Healthy Blue
Healthy Blue is a Louisiana Medicaid and Medicare D-SNP managed care organization, operating under the BCBS license as one of five state-contracted MCOs serving low-income and dual-eligible residents.
- Company typePrivate
- Founded2010
- HeadquartersLouisiana, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Healthy Blue does
Healthy Blue is a Louisiana-focused managed care organization that administers Medicaid, LaCHIP (Louisiana Children's Health Insurance Program), and Medicare Advantage D-SNP plans for low-income individuals, children, pregnant women, and dual-eligible beneficiaries. The company is the trade name of Community Care Health Plan of Louisiana, Inc., operating as an independent licensee of the Blue Cross and Blue Shield Association and holding a contract with the Louisiana Department of Health as one of five statewide Medicaid MCOs. Healthy Blue is NCQA-accredited and serves members exclusively within Louisiana through both government-assigned Medicaid enrollment and direct Medicare D-SNP enrollment via licensed agents.
The company's product portfolio centers on Medicaid managed care (covering hospital, physician, pharmacy, and behavioral health benefits) and three HMO D-SNP plans that integrate Medicare and Medicaid coverage for dual-eligible members. Supporting infrastructure includes a Medicaid member portal, a Medicare member portal, and an Availity-based provider portal for claims, eligibility verification, and prior authorization; CAQH ProView is used for credentialing, while dental and vision administration are outsourced to DentaQuest and Superior Vision respectively. Care management programs such as New Baby, New Life and a provider Training Academy round out the operational offering.
Healthy Blue generates revenue primarily through capitation payments from the Louisiana Medicaid program and Medicare Advantage premiums for its D-SNP plans, both subscription/recurring in structure. GTM is dual-channel: Medicaid members enroll via state assignment or choice through the Louisiana Department of Health, while D-SNP members enroll directly through licensed agents and a ZIP/county-targeted online shop tool. The lean headcount of 101-250 employees, combined with Anthem/BCBS-aligned branding (the Medicare login routes to anthem.com) and outsourced dental/vision administration, indicates substantial reliance on shared parent-organization infrastructure.
Healthy Blue firmographics
Firmographics- Name
- Healthy Blue
- Legal name
- Community Care Health Plan of Louisiana, Inc.
- Website
- https://healthybluela.com
- Company type
- Private
- Founded year
- 2010
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Healthy Blue is a Louisiana Medicaid and Medicare D-SNP managed care organization, operating under the BCBS license as one of five state-contracted MCOs serving low-income and dual-eligible residents.
- Ownership category
- akta.pro rank
Healthy Blue industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Health Care and Social Assistance (62)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
- akta.pro secondary industries
- SNP Supplemental Benefits & SSBCI Design (HLAEAGAK), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI)
Keywords
Where Healthy Blue is headquartered
LocationHeadquarters
- HQ city
- Louisiana
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Healthy Blue business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Medicaid Managed Care Premiums: Healthy Blue receives capitation payments from the Louisiana Medicaid program to provide managed care services to Medicaid and LaCHIP members. The organization administers benefits including hospital, physician, pharmacy, and behavioral health services.
- Medicare Advantage D-SNP Premiums: Healthy Blue offers Dual Eligible Special Needs Plans (D-SNP) for individuals who qualify for both Medicare and Medicaid. These Medicare Advantage plans generate premium revenue and include additional benefits beyond Original Medicare.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid managed care - Premium rates set by state contract |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels4 records
Healthy Blue product offering
Product offeringCore offering
Healthy Blue is a Louisiana-focused managed care health plan that administers Medicaid and LaCHIP coverage for low-income residents and Medicare Advantage Dual Eligible Special Needs Plans (D-SNP) for individuals qualifying for both Medicare and Medicaid. The company delivers comprehensive benefits including hospital, physician, pharmacy, behavioral health, and preventive care services through a contracted provider network statewide, operating as an independent licensee of the Blue Cross and Blue Shield Association.
Product overview
Healthy Blue is a health insurance provider offering a portfolio of Medicaid and Medicare Advantage plans for Louisiana residents. The core offerings include Medicaid plans for low-income individuals and families, Medicare Advantage plans including D-SNP products for dual-eligible beneficiaries, and associated member and provider portals. Supporting infrastructure includes the Availity-based provider portal for claims, eligibility, and authorizations; the provider Training Academy; and specialized programs like New Baby, New Life for maternal care management. The company operates as an independent licensee of the Blue Cross and Blue Shield Association under the trade name Community Care Health Plan of Louisiana, Inc.
Differentiator
Problem solved
Functional benefit
Products and services
- Healthy Blue Medicaid Plans Managed care health coverage for Louisiana Medicaid and LaCHIP members, providing comprehensive benefits including doctor visits, hospital coverage, prescription drugs, preventive care, behavioral health services, maternal child services, and EPSDT services for children. Members enroll through the Louisiana Department of Health and are assigned to Healthy Blue as their managed care organization.
- Healthy Blue Medicare Advantage D-SNP Plans Medicare Advantage plans (HMO) for Louisiana residents who qualify for both Medicare and Medicaid. Covers all Original Medicare Part A and Part B benefits plus prescription drug coverage (Part D), routine dental, vision, and hearing benefits. Plans are offered by ZIP code and county and require members to use the Healthy Blue network of doctors and hospitals (except in emergencies). Available for enrollment through licensed agents, the Healthy Blue Medicare website shop tool, and a dedicated Medicare enrollment phone line.
- Healthy Blue Dual Advantage (Specialized D-SNP) A specialized Dual Eligible Special Needs Plan designed for dual-eligible members in Louisiana, offering enhanced benefits to help keep patients healthy while protecting them from unexpected costs. Supported by dedicated Healthy Blue Dual Advantage Provider Services and case management.
Companies that use Healthy Blue
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles3 records
Healthy Blue technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
Healthy Blue partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core and minor.
- AvailitycoreAvaility provides the provider portal infrastructure for Healthy Blue, enabling healthcare providers to submit claims, verify member eligibility, request authorizations, and access member information in real-time. Providers must register for an Availity ID to access the secure sections of the Healthy Blue provider website.
- Superior Vision (Versant Health)minorSuperior Vision, offered by Versant Health, provides routine and medical optometry services on behalf of Healthy Blue. Providers who wish to contract for vision services only should contact Superior Vision directly for network participation.
- DentaQuestminorDentaQuest provides dental benefit management services on behalf of Healthy Blue. Providers seeking to contract for dental services only should contact DentaQuest for network participation.
- Louisiana Department of HealthcoreHealthy Blue operates under a contract with the Louisiana Medicaid program administered by the Louisiana Department of Health. The organization is one of five MCOs contracted to serve Medicaid managed care members in Louisiana.
- Blue Cross and Blue Shield AssociationcoreHealthy Blue is an independent licensee of the Blue Cross and Blue Shield Association, operating under the Healthy Blue brand. The organization leverages the BCBS brand and network standards while operating as a separate entity.
Scale indicators1 record
Recent moves6 records
Expansion highlights4 records
Healthy Blue competitors and assessment
Company assessmentDirect peers
- UnitedHealthcare Community & State (Louisiana): UnitedHealthcare operates one of the five Louisiana Medicaid MCO contracts and D-SNP plans, head-to-head competing with Healthy Blue for state contract renewal and dual-eligible enrollment. Both are large, multi-state MCOs running Medicaid + D-SNP portfolios under similar capitation economics.
- Humana (Louisiana Medicaid + D-SNP): Humana is among the leading D-SNP operators nationally and participates in Louisiana Medicaid, directly overlapping with Healthy Blue on dual-eligible beneficiaries and competing on Star ratings, supplemental benefits, and broker relationships.
- Aetna Better Health of Louisiana (CVS Health): Aetna Better Health holds one of the five Louisiana Medicaid MCO contracts, competing for the same government-contracted capitation revenue and dual-eligible members. Comparable product scope, GTM via state enrollment, and provider network dynamics.
- Louisiana Healthcare Connections (Centene): Louisiana Healthcare Connections is a Centene subsidiary and one of the contracted Louisiana Medicaid MCOs. As the nation's largest Medicaid MCO operator, Centene brings deeper scale; this is one of Healthy Blue's direct competitors for state enrollment.
Broad incumbents
- Amerigroup Louisiana (Anthem): Amerigroup is Anthem's separate (non-BCBS) Medicaid brand operating across multiple states. While Healthy Blue is the BCBS-licensed Louisiana affiliate, Amerigroup is the affiliate across other Anthem states and shares corporate parent infrastructure, making it a close operational peer in managed care delivery.
- BCBS Louisiana / Blue Advantage: Blue Cross and Blue Shield of Louisiana operates the broader commercial and Medicare Advantage HMO/PPO portfolio under the Blue Advantage brand in the same geography. Same parent association license; complementary rather than directly competing product lines, but channel and network overlap is significant.
- Molina Healthcare: Molina is a national Medicaid-focused MCO with comparable government-contract-heavy business model. Not currently in Louisiana Medicaid, but a credible peer benchmarking quality, MLR, and Stars performance against Healthy Blue.
- Anthem Blue Cross Blue Shield: Anthem is the corporate parent behind Healthy Blue's BCBS-licensed operations and operates Medicaid and D-SNP plans in many other states. Useful comparable for shared services infrastructure, payor-provider platforms, and Anthem-wide MLR trends.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Healthy Blue social profiles
Digital presenceHealthy Blue compliance and trust
Trust signalCompliance1 record
Healthy Blue financial estimates
Financial estimateRevenue estimate
Valuation estimate
Healthy Blue leadership team
Management profileNumber of profiles
Healthy Blue funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Healthy Blue 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 Healthy Blue
What does Healthy Blue do?
Healthy Blue is a Louisiana-focused managed care health plan that administers Medicaid and LaCHIP coverage for low-income residents and Medicare Advantage Dual Eligible Special Needs Plans (D-SNP) for individuals qualifying for both Medicare and Medicaid. The company delivers comprehensive benefits including hospital, physician, pharmacy, behavioral health, and preventive care services through a contracted provider network statewide, operating as an independent licensee of the Blue Cross and Blue Shield Association.
Is Healthy Blue a public or private company?
Healthy Blue is a private company. It is classified as corporate owned and is currently operating.
When was Healthy Blue founded?
Healthy Blue was founded in 2010. It employs 101 to 250 people.
Where is Healthy Blue based?
Healthy Blue is headquartered in Louisiana, United States, in the North America region.
How does Healthy Blue make money?
Two revenue lines are on record. Medicaid Managed Care Premiums are the primary driver. The others are medicare Advantage D-SNP Premiums.
Who are Healthy Blue's main competitors?
Direct peers on record are UnitedHealthcare Community & State (Louisiana), Humana (Louisiana Medicaid + D-SNP), Aetna Better Health of Louisiana (CVS Health) and Louisiana Healthcare Connections (Centene). Broad incumbents are Amerigroup Louisiana (Anthem), BCBS Louisiana / Blue Advantage, Molina Healthcare and Anthem Blue Cross Blue Shield.
Does Healthy Blue have an API?
No public API is recorded for Healthy Blue.
What industry is Healthy Blue in?
Healthy Blue's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of HLAEAGAK, SNP Supplemental Benefits & SSBCI Design. Its NAICS code is 62 and its SIC code is 6324.