from government payer programs (TRICARE and CMS Medicare Advantage), complemented by direct healthcare service fees at Health Care Centers. CEO total compensation of $1,387,229 for 2024 is disclosed under Maine state law (13-B M.R.S.A § 713-A).
The technology stack is anchored by a FHIR R4 API deployed at records.martinspoint.org/prov-api, supporting provider directory, formulary, and clinical data endpoints including patient records, appointments, coverage eligibility, observations, conditions, and medication requests. The infrastructure meets 21st Century Cures Act requirements for third-party application access to member health data. A Health Information Exchange layer enables care coordination with external healthcare entities, while member-facing tools include a new Radix Health-powered self-scheduling platform and member portals. Go-to-market is sales-led with direct enrollment via the company website, in-person support at Health Care Centers, member services support, and a broker portal for Medicare and TRICARE intermediaries.
Martin's Point Health Care firmographics
Firmographics- Name
- Martin's Point Health Care
- Legal name
- Martin’s Point Health Care, LLC
- Website
- https://martinspoint.org
- Company type
- Private
- Founded year
- 1983
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Martin's Point Health Care is a not-for-profit integrated payer-provider organization in Portland, Maine, offering Generations Advantage Medicare Advantage plans, the US Family Health Plan for TRICARE families, and primary and specialty care across nine Health Care Centers in Maine and New Hampshire.
- Ownership category
- akta.pro rank
Martin's Point Health Care industry classification
Industry- Product category
- Managed healthcare services and health plan administration
- NAICS
- Offices of Physicians (except Mental Health Specialists) (621111), Direct Health and Medical Insurance Carriers (524114), Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Offices & Clinics Of Doctors Of Medicine (8011), Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)
- akta.pro secondary industries
- Medicare Advantage (MA) Plans (FSAIAGAA), MA Care Coordination & Utilization Management (UM) Programs (HLAEACAK)
Keywords
Where Martin's Point Health Care is headquartered
LocationHeadquarters
- HQ city
- Portland
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Martin's Point Health Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales
Revenue model
- TRICARE US Family Health Plan: Administered TRICARE Prime plan for military families in specified regions, operating as a not-for-profit healthcare organization
- Medicare Advantage (Generations Advantage): Medicare Advantage Plans offering comprehensive health coverage for Medicare beneficiaries, with multiple plan options and provider networks
- Primary and Specialty Care Services: Direct healthcare services delivered at Martin’s Point Health Care Centers including primary care, mental health, pediatric care, heart health, and cancer resources
Go-to-market motion1 record
Distribution channels4 records
Marketing channels5 records
Martin's Point Health Care product offering
Product offeringCore offering
Martin's Point Health Care administers health plans—Generations Advantage (Medicare Advantage) and the US Family Health Plan (TRICARE Prime for military families)—and delivers primary and specialty care through nine owned Health Care Centers in Maine and New Hampshire. Operations are integrated across plan administration, provider network management, and direct clinical care delivery, supported by FHIR-compliant digital tools for member self-service and care coordination.
Product overview
Martin’s Point Health Care is a not-for-profit healthcare organization offering a portfolio of health insurance plans and direct healthcare services. The company operates three core product lines: (1) Generations Advantage, a Medicare Advantage plan for Medicare-eligible individuals; (2) the US Family Health Plan (USFHP), a TRICARE Prime option for military families; and (3) Primary Care services delivered through its own Health Care Centers. These offerings are coordinated to provide members with integrated access to health insurance coverage and clinical care, with digital tools for appointment scheduling and health information access.
Differentiator
Problem solved
Functional benefit
Brands
- Generations Advantage: Medicare Advantage Plans offered by Martin's Point for Medicare-eligible beneficiaries.
- US Family Health Plan
Products and services
- Generations Advantage (Medicare Advantage Plans) Medicare Advantage plan offerings for individuals eligible for Medicare, providing comprehensive health coverage including hospital, medical, and prescription drug benefits through Martin's Point's network in Maine and New Hampshire.
- US Family Health Plan (TRICARE Prime) TRICARE Prime health plan for military families—active duty service members, their spouses, and children—providing comprehensive military health benefits through Martin's Point's civilian provider network in designated service regions.
- Primary & Specialty Care Services Primary and specialty medical care services delivered at Martin's Point Health Care Centers in Maine and New Hampshire, including preventive care, chronic disease management, mental health, pediatric care, heart health, and cancer-related resources, with self-scheduling for existing patients and new-patient registration across multiple locations.
Companies that use Martin's Point Health Care
Customer profileSegments3 records
Ideal customer profiles3 records
Martin's Point Health Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Martin's Point Health Care partnerships and signals
Strategic signalScale indicators2 records
Recent moves6 records
Expansion highlights5 records
Martin's Point Health Care competitors and assessment
Company assessmentBroad incumbents
- UnitedHealthcare: The largest US health insurer, with the dominant national Medicare Advantage franchise and growing value-based care delivery assets (Optum). Directly comparable as a MA competitor with far greater scale and capital.
- Humana: One of the largest Medicare Advantage insurers in the US with a national network and significant focus on senior care and value-based primary care. Comparable as a broad MA incumbent competing for the same Generations Advantage-eligible beneficiaries.
- Aetna (CVS Health): National health insurer and MA carrier owned by CVS Health, with overlapping Medicare Advantage products in Maine and New Hampshire. Comparable as a MA competitor with vertical integration into primary care delivery via Oak Street Health.
- Anthem Blue Cross Blue Shield: Major national Blue Cross Blue Shield licensee with significant Medicare Advantage and commercial presence across New England. Comparable as a broad incumbent competing in MA in the same geography.
Direct peers
- Point32Health (Harvard Pilgrim Health Care / Tufts Health Plan): New England-based not-for-profit health plan formed from the merger of Harvard Pilgrim Health Care and Tufts Health Plan. Directly comparable as a regional payer serving the same Northeast geography with commercial, Medicare, and Medicaid products.
Regional players
- Community Health Options: Maine-based not-for-profit health plan offering individual, small group, and Medicare products in the same Maine geography. Comparable as a regional, mission-driven payer competing for the same Maine members and employer groups.
Emerging players
- One Medical (Amazon): Membership-based primary care platform with value-based contracting and senior-focused care delivery. Comparable as a value-based primary care operator with risk-bearing arrangements — the same category as Martin's Point's owned clinics.
- ChenMed: Physician-led, value-based primary care group focused on low-income seniors through full-risk Medicare Advantage contracts. Directly comparable as a risk-bearing primary care operator competing in the same value-based care space.
- Oak Street Health (CVS Health): Value-based primary care provider exclusively serving older adults on Medicare, owned by CVS Health. Comparable as a risk-bearing, senior-focused primary care operator pursuing the same value-based MA model.
- Bright Health Group: Value-driven Medicare Advantage and ACA insurer with risk-bearing provider partnerships. Comparable as a smaller, value-based MA operator pursuing similar capitated care models in regional markets.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Martin's Point Health Care social profiles
Digital presenceMartin's Point Health Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Martin's Point Health Care leadership team
Management profileNumber of profiles
Profiles3 records
Martin's Point Health Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Martin's Point Health Care 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 Martin's Point Health Care
What does Martin's Point Health Care do?
Martin's Point Health Care administers health plans—Generations Advantage (Medicare Advantage) and the US Family Health Plan (TRICARE Prime for military families)—and delivers primary and specialty care through nine owned Health Care Centers in Maine and New Hampshire. Operations are integrated across plan administration, provider network management, and direct clinical care delivery, supported by FHIR-compliant digital tools for member self-service and care coordination.
Is Martin's Point Health Care a public or private company?
Martin's Point Health Care is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Martin's Point Health Care founded?
Martin's Point Health Care was founded in 1983. It employs 501 to 1,000 people.
Where is Martin's Point Health Care based?
Martin's Point Health Care is headquartered in Portland, United States, in the North America region.
How does Martin's Point Health Care make money?
Three revenue lines are on record. TRICARE US Family Health Plan is the primary driver. The others are medicare Advantage (Generations Advantage) and primary and Specialty Care Services.
Who are Martin's Point Health Care's main competitors?
Broad incumbents on record are UnitedHealthcare, Humana, Aetna (CVS Health) and Anthem Blue Cross Blue Shield. Point32Health (Harvard Pilgrim Health Care / Tufts Health Plan) is listed as a direct peer. Community Health Options is listed as a regional player. Emerging players are One Medical (Amazon), ChenMed, Oak Street Health (CVS Health) and Bright Health Group.
Does Martin's Point Health Care have an API?
Yes. FHIR R4 API providing access to provider directory, formulary, and health data. Supports provider, healthcare service, practitioner role, location, organization, insurance plan, and clinical data endpoints including patient records, appointments, coverage eligibility, observations, conditions, and medication requests. The API powers 21st Century Cures Act requirements for third-party app access to member health data. Machine-readable transparency-in-coverage files are available through Aetna's portal for the employee medical plan. Developer documentation is at records.martinspoint.org/prov-api/swagger-ui.
What industry is Martin's Point Health Care in?
Martin's Point Health Care's product category is Managed healthcare services and health plan administration. Its primary akta.pro industry code is HLAFAGAF, Value-Based Primary Care Organizations (Risk-Bearing), with a secondary code of FSAIAGAA, Medicare Advantage (MA) Plans. Its NAICS code is 621111 and its SIC code is 8011.