Titanium Healthcare

What Titanium Healthcare does

Titanium Healthcare is a privately held, California-incorporated Medicaid care management company founded in 2015 by Gray Miller. The firm delivers coordinated clinical and social services to high-need Medi-Cal members — primarily individuals with multiple chronic conditions, behavioral health diagnoses, and housing instability — through three core programs: California Enhanced Care Management (ECM) and Community Supports (CS) under the DHCS CalAIM initiative, and the Washington State Health Home Program. Services are provided at no cost to qualifying members as a state Medicaid benefit, and Titanium is reimbursed by Medi-Cal managed care plans and Washington's Health Care Authority on a per-member, per-month basis under managed-services contracts. The company operates a B2B2C model in which health plans (e.g., CalOptima, Anthem Blue Cross), hospitals, and Independent Practice Associations refer eligible members.

The underlying operating platform combines customized managed care plan data sharing systems, integration with the Homeless Management Information System (HMIS), and a multi-modal outreach capability spanning in-person, phone, and video engagement. Supporting the care delivery model, Titanium has built a formal training infrastructure — Titanium University — offering CalAIM Pro certification and a tiered leadership development program, as well as a set of defined operational roles (Lead Care Manager, Housing Navigator, Relationship Establishment Specialist, Community Supports staff). The company is a certified Veteran-Owned Business and reports outcome metrics including 33% reduction in inpatient utilization, 32% reduction in ER utilization, 25% reduction in costs, sub-5% 30-day all-cause readmissions, and a Net Promoter Score above 95%.

Titanium's footprint spans Northern California, the SF Bay Area, Central Coastal California, the High/Low Desert region, Los Angeles/Southern California, and Washington State, with offices in Garden Grove (headquarters), Lakewood, Downey, and Downtown Los Angeles. The company has executed four clinical acquisitions in 2020 (Your Community Medical Group, McMillan Clinics, Farid Shakibai MD practice, and Ocean Pacific Primary Care) and has one disclosed institutional investor (Sopris Capital Associates, 2019). Revenue is generated entirely through government and managed-care-plan reimbursement; no direct consumer pricing exists.

Name

Titanium Healthcare

Legal name

Titanium Healthcare Inc.

Website

https://tihealthcare.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

51–100 employees

Short description

Titanium Healthcare is a Medicaid care management provider delivering California CalAIM Enhanced Care Management and Community Supports services, plus Washington's Health Home Program, to high-need Medi-Cal members with complex chronic, behavioral, and social needs, reimbursed through managed care plans.

Ownership category

akta.pro rank

Product category

Medicaid Care Management

NAICS

Services for the Elderly and Persons with Disabilities (624120), Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Health Services (8000), Services-Home Health Care Services (8082)

akta.pro primary industry

Allied Health & Rehab Referral Platforms (PT/OT/SLP) (HLALALAI)

Keywords

• Medi-Cal care management
• Enhanced Care Management services
• Community Supports services
• Medicaid care coordination
• Population health management

Headquarters

HQ city

Los Angeles

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. CalAIM Enhanced Care Management (ECM): Titanium Healthcare is a selected provider of Medi-Cal Enhanced Care Management services through California's DHCS (Department of Health Care Services) CalAIM program. Services are provided at no extra cost to qualifying Medi-Cal members. Revenue is generated through reimbursement from Medi-Cal managed care plans for care management services delivered to members with complex health and social needs.
2. CalAIM Community Supports (CS): Community Supports services are free coordinated care services for eligible Medi-Cal members regardless of ECM eligibility. Services include housing navigation, medically tailored meals, food access, and other social support. Revenue is generated through health plan reimbursement under the DHCS Community Supports program framework.
3. Washington Health Home Program: Care management services provided to Washington State Medicaid recipients through the state's Health Home Program. Revenue is generated through Washington State Medicaid reimbursement.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

Titanium Healthcare is a selected provider of California's CalAIM Enhanced Care Management (ECM) and Community Supports programs, delivering care coordination and clinical intervention for Medi-Cal members with complex physical, behavioral, and social needs. The company assigns dedicated Lead Care Managers, Housing Navigators, and Relationship Establishment Specialists to coordinate healthcare, housing, food, transportation, and behavioral health services. The company also operates the Washington State Health Home Program, extending its care management model to Washington Medicaid beneficiaries.

Product overview

Titanium Healthcare operates as a Medicaid (Medi-Cal) care management company offering a coordinated care model centered on three interconnected programs: Enhanced Care Management (ECM), Community Supports, and the Health Home Program. ECM provides dedicated Lead Care Managers who coordinate comprehensive healthcare for members with complex needs. Community Supports addresses housing and social determinants of health. The Health Home Program extends these services to Washington State. Supporting these core programs, Titanium University provides internal training including CalAIM certification and leadership development. The company reports measurable outcomes including 33% reduction in inpatient utilization, 32% reduction in ER utilization, and 25% reduction in costs, achieved through removing clinical and social barriers to healthcare.

Differentiator

Problem solved

Functional benefit

Products and services

• Enhanced Care Management (ECM) A free statewide Medi-Cal benefit providing comprehensive care management for members with complex physical, behavioral, and social needs. Members receive a dedicated Lead Care Manager who coordinates healthcare and health-related services including physical, mental, dental, vision care, and social services under the California DHCS CalAIM program.
• Community Supports Extra support services available to qualifying Medi-Cal members at no extra charge, addressing health-related social needs including housing navigation, housing deposits, medically tailored meals, food access, and other community-based social support services under the CalAIM Community Supports program.
• Health Home Program Care management services provided to Washington State Medicaid beneficiaries through the state's Health Home Program, offering coordinated support for members with complex health and social needs beyond the California service area.

Quantifiable outcome

• 25% reduction in overall healthcare costs for members enrolled in care management programs
• +7 more outcomes

Named customers3 records

Segments5 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

Seven partnerships are on record, tiered core and minor.

• California Department of Health Care Services (DHCS)coreStrategic or Co-development PartnerTitanium Healthcare has been selected as an official provider of Medi-Cal Enhanced Care Management and Community Supports services through California's DHCS CalAIM program. This is the primary partnership that enables Titanium to deliver care management services to Medi-Cal recipients statewide. DHCS oversees the CalAIM initiative which aims to transform Medi-Cal by addressing social determinants of health.
• Washington State Health Care Authority (HCA)coreStrategic or Co-development PartnerTitanium Healthcare provides care management services to Washington State Medicaid recipients through the Washington Health Home Program, administered by the state's Health Care Authority. This partnership extends Titanium's services beyond California.
• California Grand ManorminorOthersCalifornia Grand Manor is a senior housing facility in Atascadero, CA, that partnered with Titanium Healthcare to provide reduced-rent housing (at 30% of Area Median Income) to eligible senior members identified through Titanium's Community Supports program.
• Veteran Affairs Supportive Housing (VASH)minorOthersTitanium Healthcare connected a homeless Navy veteran member to the VASH program, which provided a rental voucher to help him secure new housing. This partnership enables housing assistance for veterans through the federal VASH program.
• Community Shelters and Transitional Housing ProgramsminorOthersTitanium Healthcare partners with local shelters and transitional housing programs to reach homeless members, track their locations through HMIS, and facilitate housing placements. The company uses these community facilities as touchpoints for outreach and engagement.
• Food Banks and Food Assistance ProgramsminorOthersTitanium Healthcare partners with local food banks and food assistance programs as part of its Community Supports services, connecting members to CalFresh/SNAP benefits and medically tailored meals.
• Free Legal Assistance OrganizationsminorOthersTitanium Healthcare connected a homeless veteran member to free legal assistance which helped delay his eviction, demonstrating partnership with legal services organizations as part of the broader housing support ecosystem.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Cityblock Health: Value-based primary care and care management provider for Medicaid and dually-eligible populations with complex needs. Highly comparable to Titanium's ECM/CS model targeting high-acuity, often homeless members with social determinants of health needs.
• Camden Coalition: Pioneer in complex care management for high-need, high-cost Medicaid and Medicare patients, including homeless populations. Operates a care coordination model closely aligned with Titanium's Lead Care Manager approach.
• ConcertoCare: Provides in-home, tech-enabled care for complex Medicare, Medicaid, and dual-eligible seniors. Comparable to Titanium's high-touch, community-based care management for vulnerable populations with chronic conditions.
• Landmark Health: In-home, multidisciplinary medical and behavioral care for complex chronic patients, predominantly Medicare/Medicaid. Highly comparable model to Titanium's home- and community-based engagement of high-acuity members.
• Aspire Health (Centene): Community-based palliative and complex care management for serious illness populations. Comparable in care coordination depth and Medicaid focus to Titanium's ECM program.

Broad incumbents

• Health Net (Centene subsidiary): Major California Medi-Cal managed care plan and one of the largest contractors with DHCS. Comparable as a buyer/partner of CalAIM ECM/CS services and as a referrer of members to providers like Titanium.
• L.A. Care Health Plan: Largest Medi-Cal managed care plan in Los Angeles County and a key CalAIM partner. Overlaps with Titanium's Southern California footprint as both a referral source and competitive ecosystem participant.
• Molina Healthcare: National Medicaid managed care company with significant California presence. Comparable as a contracting counterparty and as a broader incumbent shaping CalAIM ECM/CS referral routing.

Emerging players

• Healthify (now Commons Clinic / Community Solutions): Social determinants of health referral platform connecting Medicaid members to community resources. Comparable technology layer to Titanium's HMIS-integrated care coordination stack.
• Collective Medical (PointClickCare): Care coordination and real-time event notification network used by hospitals, health plans, and post-acute providers. Comparable interoperability/data-sharing capability to Titanium's managed care plan data exchange.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xtwitter.com/titaniumhealth2
• Facebookfacebook.com/titaniumhealthcareinc
• LinkedInlinkedin.com/company/titanium-healthcare-inc
• Instagraminstagram.com/titaniumhealthcare

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds1 record

Investors1 record

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

M&A4 records

Investments1 record

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

Frequently asked questions about Titanium Healthcare