Alameda Alliance for Health

What Alameda Alliance for Health does

Alameda Alliance for Health is a public, not-for-profit managed care health plan established in January 1996 to serve residents of Alameda County, California. The organization administers three lines of business: Alliance Group Care, an employer-sponsored plan for In-Home Supportive Services (IHSS) workers distributed through the Alameda County Public Authority for IHSS; Alliance Medi-Cal, a state-sponsored Medicaid managed care plan for income-eligible families, children, persons with disabilities, and seniors; and Alameda Alliance Wellness, a newly launched (2026) HMO Dual Eligible Special Needs Plan (D-SNP) that coordinates Medicare and Medi-Cal benefits for dual-eligible seniors. The Alliance covers approximately 380,391 members—roughly 2 of every 10 Alameda County residents—through a contracted network of 13,000+ physicians and specialists, augmented by benefit partners including Teladoc (telehealth), Liberty Dental, VSP (vision), NationsHearing, ModivCare (transportation), Walgreens Mail Service (pharmacy), and California Home Medical Equipment (durable medical equipment).

Revenue is generated through capitation and premium arrangements: Medi-Cal capitation from the California Department of Health Care Services (DHCS), Medicare Advantage premiums from CMS for the D-SNP, and employer-funded Group Care premiums through the Alameda County Public Authority for IHSS partnership. The Alliance operates no proprietary core platform; member and provider self-service runs on HealthX-powered portals, and there is no public or partner-facing API documented. Go-to-market is community- and referral-driven rather than advertising-driven, relying on Alameda County Social Services for Medi-Cal eligibility and enrollment, employer partnerships for Group Care, direct enrollment for the D-SNP, provider referrals across all three products, and an active community outreach program. In April 2023 the Alliance insourced mental health and applied behavior analysis (ABA) services previously delegated to Beacon Health Options, extending direct control over a meaningful share of behavioral health spend.

The Alliance is governed by a Board of Governors and has pursued research collaborations with UCSF and the Center for Caregiver Advancement to evaluate competency-based dementia training for Medicaid-funded IHSS caregivers. Recent product and capability additions include Community Supports benefits (housing transitions, housing deposits, tenancy services, medically tailored meals, recuperative care, asthma remediation, respite, and assisted living transitions), a Doula Scholarship Program to expand the perinatal provider network, a Procedure Code Search Tool for providers, and Community Health Worker services for eligible Wellness members. The strategic posture is that of a safety-net, locally accountable plan emphasizing multilingual member service, benefit expansion for the dual-eligible population, and vertical integration of behavioral health rather than technology-led differentiation.

Name

Alameda Alliance for Health

Legal name

Alameda Alliance for Health

Website

https://alamedaalliance.org

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

251–500 employees

Short description

Alameda Alliance for Health is a public, not-for-profit managed care health plan founded in 1996 that administers Medi-Cal, employer-sponsored IHSS Group Care, and a Medicare/Medi-Cal D-SNP for approximately 380,000 Alameda County, California residents.

Ownership category

akta.pro rank

Product category

Managed Care Health Plan

NAICS

Other Individual and Family Services (62419)

SIC

Hospital & Medical Service Plans (6324), Services-Social Services (8300)

akta.pro primary industry

Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

akta.pro secondary industries

Public Health & Health Equity Organizations (BPAGACAL), Integrated Virtual-First Health Plans / ICHRA-Enabled Virtual Primary Care (HLALADAL)

Keywords

• Managed care plans
• Medi-Cal coverage
• Medicare Advantage D-SNP
• Health plan administration
• Dual eligible coverage

Headquarters

HQ city

Alameda

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medi-Cal Premium Revenue: The Alliance receives capitation payments from the California Department of Health Care Services (DHCS) for administering Medi-Cal benefits to eligible Alameda County residents including families, children, persons with disabilities, and seniors.
2. Employer-Sponsored Group Care Premiums: Alliance Group Care provides employer-sponsored health coverage for In-Home Supportive Services (IHSS) workers through partnerships with Alameda County Public Authority for IHSS, funded through employer contributions.
3. Medicare Advantage D-SNP Premiums: Alameda Alliance Wellness operates as an HMO D-SNP (Dual Eligible Special Needs Plan) coordinating Medicare and Medi-Cal benefits, receiving Medicare Advantage premiums for dual-eligible beneficiaries.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

Alameda Alliance for Health is a public, not-for-profit managed care health plan serving Alameda County residents since 1996. It operates three lines of business: Alliance Group Care (employer-sponsored coverage for In-Home Supportive Services workers), Alliance Medi-Cal (state Medicaid managed care for income-eligible individuals and families), and Alameda Alliance Wellness (an HMO Dual Eligible Special Needs Plan coordinating Medicare and Medi-Cal benefits for dual-eligible seniors).

Product overview

Alameda Alliance for Health is a local public not-for-profit managed care health plan serving Alameda County residents since 1996. The organization offers three health plan products: Alliance Group Care (employer-sponsored plan for IHSS workers), Alliance Medi-Cal (state-sponsored coverage for income-eligible individuals, families, children, persons with disabilities, and seniors), and Alameda Alliance Wellness (HMO D-SNP coordinating Medicare and Medi-Cal for dual-eligible seniors). These plans provide integrated benefits including medical coverage, behavioral health services, prescription drugs, dental, vision, and hearing care through contracted benefit partners including Teladoc (telehealth), Liberty Dental, VSP (vision), NationsHearing (hearing), ModivCare (transportation), and Walgreens Mail Service (pharmacy). The organization also offers digital member and provider portals, case management programs, Community Health Worker services, and Community Supports programs for housing and social needs.

Differentiator

Problem solved

Functional benefit

Products and services

• Alliance Group Care Employer-sponsored group health plan providing affordable comprehensive health care coverage to In-Home Supportive Services (IHSS) workers in Alameda County, available through the Alameda County Public Authority for IHSS partnership.
• Alliance Medi-Cal State-sponsored Medi-Cal health insurance program administered through the Alliance, providing comprehensive health care coverage for income-eligible individuals and families, including children, persons with disabilities, and seniors in Alameda County.
• Alameda Alliance Wellness (HMO D-SNP) Dual Eligible Special Needs Plan (D-SNP) that coordinates Medicare and Medi-Cal benefits under one health plan for seniors eligible for both programs, offering enhanced benefits beyond traditional Medicare and Medi-Cal coverage including dental, vision, hearing, and transportation extras at no additional cost.
• Teladoc Telehealth Services 24/7 telehealth service providing Alliance members access to board-certified doctors by phone or video for non-emergency medical issues including minor illnesses, allergies, skin conditions, and mental health services.
• Case and Disease Management (CMDM) Care coordination program that helps members manage chronic conditions and complex health needs through personalized case management services across the Alliance provider network.
• Community Health Worker (CHW) Services Community Health Worker services for eligible Alliance Wellness members including health education, health navigation, screening and assessment, and individual support or advocacy.
• Community Supports (CS) Services Wraparound services supporting member health and well-being including Housing Transitions Navigation, Housing Deposits, Housing Tenancy Services, Transitional Rent, Recuperative Care, Medically Tailored Meals, Asthma Remediation, Respite Services, and Assisted Living Facility transitions.
• Behavioral Health Services Behavioral health care services including mental health evaluation and treatment, outpatient substance use services, psychiatric care, crisis services, and inpatient psychiatric care, managed directly by the Alliance since April 2023.
• Transportation Services Medical transportation services including Non-Emergency Medical Transportation (NEMT) and Non-Medical Transportation (NMT) for Alliance members to access authorized medical appointments, delivered through ModivCare.
• Advice Nurse Line

Named customers3 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

Integration9 records

Partnerships

Eleven partnerships are on record, tiered core.

• University of California San Francisco (UCSF)coreStrategic or Co-development Partner · 1 September 2020Research partnership with UCSF for evaluating competency-based dementia training programs for caregivers in California's Medicaid-funded In-Home Supportive Services program. The study, conducted September 2020 to December 2023, evaluated a 35-hour training program delivered to 597 caregivers.
• Center for Caregiver AdvancementcoreStrategic or Co-development Partner · 1 September 2020Partnership with Center for Caregiver Advancement for research study on dementia training for IHSS caregivers in California's Medicaid program. The study evaluated a 35-hour, 10-week online training program for 597 caregivers.
• Alameda County Public Authority for IHSScoreStrategic or Co-development PartnerPartnership for Alliance Group Care employer-sponsored health plan serving In-Home Supportive Services workers in Alameda County. Dental and eye benefits are provided through this partnership. IHSS workers qualify for Alliance Group Care through this public authority.
• TeladoccoreTechnology or IntegrationTelehealth partnership providing 24/7 access to board-certified doctors via phone or video for Alliance members. Teladoc offers consultations for non-emergency medical issues including minor illnesses, allergies, skin conditions, and mental health services.
• Liberty DentalcoreTechnology or IntegrationDental benefits provider for Alameda Alliance Wellness D-SNP members. Covers preventive and comprehensive dental services including oral exams, restorative services, prosthodontics, and general services. Available 1-800-888-9838.
• NationsHearingcoreTechnology or IntegrationHearing benefits provider for Alameda Alliance Wellness members. Covers up to $775 hearing aid allowance per ear, hearing aid fitting/evaluation, and routine hearing exams annually.
• Vision Service Plan (VSP)coreTechnology or IntegrationRoutine vision care provider for Alliance Medi-Cal and Wellness members. Covers annual routine eye exams, eyeglasses up to $150, and standard lenses every two years.
• ModivCarecoreTechnology or IntegrationTransportation services provider for Alameda Alliance Wellness members. Covers non-medical transportation and non-emergency medical transportation for authorized medical appointments.
• Walgreens Mail Service LLCcoreTechnology or IntegrationHome delivery pharmacy service for Alameda Alliance Wellness members. Provides prescription medications shipped to members' homes with no extra cost through the Walgreens Mail Service program.
• California Home Medical Equipment (CHME)coreTechnology or IntegrationDurable medical equipment (DME) contractor for Alliance Medi-Cal members. Provides authorization management and servicing for DME and medical supplies with prescription requirement.
• Regional Center of the East BaycoreStrategic or Co-development PartnerRegional center partnership for Alliance Medi-Cal members with developmental disabilities. Provides counseling, support, respite care, out-of-home placement, and supportive living services. Covers autism, cerebral palsy, epilepsy, and other developmental conditions.

Scale indicators6 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Santa Clara Family Health Plan: Santa Clara Family Health Plan is a local public, nonprofit Medi-Cal managed care plan serving Santa Clara County with Medi-Cal and DualConnect (D-SNP) products. It is a directly comparable Northern California county-based public plan.
• Partnership HealthPlan of California: Partnership HealthPlan is a nonprofit community-based Medi-Cal managed care plan serving 14 Northern California counties. It is a directly comparable nonprofit county-organized plan with a similar regulatory and operational profile to Alameda Alliance.
• CalOptima: CalOptima is a public, community-based health plan serving Orange County Medi-Cal, Medicare, and dual-eligible members. Like Alameda Alliance, it is a county-organized health system serving government-sponsored populations with integrated medical, behavioral, and long-term care services.
• L.A. Care Health Plan: L.A. Care is the largest public, nonprofit Medi-Cal managed care plan in California, serving over 2.5 million members in Los Angeles County. It is the closest analog to Alameda Alliance as a county-based public nonprofit health plan with Medi-Cal, L.A. Care Covered (marketplace), and D-SNP lines of business.
• Inland Empire Health Plan (IEHP): IEHP is one of the largest nonprofit Medi-Cal and Medicare plans in California, serving Riverside and San Bernardino counties. It is a comparable county-based public health plan with Medi-Cal HMO and DualChoice (D-SNP) product lines.
• Kern Health Systems: Kern Health Systems is a county-organized, nonprofit Medi-Cal HMO in Kern County. It shares AAH's profile as a county-established public plan serving Medi-Cal members with a focus on safety-net populations.
• Health Plan of San Joaquin: Health Plan of San Joaquin is a nonprofit, community-based Medi-Cal managed care plan serving San Joaquin and Stanislaus counties. It is a directly comparable Northern/Central California public health plan with similar Medi-Cal focus and county-government ties.
• Central California Alliance for Health: Central California Alliance for Health is a nonprofit Medi-Cal managed care plan serving Merced, Monterey, and Santa Cruz counties. It is a comparable regional public plan with a similar Medi-Cal-only-and-some-duals mission and community-focused governance.

Regional players

• Contra Costa Health Plan: Contra Costa Health Plan is a county-operated Medi-Cal managed care plan serving neighboring Contra Costa County. It is a directly comparable adjacent-county public health plan with the same DHCS regulatory framework and similar safety-net member profile.

Broad incumbents

• Kaiser Permanente (Medi-Cal California): Kaiser Permanente is a vertically integrated payer-provider system operating the largest Medi-Cal managed care presence in California, including Alameda County. It competes with AAH for Medi-Cal auto-assignment and represents the dominant scale incumbent in AAH's primary market.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/AlamedaAlliance
• YouTubeyoutube.com/user/AlamedaAlliance
• Facebookfacebook.com/alamedaallianceforhealth
• LinkedInlinkedin.com/company/alameda-alliance-for-health
• Instagraminstagram.com/alamedaallianceforhealth

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Alameda Alliance for Health