TrueCare

What TrueCare does

TrueCare is a non-profit sponsored health plan provider headquartered in Ridgeland, Mississippi, founded in 2015 under the sponsorship of CareSource, a Dayton, Ohio-based nonprofit managed care organization with 30+ years of experience serving low-income and vulnerable populations. TrueCare operates as CareSource's Mississippi market platform, delivering Medicaid managed care products to eligible low-income adults, families, children, pregnant women, elderly adults, and people with disabilities in the state. Its digital and operational infrastructure is anchored by CareSource's MyLife member portal, MyHealth wellness tools, MyResources community resource finder, and telehealth services delivered through Teladoc, with pharmacy benefit management handled in partnership with Express Scripts.

TrueCare's core product portfolio follows the CareSource model: state Medicaid plans, with potential extension into dual-eligible integrated care (D-SNP), Marketplace, and specialized programs such as PASSE for complex behavioral and physical health needs. Care coordination is delivered via dedicated care coordinators who help members schedule visits, find providers, understand benefits, and access wrap-around services including transportation, meal delivery (Mom's Meals), fitness (Silver&Fit), and behavioral health resources (myStrength). Pricing is structured as subscription-based recurring premiums, with $0 monthly premiums available for qualifying Extra Help/LIS members and government reimbursements flowing from state Medicaid contracts and federal Medicare/Medicaid programs.

The business model is a government-sponsored managed care operation: revenue is generated through capitation premiums from state Medicaid agencies and CMS, with member acquisition occurring through multi-channel distribution including direct-to-consumer enrollment via the CareSource Mississippi website, call centers, licensed broker/producer networks, and provider referrals. Customer concentration is structurally high given reliance on a single state Medicaid contract, but the CareSource sponsorship mitigates execution risk by providing multi-state infrastructure, regulatory expertise (NCQA-accredited, HIPAA-compliant, licensed HMO with Medicare contracts), and an established ecosystem of operational partnerships. Headcount of 1,001-5,000 employees reflects a scaling regional operation that leverages CareSource's centralized technology, pharmacy, and care management capabilities while tailoring products to Mississippi-specific market requirements.

Name

TrueCare

Legal name

CareSource

Website

https://caresource.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

TrueCare is a Ridgeland, Mississippi-based non-profit Medicaid health plan founded in 2015 under CareSource sponsorship, serving low-income adults, families, children, pregnant women, elderly, and disabled residents through state Medicaid contracts and CareSource's digital member platform.

Ownership category

akta.pro rank

Product category

Managed Care Health Insurance

NAICS

Services for the Elderly and Persons with Disabilities (62412), Individual and Family Services (6241)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industry

Maternal, Women’s & Family Virtual Care Programs (Payer-Sponsored) (HLALACAJ)

Keywords

• Managed care plans
• Medicaid health insurance
• Nonprofit health plan
• Government sponsored insurance
• Care coordination services

Headquarters

HQ city

Ridgeland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Health Insurance Premiums: CareSource generates revenue primarily through premium payments collected from members enrolled in its Medicaid, Medicare Advantage, and Marketplace health insurance plans. Premiums are also received from government programs including Medicare and Medicaid.
2. Government Program Reimbursements: Reimbursements from federal and state government programs including Medicare Part C (Medicare Advantage), Medicare Part D (prescription drug coverage), and Medicaid for services provided to eligible beneficiaries.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

TrueCare is a Mississippi-based, non-profit sponsored health plan provider operating with the support of CareSource. The company delivers free or low-cost managed care plans — primarily Medicaid and related government-sponsored coverage — to eligible low-income adults, families, children, pregnant women, elderly adults and people with disabilities. Members access benefits, ID cards, claims, and wellness programs through the MyLife member portal and supporting services (care coordination, 24/7 telehealth, transportation, and meal delivery after hospitalization).

Product overview

CareSource is a health insurance company operating multiple health plans across multiple states, structured as a platform-plus-products model. The core member experience is delivered through the CareSource MyLife portal, which provides access to all plan types and digital health tools. The product portfolio includes: Medicaid plans (for low-income individuals and families), Medicare Advantage/Dual Special Needs Plans (CareSource Dual Advantage, MyCare Ohio HMO D-SNP), Marketplace plans (ACA-compliant individual coverage), and specialized programs (CareSource PASSE for complex care, Planning for Healthy Babies, Georgia Pathways, TRICARE PRIME Demo). Supporting services include pharmacy benefits through CareSource RxInnovations (partnered with Express Scripts), care coordination and disease management programs, digital health tools (MyHealth, MyResources), and Life Services for employment support. The company serves members across Ohio, Kentucky, Indiana, Georgia, Arkansas, Michigan, West Virginia, North Carolina, Nevada, and Wisconsin.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicaid Health Plans Free or low-cost managed care health insurance for eligible low-income adults, families, children, pregnant women, elderly adults and people with disabilities, providing coverage for doctor visits, hospital care, prescription drugs, preventive care, and mental health services.
• CareSource MyLife Member Portal Secure member account platform for TrueCare/CareSource members to view benefits, claims, ID cards, access health tips, and manage their plan information online.
• Teladoc Telehealth Services 24/7 access to medical providers for common health issues and mental health professionals via phone or video, available to eligible members at no additional cost.
• Care Coordination Services Program providing members with dedicated care coordinators to help schedule visits, find providers, understand benefits, and access transportation and other wrap-around services.
• Pharmacy Benefit Management (RxInnovations) Comprehensive prescription drug coverage, drug formulary management, pharmacy network, and mail-order pharmacy services delivered in partnership with Express Scripts.

Quantifiable outcome

• $287 monthly Healthy Benefits+ allowance for eligible members
• +3 more outcomes

Named customers3 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

Feature4 records

Partnerships

Eight partnerships are on record, tiered core and secondary.

• Express ScriptscoreTechnology or IntegrationExpress Scripts serves as CareSource's pharmacy benefits manager (PBM), handling prescription drug coverage, drug formulary management, pharmacy network, and Medicare Prescription Payment Plan. CareSource RxInnovations has partnered with Express Scripts to manage prescriptions and save money for members.
• CVS CaremarkcoreTechnology or IntegrationCVS Caremark handles Part D prescription drug coverage determinations and appeals for CareSource Medicare Advantage members. Members contact CVS Caremark for coverage decisions and redeterminations on prescription drugs.
• Silver&FitsecondaryStrategic or Co-development PartnerSilver&Fit provides the fitness benefit program for CareSource MyCare Ohio members, offering access to participating fitness centers, home fitness kits, and digital workouts through the Healthy Aging and Exercise program.
• Teladoc HealthcoreTechnology or IntegrationTeladoc provides 24/7 telehealth services for CareSource MyCare Ohio members, offering access to medical providers for common health issues and mental health professionals for behavioral health services at no cost to members.
• Mom's MealssecondaryStrategic or Co-development PartnerMom's Meals provides refrigerated, nutritionally balanced meal delivery for CareSource members recovering from inpatient hospitalization or skilled nursing stays, delivering two meals per day for 14 days after each qualifying stay.
• Ohio Department of MedicaidcoreStrategic or Co-development PartnerCareSource partners with the Ohio Department of Medicaid for the Next Generation MyCare Ohio program, an integrated care program for Ohioans receiving both Medicare and Medicaid benefits. The program began January 1, 2026.
• Kids HealthsecondaryStrategic or Co-development PartnerCareSource partners with Kids Health to provide educational content for children's health, including age-specific health information and developmental milestone guides from birth through adolescence.
• myStrengthsecondaryTechnology or IntegrationmyStrength provides digital behavioral health and wellness resources for CareSource members, offering tools for mental health support including stress management, mindfulness, and emotional wellbeing.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Centene Corporation: The largest Medicaid managed care organization in the U.S., serving more Medicaid members than any other carrier. Centene competes directly with TrueCare/CareSource for state Medicaid contracts and operates a similar government-program focused model across multiple states.
• Molina Healthcare: A Medicaid-focused managed care company with comparable scale and product mix (Medicaid, Medicare D-SNP, Marketplace). Molina is a direct head-to-head competitor for state Medicaid procurements including in Mississippi and several other CareSource states.
• Magnolia Health Plan: A Centene-owned Medicaid managed care plan specifically operating in Mississippi. Magnolia is the most direct in-state peer to TrueCare, serving the same Mississippi Medicaid population and competing for the same state contract awards.

Broad incumbents

• UnitedHealth Group (UnitedHealthcare): The largest U.S. health insurer with substantial Medicaid (UnitedHealthcare Community & State) and Medicare Advantage businesses. Operates across all CareSource states and competes in both state Medicaid procurements and D-SNP markets with significantly greater scale and Optum integration.
• Humana: A leading Medicare Advantage carrier with a growing D-SNP franchise and Medicaid presence. Humana competes with CareSource's MyCare Ohio and other integrated Medicare-Medicaid offerings, and is a relevant peer for the dual-eligible growth thesis.
• Elevance Health (formerly Anthem): Operates Blue Cross Blue Shield plans across multiple states including Medicaid (Anthem) and Medicare Advantage including D-SNP. Elevance competes with CareSource in several state Medicaid markets and brings comparable wraparound benefit design to integrated populations.
• CVS Health (Aetna): Operates the Aetna Medicaid and D-SNP business and partners with CVS Caremark for pharmacy benefits. CVS/Aetna competes with CareSource in multiple state Medicaid markets and brings integrated retail pharmacy and PBM capabilities similar to CareSource's Express Scripts partnership.
• Cigna Group: A national health services company with Medicare Advantage and growing government-program presence. Cigna competes with CareSource in select state Medicaid and D-SNP markets and is relevant for benefit design and care coordination benchmarking.

Regional players

• Blue Cross & Blue Shield of Mississippi: The dominant Blues plan in Mississippi offering individual, group, and government health plans. While not a direct Medicaid competitor in the same way, BCBS MS is the most established regional health plan in TrueCare's geography and a relevant benchmark for member engagement and benefit design.

Emerging players

• Alignment Healthcare: A technology-enabled Medicare Advantage plan with strong D-SNP positioning and a focus on dual-eligible seniors. Alignment is an emerging player in the same integrated care space where CareSource's MyCare Ohio operates and offers a relevant growth-stage comparison.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xtwitter.com/caresource
• YouTubeyoutube.com/user/ourhealthcaresource
• Facebookfacebook.com/caresource
• LinkedInlinkedin.com/company/caresource-management-group
• Instagraminstagram.com/caresource

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries5 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 TrueCare