AlohaCare
- Company typePrivate
- Founded1994
- HeadquartersHonolulu, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
AlohaCare firmographics
Firmographics- Name
- AlohaCare
- Legal name
- AlohaCare
- Website
- https://alohacare.org
- Company type
- Private
- Founded year
- 1994
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Ownership category
- akta.pro rank
AlohaCare industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Health Care and Social Assistance (62)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- CO-OP / Nonprofit Individual Market Plans (HLAEABAH)
- akta.pro secondary industries
- Social Determinants of Health (SDOH) & Community Resource Referral Analytics (HLACAHAG), Integrated Virtual-First Health Plans / ICHRA-Enabled Virtual Primary Care (HLALADAL)
Keywords
Where AlohaCare is headquartered
LocationHeadquarters
- HQ city
- Honolulu
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AlohaCare business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others
Revenue model
- QUEST (Medicaid) Health Insurance: Government-funded health insurance program providing comprehensive medical and prescription drug coverage for eligible low-income individuals and families in Hawaii. Revenue is received through government reimbursement rates.
- Medicare D-SNP (Dual-Eligible Special Needs Plan): Medicare Advantage plan for individuals eligible for both Medicare and Medicaid. Provides Medicare coverage to beneficiaries in Hawaii with various plan options including AlohaCare Advantage Plus and AlohaCare Advantage.
- Pharmacy Services: Pharmacy benefit management through partnership with OptumRx including specialty pharmacy services, mail order, and home delivery.
- Value-Added Services: Extra benefits including dental services, education programs, fitness programs, and Native Hawaiian healing practices offered to members at no additional cost as part of whole-person care approach.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | QUEST (Medicaid) - $0 Copay |
| Subscription | Monthly | AlohaCare Advantage Plus (HMO D-SNP) - Based on Extra Help Level |
| Subscription | Monthly | AlohaCare Advantage (HMO D-SNP) - Based on Extra Help Level |
| Subscription | Monthly | Fitness Benefit - NationsBenefits Prepaid Card |
Go-to-market motion3 records
Distribution channels6 records
Marketing channels7 records
AlohaCare product offering
Product offeringCore offering
AlohaCare is a non-profit health plan that provides QUEST (Medicaid) health insurance and Medicare Advantage D-SNP coverage to approximately 80,000 Hawaii residents. Its core offering encompasses comprehensive medical, behavioral health, and prescription drug coverage delivered through a statewide network of nearly 7,000 contracted providers, supplemented by value-added services including telehealth, dental, fitness, pharmacy benefits, and culturally responsive Native Hawaiian healing practices.
Product overview
AlohaCare is a non-profit health plan offering two core insurance products: the QUEST (Medicaid) Health Plan serving Hawaii's Medicaid beneficiaries as the second-largest QUEST plan in the state, and the AlohaCare Advantage Plus (HMO D-SNP) providing dual-eligible Medicare Special Needs Plan coverage. The portfolio includes multiple value-added programs and services such as Telehealth Connect for virtual care, Virtual Heart Failure Monitoring, Durable Medical Equipment access, dental services, fitness benefits administered through NationsBenefits, and the Ke Aloha Mau Native Hawaiian Healing Program encompassing Ho'oponopono, 'Ai Pono, Hula, and Lomilomi services. Pharmacy services are delivered through OptumRx partnerships. The company also operates care coordination programs including the GRACE Program for seniors and partners with Unite Us for social determinants of health referrals through the Unite Hawaii network.
Differentiator
Problem solved
Functional benefit
Brands
- Ke Aloha Mau: Native Hawaiian healing program including lomilomi massage, 'ai pono nutrition, hula dance, and ho'oponopono relationship balancing
- AlohaCare Advantage Plus
- AlohaCare Advantage
Products and services
- QUEST (Medicaid) Health Plan Hawaii Medicaid health insurance plan providing comprehensive medical and prescription drug coverage for QUEST beneficiaries living on Oahu, Kauai, Molokai, Lanai, Maui, and Hawaii Island. Covers primary care, specialists, hospital services, and pharmacy through a statewide network of contracted providers.
- AlohaCare Advantage Plus (HMO D-SNP)
Quantifiable outcome
- 39 emergency department visits and hospitalizations avoided for 16 heart failure monitoring participants over 5-month period (August-December 2025)
- +1 more outcomes
Companies that use AlohaCare
Customer profileNamed customers1 record
Segments5 records
Ideal customer profiles3 records
AlohaCare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration9 records
Feature4 records
AlohaCare partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core and minor.
- Circadian HealthcoreVirtual care program providing remote heart failure monitoring for AlohaCare members diagnosed with stage B, C, or D heart failure. Uses cellular-enabled devices and 24/7 nurse monitoring without requiring a smartphone. From August to December 2025, 127 members enrolled with 39 ED visits and hospitalizations avoided for 16 participants.
- Aeroflow HealthcorePartnership to expand access to durable medical equipment (DME) for patients in Hawaii. Collaboration streamlines insurance verification and delivery, focusing on underserved communities and supporting patients with various health conditions.
- HOPE Services Hawai'i, Inc.coreOperates the Kahua Kahe Mālie Integrated Care Hub in Ainaloa, Hawai'i, a medical respite and behavioral health care facility. Hub expanded from 4 beds at women's shelter in 2021 to comprehensive care including wound care, chronic disease management, medication support, and behavioral health services for homeless individuals.
- OptumRxcorePharmacy benefit management partner providing prescription drug coverage, specialty pharmacy, mail order home delivery, and prior authorization review. 24/7 pharmacy customer service available.
- Hawaii Dental Service (HDS)coreDental services provider for adult QUEST (Medicaid) members covering exams, cleanings, X-rays, fluoride treatments, and fillings or extractions.
- Unite UscoreClosed-loop referral platform enabling AlohaCare to ensure, track, and measure community referrals and outcomes. AlohaCare was the first health plan in Hawai'i to join the platform, becoming part of the Unite Hawaii statewide coordinated care network.
- Hawaii MQD and Centene Institute for Advanced Health EducationminorCollaboration to offer CME eligible vaccine hesitancy training for providers to address vaccine hesitancy and increase COVID-19 and other vaccination rates.
- Hawai'i Department of Education (HIDOE) Waipahu Community School for AdultsminorEducation benefit partnership providing high school equivalency program for members ages 18-50 without a diploma. Covers assessment, enrollment, classes, books, GED testing fees, and diploma.
- NationsBenefitscoreAdministers fitness benefit program starting November 1, 2025, providing $40/month prepaid card for eligible fitness products and services including fitness center memberships and home fitness kits.
- Community Health Centers and Native Hawaiian Health Care SystemscoreCultural practitioners providing Native Hawaiian healing services including lomilomi, 'ai pono, hula, and ho'oponopono through the Ke Aloha Mau program.
Scale indicators5 records
Recent moves5 records
Expansion highlights5 records
AlohaCare competitors and assessment
Company assessmentDirect peers
- L.A. Care Health Plan: Largest publicly-operated health plan in the U.S., serving Medi-Cal (California Medicaid) members with a non-profit, community-based mission. Closest large-scale analog to AlohaCare in non-profit, community-health-center-affiliated Medicaid plan model.
- Kaiser Permanente Hawaii: Integrated managed care organization operating in Hawaii with Medicare Advantage and QUEST Integration plans. Kaiser competes with AlohaCare for Hawaii Medicaid and dual-eligible members through its integrated care model and provider-owned delivery system.
- CareSource: Non-profit Medicaid managed care plan serving multiple states with a mission-driven model very similar to AlohaCare's non-profit, community-rooted structure. Comparable governance, member focus, and reinvestment philosophy.
- Molina Healthcare: Pure-play government-sponsored health plan focused on Medicaid and Marketplace across multiple states. Comparable business model emphasis on low-income and government-program populations, similar to AlohaCare's QUEST focus.
- Hawaii Medical Service Association (HMSA): Blue Cross Blue Shield of Hawaii affiliate and the largest health plan in the state, serving both commercial and QUEST Integration (Medicaid) members. HMSA is AlohaCare's most direct head-to-head competitor in the Hawaii market, with overlapping provider networks and similar QUEST participation.
- 'Ohana Health Plan (WellCare/Centene): Centene-owned Medicaid managed care plan operating in Hawaii, serving QUEST Integration beneficiaries. Direct competitor to AlohaCare in the Hawaii Medicaid market with similar dual-eligible and Medicaid offerings.
Broad incumbents
- UnitedHealthcare Community & State: UnitedHealth Group's Medicaid managed care division, one of the largest in the U.S. with presence in dozens of state Medicaid programs. Competes with AlohaCare on D-SNP products in Hawaii and represents the scale benchmark AlohaCare cannot match on national network leverage.
- Elevance Health (Anthem Blue Cross Blue Shield): Major diversified managed care company with significant Medicaid (Anthem Blue plans) and Medicare Advantage presence across multiple states. Represents the broader incumbent competitive threat as integrated care delivery expands.
- Centene Corporation: Largest publicly-traded Medicaid managed care company in the U.S., serving over 15 million members across Medicaid, Medicare (including D-SNP), and Marketplace plans. Owns 'Ohana Health Plan in Hawaii and represents AlohaCare's largest for-profit competitor.
- Humana: Major national player with one of the largest Medicare Advantage and D-SNP footprints in the U.S. Humana is a benchmark competitor for AlohaCare's D-SNP business and a potential threat as AlohaCare consolidates its Medicare product portfolio.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
AlohaCare social profiles
Digital presenceAlohaCare compliance and trust
Trust signalCompliance2 records
AlohaCare financial estimates
Financial estimateRevenue estimate
Valuation estimate
AlohaCare leadership team
Management profileNumber of profiles
Profiles2 records
AlohaCare funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AlohaCare 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 AlohaCare
What does AlohaCare do?
AlohaCare is a non-profit health plan that provides QUEST (Medicaid) health insurance and Medicare Advantage D-SNP coverage to approximately 80,000 Hawaii residents. Its core offering encompasses comprehensive medical, behavioral health, and prescription drug coverage delivered through a statewide network of nearly 7,000 contracted providers, supplemented by value-added services including telehealth, dental, fitness, pharmacy benefits, and culturally responsive Native Hawaiian healing practices.
Is AlohaCare a public or private company?
AlohaCare is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was AlohaCare founded?
AlohaCare was founded in 1994. It employs 251 to 500 people.
Where is AlohaCare based?
AlohaCare is headquartered in Honolulu, United States, in the North America region.
How does AlohaCare make money?
Four revenue lines are on record. QUEST (Medicaid) Health Insurance is the primary driver. The others are medicare D-SNP (Dual-Eligible Special Needs Plan), pharmacy Services and value-Added Services.
Who are AlohaCare's main competitors?
Direct peers on record are L.A. Care Health Plan, Kaiser Permanente Hawaii, CareSource, Molina Healthcare, Hawaii Medical Service Association (HMSA) and 'Ohana Health Plan (WellCare/Centene). Broad incumbents are UnitedHealthcare Community & State, Elevance Health (Anthem Blue Cross Blue Shield), Centene Corporation and Humana.
Does AlohaCare have an API?
No public API is recorded for AlohaCare.
What industry is AlohaCare in?
AlohaCare's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEABAH, CO-OP / Nonprofit Individual Market Plans, with a secondary code of HLACAHAG, Social Determinants of Health (SDOH) & Community Resource Referral Analytics. Its NAICS code is 62 and its SIC code is 6321.