Health Plan Alliance
Health Plan Alliance is a privately held, member-owned membership organization founded in 1996 that operates a curated peer collaboration network for 40+ provider-sponsored and community health plans, supported by tiered vendor sponsorship and recurring strategic programs.
- Company typePrivate
- Founded1996
- HeadquartersIrving, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Health Plan Alliance does
Health Plan Alliance (HPA), founded in 1996 and headquartered in Irving, Texas, is a privately held membership organization serving provider-sponsored and independent community health plans across the United States. The Alliance operates a curated two-sided network connecting 40+ member health plans — including enterprise names such as Johns Hopkins Health Plans, Select Health, Geisinger Health Plan, Baylor Scott and White Health Plan, and CDPHP — with technology vendors and service providers seeking access to decision-makers at those plans. Membership spans plans covering fewer than 50,000 to more than 1 million lives, with 64% of members covering more than 100,000 lives and 79.5% operating across multiple lines of business (Medicare, Medicaid, and Commercial).
The Alliance's core technology is a secure member portal supporting peer-to-peer collaboration through several product lines: Curated Connections (staff-facilitated peer matching), Executive Networks (quarterly virtual cameras-on sessions), Workgroups (member-led virtual initiatives), Procurement Support (curated vendor directory and group purchasing agreements), and Peer-to-Peer Sharing (exclusive events, Braindate discussions, secure forums, and a resource library). Recurring strategic programs include the Medicare Advantage Stars Collaborative (with Healthmine), the Take Costs Out cost-efficiency initiative, the AI Innovation Collaborative (with C/R Strategy Partners), and the Alliance Executive Leadership Program (with the Daniel Hanley Center for Health Leadership), alongside signature events such as the Leadership Forum and Clinical Leaders Fly-In.
Revenue is generated through three primary streams: annual membership dues scaled by covered lives, a tiered vendor sponsorship architecture anchored by the $1,200/year Insider Subscription and a $40,000+/year Preferred Business Sponsor tier (with meeting and digital sponsorship sub-tiers), and event-based sponsorship revenue. Member health plans may also become shareholders through a one-time capital contribution that confers Board voting rights and eligibility for annual distributions, embedding governance ties beyond a transactional subscription relationship. The go-to-market motion is community- and event-led, combining exclusive in-person meetings, quarterly virtual sessions, and curated peer-to-peer introductions rather than a direct sales or PLG funnel.
Health Plan Alliance firmographics
Firmographics- Name
- Health Plan Alliance
- Legal name
- Health Plan Alliance, LLC
- Website
- https://healthplanalliance.org
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Health Plan Alliance is a privately held, member-owned membership organization founded in 1996 that operates a curated peer collaboration network for 40+ provider-sponsored and community health plans, supported by tiered vendor sponsorship and recurring strategic programs.
- Ownership category
- akta.pro rank
Health Plan Alliance industry classification
Industry- Product category
- Healthcare Association and Peer Collaboration Services
- NAICS
- Business Associations (813910)
- SIC
- Services-Membership Organizations (8600), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)
Keywords
Where Health Plan Alliance is headquartered
LocationHeadquarters
- HQ city
- Irving
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Health Plan Alliance business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D
Revenue model
- Insider Subscription: $100 per month subscription (billed annually as $1,200/year) providing access to quarterly virtual Insider Town Halls, monthly Insider e-newsletter, and listing in online vendor directory. Must hold Insider Subscription to qualify for Preferred Business Sponsor Program, Meeting Sponsorship, or Spotlight Webinar.
- Annual Membership Dues: Annual dues based on health plan's covered lives, providing fair and scalable structure ensuring access for organizations of all sizes. Members gain full access to resources, tools, and collaborative opportunities. Only additional costs are travel/lodging for in-person meetings.
- Preferred Business Sponsorship: Companies investing $40,000 or more annually in sponsorship opportunities gain exclusive early access, premium benefits through Preferred Business Sponsor Program, designed to elevate visibility and influence throughout the year.
- Meeting Sponsorships: Sponsorship of exclusive in-person meetings that operate as retreats for collaboration on timely business challenges. Multiple sponsorship tiers available at different price points.
- Digital Sponsorships: Spotlight Webinars showcasing sponsor expertise and webinar listings on industry event calendar to amplify sponsor reach and connect with broader audience.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Insider Subscription - Base access tier for vendors/sponsors |
| Subscription | Annual | Annual Membership Dues - Based on covered lives |
| Subscription | Annual | Preferred Business Sponsor - Premium annual sponsorship |
| Other | Multi-year contract | Meeting Sponsorship - Event-based sponsorship |
| Other | Annual | Digital Sponsorships - Spotlight Webinars and listings |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
Health Plan Alliance product offering
Product offeringCore offering
Health Plan Alliance is a membership-based peer collaboration network serving provider-sponsored and community-based health plans. Its core deliverable is a private, trust-based community that gives member plans access to executive networks, workgroups, curated vendor introductions, shared learning collaboratives (Stars, AI, cost reduction), and an online portal for peer-to-peer knowledge sharing. Revenue is anchored in annual membership dues, subscription content, and tiered corporate sponsorships.
Product overview
Health Plan Alliance is a membership-based collaboration platform and professional network for regional, provider-sponsored health plans. The core offering is the Online Member Portal, which provides access to collaborative tools including Curated Connections, Executive Networks, Workgroups, Procurement Support, and Peer-to-Peer Sharing through exclusive events and secure forums. The Alliance offers tiered sponsorship programs (Insider Subscription, Preferred Business Sponsors, Meeting Sponsors, Digital Sponsorships) and organizes signature events like the Leadership Forum and Clinical Leaders Fly-In. Strategic initiatives include the Medicare Advantage Stars Collaborative, Alliance Executive Leadership Program, and AI Innovation Collaborative. The platform focuses on enabling peer learning, knowledge sharing, and strategic partnerships among community-based health plans.
Differentiator
Problem solved
Functional benefit
Products and services
- Health Plan Alliance Membership Annual membership in Health Plan Alliance, providing provider-sponsored and community-based health plans with access to peer networks, executive forums, workgroups, collaborative programs, and the Online Member Portal.
- Alliance Insider Subscription Subscription-based content and analytics offering for non-member and member audiences seeking curated intelligence on health plan operations, Stars performance, AI adoption, and cost reduction.
- Preferred Business Sponsor Program Tiered corporate sponsorship program (e.g., Platinum, Gold, Silver) for health plan vendors seeking curated introductions, brand visibility, and event participation with member health plans.
- Medicare Advantage Stars Collaborative Member-only collaborative program for sharing Stars rating best practices, benchmarking performance, and jointly improving CMS Star measures across participating health plans.
- AI Innovation Collaborative Member-only collaborative focused on responsible AI adoption, use-case sharing, and governance across health plan operations such as member engagement, Stars, and utilization management.
- Take Costs Out Initiative Member-driven cost-reduction initiative where participating health plans share methodologies, vendor outcomes, and benchmarks to reduce administrative and medical costs.
- Alliance Executive Leadership Program Executive development offering for member health plan leaders covering leadership topics, peer coaching, and capstone projects tied to member-plan priorities.
- Health Plan Alliance Member Meetings and Fly-Ins In-person convenings such as the Leadership Forum and topic-specific Fly-Ins (e.g., clinical leaders) that bring member executives together for working sessions and peer benchmarking.
- Procurement Support and Vendor Introductions Staff-supported vendor search and introduction service helping member health plans identify and evaluate solution providers for priority initiatives.
Quantifiable outcome
- 35.2% improvement in flu vaccination rates among Hispanic populations through culturally tailored campaign
- +2 more outcomes
Companies that use Health Plan Alliance
Customer profileNamed customers25 records
Segments3 records
Ideal customer profiles2 records
Health Plan Alliance technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
Health Plan Alliance partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered minor and core.
- SanofiminorSanofi funded the 2023-2024 Flu Nudge Campaign partnership between Western Health Advantage and the National Hispanic Medical Association, focused on increasing flu vaccination rates among Hispanic populations.
- Western Health AdvantageminorWestern Health Advantage partnered with HPA and NHMA to implement a culturally tailored flu vaccination campaign targeting Hispanic members, achieving 35.2% improvement in vaccination rates through data-driven outreach and messaging.
- National Hispanic Medical Association (NHMA)minorNHMA partnered with HPA and Western Health Advantage to bring cultural expertise and Hispanic health knowledge to the Flu Nudge Campaign, contributing to its success in improving vaccination rates among underserved populations.
- HealthminecoreHealthmine provides Star Rating expert guidance for the Medicare Advantage Stars Collaborative. The partnership supports quarterly Creative Labs that combine expert insights with peer learning in an interactive environment, helping health plans navigate CMS requirements and improve Star ratings through data-driven strategies.
- C/R Strategy PartnerscoreC/R Strategy Partners, led by founder Frances Cairns, partners with HPA to deliver the AI Collaborative program. The partnership provides expert guidance and practical frameworks for helping health plans develop AI governance frameworks, navigate regulatory requirements, and build independent AI capabilities.
- Daniel Hanley Center for Health LeadershipcoreThe Daniel Hanley Center for Health Leadership partnered with HPA to launch the Alliance Executive Leadership Program in 2024. The program addresses leadership and staffing challenges unique to member health plans, developing high-potential executives through tailored curriculum, cohort-based learning, and experiential approach.
- CotivitiminorCotiviti's Provider Intelligence tool was used by Western Health Advantage's Quality team to identify Hispanic members lacking flu vaccines for targeted outreach in the Flu Nudge Campaign.
- TegriaminorTegria values HPA as a one-of-a-kind organization providing value to both members and sponsors. The unique environment brings health plans and vendors together as one team to solve industry challenges, fostering open and honest discussion and relationship building that often translates into successful partnerships.
Scale indicators7 records
Recent moves6 records
Expansion highlights5 records
Health Plan Alliance competitors and assessment
Company assessmentDirect peers
- Association for Community Affiliated Plans (ACAP): ACAP represents nonprofit, safety-net health plans, many of which are provider-sponsored and serve Medicaid and ACA populations. Overlap with HPA's member profile is significant, particularly for Medicaid-focused provider-sponsored plans, and ACAP offers similar advocacy and collaborative learning programs.
- Alliance of Community Health Plans (ACHP): ACHP is a membership association for nonprofit, community-based health plans, very closely mirroring HPA's mission, member profile (provider-sponsored and regional plans), and collaborative programming model. The two organizations are the most directly comparable peer organizations in the US health plan association space.
- Medicaid Health Plans of America (MHPA): MHPA is a national trade association exclusively for Medicaid managed care organizations. Many HPA members run significant Medicaid lines (79.5% operate across multiple LoB including Medicaid), making MHPA a meaningful peer for Medicaid-focused programming, advocacy, and networking within HPA's member base.
Broad incumbents
- AHIP (America's Health Insurance Plans): AHIP is the largest US health insurance industry trade association, representing major national carriers as well as regional plans. It is a broader incumbent competitor in the health plan association space; HPA differentiates by curating a tighter, peer-only cohort of provider-sponsored plans rather than serving the entire industry.
- Vizient Inc. Vizient is a healthcare performance improvement and GPO organization serving academic medical centers and health systems. It is even named as an HPA customer/partner; Vizient overlaps with HPA in serving provider-affiliated organizations but at significantly larger scale and with deeper procurement and analytics capabilities.
- Premier Inc. Premier is a large healthcare GPO and performance improvement company serving hospitals and health systems. Comparability to HPA arises from shared-services, group purchasing, and benchmarking offerings to provider-affiliated organizations; Premier is much larger and broader but competes for the same type of buyer's attention.
Emerging players
- Healthcare Financial Management Association (HFMA): HFMA is a large professional association for healthcare finance leaders, with educational programs and chapters across the US. It overlaps with HPA on the executive education side (e.g., HPA's Alliance Executive Leadership Program with Daniel Hanley) but serves a broader cross-sector audience rather than provider-sponsored plans specifically.
- America's Physician Group (APG): APG is a membership association for physician groups taking risk, conceptually similar to HPA's provider-sponsored model but on the provider rather than plan side. Comparability is strong in value-based care programming, risk arrangements, and peer learning formats, though APG sits one layer upstream of the health plan.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Health Plan Alliance social profiles
Digital presenceHealth Plan Alliance financial estimates
Financial estimateRevenue estimate
Valuation estimate
Health Plan Alliance leadership team
Management profileNumber of profiles
Profiles5 records
Health Plan Alliance funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Health Plan Alliance 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 Health Plan Alliance
What does Health Plan Alliance do?
Health Plan Alliance is a membership-based peer collaboration network serving provider-sponsored and community-based health plans. Its core deliverable is a private, trust-based community that gives member plans access to executive networks, workgroups, curated vendor introductions, shared learning collaboratives (Stars, AI, cost reduction), and an online portal for peer-to-peer knowledge sharing. Revenue is anchored in annual membership dues, subscription content, and tiered corporate sponsorships.
Is Health Plan Alliance a public or private company?
Health Plan Alliance is a private company. It is classified as unknown and is currently operating.
When was Health Plan Alliance founded?
Health Plan Alliance was founded in 1996. It employs 11 to 50 people.
Where is Health Plan Alliance based?
Health Plan Alliance is headquartered in Irving, United States, in the North America region.
How does Health Plan Alliance make money?
Five revenue lines are on record. Insider Subscription is the primary driver. The others are annual Membership Dues, preferred Business Sponsorship, meeting Sponsorships and digital Sponsorships.
Who are Health Plan Alliance's main competitors?
Direct peers on record are Association for Community Affiliated Plans (ACAP), Alliance of Community Health Plans (ACHP) and Medicaid Health Plans of America (MHPA). Broad incumbents are AHIP (America's Health Insurance Plans), Vizient Inc. and Premier Inc.. Emerging players are Healthcare Financial Management Association (HFMA) and America's Physician Group (APG).
Does Health Plan Alliance have an API?
No public API is recorded for Health Plan Alliance.
What industry is Health Plan Alliance in?
Health Plan Alliance's product category is Healthcare Association and Peer Collaboration Services. Its primary akta.pro industry code is HLAFAAAO, Hospital Shared Services, GPOs & System Support Organizations. Its NAICS code is 813910 and its SIC code is 8600.