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NextLevel Health

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uuid000954i

Namestring
NextLevel Health
Company typeenum
Private
Founded yearint
2013
Short descriptiontext

NextLevel Health is a Medicaid managed care health plan headquartered in Chicago, Illinois, providing community-based care coordination to Medicaid beneficiaries. Founded in 2013, this private for-profit company operates with a team of 51-100 employees focused on managed care delivery in Illinois.

Ownership categoryenum
Headcount rangeband
51–100
akta.pro rankint
HeadquartersChicago, United States
HQ citystring
Chicago
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Keyword5 values
medicaid managed care, care coordination services, community health plans, health plan administration, medicaid member services
Industry2 codes
1Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans
CodeHLAEAEAIPrimaryYes
2Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage)
CodeBPAIAKAHPrimaryNo
NAICS code2 codes
  • Direct Health and Medical Insurance Carriers524114
  • Direct Life, Health, and Medical Insurance Carriers52411
SIC code1 code
  • Hospital & Medical Service Plans6324
Product category
Medicaid Managed Care
Cost components4 values
Personnel, Operations, Marketing or Sales, Infrastructure
GTM typeB2C
B2C
Offering typeServices
Services
Core offering1 text field

NextLevel Health is a Medicaid managed care health plan that provides community-based care coordination for Medicaid beneficiaries. The company organizes access to medical, behavioral, and social services for enrolled members, functioning as a payer and care manager within the Illinois Medicaid program. It operates as a private, for-profit health plan founded in 2013 and based in Chicago.

Differentiator
Functional benefit
Problem solved
Product and service1 record
1Medicaid Managed Care Health Plan
No data
Peers10 records
TypeBroad incumbent
Description

UnitedHealth Group's Medicaid managed care arm operating across many states including Illinois. Highly comparable as a Medicaid MCO competitor though backed by the largest U.S. health insurer.

TypeBroad incumbent
Description

National Medicaid-focused managed care company with significant Illinois membership. Directly comparable as a Medicaid MCO competing in the same Illinois procurement environment, though with multi-state scale.

TypeBroad incumbent
Description

Largest U.S. Medicaid managed care insurer with deep Illinois presence (Meridian/IlliniCare plans). Highly comparable as a Medicaid MCO competing for the same state contracts and member populations as NextLevel Health, though much larger and multi-state.

TypeBroad incumbent
Description

Large national insurer with growing Medicaid footprint in select states. Comparable as a Medicaid MCO competing for state contracts, though Humana's primary focus is Medicare.

TypeBroad incumbent
Description

Major multi-state Blues plan with Illinois Medicaid presence through affiliated plans. Comparable as a Medicaid MCO competitor with much greater scale and capital base.

TypeBroad incumbent
Description

National health insurer offering Medicaid managed care in select states including Illinois. Comparable as a competing Medicaid MCO with broader portfolio but overlapping products.

TypeRegional player
Description

Illinois-focused Medicaid plan owned by Centene, serving many of the same Chicago-area Medicaid beneficiaries as NextLevel Health. Directly comparable on product, geography, and target population.

TypeDirect peer
Description

Chicago-based Medicare Advantage plan with community-focused model and growing presence. Comparable as a Chicago-anchored, community-oriented health plan, though primarily Medicare rather than Medicaid.

TypeDirect peer
Description

Cook County Health's Medicaid managed care plan serving the same Chicago-area Medicaid population as NextLevel Health. Most directly comparable peer given shared geography, target population, and community-based mission.

10Blue Cross and Blue Shield of Illinois (Health Care Service Corp.)
TypeBroad incumbent
Description

Dominant Illinois health plan offering Medicaid managed care products alongside commercial and Medicare lines. Directly comparable on Medicaid MCO product set but operates at much greater scale and breadth.

Market position
Customer concentration

Classification, Details

Ideal customer profile1 record

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles2 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds1 record

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

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

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

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

NextLevel Health

Medicaid Managed Carenextlevelhealthil.com

NextLevel Health is a Medicaid managed care health plan headquartered in Chicago, Illinois, providing community-based care coordination to Medicaid beneficiaries. Founded in 2013, this private for-profit company operates with a team of 51-100 employees focused on managed care delivery in Illinois.

NextLevel Health firmographics

Firmographics
Name
NextLevel Health
Website
https://nextlevelhealthil.com
Company type
Private
Founded year
2013
Headcount range
51–100 employees
Short description
NextLevel Health is a Medicaid managed care health plan headquartered in Chicago, Illinois, providing community-based care coordination to Medicaid beneficiaries. Founded in 2013, this private for-profit company operates with a team of 51-100 employees focused on managed care delivery in Illinois.
Ownership category
akta.pro rank

NextLevel Health industry classification

Industry
Product category
Medicaid Managed Care
NAICS
Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)
SIC
Hospital & Medical Service Plans (6324)
akta.pro primary industry
Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
akta.pro secondary industry
Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

  • Medicaid managed care
  • Care coordination services
  • Community health plans
  • Health plan administration
  • Medicaid member services

Where NextLevel Health is headquartered

Location

Headquarters

HQ city
Chicago
HQ country
United States
HQ region
North America

Markets served

NextLevel Health business model

Business model
GTM type
B2C
Offering type
Services
Cost components
Personnel, Operations, Marketing or Sales, Infrastructure

NextLevel Health product offering

Product offering

Core offering

NextLevel Health is a Medicaid managed care health plan that provides community-based care coordination for Medicaid beneficiaries. The company organizes access to medical, behavioral, and social services for enrolled members, functioning as a payer and care manager within the Illinois Medicaid program. It operates as a private, for-profit health plan founded in 2013 and based in Chicago.

Differentiator

Problem solved

Functional benefit

Products and services

  • Medicaid Managed Care Health Plan

Companies that use NextLevel Health

Customer profile

Ideal customer profiles1 record

NextLevel Health technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

NextLevel Health competitors and assessment

Company assessment

Broad incumbents

  • UnitedHealthcare Community & State: UnitedHealth Group's Medicaid managed care arm operating across many states including Illinois. Highly comparable as a Medicaid MCO competitor though backed by the largest U.S. health insurer.
  • Molina Healthcare: National Medicaid-focused managed care company with significant Illinois membership. Directly comparable as a Medicaid MCO competing in the same Illinois procurement environment, though with multi-state scale.
  • Centene Corporation: Largest U.S. Medicaid managed care insurer with deep Illinois presence (Meridian/IlliniCare plans). Highly comparable as a Medicaid MCO competing for the same state contracts and member populations as NextLevel Health, though much larger and multi-state.
  • Humana: Large national insurer with growing Medicaid footprint in select states. Comparable as a Medicaid MCO competing for state contracts, though Humana's primary focus is Medicare.
  • Elevance Health (Anthem): Major multi-state Blues plan with Illinois Medicaid presence through affiliated plans. Comparable as a Medicaid MCO competitor with much greater scale and capital base.
  • Aetna (CVS Health): National health insurer offering Medicaid managed care in select states including Illinois. Comparable as a competing Medicaid MCO with broader portfolio but overlapping products.
  • Blue Cross and Blue Shield of Illinois (Health Care Service Corp.): Dominant Illinois health plan offering Medicaid managed care products alongside commercial and Medicare lines. Directly comparable on Medicaid MCO product set but operates at much greater scale and breadth.

Regional players

  • Meridian Health Plan (Centene): Illinois-focused Medicaid plan owned by Centene, serving many of the same Chicago-area Medicaid beneficiaries as NextLevel Health. Directly comparable on product, geography, and target population.

Direct peers

  • Zing Health: Chicago-based Medicare Advantage plan with community-focused model and growing presence. Comparable as a Chicago-anchored, community-oriented health plan, though primarily Medicare rather than Medicaid.
  • CountyCare Health Plan: Cook County Health's Medicaid managed care plan serving the same Chicago-area Medicaid population as NextLevel Health. Most directly comparable peer given shared geography, target population, and community-based mission.

Market position

Customer concentration

NextLevel Health social profiles

Digital presence

NextLevel Health financial estimates

Financial estimate

Revenue estimate

Valuation estimate

NextLevel Health leadership team

Management profile

Number of profiles

Profiles2 records

NextLevel Health funding detail

Funding detail

Funding overview

Funding rounds1 record

Investors

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

NextLevel Health M&A and investment

M&A and investment

M&A

Investments

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

Frequently asked questions about NextLevel Health

What does NextLevel Health do?

NextLevel Health is a Medicaid managed care health plan that provides community-based care coordination for Medicaid beneficiaries. The company organizes access to medical, behavioral, and social services for enrolled members, functioning as a payer and care manager within the Illinois Medicaid program. It operates as a private, for-profit health plan founded in 2013 and based in Chicago.

When was NextLevel Health founded?

NextLevel Health was founded in 2013. It employs 51 to 100 people.

Where is NextLevel Health based?

NextLevel Health is headquartered in Chicago, United States, in the North America region.

Who are NextLevel Health's main competitors?

Broad incumbents on record are UnitedHealthcare Community & State, Molina Healthcare, Centene Corporation, Humana, Elevance Health (Anthem), Aetna (CVS Health) and Blue Cross and Blue Shield of Illinois (Health Care Service Corp.). Meridian Health Plan (Centene) is listed as a regional player. Direct peers are Zing Health and CountyCare Health Plan.

Does NextLevel Health have an API?

No public API is recorded for NextLevel Health.

What industry is NextLevel Health in?

NextLevel Health's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of BPAIAKAH, Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage). Its NAICS code is 524114 and its SIC code is 6324.

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Live signals
PR NewswireCentene's Illinois Subsidiary to Acquire Membership of NextLevel Health PartnersCentene Corporation's Illinois subsidiary, Meridian Health Plan of Illinois, has entered into a Member Transfer Agreement to assume approximately 54,000 Medicaid members from NextLevel Health Partners, a health plan serving Cook County, Illinois. The agreement includes a care coordination component to ensure continuity of care for affected members. The transaction, expected to close in July 2020 pending regulatory approvals, expands Centene's presence in Cook County while building on its prior relationship with NextLevel Health, which it initially funded for HMO licensure in 2017.PR NewswireDr. Astrid Larsen Joins NextLevel Health Partners, Inc. As Vice President Of Population Health ManagementNextLevel Health Partners, Inc., a Medicaid managed care organization serving Cook County, Illinois, announced that Dr. Astrid Larsen has joined the company as Vice President of Population Health Management. In her role, Dr. Larsen will lead the Integrated Care Management Operations strategy and develop data-driven operational dashboards to support clinical performance, provider integration, and membership growth and retention. Dr. Larsen previously served as Director of Operations, Care Coordination, at Northwestern Medicine, where she led a team of more than 50 nurses and social service professionals.PR NewswireNextLevel Health Partners, Inc., Announces Partnership With Local Barbers To Help Improve Men's Health OutcomesNextLevel Health Partners, Inc., a Medicaid managed care company serving Cook County, announced The Barbershop Project, a partnership with local barbershops including Snootie Fox, Barber's Corner, and Code Chiln to improve men's health outcomes in the community. The program will provide residents with healthcare resources, provider contact information within a 5-mile radius of barbershop locations, and health education materials to address social determinants affecting men's health. The initiative is part of NextLevel Health's Complete Health Advisory Group and leverages barbershops as community spaces to encourage preventive health habits and regular check-ups.PR NewswireNextLevel Health Partners, Inc., Announces The Creation Of The Complete Health Advisory CouncilNextLevel Health Partners, Inc., a Medicaid managed care company serving Cook County residents, announced the creation of the Complete Health Advisory Council on March 21, 2019, bringing together community, social service, and health care organizations across Chicago and Cook County to address social determinants impacting health equity. The council will meet monthly to track progress on increasing annual physicals for men of color, improving prenatal care access for black women, and enhancing hospital discharge transitions for members. Representatives from 18 organizations including CEDA, ACCESS Community Health Network, Westside Health Authority, and others will participate in the monthly convenings.PR NewswireNextLevel Health Partners, Inc., Earns Quality Accreditation For Medicaid From The National Committee for Quality AssuranceThe National Committee for Quality Assurance (NCQA) announced that NextLevel Health Partners, Inc., a Medicaid managed care company based in Chicago, has earned quality accreditation as a recognized health plan. The accreditation, which evaluates health plans on their management of care delivery systems from hospitals to physicians, represents a significant achievement for the three-year-old company. NextLevel Health stated it has invested heavily over the past 16 months in building quality infrastructure, process improvement, care management, and population health capabilities.PR NewswireNextLevel Health Partners, Inc., Morehouse School of Medicine And The Illinois Legislative Black Caucus Foundation Launch The Advancing Men's Health Through Primary Care ConferenceNextLevel Health Partners, Inc., Morehouse School of Medicine, and the Illinois Legislative Black Caucus Foundation announced the Advancing Men's Health Through Primary Care Conference, scheduled for March 1, 2019, at Kennedy King College in Chicago. The conference will bring together health professionals to address men's healthcare after Medicaid expansion, focusing on creating sustainable models for primary care in underserved communities. The event aims to develop actionable plans for improving health outcomes for men covered under Medicaid.PR NewswireNextLevel Health Partners, Inc., Announces Partnership With PatientPing To Improve Member Care And CoordinationNextLevel Health Partners, Inc., a Medicaid managed care company serving Cook County, Illinois, announced a partnership with PatientPing, a Boston-based care coordination platform, to improve member care and coordination. Under the agreement, PatientPing will provide real-time notifications to NextLevel Health whenever their Medicaid members are admitted to care facilities, enabling coordinators to support safe hospital-to-home transitions. Both companies stated the partnership reflects a tech-centered approach to reducing barriers to efficient, cost-effective healthcare and increasing accessibility to quality care.PR NewswireNextLevel Health Partners, Inc., Announces The Launch Of Its Management Training ProgramNextLevel Health Partners, Inc., a Chicago-based Medicaid managed care company, announced the launch of its 12-month management training program for recent college graduates. The program pairs interns with health plan operations projects in disciplines including finance, integrated care management, and provider network services, aiming to develop talent in the Medicaid-managed care and health technology sector. The company stated the program reflects its commitment to investing in local talent to decrease health disparities in the communities it serves.PR NewswireNextLevel Health Partners, Inc., Announces Partnership With NowPow To Improve The Health Outcomes Of Residents Across Cook CountyNextLevel Health Partners, Inc., a Medicaid managed care company, announced a partnership with NowPow, a Chicago-based health technology company, to address social determinants of health for residents across Cook County. Under the agreement, NextLevel Health coordinators will use NowPow's e-prescription platform to deliver personalized community resources based on patient conditions, location, demographics, and language preferences. Both companies, which share a commitment to hiring from the communities they serve, aim to improve population health outcomes through this technology-driven approach to managed care.PR NewswireNextLevel Health Announces Oct. 6th Festival to Raise Awareness for Socio-economic, Health Issues in Underserved Cook County CommunitiesNextLevel Health Partners, Inc., a Medicaid managed care health plan serving Cook County residents, announced it will host a free Complete Health Festival on October 6, 2018 at Hamilton Park in Chicago's Englewood neighborhood. The event, expected to draw approximately 500 attendees, will provide health screenings, wellness education, and connect residents with local behavioral, mental health, primary care, and social service providers. The initiative aims to address socio-economic barriers that prevent underserved communities from prioritizing preventative healthcare.