Medicaid Health Plans of America

What Medicaid Health Plans of America does

Medicaid Health Plans of America (MHPA) is a 501(c)(6) nonprofit national trade association founded in 1995 and headquartered at 1575 Eye St. NW, Washington, D.C. It is the only national trade association exclusively focused on Medicaid managed care organizations (MCOs), representing 160+ member health plans that serve nearly 48 million Medicaid enrollees across 40 states, Washington, D.C., and Puerto Rico. The membership roster spans for-profit, nonprofit, national, regional, and single-state health plans, including Centene, UnitedHealthcare, Elevance Health, Humana, Molina Healthcare, Aetna, Kaiser Permanente, and AmeriHealth Caritas.

Name

Medicaid Health Plans of America

Legal name

Medicaid Health Plans of America

Website

https://medicaidplans.org

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

1–10 employees

Short description

MHPA is a 501(c)(6) nonprofit trade association founded in 1995 representing 160+ Medicaid managed care organizations serving nearly 48 million Medicaid enrollees across 40 states, D.C., and Puerto Rico through federal and state policy advocacy, research, and industry events.

Ownership category

akta.pro rank

Product category

Healthcare Trade Association Services

NAICS

Business, Professional, Labor, Political, and Similar Organizations (8139)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)

Keywords

• Medicaid managed care advocacy
• Health plan trade association
• Policy and regulatory advocacy
• Medicaid research and data
• Industry networking events

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Membership Dues: MHPA generates revenue through annual membership fees from health plan members (managed care organizations), partner organizations (business associates), and state affiliate programs. Membership fees provide access to advocacy services, committee participation, networking events, and industry resources.
2. Event Registration Fees: Revenue generated from annual conferences (MHPA26), Policy & Advocacy Leadership Forum (PALF26), webinars, and other industry events. Registration fees vary by member type: $495 for health plan members and $1,495 for partner organizations for the PALF event.
3. Sponsorship Revenue: Partner organizations pay sponsorship fees for year-round engagement opportunities, visibility at annual conferences, and networking access with Medicaid health plan leaders and policymakers.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

Medicaid Health Plans of America (MHPA) is the leading national trade association exclusively representing Medicaid managed care organizations (MCOs). It delivers federal and state policy advocacy, regulatory engagement with CMS and Congress, industry research and data, educational programming, networking events, and membership services to 160+ member health plans serving nearly 48 million Medicaid enrollees across 40 states, the District of Columbia, and Puerto Rico.

Product overview

Medicaid Health Plans of America (MHPA) is a trade association (not a technology company) that provides advocacy, research, policy resources, and educational programs for Medicaid managed care organizations. The organization offers a portfolio of services including policy papers and issue briefs, research reports, annual conferences (MHPA26), the Policy & Advocacy Leadership Forum (PALF), webinars, and membership programs for health plans, partner organizations, and state affiliates. Key resources cover Medicaid Managed Care 101, redetermination guidance, MLTSS information, and chronic conditions support. The organization also runs educational campaigns like 'A Look At The Numbers' and an Awards Program recognizing industry leaders.

Differentiator

Problem solved

Functional benefit

Brands

• A Look At The Numbers: Educational campaign highlighting how managed care organizations respond to pressing health concerns and help states deliver on the triple aim.
• MHPA Awards Program

Products and services

• Policy Papers & Issue Briefs Policy position documents and issue briefs published by MHPA that address key Medicaid managed care topics including network adequacy, fraud/waste/abuse, behavioral health access, social determinants of health, and continuous eligibility. Used by member health plans, policymakers, and industry stakeholders.
• Research Briefs & Reports Research reports and briefs demonstrating the value and state of Medicaid managed care, covering enrollment trends, quality improvement projects, and waiver effects on redetermination.
• Annual Conference (MHPA26) The largest Medicaid managed care meeting in the United States, bringing together MCOs, state health plan associations, and partner organizations for education, advocacy, and networking. MHPA26 is scheduled for September 28-30, 2026 in San Antonio.
• Policy & Advocacy Leadership Forum (PALF) Premier policy forum bringing together Medicaid managed care professionals for education, advocacy, and networking with policy experts, Members of Congress, and Administration officials. PALF26 is scheduled for March 17-19, 2026 at Park Hyatt Washington, D.C.
• Webinars & Educational Events Free educational webinars covering topics such as community engagement requirements, Medicaid member retention, redetermination engagement, and specialty care value-based models. Exclusive to MHPA health plan members, state affiliates, and partners.
• Medicaid Managed Care 101 Educational resource explaining Medicaid and its impact on healthcare, covering managed care concepts, benefits of MCOs, and how Medicaid serves vulnerable populations.
• Medicaid Redetermination Resources Educational materials and resources addressing the Medicaid redetermination process, including best practices for states to ensure smooth transitions and continuous coverage for eligible individuals.
• Managed Long-Term Services and Supports (MLTSS) Resources Resources and advocacy for MLTSS programs, which provide day-to-day services for people with long-term conditions, disabilities, or frailty. MHPA partners with the National MLTSS Health Plan Association to raise awareness of MLTSS value.
• Chronic Conditions Resources Information and resources showing how Medicaid MCOs support enrollees with complex health needs including hypertension, diabetes, cardiovascular disease, depression, and intellectual/developmental disabilities.
• Partners Program Annual membership program for businesses operating in the Medicaid space to engage with MHPA and health plan members, offering year-round visibility, networking opportunities, and exclusive access to MHPA's Annual Conference. Includes Gold, Silver, and Bronze tiers.
• Health Plan Membership Membership for full-risk plans providing care to Medicaid and CHIP beneficiaries, offering networking, educational opportunities, industry recognition, and participation in MHPA committees.
• State Affiliate Program Program allowing State Health Plan Associations to align with national strategies while maintaining focus on state-specific needs, providing access to MHPA's advocacy resources and policy expertise.
• MHPA Awards Program

Quantifiable outcome

• Medicaid MCOs save taxpayers $7.1 billion annually through improved healthcare efficiency and outcomes
• +3 more outcomes

Named customers12 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

Partnerships

13 partnerships are on record, tiered core and minor.

• North Carolina Association of Health PlanscoreStrategic or Co-development Partner · 22 April 2026State affiliate program member joining MHPA to represent North Carolina health plans in national Medicaid policy discussions.
• California Association of Health Plans (CAHP)coreStrategic or Co-development Partner · 22 January 2026State affiliate program member joining MHPA to align state-level priorities with national advocacy strategies for Medicaid managed care.
• Five Founding State Affiliates (State Affiliate Program)coreStrategic or Co-development Partner · 21 August 2025Five founding state health plan associations joined the new MHPA State Affiliate Program, representing a significant expansion of the association's reach at the state level.
• Sellers DorseycoreStrategic or Co-development PartnerGold level partner in the MHPA Partners Program. Sellers Dorsey is a healthcare consulting firm that has partnered with MHPA on MLTSS research reports and best practices initiatives.
• LuminopiacoreStrategic or Co-development PartnerGold level partner joined MHPA in February 2026. Luminopia provides digital therapeutics for pediatric vision disorders, collaborating with MHPA on innovation in Medicaid care delivery.
• National MLTSS Health Plan AssociationcoreStrategic or Co-development PartnerMHPA collaborates with the National MLTSS Health Plan Association to raise awareness of the value of Managed Long-Term Services and Supports (MLTSS) in patient outcomes and within the Medicaid managed care delivery model. Together they launched the 'Value of MLTSS' campaign.
• mPulsecoreTechnology or IntegrationSilver level partner providing digital engagement solutions for Medicaid managed care. Recognized with Isadore King Spirit of Service Award in 2025 for exceptional support of MHPA's mission.
• Attane HealthminorStrategic or Co-development PartnerSilver level partner in the MHPA Partners Program providing services to support Medicaid managed care outcomes.
• ModivcareminorStrategic or Co-development PartnerSilver level partner providing non-emergency medical transportation and support services for Medicaid managed care.
• Mom's MealsminorStrategic or Co-development PartnerSilver level partner providing medically tailored meals for Medicaid beneficiaries. Past winner of Isadore King Spirit of Service Award.
• Imagine PediatricsminorStrategic or Co-development PartnerSilver level partner providing pediatric healthcare services for Medicaid populations.
• SafeRide HealthminorStrategic or Co-development PartnerSilver level partner providing transportation solutions for Medicaid managed care organizations.
• Wider CircleminorStrategic or Co-development PartnerSilver level partner providing community-based social support programs for Medicaid populations.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• AHIP (America's Health Insurance Plans): AHIP is the largest national trade association representing health insurance providers, including major Medicaid MCOs. While broader than MHPA (it covers commercial, Medicare Advantage, and Medicaid), it competes for member dues, sponsor dollars, and influence on Medicaid policy advocacy.
• ACAP (Association for Community Affiliated Plans): ACAP represents nonprofit, safety-net Medicaid managed care plans and is the closest direct competitor to MHPA in the Medicaid-focused trade association space, competing for member plans and partner sponsorships.
• National MLTSS Health Plan Association: An existing MHPA collaboration partner, the National MLTSS Health Plan Association similarly organizes and advocates for managed long-term services and supports plans within Medicaid, operating as a narrowly focused trade association with overlapping member base.

Broad incumbents

• Blue Cross Blue Shield Association: BCBSA represents the Blue Cross Blue Shield system, which includes major MHPA members (e.g., Arkansas BCBS, Highmark Wholecare, Anthem/Elevance). It is a larger incumbent that operates at the federation level on Medicaid policy and competes for advocacy mindshare.

Regional players

• California Association of Health Plans (CAHP): CAHP is a state-level trade association representing California health plans, including Medicaid managed care plans. It recently joined MHPA's State Affiliate Program in 2026, and represents the kind of state-level peer MHPA is now federating with rather than competing against.
• North Carolina Association of Health Plans: A state-level trade association representing North Carolina health plans, including Medicaid managed care plans. It joined MHPA's State Affiliate Program in April 2026 and functions as a comparable regional counterpart with overlapping Medicaid focus.

Others

• National Association of Medicaid Directors (NAMD): NAMD represents state Medicaid directors — the public-sector counterpart to MHPA's MCO-side membership. It is a thematically related advocacy peer in the Medicaid policy ecosystem, frequently engaging on overlapping regulatory and operational issues.
• National Academy for State Health Policy (NASHP): NASHP is a nonpartisan policy organization focused on state health policy, including Medicaid. It is not a trade association but produces research and convenes stakeholders in overlapping Medicaid managed care policy areas with MHPA.
• Partnership for Medicaid: Partnership for Medicaid is a coalition of healthcare stakeholders advocating on Medicaid policy. MHPA co-submits letters with this group (e.g., on the provider tax proposed rule), making it a peer coalition rather than a direct competitor but a clearly comparable advocacy vehicle.
• Sellers Dorsey: Sellers Dorsey is a healthcare consulting firm and current MHPA Gold-level partner that co-authors MLTSS research. While not a trade association, it is a closely aligned ecosystem participant serving Medicaid managed care plans on policy and strategy.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/mhpa
• LinkedInlinkedin.com/company/medicaid-health-plans-of-america

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 Medicaid Health Plans of America