Hometown Health

What Hometown Health does

Hometown Health is a non-profit health insurance company headquartered at 10315 Professional Circle in Reno, Nevada, operating as the insurance arm of Renown Health, Northern Nevada's leading integrated healthcare delivery system. Founded in 1988 and currently employing 251-500 staff, Hometown Health is Nevada's largest not-for-profit health insurer and the only locally owned non-profit health plan in Northern Nevada. The company serves individuals, families, employers (small and large groups), and Medicare beneficiaries through multiple plan types including HMO, EPO, and PPO networks, with Senior Care Plus operating as a wholly-owned Medicare Advantage subsidiary serving both Northern and Southern Nevada.

The company's product portfolio includes individual and family plans offered across Bronze, Silver, Gold, and Platinum metal tiers on Nevada's state marketplace, small and large employer group products (including ICHRA options), self-funded third-party administration (TPA) services, and Medicare Advantage plans under the Senior Care Plus brand. On the technology side, Hometown Health operates a MyChart patient portal, an online provider directory, telehealth services, and standards-based Interoperability APIs built on the Open Epic framework that enable third-party application vendors to access provider directories with OptumRx formulary and pharmacy directory APIs forthcoming. Pharmacy benefit management is delivered through partnerships with OptumRx, WellDyne, Magellan Rx, and Navitus; vision benefits through VSP and EyeMed; dental benefits through Liberty Dental for Senior Care Plus members; and behavioral health through the Stacie Mathewson Behavioral Health & Addiction Institute at Renown Health.

Hometown Health generates revenue primarily through recurring health insurance premiums collected monthly from individual, family, and employer group plans, with additional managed-services revenue from third-party administration of self-funded employer plans. Distribution occurs via direct sales (website, phone, walk-in at the Reno headquarters), a licensed broker network via brokers.hometownhealth.com, the Nevada Health Link state marketplace, and a dedicated enterprise field sales motion targeting large employers. Customer segments span individuals and families, employer groups across multiple industries including gaming/hospitality (Caesars Entertainment, Atlantis Casino), education (Douglas County School District, UNR School of Medicine), and healthcare providers (Carson Tahoe Health), with named enterprise customers alongside a long tail of small groups and individual members across more than 729 plan configurations. The company is NCQA Health Plan Accredited (October 2025) and has recently entered a joint venture with Kaiser Permanente that will introduce new jointly-owned health plans and additional facilities in 2026.

Name

Hometown Health

Legal name

Hometown Health

Website

https://hometownhealth.com

Company type

Private

Founded year

1988

Operating status

Operating

Headcount range

251–500 employees

Short description

Hometown Health is a Reno-based non-profit health insurer and subsidiary of Renown Health, offering individual, family, employer group, and Medicare Advantage plans across Northern Nevada. It is Nevada's largest not-for-profit insurer and recently formed a joint venture with Kaiser Permanente.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Insurance Agencies and Brokerages (524210)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

akta.pro secondary industries

Small Group Health Insurance (2–50/100) (FSAIAFAD), Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO), CO-OP / Nonprofit Individual Market Plans (HLAEABAH), MA PPO Plans (Local/Regional PPO) (HLAEACAB)

Keywords

• Health insurance plans
• Medicare Advantage coverage
• Employer group benefits
• Third-party administration
• Provider network management

Headquarters

HQ city

Reno

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain, Others

Revenue model

1. Health Insurance Premiums: Hometown Health generates revenue primarily through health insurance premiums paid by individuals, families, and employer groups. Premium revenue is recurring in nature, collected on a monthly or annual basis depending on plan selection.
2. Third-Party Administration (TPA): Hometown Health offers third-party administration services for self-funded employer plans, charging administrative fees for claims processing, plan management, and compliance services.
3. Joint Venture Health Plans: Following the Kaiser Permanente joint venture, new jointly-owned health plans will generate revenue through premiums, with expansion planned for 2026 open enrollment.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Hometown Health sells health insurance plans to individuals, families, employer groups, and Medicare beneficiaries in Northern Nevada. It offers HMO, EPO, and PPO network-based plans across metal tiers, Senior Care Plus Medicare Advantage plans, and third-party administration services for self-funded employer plans, with members accessing care through the integrated Renown Health provider network.

Product overview

Hometown Health is Nevada's largest not-for-profit health insurance company, offering a comprehensive portfolio of health insurance products and administrative services. The core offerings include Individual and Family Plans (HMO and EPO options on Nevada's Healthcare Marketplace with Gold, Silver, Bronze tiers), Employer Group Plans for small and large businesses, and Senior Care Plus Medicare Advantage plans. The company operates multiple provider network types (HMO, EPO, PPO) and provides third-party administration services for self-funded employer plans. All products are backed by access to Renown Health's provider network and facilities. A new joint venture with Kaiser Permanente will expand offerings with new health plan options before fall open enrollment and additional facilities in 2026.

Differentiator

Problem solved

Functional benefit

Brands

• Senior Care Plus: Medicare Advantage Plans offered by Hometown Health

Products and services

• Hometown Health Plans (Individual & Family) Health insurance plans for individuals and families, offered as HMO and EPO plans on Nevada's Healthcare Marketplace. Plans include Gold, Silver, and Bronze metal tiers with various deductible and copay options.
• Hometown Health Employer Group Plans Health insurance products for small and large employer groups, including HMO, PPO, and EPO network options, plus Health Reimbursement Account (ICHRA) options.
• Senior Care Plus Medicare Advantage Plans Medicare Advantage plans for seniors covering Northern and Southern Nevada, including HMO plans with Renown Network and SCP Network options across Essential, Select, Patriot, Complete, and Duals plan tiers.
• Hometown Health Third Party Administration (TPA) Third-party administration services for self-funded employer health plans, providing claims administration, provider network access, and plan management support.
• Provider Networks (HMO, EPO, PPO) Network-based health plans including Renown Health Plan HMO Network, Nevada EPO Network, and Hometown Health PPO Network, providing access to contracted healthcare providers across Northern Nevada.
• Interoperability APIs Standards-based APIs enabling third-party application vendors to connect to access Hometown Health member data, provider directories, pharmacy directories, and formulary information.
• TeleHealth Telehealth services providing virtual healthcare visits for members, enabling remote consultations with healthcare providers.
• Pharmacy Services Pharmacy benefit management including access to pharmacy networks, drug formularies, and preferred drug lists for members.

Quantifiable outcome

• NCQA Health Plan Accredited status
• +1 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature5 records

Partnerships

Seven partnerships are on record, tiered flagship, core and minor.

• Kaiser PermanenteflagshipStrategic or Co-development Partner · 3 February 2026Kaiser Permanente and Renown Health completed formation of a joint venture in northern Nevada, combining Renown's Hometown Health insurance plan and outpatient facilities under joint ownership. This strategic partnership gives Kaiser entry into the Nevada market while expanding Renown's access to Kaiser's value-based care model. The partners plan to open two additional facilities in 2026 and retail pharmacies in 2027, with new health plan options expected before fall open enrollment.
• Renown HealthflagshipStrategic or Co-development PartnerHometown Health is the insurance arm of Renown Health, Northern Nevada's leading healthcare system. As a not-for-profit, locally owned insurance provider, Hometown Health operates as part of the Renown Health integrated delivery network, providing members access to Renown's provider facilities and value-based care model.
• OptumRxcoreTechnology or IntegrationPharmacy benefits management partner providing prescription drug coverage services, formulary management, and pharmacy network access for Hometown Health members.
• Stacie Mathewson Behavioral Health & Addiction Institute at Renown HealthcoreStrategic or Co-development PartnerBehavioral health services partner providing mental health and addiction treatment access for Hometown Health members. Members can schedule behavioral health assessments with licensed clinicians at this Renown Health institute (775-982-2862).
• Open EpiccoreTechnology or IntegrationDeveloper ecosystem partnership providing Open Epic developer resources and standards-based interoperability APIs for third-party application vendors to connect to Hometown Health data.
• The Builders Association of Northern NevadaminorChannel Partner/ Reseller/ DistributorAssociation partnership offering exclusive group health plan options for member businesses of the Builders Association of Northern Nevada.
• Carson City Chamber of CommerceminorChannel Partner/ Reseller/ DistributorChamber partnership providing group health plan options for member businesses of the Carson City Chamber of Commerce.

Scale indicators4 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Health Plan of Nevada: A UnitedHealth Group subsidiary offering commercial HMO, PPO, POS, and Medicare Advantage plans across Nevada — the closest in-market competitor to Hometown Health with overlapping products, distribution channels, and Nevada Health Link marketplace presence.
• Prominence Health Plan: Nevada-headquartered health plan offering individual, family, and Medicare Advantage plans in Northern and Southern Nevada — directly comparable regional carrier targeting similar segments via the same Nevada marketplace and broker channel.
• SelectHealth: Non-profit, Intermountain Health-affiliated health plan serving Utah, Idaho, and Nevada with commercial and Medicare Advantage products — shares Hometown Health's nonprofit, integrated-payer-provider model and is a like-for-like structural comparator.

Broad incumbents

• Anthem Blue Cross Blue Shield of Nevada: Large multi-state Blue Cross Blue Shield licensee offering commercial, individual marketplace, and Medicare plans across Nevada — competes with Hometown in the same Nevada market but at much greater national scale and product breadth.
• UnitedHealthcare: The largest US health insurer; competes with Hometown in Nevada through Health Plan of Nevada and directly across commercial, Medicare Advantage, and individual ACA products via the Nevada Health Link marketplace.
• Humana: A leading national Medicare Advantage carrier that competes directly with Senior Care Plus across Nevada MA markets; Humana's scale and Star Ratings investment pose the most credible large-player threat in the MA segment where Hometown has the strongest growth runway.
• Aetna (CVS Health): National for-profit health insurer with significant small-group and individual marketplace presence in Nevada; competes with Hometown's employer group and individual/family products and benefits from integrated CVS pharmacy distribution.
• Cigna Group: National health services company with Evernorth/PBM capabilities that overlap Hometown's TPA-adjacent services; competes on small-group and large-group accounts across Nevada.

Others

• Kaiser Permanente: Now the majority owner/strategic partner of Hometown Health via the 2026 joint venture; previously a non-Nevada operator and now the structural counterparty shaping Hometown's value-based care and pharmacy strategy.
• Renown Health: Parent company of Hometown Health and Northern Nevada's dominant integrated delivery network — the provider-side leg of Hometown's payer-provider model and source of its core network differentiation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/HometownHealthNV

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries1 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 Hometown Health