Senior Whole Health
- Company typePrivate
- Founded2003
- HeadquartersCambridge, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
Senior Whole Health firmographics
Firmographics- Name
- Senior Whole Health
- Website
- https://seniorwholehealth.com
- Company type
- Private
- Founded year
- 2003
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Ownership category
- akta.pro rank
Senior Whole Health industry classification
Industry- Product category
- Medicare and Medicaid Managed Care
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Benefits, Insurance & Long-Term Care Planning Navigation (Medicare/Medicaid/LTC) (HLADALAI)
- akta.pro secondary industries
- Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG), Chronic Disease & Complex Care Management (Geriatrics) (HLADALAC)
Keywords
Where Senior Whole Health is headquartered
LocationHeadquarters
- HQ city
- Cambridge
- HQ country
- United States
- HQ region
- North America
Markets served
Senior Whole Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Senior Whole Health product offering
Product offeringCore offering
Senior Whole Health, LLC is a health maintenance organization that administers Medicare and Medicaid managed care health plans for eligible seniors. The company delivers integrated medical, behavioral health, prescription drug, and long-term care coverage to its enrolled members through contracted provider networks and care coordination services.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicare Advantage Health Plans Medicare Advantage health plans administered by a licensed HMO for Medicare-eligible seniors, providing integrated medical, prescription drug, and supplemental benefits through a contracted provider network.
- Medicaid Managed Care Health Plans Medicaid managed care health plans for Medicaid-eligible seniors, covering medical, behavioral health, and long-term care services coordinated through the HMO's care management model.
- Dual-Eligible (Medicare + Medicaid) Integrated Plans Integrated health plans combining Medicare and Medicaid benefits for dual-eligible seniors, delivering coordinated medical, prescription drug, behavioral health, and long-term services and supports through a single managed care offering.
Companies that use Senior Whole Health
Customer profileIdeal customer profiles1 record
Senior Whole Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Senior Whole Health partnerships and signals
Strategic signalRecent moves3 records
Expansion highlights2 records
Senior Whole Health competitors and assessment
Company assessmentDirect peers
- Alignment Healthcare: Technology-enabled Medicare Advantage HMO focused on seniors; comparable as a specialty senior-focused health plan with strong care management orientation.
- Clover Health: Medicare Advantage insurer using a tech-forward clinical platform to serve seniors — directly comparable as a senior-focused MA plan with care-coordination differentiation.
- Commonwealth Care Alliance: Massachusetts-based nonprofit health plan serving dual-eligible seniors and individuals with disabilities — directly comparable to Senior Whole Health's dual-eligible Medicare/Medicaid HMO model and Cambridge-based footprint.
- CareMore Health (Anthem): Integrated Medicare Advantage and dual-eligible care delivery plan now part of Elevance Health; directly comparable to SWH's senior-focused managed care and integrated care-coordination approach.
Broad incumbents
- Humana: Leading Medicare Advantage carrier with a large dual-eligible D-SNP footprint; sets the competitive benchmark SWH must meet on quality, network breadth, and supplemental benefits.
- Molina Healthcare: Large government-sponsored health plan operator with substantial Medicare and Medicaid dual-eligible membership — comparable managed care model at much larger scale.
- Elevance Health (Anthem): Diversified Blues plan operator with a substantial Medicare/Medicaid business (including CareMore) — competes head-to-head with regional specialty plans in dual-eligible markets.
- Centene Corporation: Largest Medicaid managed care insurer in the U.S. with growing dual-eligible (Wellcare) franchise — directly competes for dual-eligible contracts at national scale.
- UnitedHealth Group (Optum): Largest U.S. health insurer and the dominant Medicare Advantage carrier; defines pricing, network, and quality benchmarks across all senior-focused health plans.
Emerging players
- Bright Health Group: Tech-enabled Medicare Advantage carrier focused on dual-eligible and senior populations; comparable niche positioning to SWH but newer and emerging.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat3 records
Key risks5 records
Key highlights5 records
Customer concentration
Senior Whole Health social profiles
Digital presenceSenior Whole Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Senior Whole Health leadership team
Management profileNumber of profiles
Profiles1 record
Senior Whole Health funding detail
Funding detailFunding overview
Funding rounds4 records
Investors7 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Senior Whole Health 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 Senior Whole Health
What does Senior Whole Health do?
Senior Whole Health, LLC is a health maintenance organization that administers Medicare and Medicaid managed care health plans for eligible seniors. The company delivers integrated medical, behavioral health, prescription drug, and long-term care coverage to its enrolled members through contracted provider networks and care coordination services.
When was Senior Whole Health founded?
Senior Whole Health was founded in 2003. It employs 251 to 500 people.
Where is Senior Whole Health based?
Senior Whole Health is headquartered in Cambridge, United States, in the North America region.
Who are Senior Whole Health's main competitors?
Direct peers on record are Alignment Healthcare, Clover Health, Commonwealth Care Alliance and CareMore Health (Anthem). Broad incumbents are Humana, Molina Healthcare, Elevance Health (Anthem), Centene Corporation and UnitedHealth Group (Optum). Bright Health Group is listed as an emerging player.
Does Senior Whole Health have an API?
No public API is recorded for Senior Whole Health.
What industry is Senior Whole Health in?
Senior Whole Health's product category is Medicare and Medicaid Managed Care. Its primary akta.pro industry code is HLADALAI, Benefits, Insurance & Long-Term Care Planning Navigation (Medicare/Medicaid/LTC), with a secondary code of HSABAIAG, Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC). Its NAICS code is 524292 and its SIC code is 6324.