US Family Health Plan

What US Family Health Plan does

US Family Health Plan (USFHP) is a non-profit, federally designated managed care program that delivers TRICARE Prime benefits to eligible military beneficiaries across the United States. The program is operated through six regional designated provider organizations—US Family Health Plan of Southern New England (Brighton Marine), CHRISTUS Health, Martin's Point Health Care, Pacific Medical Centers, USFHP@SVCMC, and Johns Hopkins Medicine—collectively serving members in 16 states and Washington, D.C. with access to nearly 64,000 civilian providers. Eligibility covers active duty family members, retired service members and their families, activated National Guard/Reserve family members, survivors, Medal of Honor recipients, and qualified former spouses, with new enrollment open to beneficiaries age 64 or younger during TRICARE Open Season or within 90 days of a Qualifying Life Event.

USFHP operates under a capitated, value-based payment model in which the Department of Defense pays fixed per-member rates. Federal law caps total USFHP costs at the level DoD would have incurred through military treatment facilities, TRICARE, or Medicare, creating a structural incentive to invest in wellness and disease prevention. The care-delivery model is anchored on the patient-centered medical home concept, with primary care physicians coordinating referrals, supplemented by tele-medicine, 24-hour nurse help lines, in-home patient monitoring, and more than 40 disease management programs. USFHP reports more than 92% member satisfaction per CAHPS surveys—approximately 40% higher than the national average—and has held the highest satisfaction ranking in the TRICARE system for 19 consecutive years.

The US Family Health Plan Alliance, based in Washington, D.C., functions as the trade association representing the six participating non-profit plans before Congress and the Department of Defense. USFHP traces its institutional lineage to 1981, when Congress transferred ten Public Health Service Hospitals to non-profit corporations designated as Uniformed Services Treatment Facilities; in 1993 these were converted into a managed care system, and the program was renamed US Family Health Plan in 2001.

Name

US Family Health Plan

Legal name

US Family Health Plan Alliance

Website

https://usfhp.com

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

1–10 employees

Short description

US Family Health Plan is a non-profit, federally designated TRICARE Prime managed care program that delivers healthcare benefits to military families, retirees, and their dependents through six regional provider organizations across 16 states and Washington, D.C.

Ownership category

akta.pro rank

Product category

Military Managed Healthcare

NAICS

Health Care and Social Assistance (62)

SIC

Accident & Health Insurance (6321), Services-Health Services (8000)

akta.pro primary industry

Veterans Affairs & Military Family Services (BPAIAHAL)

akta.pro secondary industry

Family Care Navigation & Care Coordination Platforms (multi-member care plans, referrals) (HLALAHAL)

Keywords

• Managed care services
• TRICARE Prime
• Military healthcare
• Capitated care
• Health plan coverage

Headquarters

HQ city

Seattle

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Capitated Healthcare Payments: US Family Health Plan operates under a fixed-price, value-based capitated care model in the Military Health System. The organization receives fixed rates from the Department of Defense for all patient services, which incentivizes investment in population health and disease management programs that help people live healthier lives and avoid expensive episodes of inpatient care. Under federal law, total cost for health care services cannot exceed the cost the federal government would have incurred through military treatment facilities, TRICARE program, or Medicare program.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels3 records

Core offering

US Family Health Plan is a contracted TRICARE Prime managed care program that delivers full military health benefits to eligible beneficiaries through six regional non-profit designated provider organizations. Members receive primary care, specialty care, hospitalizations, prescriptions, tele-medicine, and wellness/disease management programs coordinated through a patient-centered medical home model with nearly 64,000 providers across 16 states and the District of Columbia.

Product overview

US Family Health Plan is a contracted TRICARE Prime managed care program offered through six participating non-profit regional health plans across the United States. The program provides full TRICARE Prime benefits including primary care, hospital care, specialist referrals, mental health services, prescription coverage, and wellness programs. The six regional plans—US Family Health Plan of Southern New England, CHRISTUS Health, Martin's Point Health Care, Pacific Medical Centers, USFHP@SVCMC, and Johns Hopkins Medicine—operate as separate entities but share a unified focus on patient-centered medical home care, tele-medicine, disease management, and wellness rather than disease management for military families, retirees, and their dependents. Members choose a primary care physician who coordinates care and referrals, with access to nearly 64,000 providers across service areas.

Differentiator

Problem solved

Functional benefit

Products and services

• US Family Health Plan of Southern New England (Brighton Marine) A regional TRICARE Prime managed care plan for military families, retirees, and their dependents in Massachusetts, Rhode Island, parts of Southern New Hampshire, and Northern Connecticut, with approximately 160 primary care providers including Charlton Memorial Hospital, Saint Luke's Hospital, and Tobey Hospital.
• CHRISTUS Health US Family Health Plan A regional TRICARE Prime plan serving Houston, TX, San Antonio, TX, Leesville, LA, and Lake Charles, LA, operated by CHRISTUS Health.
• Martin's Point Health Care US Family Health Plan A regional TRICARE Prime plan serving Maine, New Hampshire, Vermont, Upstate and Western New York, and parts of Pennsylvania and Ohio, operated by Martin's Point Health Care.
• Pacific Medical Centers US Family Health Plan A regional TRICARE Prime plan serving Western Washington, most of Central and Eastern Washington, Northern Idaho, Western Oregon, and most of California, operated by Pacific Medical Centers.
• USFHP@SVCMC, Inc. A regional TRICARE Prime plan serving New Jersey, Western CT, Lower Hudson Valley, NYC including Nassau and Suffolk counties, and Pennsylvania, operated by St. Vincent Catholic Medical Centers.
• Johns Hopkins Medicine US Family Health Plan A regional TRICARE Prime plan serving Maryland, Washington, DC, Delaware, Virginia, and parts of West Virginia and Pennsylvania, operated by Johns Hopkins Medicine.

Quantifiable outcome

• 92%+ overall member satisfaction rate according to CAHPS survey
• +3 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Southcoast Health NetworkcoreStrategic or Co-development Partner · 3 March 2026US Family Health Plan of Southern New England expanded its provider network through agreement with Southcoast Health Network, adding approximately 160 primary care providers including Charlton Memorial Hospital, Saint Luke's Hospital, and Tobey Hospital. This significantly increases care access for military families and retirees in southeastern Massachusetts and Rhode Island, reinforcing USFHP's commitment to high-quality care close to home.
• US Family Health Plan of Southern New England (Brighton Marine)coreOthersOne of six regional designated provider organizations under the US Family Health Plan Alliance. Serves Massachusetts, Rhode Island, parts of Southern New Hampshire and Northern Connecticut. Provides full TRICARE Prime benefits through civilian healthcare network.
• CHRISTUS Health US Family Health PlancoreOthersOne of six regional designated provider organizations. Serves Houston, TX, San Antonio, TX, Leesville, LA and Lake Charles, LA. Provides TRICARE Prime benefits through CHRISTUS Health network.
• Martin's Point Health Care US Family Health PlancoreOthersOne of six regional designated provider organizations. Serves Maine, New Hampshire, Vermont, Upstate and Western New York, and parts of Pennsylvania and Ohio. Part of Martin's Point Health Care network.
• Pacific Medical Centers US Family Health PlancoreOthersOne of six regional designated provider organizations. Serves Western Washington, most of Central and Eastern Washington, Northern Idaho, Western Oregon, and most of California. Operates through Pacific Medical Centers network.
• USFHP@SVCMC, Inc.coreOthersOne of six regional designated provider organizations. Serves New Jersey, Western CT, Lower Hudson Valley, NYC including Nassau and Suffolk counties, and Pennsylvania. Affiliated with St. Vincent Catholic Medical Centers.
• Johns Hopkins Medicine US Family Health PlanminorOthersRegional designated provider (not a member of the Alliance). Serves Maryland, Washington DC, Delaware, Virginia, and parts of West Virginia and Pennsylvania. Provides TRICARE Prime benefits through Johns Hopkins Medicine network.

Scale indicators5 records

Recent moves10 records

Expansion highlights4 records

Direct peers

• TriWest Healthcare Alliance: Manages the TRICARE West region under contract with DoD, providing managed care to military beneficiaries. Most direct comparable to USFHP as a civilian-delivered TRICARE Prime contractor for the military community.
• Humana Military: Humana's government business division has administered TRICARE contracts (most recently TRICARE East) for military beneficiaries. Direct comparable as a large managed-care contractor serving the same DoD population under capitated arrangements.
• Health Net Federal Services: Previously administered TRICARE West and other federal health programs. Direct comparable to USFHP as a managed-care contractor serving TRICARE beneficiaries under government capitation arrangements.
• Martin's Point Health Care: One of the six USFHP regional designated providers, serving the Northeast. Also operates its own health plan and care delivery network, making it comparable as both a USFHP member and as an independent value-based provider organization.
• CHRISTUS Health: Operates one of the six USFHP regional plans (Texas and Louisiana) and is a large non-profit Catholic health system. Comparable as both a USFHP member and as a value-based, multi-state regional health system serving capitated populations.
• Brighton Marine: Operates US Family Health Plan of Southern New England, one of the six USFHP regional plans. Direct comparable as a USFHP member organization delivering capitated TRICARE Prime care to military families.

Broad incumbents

• Kaiser Permanente: Pioneer of capitated, integrated value-based care in the U.S. Operates a large, integrated payor-provider model broadly comparable in economic structure (capitation, prevention focus, PCP gatekeeping) to USFHP, though serving a civilian population.
• Centene Corporation: Large managed-care company with significant government-sponsored healthcare exposure (Medicaid, TRICARE via Health Net Federal Services, Medicare). Broad incumbent competing in the same DoD/TRICARE contractor space as USFHP.
• UnitedHealth Group: Through Optum and UnitedHealthcare, the largest U.S. health insurer with extensive federal healthcare contracting (Medicare, Medicaid, FEHBP). Broad incumbent comparable in managed-care scale and government-program focus, though not a TRICARE Prime designated provider.
• Humana: Major government-program health insurer with significant Medicare Advantage and TRICARE exposure (via Humana Military). Broad incumbent with overlapping capitated, value-based managed-care capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights6 records

Customer concentration

• Xx.com/usfhpnw

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries6 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 US Family Health Plan