MDwise
MDwise was a nonprofit Indiana Medicaid managed care organization that administered the Healthy Indiana Plan and Hoosier Healthwise programs for low-income residents, operating as a McLaren Health Care subsidiary until ceasing health plan operations effective January 1, 2026.
- Company typePrivate
- Founded1994
- HeadquartersIndianapolis, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What MDwise does
MDwise was a nonprofit health maintenance organization founded in 1994 and headquartered in Indianapolis, Indiana, that administered Medicaid managed care coverage for Indiana residents. The company operated two state Medicaid programs — the Healthy Indiana Plan (HIP) and Hoosier Healthwise — providing health coverage to low-income individuals, families, pregnant women, children, and disabled adults eligible for Indiana Medicaid. Its core product was a managed care health plan that processed medical and dental claims (dental through Delta Dental of Indiana), managed a provider network across the state, coordinated care services, and provided member support through call center infrastructure and digital tools.
The business model relied on capitation payments from Indiana's Medicaid program under government contracts, with members enrolled through the state's designated enrollment broker system and provider referrals rather than traditional marketing. MDwise was a subsidiary of McLaren Health Care, an integrated Michigan-based health system, and operated under the "A McLaren Company" brand association. The company maintained vendor relationships including Delta Dental of Indiana for dental claims administration and Multiplan for subrogation services. Effective January 1, 2026, MDwise ceased operations as a managed care health plan for the HIP and Hoosier Healthwise programs and currently operates solely to process claims and resolve provider issues for dates of service prior to that date, representing a complete exit from its core market.
MDwise firmographics
Firmographics- Name
- MDwise
- Legal name
- MDwise, Inc.
- Website
- https://mdwise.org
- Company type
- Private
- Founded year
- 1994
- Operating status
- Closed
- Headcount range
- 251–500 employees
- Short description
- MDwise was a nonprofit Indiana Medicaid managed care organization that administered the Healthy Indiana Plan and Hoosier Healthwise programs for low-income residents, operating as a McLaren Health Care subsidiary until ceasing health plan operations effective January 1, 2026.
- Ownership category
- akta.pro rank
MDwise industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)
- akta.pro secondary industries
- Medicaid Expansion (ACA Adult) Managed Care Plans (HLAEAEAB), Children’s & Family Medicaid Managed Care Plans (HLAEAEAF)
Keywords
Where MDwise is headquartered
LocationHeadquarters
- HQ city
- Indianapolis
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
MDwise business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Distribution channels1 record
Marketing channels2 records
MDwise product offering
Product offeringCore offering
MDwise was a nonprofit managed care health plan that administered Indiana's Medicaid programs, including the Healthy Indiana Plan (HIP) and Hoosier Healthwise, providing health coverage to low-income individuals, families, pregnant women, children, and disabled adults. The plan processed medical and dental claims, managed provider networks, coordinated care, and handled subrogation services. Effective January 1, 2026, MDwise ceased operating as a managed care health plan for Indiana Medicaid programs.
Product overview
MDwise was a single managed care health plan offering under the MDwise brand, which administered two Indiana Medicaid programs: the Healthy Indiana Plan (HIP) and Hoosier Healthwise. The plan included medical claims processing, dental benefits through Delta Dental, provider network management, and subrogation services. As of January 1, 2026, MDwise ceased operations as a managed care health plan for these programs, with the company now part of McLaren Health Care.
Differentiator
Problem solved
Functional benefit
Products and services
- MDwise Health Plan A managed care health plan that administered Indiana Medicaid programs for Medicaid-eligible residents, providing health coverage through medical claims processing, dental benefits, provider network administration, and care management services. Operations as a managed care health plan ceased effective January 1, 2026.
- Healthy Indiana Plan (HIP) Indiana Medicaid managed care program administered by MDwise for members enrolled in the Healthy Indiana Plan, providing health coverage through MDwise's provider network. Following the January 1, 2026 closure, members are directed to the enrollment broker at (877) 438-4479.
- Hoosier Healthwise Indiana Medicaid managed care program administered by MDwise providing health coverage to eligible members. Following the January 1, 2026 closure, members are directed to the enrollment broker at (800) 889-9949.
- Delta Dental Plan (MDwise dental benefits)
Companies that use MDwise
Customer profileSegments1 record
Ideal customer profiles1 record
MDwise technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
MDwise partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered minor.
- McLaren Health CareMDwise is a subsidiary of McLaren Health Care. McLaren Health Care is an integrated health system that owns and operates hospitals, clinics, and other healthcare facilities. MDwise operated as a McLaren company providing Medicaid managed care services.
- MultiplanminorMultiplan handles subrogation communications including requests for lien amounts or updates for MDwise. Contact information provided for subrogation matters: Phone (866) 223-9974, Fax (866) 297-3112, located at 535 Diehl Road, Suite 100, Naperville, IL 60563.
Scale indicators1 record
Recent moves5 records
Expansion highlights1 record
MDwise competitors and assessment
Company assessmentDirect peers
- Managed Health Services (MHS) Indiana: Indiana-focused Medicaid managed care plan serving Hoosier Healthwise and HIP members, operating as a Centene subsidiary. Direct head-to-head competitor to MDwise in the same state programs and same Medicaid contract vehicles.
- Anthem Blue Cross and Blue Shield of Indiana: Indiana-market health plan affiliated with Elevance Health that has historically participated in the same HIP and Hoosier Healthwise Medicaid programs as MDwise, making it one of the most direct in-state peers for product and contract overlap.
- CareSource Indiana: Nonprofit Medicaid MCO serving Indiana Medicaid beneficiaries, including the Healthy Indiana Plan. Direct peer given identical contract vehicle, customer population, and value proposition (access-focused coordinated Medicaid coverage).
- McLaren Health Plan: Michigan-based Medicaid and government-program health plan and direct sister subsidiary of MDwise under McLaren Health Care. Strongly comparable as a state-level MCO run on shared corporate systems and managed care workflows.
Broad incumbents
- Centene Corporation: National managed care company with a portfolio that includes MHS Indiana and other state Medicaid plans. Comparable as a scaled owner-operator of state Medicaid MCOs across multiple geographies, of which MDwise is a regional example.
- Molina Healthcare: National Medicaid-focused MCO operating government-sponsored health plans across many states. Comparable as a peer MCO business model with overlapping state Medicaid contracts, member populations, and capitation/revenue mechanics.
- Elevance Health (formerly Anthem): Large national health insurer that owns and operates Indiana Medicaid plans among a much broader commercial, Medicare, and government-program portfolio. Overlapping with MDwise in Medicaid product design, network management, and state contracting.
- Humana: Diversified health insurer with a Medicaid segment alongside its larger Medicare Advantage business. Comparable on managed-care operating model and government program administration even though Humana's Indiana Medicaid footprint is narrower than MDwise's was.
- UnitedHealth Group: Largest U.S. health insurer and operator of state Medicaid health plans in multiple states, with end-to-end capabilities in claims administration, network management, and care management that closely mirror MDwise's core MCO operating functions.
- CVS Health / Aetna: Vertically integrated payer-provider-PBM owner of Aetna with state Medicaid plans across several geographies. Comparable on government-program health plan administration even though the Indiana Medicaid overlap is more limited than the MDwise-Anthem or MDwise-MHS overlap.
Market position
Strengths3 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights5 records
Customer concentration
MDwise social profiles
Digital presenceMDwise financial estimates
Financial estimateRevenue estimate
Valuation estimate
MDwise leadership team
Management profileNumber of profiles
MDwise funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MDwise 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 MDwise
What does MDwise do?
MDwise was a nonprofit managed care health plan that administered Indiana's Medicaid programs, including the Healthy Indiana Plan (HIP) and Hoosier Healthwise, providing health coverage to low-income individuals, families, pregnant women, children, and disabled adults. The plan processed medical and dental claims, managed provider networks, coordinated care, and handled subrogation services. Effective January 1, 2026, MDwise ceased operating as a managed care health plan for Indiana Medicaid programs.
Is MDwise a public or private company?
MDwise is a private company. It is classified as corporate owned and is currently closed.
When was MDwise founded?
MDwise was founded in 1994. It employs 251 to 500 people.
Where is MDwise based?
MDwise is headquartered in Indianapolis, United States, in the North America region.
Who are MDwise's main competitors?
Direct peers on record are Managed Health Services (MHS) Indiana, Anthem Blue Cross and Blue Shield of Indiana, CareSource Indiana and McLaren Health Plan. Broad incumbents are Centene Corporation, Molina Healthcare, Elevance Health (formerly Anthem), Humana, UnitedHealth Group and CVS Health / Aetna.
Does MDwise have an API?
No public API is recorded for MDwise.
What industry is MDwise in?
MDwise's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP), with a secondary code of HLAEAEAB, Medicaid Expansion (ACA Adult) Managed Care Plans. Its NAICS code is 524114 and its SIC code is 6324.