Simply Healthcare Holdings
- Company typePrivate
- Founded2009
- HeadquartersCoral Gables, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
Simply Healthcare Holdings firmographics
Firmographics- Name
- Simply Healthcare Holdings
- Legal name
- Simply Healthcare Plans, Inc.
- Website
- https://simplyhealthcareplans.com
- Company type
- Private
- Founded year
- 2009
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Ownership category
- akta.pro rank
Simply Healthcare Holdings industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Hospital & Medical Service Plans (6324), Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
- akta.pro secondary industries
- Medicaid Expansion (ACA Adult) Managed Care Plans (HLAEAEAB), Medicare Advantage (MA) Plans (FSAIAGAA), Care Management & Population Health Program Administration (HLAEALAG), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)
Keywords
Where Simply Healthcare Holdings is headquartered
LocationHeadquarters
- HQ city
- Coral Gables
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Simply Healthcare Holdings business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain
Revenue model
- Medicaid Managed Care Premiums: Capitated premiums received from the State of Florida Agency for Health Care Administration (AHCA) for providing managed medical assistance (MMA) and long-term care (LTC) services to Medicaid-enrolled members statewide. Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan with a Medicaid contract with the State of Florida Agency for Health Care Administration.
- Medicare Advantage Premiums: Medicare Advantage plan premiums (HMO, D-SNP, C-SNP) for adults age 65+ and individuals with disabilities, combining hospital, medical, and prescription drug coverage. Simply Healthcare Plans, Inc. is a Medicare Advantage Organization with a Medicare Contract.
- Florida Healthy Kids Premiums: Monthly premium payments collected from families for children's health coverage through the Florida Healthy Kids program.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid Managed Medical Assistance (MMA) plans — no member cost sharing for core benefits |
| Subscription | Monthly | Florida Healthy Kids plans — low monthly premiums for children ages 5-18 |
| Subscription | Annual | Medicare Advantage Plans (HMO, D-SNP, C-SNP) — low-cost combined hospital, medical, and drug coverage |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels6 records
Simply Healthcare Holdings product offering
Product offeringCore offering
Simply Healthcare Holdings, through its subsidiary Simply Healthcare Plans, Inc., is a Florida-licensed health maintenance organization that delivers government-sponsored managed care health plans statewide. The company administers Medicaid Managed Medical Assistance (MMA), Long-Term Care (LTC), Florida Healthy Kids, and Medicare Advantage (HMO, D-SNP, C-SNP) plans, including the Clear Health Alliance specialty plan for people living with HIV/AIDS. Care is supported by a network of thousands of providers, member-facing digital tools (Sydney Health app, Member Secure Portal, My Wellness Guide, Concierge Care Maternity, Condition Care, CommonGround Recovery Library), 24-Hour Nurse HelpLine, pharmacy benefits, non-emergency transportation, and maternal health programs.
Product overview
Simply Healthcare Holdings operates Simply Healthcare Plans, Inc., a Florida-licensed health maintenance organization (HMO) and subsidiary of Elevance Health (formerly Anthem, Inc.), offering a multi-product portfolio of managed care health plans. The core offerings include Simply Medicaid serving Statewide Medicaid Managed Care MMA and LTC programs, Simply Medicare Advantage plans with Special Needs Plans, Clear Health Alliance as a specialty HIV/AIDS Medicaid plan, and Florida Healthy Kids for children. These plans are supplemented by a suite of digital services including the member secure portal, Sydney Health mobile app, and My Wellness Guide; care management programs such as Concierge Care Maternity, Condition Care chronic condition management, and CommonGround Recovery Library; pharmacy benefits through CarelonRx with ZipDrug and EasyScripts delivery; 24-Hour Nurse HelpLine; non-emergency medical transportation; and the From the Start maternal health initiative aligned with AHCA statewide goals.
Differentiator
Problem solved
Functional benefit
Brands
- Clear Health Alliance: A health plan for people on Medicaid who are living with HIV/AIDS
- Concierge Care
- Condition Care
- Sydney Health
Products and services
- Simply Medicaid
Quantifiable outcome
- ISPA Residential Treatment Program achieved approximately 75% completion rates among participants and nearly 40% of graduates placed in permanent housing remained stably housed, with reduced avoidable emergency room visits and hospital readmissions.
Companies that use Simply Healthcare Holdings
Customer profileSegments5 records
Ideal customer profiles5 records
Simply Healthcare Holdings technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
AI capability7 records
Feature5 records
Simply Healthcare Holdings partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Camillus HousesignificantSimply Healthcare Foundation (affiliated with Simply Healthcare Holdings) and Camillus House partnered on a multi-year grant to expand the ISPA Residential Treatment Program for homeless individuals in Miami-Dade County, Florida. The initiative combined medical recovery, mental health and substance use treatment, housing support, and employment services, achieving approximately 75% completion rates and nearly 40% permanent housing stability for graduates.
Scale indicators2 records
Recent moves5 records
Expansion highlights5 records
Simply Healthcare Holdings competitors and assessment
Company assessmentEmerging players
- CareSource: CareSource is a nonprofit managed care plan with a growing Florida Medicaid presence, competing with Simply in select Florida regions and adding competitive pressure in state procurements.
- Amerigroup (Elevance Health): Amerigroup is Elevance Health's multi-state Medicaid brand, a sister company to Simply within the same parent. It is comparable as a Medicaid MCO under the same parent platform, though it does not currently have a major Florida Medicaid presence.
Direct peers
- UnitedHealthcare: UnitedHealthcare offers Florida Medicaid, Medicare Advantage (including D-SNP), and individual coverage, and is a top-tier competitor to Simply across all of Simply's core product lines in Florida.
- Humana: Humana is a top Medicare Advantage carrier with significant Florida D-SNP and Medicaid presence (via Humana Medical Plan), and competes directly with Simply on dual-eligible and senior MA products in the same geography.
- Sunshine Health: Sunshine Health is a Centene subsidiary providing Florida Medicaid (MMA, LTC) and Medicare Advantage plans statewide, and is the most direct head-to-head competitor to Simply in the Florida Medicaid managed care market.
- Molina Healthcare: Molina Healthcare is a Medicaid-focused managed care company with a Florida presence, directly competing with Simply for Florida Medicaid MMA and LTC contracts and members.
- Aetna (CVS Health): Aetna, part of CVS Health, offers Florida Medicare Advantage (including D-SNP) and Medicaid products, and competes with Simply on dual-eligible and Medicaid members in overlapping Florida counties.
- Florida Blue (Florida Health Care Plans): Florida Blue is the state's Blue Cross Blue Shield plan and competes with Simply in Florida Medicaid, Medicare Advantage, and individual/family coverage, with a strong statewide provider network.
Regional players
- AvMed: AvMed is a Florida-based regional health plan offering Medicare Advantage and commercial HMO products, competing with Simply Medicare Advantage plans in overlapping Florida geographies.
Broad incumbents
- Centene Corporation: Centene is the largest U.S. Medicaid managed care company, parent of Sunshine Health, and competes broadly with Simply across Florida Medicaid, Medicare, and Marketplace products through multiple subsidiaries.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Simply Healthcare Holdings social profiles
Digital presenceSimply Healthcare Holdings compliance and trust
Trust signalCompliance3 records
Simply Healthcare Holdings financial estimates
Financial estimateRevenue estimate
Valuation estimate
Simply Healthcare Holdings leadership team
Management profileNumber of profiles
Profiles1 record
Simply Healthcare Holdings subsidiaries and ownership
Company hierarchySubsidiaries1 record
Simply Healthcare Holdings funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Simply Healthcare Holdings 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 Simply Healthcare Holdings
What does Simply Healthcare Holdings do?
Simply Healthcare Holdings, through its subsidiary Simply Healthcare Plans, Inc., is a Florida-licensed health maintenance organization that delivers government-sponsored managed care health plans statewide. The company administers Medicaid Managed Medical Assistance (MMA), Long-Term Care (LTC), Florida Healthy Kids, and Medicare Advantage (HMO, D-SNP, C-SNP) plans, including the Clear Health Alliance specialty plan for people living with HIV/AIDS. Care is supported by a network of thousands of providers, member-facing digital tools (Sydney Health app, Member Secure Portal, My Wellness Guide, Concierge Care Maternity, Condition Care, CommonGround Recovery Library), 24-Hour Nurse HelpLine, pharmacy benefits, non-emergency transportation, and maternal health programs.
Is Simply Healthcare Holdings a public or private company?
Simply Healthcare Holdings is a private company. It is classified as corporate owned and is currently operating.
When was Simply Healthcare Holdings founded?
Simply Healthcare Holdings was founded in 2009. It employs 501 to 1,000 people.
Where is Simply Healthcare Holdings based?
Simply Healthcare Holdings is headquartered in Coral Gables, United States, in the North America region.
How does Simply Healthcare Holdings make money?
Three revenue lines are on record. Medicaid Managed Care Premiums are the primary driver. The others are medicare Advantage Premiums and florida Healthy Kids Premiums.
Who are Simply Healthcare Holdings's main competitors?
Emerging players on record are CareSource and Amerigroup (Elevance Health). Direct peers are UnitedHealthcare, Humana, Sunshine Health, Molina Healthcare, Aetna (CVS Health) and Florida Blue (Florida Health Care Plans). AvMed is listed as a regional player. Centene Corporation is listed as a broad incumbent.
Does Simply Healthcare Holdings have an API?
No public API is recorded for Simply Healthcare Holdings.
What industry is Simply Healthcare Holdings in?
Simply Healthcare Holdings's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of HLAEAEAB, Medicaid Expansion (ACA Adult) Managed Care Plans. Its NAICS code is 52411 and its SIC code is 6324.