Texas Independence Health Plan
- Company typePrivate
- Founded2019
- HeadquartersVictoria, United States
- Headcount1–10
- GTM typeB2C
- OfferingServices
Texas Independence Health Plan firmographics
Firmographics- Name
- Texas Independence Health Plan
- Legal name
- Texas Independence Health Plan
- Website
- https://txindependencehealthplan.com
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Ownership category
- akta.pro rank
Texas Independence Health Plan industry classification
Industry- Product category
- Medicare Advantage Health Insurance
- NAICS
- Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- D-SNP Care Management (Medical) (HLAEAFAC)
- akta.pro secondary industry
- Dual-Eligible Special Needs Plans (D-SNP) (FSAIAGAD)
Keywords
Where Texas Independence Health Plan is headquartered
LocationHeadquarters
- HQ city
- Victoria
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Texas Independence Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Medicare Advantage Capitated Payments: TIHP receives capitated payments from CMS (Centers for Medicare & Medicaid Services) for each enrolled Medicare beneficiary. The plan provides all covered benefits to members under the HMO SNP arrangement, with enrollment dependent on contract renewal.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Medicare Advantage HMO SNP Plan |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels5 records
Texas Independence Health Plan product offering
Product offeringCore offering
Texas Independence Health Plan is a Medicare Advantage HMO Special Needs Plan that delivers coordinated medical and prescription drug coverage to Medicare-eligible seniors who reside in long-term care facilities such as skilled nursing facilities, nursing facilities, intermediate care facilities, and assisted living facilities in selected Texas counties. It operates both an Institutional Special Needs Plan (I-SNP) and an Institutional Equivalent Special Needs Plan (IE-SNP) supported by a provider portal and a network of 6,249+ Texas providers.
Product overview
Texas Independence Health Plan operates as a Medicare Advantage HMO-SNP with two main products: the TIHP Medicare Advantage HMO Plan (I-SNP) and the Texas Independence Community Plan (IE-SNP). Both plans serve individuals requiring institutional level of care in long-term care settings. The product portfolio includes a Provider Portal for provider access and claims management, and a Provider Directory with over 6,200 participating providers across Texas. The plans provide coordinated care for residents in skilled nursing facilities, nursing facilities, intermediate care facilities, and assisted living facilities.
Differentiator
Problem solved
Functional benefit
Products and services
- TIHP Medicare Advantage HMO Plan (I-SNP) Medicare Advantage HMO plan designed as an Institutional Special Needs Plan (I-SNP) for Medicare-enrolled individuals residing in long-term care facilities. Provides coordinated medical and prescription drug coverage in partnership with local care teams.
- Texas Independence Community Plan (IE-SNP)
Companies that use Texas Independence Health Plan
Customer profileNamed customers1 record
Segments2 records
Ideal customer profiles2 records
Texas Independence Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Texas Independence Health Plan partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- Long-Term Care FacilitiescoreTIHP partners with skilled nursing facilities (SNFs), nursing facilities (NFs), intermediate care facilities (ICFs), and assisted living facilities (ALFs) across Texas to provide coordinated care for I-SNP members. These facilities provide institutional care for residents who meet the SNF level of care requirements.
- Healthcare Providers (6,249+ in network)coreTIHP maintains a network of over 6,249 healthcare providers including physicians, specialists, hospitals, and other healthcare professionals across Texas counties to serve plan members in long-term care facilities.
- Pharmacy Benefit Manager and Pharmacy NetworkcoreTIHP partners with a pharmacy benefit manager and pharmacy network to conduct drug utilization reviews, manage prescription drug coverage, and ensure medication safety for members.
Scale indicators2 records
Recent moves6 records
Expansion highlights5 records
Texas Independence Health Plan competitors and assessment
Company assessmentDirect peers
- UnitedHealthcare: Largest US Medicare Advantage insurer with established I-SNP products serving institutionalized beneficiaries. UnitedHealthcare operates institutional SNP plans in Texas and nationally, directly competing with TIHP for nursing home residents and partner facilities.
- Humana: Major Medicare Advantage insurer with significant I-SNP exposure through its Wellcare brand, focused on senior care. Humana competes with TIHP in the MA institutional SNP category and shares a similar value-based care orientation for long-term care residents.
- Centene: Major government-sponsored healthcare insurer whose Wellcare MA plans include I-SNP products serving institutionalized Medicare beneficiaries. Centene competes with TIHP in institutional SNP and Medicaid-adjacent government segments, with similar focus on vulnerable populations.
- align (formerly CareMore): Specialized I-SNP operator (formerly CareMore Health, part of Optum/UnitedHealth) focused on integrated, value-based care for nursing home residents. align is the closest direct competitor to TIHP in the institutional SNP category with a near-identical care model for institutionalized MA beneficiaries.
- Perennial Care: Niche I-SNP operator focused exclusively on long-term care residents with a value-based care model. Perennial Care is one of the most direct small-operator peers to TIHP, with similar institutional SNP positioning and facility partnership strategy.
- Molina Healthcare: Government-program-focused health insurer with a strong Medicare Advantage and dual-eligible book. Molina shares TIHP's focus on vulnerable, government-program populations and competes in the Texas MA market, including for dual-eligible and SNP members.
- CVS Health (Aetna): Major healthcare company with Aetna Medicare Advantage plans including institutional SNP offerings in select states. CVS Health competes with TIHP for MA members in Texas and brings integrated PBM, retail, and care management capabilities that pressure smaller MA plans.
- Cigna: Major health insurer with Medicare Advantage products serving seniors, including Evernorth PBM operations that overlap with TIHP's PBM integration. Cigna competes in the broader MA market in Texas and is expanding its senior care footprint.
- Elevance Health (Anthem): Major health insurer (parent of Anthem Blue Cross Blue Shield) with substantial Medicare Advantage plans serving seniors. Elevance competes with TIHP in the Texas MA market through its Blue Cross Blue Shield plans and is growing its senior and SNP segments.
Regional players
- Blue Cross Blue Shield of Texas: Texas-based regional health plan with Medicare Advantage HMO and PPO products. BCBS Texas competes with TIHP in the Texas MA market, offering a broader product portfolio but limited institutional SNP specialization compared to TIHP.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Texas Independence Health Plan social profiles
Digital presenceTexas Independence Health Plan compliance and trust
Trust signalCompliance1 record
Texas Independence Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
Texas Independence Health Plan leadership team
Management profileNumber of profiles
Profiles1 record
Texas Independence Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Texas Independence Health Plan 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 Texas Independence Health Plan
What does Texas Independence Health Plan do?
Texas Independence Health Plan is a Medicare Advantage HMO Special Needs Plan that delivers coordinated medical and prescription drug coverage to Medicare-eligible seniors who reside in long-term care facilities such as skilled nursing facilities, nursing facilities, intermediate care facilities, and assisted living facilities in selected Texas counties. It operates both an Institutional Special Needs Plan (I-SNP) and an Institutional Equivalent Special Needs Plan (IE-SNP) supported by a provider portal and a network of 6,249+ Texas providers.
Is Texas Independence Health Plan a public or private company?
Texas Independence Health Plan is a private company. It is classified as unknown and is currently operating.
When was Texas Independence Health Plan founded?
Texas Independence Health Plan was founded in 2019. It employs 1 to 10 people.
Where is Texas Independence Health Plan based?
Texas Independence Health Plan is headquartered in Victoria, United States, in the North America region.
How does Texas Independence Health Plan make money?
One revenue line is on record: medicare Advantage Capitated Payments.
Who are Texas Independence Health Plan's main competitors?
Direct peers on record are UnitedHealthcare, Humana, Centene, align (formerly CareMore), Perennial Care, Molina Healthcare, CVS Health (Aetna), Cigna and Elevance Health (Anthem). Blue Cross Blue Shield of Texas is listed as a regional player.
Does Texas Independence Health Plan have an API?
No public API is recorded for Texas Independence Health Plan.
What industry is Texas Independence Health Plan in?
Texas Independence Health Plan's product category is Medicare Advantage Health Insurance. Its primary akta.pro industry code is HLAEAFAC, D-SNP Care Management (Medical), with a secondary code of FSAIAGAD, Dual-Eligible Special Needs Plans (D-SNP). Its NAICS code is 624120 and its SIC code is 6321.