Community Health Network of Connecticut

What Community Health Network of Connecticut does

Community Health Network of Connecticut, Inc. (CHNCT) is a not-for-profit managed care organization founded in 1995 by a consortium of seven Federally Qualified Health Centers (FQHCs) and headquartered in Wallingford, Connecticut. The company operates as the sole medical Administrative Services Organization (ASO) for the Connecticut Department of Social Services under a self-insured model for the Connecticut Medical Assistance Program (CMAP), serving nearly 1,000,000 Medicaid and CHIP recipients across the state's five regions. CHNCT delivers four integrated service modules — Population Health Management, Health Services (including care coordination, chronic disease management, intensive care management, transitional care, and utilization management), Engagement Services (member, provider, and community engagement), and Digital & Analytics — supplemented by the Community Health Worker Ambassador Program.

Underlying these services is a population health data analytics platform that integrates claims, hospital, and social-needs data to produce risk stratification, care gap analysis, utilization reporting, and admission/discharge analytics for both internal decision-making and provider-facing dashboards. CHNCT also operates a whole-person care model that systematically incorporates social determinants of health — medical, mental, financial, educational, housing, transportation, and food needs — supported by community-based HUB sites and partnerships with organizations including Connecticut Foodshare, The Diaper Bank of Connecticut, Read to Grow, CAFAF, and Southwestern AHEC.

Revenue is generated through administrative fees paid by the State of Connecticut under the ASO contract; the company holds URAC accreditations in Case Management (with Transitions of Care Designation), Disease Management, and Health Utilization Management, and is HITRUST CSF Certified. CHNCT employs 500+ staff across clinical, information systems, analytics, engagement, and administrative functions and is governed by a Holdings Board composed of representatives from its founding FQHCs.

Name

Community Health Network of Connecticut

Legal name

Community Health Network of Connecticut, Inc.

Website

https://chnct.org

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

251–500 employees

Short description

Community Health Network of Connecticut is a not-for-profit managed care organization and the sole medical Administrative Services Organization for Connecticut Medicaid, serving nearly 1 million Medicaid and CHIP members through population health analytics, care coordination, and community-based engagement.

Ownership category

akta.pro rank

Headquarters

HQ city

Wallingford

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Administrative Services Organization (ASO) Fees: CHNCT operates as the sole medical ASO for Connecticut's Department of Social Services, providing administrative services under a self-insured model. Revenue is generated through administrative fees paid by the state for managing healthcare programs for Medicaid and CHIP recipients.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

CHNCT is the sole medical Administrative Services Organization for the Connecticut Department of Social Services, providing population health management, care coordination, utilization management, and member/provider/community engagement services for nearly 1,000,000 Medicaid and CHIP recipients across Connecticut's five regions. Its four core service modules integrate claims, hospital, and social-needs data analytics to deliver whole-person care for underserved populations under the Connecticut Medical Assistance Program (CMAP).

Product overview

Community Health Network of Connecticut, Inc. (CHNCT) is a not-for-profit health plan and Administrative Services Organization (ASO) serving Connecticut's Medicaid-eligible residents. The company operates an integrated platform of four core service modules: Population Health Management (root cause analysis and quality improvement), Health Services (person-centered care coordination), Engagement Services (member, provider, and community outreach), and Digital & Analytics (integrated data analysis and reporting). Supporting programs include the Community Health Worker Ambassador Program, Care Coordination, Chronic Disease Care Management, Intensive Care Management, Transitional Care, Utilization Management, Network Management, and Practice Transformation. CHNCT serves nearly 1,000,000 members under the Connecticut Medical Assistance Program (CMAP) across the state's five regions.

Differentiator

Problem solved

Functional benefit

Products and services

• Population Health Management Value-based care solution incorporating root cause analyses, performance improvement plans, clinical quality observations, and proactive data-driven intervention targeting healthcare variables for Medicaid and CHIP populations in Connecticut.
• Health Services Person-centered care coordination addressing medical, mental, financial, educational, housing, transportation, and food needs through face-to-face engagement in community, home, or convenient settings for Medicaid and CHIP members in Connecticut.
• Engagement Services Member, provider, and community engagement through relationships with community organizations, local hospitals, community health centers, and the Community Health Worker Ambassador Program for Connecticut Medicaid and CHIP populations.
• Digital & Analytics Population health data integration combining claims, hospital, and social-needs data to risk-stratify members and report on health conditions, care gaps, utilization, and hospital admissions/discharges for Connecticut Medicaid and CHIP populations.
• Community Health Worker Ambassador Program Community health worker training and ambassador initiative in partnership with Southwestern AHEC, providing CHW Core Competency Training for state certification through the Connecticut Department of Public Health.

Quantifiable outcome

• Nearly 1,000,000 members served under ASO model
• +1 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Six partnerships are on record, tiered core.

• Southwestern Area Health Education Center (AHEC)coreStrategic or Co-development Partner · 1 September 2019Southwestern AHEC works with CHNCT's Community Health Worker Ambassador Program since fall 2019, offering CHW Core Competency Training required for state certification through the Connecticut Department of Public Health. The training prepares CHWs as trusted liaisons between healthcare systems and communities.
• Connecticut Alliance of Foster and Adoptive Families (CAFAF)coreStrategic or Co-development PartnerCHNCT partners with CAFAF to support foster, adoptive, and kinship care families. CHNCT employees donate to provide school supplies for children in foster care and support a virtual toy drive for the annual holiday gala. CAFAF's mission focuses on child safety, well-being, and stability through support, training, and advocacy.
• Connecticut FoodsharecoreStrategic or Co-development PartnerCHNCT collaborates with Connecticut Foodshare to address food insecurity across Connecticut. CHNCT employees volunteer at the Wallingford warehouse and participate in annual virtual food drives. Connecticut Foodshare creates a network of 650 community-based programs providing over 40 million meals annually.
• The Diaper Bank of ConnecticutcoreStrategic or Co-development PartnerCHNCT supports The Diaper Bank of Connecticut through annual virtual diaper drives. The organization distributes infant diapers, incontinence supplies, and period products to low-income families through food pantries, daycare centers, and social service agencies. Since 2004, they have distributed 33 million diapers.
• Read to GrowcoreStrategic or Co-development PartnerCHNCT partners with Read to Grow to promote early childhood literacy by distributing age-appropriate books in English and Spanish. Books are provided through Read to Grow's Books for Kids program and distributed to families at HUB sites, community events, and food pantries. Over 2.3 million books have been donated through this program.
• Federally Qualified Health Centers (FQHCs)coreStrategic or Co-development PartnerCHNCT was founded in 1995 by a group of FQHCs to form a not-for-profit managed care organization. FQHC founding partners include Fair Haven Community Health Care, Cornell Scott-Hill Health Center, StayWell Health Center, Southwest Community Health Center, Charter Oak Health Center, Generations Family Health Center, and Optimus Health Care. These organizations are represented on CHNCT's Holdings Board of Directors.

Scale indicators5 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• Centene Corporation: Largest U.S. Medicaid managed care operator with state Medicaid contracts nationwide. Operates in the same Medicaid managed-care category but as a diversified, multi-state for-profit incumbent.
• Molina Healthcare: Large national managed care company concentrated in Medicaid and government-sponsored programs. Overlapping mission (Medicaid managed care) and government-contract-based revenue, but operates across many states and at much larger scale.
• UnitedHealthcare Community & State: Medicaid managed care division of UnitedHealth Group operating state Medicaid contracts across the U.S. Broadly overlapping business model but materially larger and multi-state.
• Amerigroup (Elevance Health): Medicaid-focused managed care subsidiary of Elevance Health (formerly Anthem). Competes for state Medicaid contracts with a similar government-payer concentration but operates in many states.
• Health Net (Centene): Government-sponsored managed care plan (Medicaid, Medicare, ACA) serving multiple states. Comparable Medicaid/government-payer mix and care-coordination services, but operates at broader geographic scale.

Direct peers

• CareSource: Non-profit, multi-state Medicaid managed care organization serving government-sponsored healthcare programs. Directly comparable to CHNCT as another mission-driven, state-focused Medicaid MCO reliant on government contracts.
• CalOptima: Public, county-organized health plan administering Medi-Cal (Medicaid) in Orange County, California. Comparable single-county/single-state public managed care mission and government-payer concentration.
• Partnership HealthPlan of California: Non-profit, community-based Medicaid managed care plan serving Medi-Cal members across multiple Northern California counties. Directly comparable mission and operating model to a single-state, community-anchored ASO/Medicaid plan.
• Community First Health Plans: Non-profit, locally focused Medicaid and CHIP health plan serving Texas. Comparable as a community-anchored, mission-driven Medicaid plan in a single state with similar regulatory and funding constraints.
• L.A. Care Health Plan: Large public, non-profit Medicaid managed care plan serving California's low-income population through a similar ASO/managed-care model. Comparable in scale, mission, and reliance on a single state's public-payer contract.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/CHNCTinc
• Facebookfacebook.com/CHNCTinc
• LinkedInlinkedin.com/company/community-health-network_3

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles25 records

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 Community Health Network of Connecticut