Nebraska Total Care
Nebraska Total Care is an Omaha-based Managed Care Organization and wholly-owned Centene subsidiary that delivers Medicaid (Heritage Health), Medicare Advantage, and ACA Marketplace (Ambetter) health insurance plans to Nebraska residents, supported by a member portal, mobile app, and statewide provider network.
- Company typePrivate
- Founded2017
- HeadquartersOmaha, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Nebraska Total Care does
Nebraska Total Care is a Managed Care Organization (MCO) and wholly-owned subsidiary of Centene Corporation (NYSE: CNC), headquartered in Omaha, Nebraska, and operating exclusively within the state of Nebraska. The company was established in 2017 to deliver health insurance coverage to Nebraska residents through three government-aligned product lines: the Heritage Health Medicaid managed care program (under contract with Nebraska DHHS), Medicare Advantage plans for seniors and individuals with disabilities, and Health Insurance Marketplace plans marketed under the Ambetter Health brand.
The company provides a comprehensive benefits stack across medical, dental, vision, pharmacy, behavioral health, transportation, and pregnancy/maternal services. Its technology layer includes a secure Member Portal, the MyNTC Mobile App (launched 2025), the Wellframe digital care management platform, the findhelp social determinants of health referral tool, telehealth services, and CMS Interoperability and Patient Access compliance. Specialty services are routed through vendor partners including Evolent (imaging and oncology), Hy-Vee (enhanced pharmacy benefits), Express Scripts (PBM), Centene Vision Services, and Centene Dental Services.
Nebraska Total Care earns revenue primarily through capitation and premium payments from government payers: per-member-per-month Medicaid capitation from Nebraska DHHS, Medicare Advantage premiums, and ACA Marketplace premiums (some subsidized via premium tax credits). It distributes plans via state Medicaid enrollment, Medicare.gov, Healthcare.gov, a contracted statewide provider network, digital self-service channels, and a member services call center. The company is NCQA Health Plan Accredited, NCQA HEDIS-compliant, and led by President and CEO Adam Proctor.
Nebraska Total Care firmographics
Firmographics- Name
- Nebraska Total Care
- Legal name
- Nebraska Total Care, Inc.
- Website
- https://nebraskatotalcare.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Nebraska Total Care is an Omaha-based Managed Care Organization and wholly-owned Centene subsidiary that delivers Medicaid (Heritage Health), Medicare Advantage, and ACA Marketplace (Ambetter) health insurance plans to Nebraska residents, supported by a member portal, mobile app, and statewide provider network.
- Ownership category
- akta.pro rank
Where Nebraska Total Care is headquartered
LocationHeadquarters
- HQ city
- Omaha
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Nebraska Total Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Others
Revenue model
- Medicaid Capitated Premiums: Nebraska Total Care receives capitated (per-member-per-month) payments from the Nebraska Medicaid program (Heritage Health) to provide comprehensive healthcare coverage to Medicaid beneficiaries. The company assumes financial risk for providing covered benefits to enrolled members.
- Medicare Advantage Premiums: Revenue from Medicare Advantage plan premiums paid by Medicare and potentially supplemented by member premiums for the Medicare Advantage Plan offered to eligible Nebraska residents.
- Health Insurance Marketplace Premiums: Ambetter Health brand operates on the Nebraska Health Insurance Marketplace, generating premium revenue from subsidized and unsubsidized individual health insurance plans, with financial assistance through premium tax credits for eligible enrollees.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid (Heritage Health) - Low/No Cost |
| Subscription | Monthly | Medicare Advantage Plans |
| Subscription | Monthly | Ambetter Health Insurance Marketplace Plans |
Go-to-market motion2 records
Distribution channels6 records
Marketing channels6 records
Nebraska Total Care product offering
Product offeringCore offering
Nebraska Total Care is a Managed Care Organization (MCO) headquartered in Omaha, Nebraska, that administers government-sponsored and commercial health insurance plans for Nebraska residents. The company offers Heritage Health Medicaid managed care plans, Medicare Advantage plans, and Ambetter Health Insurance Marketplace plans, providing care coordination, provider network access, and member support services.
Product overview
Nebraska Total Care is a Managed Care Organization (MCO) and subsidiary of Centene Corporation that offers a multi-product health insurance portfolio serving Nebraska residents through three core products: Medicaid Plan (Heritage Health), Medicare Advantage Plan, and Health Insurance Marketplace Plan (Ambetter Health). The company provides comprehensive medical coverage complemented by integrated add-on modules including dental, vision, pharmacy (with Hy-Vee Enhanced Pharmacy Benefits), transportation, behavioral health, pregnancy support, and care management. Digital products include a Member Portal and MyNTC Mobile App for member self-service, a Pre-Auth Check Tool for providers, and a Pre-Auth Needed? tool for Ambetter providers. The portfolio also includes wellness-focused programs such as Rewards Program, Value-Added Services, Children's Health Services, and the Better Health Center education portal. Specialty services are delivered through vendor partnerships with Evolut (National Imaging Associates) for imaging and specialty care, Centene Vision Services, and Centene Dental Services. The company emphasizes local, community-based healthcare delivery with programs like Project Access extending services across Nebraska.
Differentiator
Problem solved
Functional benefit
Brands
- Ambetter Health: Health Insurance Marketplace Plan offered by Nebraska Total Care
- Heritage Health
Products and services
- Heritage Health (Medicaid) Nebraska's Medicaid managed care program administered by Nebraska Total Care, providing comprehensive health coverage to eligible low-income individuals and families in Nebraska, including children, pregnant women, adults, and people with disabilities.
- Medicare Advantage plans Medicare Advantage health plans offered to Medicare-eligible individuals in Nebraska, combining Medicare Part A and Part B coverage with additional benefits such as dental, vision, prescription drug coverage, and wellness programs.
- Ambetter Health Insurance Marketplace plans Affordable Care Act (ACA) Health Insurance Marketplace plans offered to Nebraska residents seeking individual and family coverage, often with eligibility for premium tax credits and cost-sharing reductions.
Quantifiable outcome
- Project Access initiative spreads additional healthcare services across Nebraska through community partnerships
- +1 more outcomes
Companies that use Nebraska Total Care
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Nebraska Total Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
Feature6 records
Nebraska Total Care partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core and minor.
- Centene CorporationcoreNebraska Total Care is a wholly-owned subsidiary and Managed Care Organization of Centene Corporation. Centene provides corporate resources, technology platforms, operational infrastructure, and strategic direction while Nebraska Total Care focuses on local Nebraska market delivery of Medicaid, Medicare, and Marketplace health plans.
- Nebraska DHHS (Department of Health and Human Services)coreNebraska Total Care operates as a Managed Care Organization under contract with Nebraska DHHS for the Heritage Health Medicaid program, providing comprehensive healthcare coverage to Medicaid beneficiaries under state oversight and regulation.
- United Way 211minorPartnership with Nebraska 211 to connect members with community resources for social determinants of health including transportation, housing, food assistance, and other local services.
- Project AccessminorCommunity initiative spreading additional healthcare services across Nebraska, connecting members with specialized care and services beyond standard plan benefits.
- HHS Office of Minority Health (Think Cultural Health)minorPartnership with federal program providing CLAS (Culturally and Linguistically Appropriate Services) training for maternal healthcare providers, helping address maternal health disparities.
Scale indicators2 records
Recent moves6 records
Expansion highlights4 records
Nebraska Total Care competitors and assessment
Company assessmentDirect peers
- UnitedHealthcare Community Plan of Nebraska: A competing Nebraska Medicaid managed care organization that holds a Heritage Health contract alongside Nebraska Total Care. Directly comparable as a Nebraska-only MCO serving Medicaid beneficiaries through capitated contracts with the state.
- Healthy Blue Nebraska: An Elevance Health-affiliated Medicaid MCO operating in Nebraska under the Heritage Health program. Directly competes with Nebraska Total Care for the same Medicaid population in the same state contract framework.
- Molina Healthcare: A national Medicaid- and Marketplace-focused managed care company with a similar product mix to Nebraska Total Care (Medicaid as core, plus Medicare Advantage and Marketplace). Directly comparable as a government-program-focused MCO peer.
- CareSource: A nonprofit Medicaid managed care plan serving multiple states with government-sponsored programs as its core business. Comparable to Nebraska Total Care as a Medicaid-centric MCO with mission-driven positioning and similar member demographics.
Broad incumbents
- Centene Corporation: The publicly-traded parent company of Nebraska Total Care (NYSE: CNC) and the largest Medicaid managed care operator in the U.S. Comparable as the broader enterprise whose platform, contracts, and capital back Nebraska Total Care's operations.
- Elevance Health: Parent of Healthy Blue Nebraska and one of the largest U.S. health insurers, with significant Medicaid and Medicare Advantage exposure. Comparable as the broader incumbent whose Nebraska subsidiary directly competes with Nebraska Total Care.
- UnitedHealth Group: Parent of UnitedHealthcare and the largest U.S. health insurer, with deep Medicaid (Amerigroup) and Medicare Advantage footprints. Comparable as the broad incumbent whose Nebraska MCO subsidiary competes with Nebraska Total Care.
- Humana: One of the largest U.S. Medicare Advantage carriers, with growing Medicaid exposure. Comparable as a broad incumbent whose Medicare Advantage product competes with Nebraska Total Care's MA offering in Nebraska.
Regional players
- Blue Cross and Blue Shield of Nebraska: The dominant regional commercial health insurer in Nebraska. Comparable as a Nebraska-based health plan with overlapping Medicare Advantage and commercial product lines, but focused on employer-sponsored and individual coverage rather than Medicaid.
Others
- Ambetter Health (Centene Marketplace brand): The national Marketplace brand operated by Centene across multiple states, including Nebraska. Not a separate company but the broader Marketplace program under which Nebraska Total Care's Ambetter plans are sold; relevant as the cross-state scale platform for individual ACA market products.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Customer concentration
Nebraska Total Care social profiles
Digital presenceNebraska Total Care compliance and trust
Trust signalCompliance3 records
Nebraska Total Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Nebraska Total Care leadership team
Management profileNumber of profiles
Profiles1 record
Nebraska Total Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Nebraska Total Care 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 Nebraska Total Care
What does Nebraska Total Care do?
Nebraska Total Care is a Managed Care Organization (MCO) headquartered in Omaha, Nebraska, that administers government-sponsored and commercial health insurance plans for Nebraska residents. The company offers Heritage Health Medicaid managed care plans, Medicare Advantage plans, and Ambetter Health Insurance Marketplace plans, providing care coordination, provider network access, and member support services.
Is Nebraska Total Care a public or private company?
Nebraska Total Care is a private company. It is classified as corporate owned and is currently operating.
When was Nebraska Total Care founded?
Nebraska Total Care was founded in 2017. It employs 101 to 250 people.
Where is Nebraska Total Care based?
Nebraska Total Care is headquartered in Omaha, United States, in the North America region.
How does Nebraska Total Care make money?
Three revenue lines are on record. Medicaid Capitated Premiums are the primary driver. The others are medicare Advantage Premiums and health Insurance Marketplace Premiums.
Who are Nebraska Total Care's main competitors?
Direct peers on record are UnitedHealthcare Community Plan of Nebraska, Healthy Blue Nebraska, Molina Healthcare and CareSource. Broad incumbents are Centene Corporation, Elevance Health, UnitedHealth Group and Humana. Blue Cross and Blue Shield of Nebraska is listed as a regional player. Ambetter Health (Centene Marketplace brand) is listed as an others.
Does Nebraska Total Care have an API?
No public API is recorded for Nebraska Total Care.