El Paso Health
El Paso Health is a non-profit Medicaid Managed Care Organization administering STAR, CHIP, STAR+PLUS, CHIP Perinatal, and Medicare Advantage health plans for residents of El Paso and Hudspeth counties in Texas under contracts with the Texas Health and Human Services Commission.
- Company typePrivate
- Founded1998
- HeadquartersEl Paso, United States
- Headcount51–100
- GTM typeB2C
- OfferingServices
What El Paso Health does
El Paso Health is a local, non-profit Medicaid Managed Care Organization founded in 1998 and headquartered at 1145 Westmoreland Drive in El Paso, Texas. The organization administers Texas government-sponsored health insurance programs — STAR (Medicaid for pregnant women, children, and TANF recipients), CHIP and CHIP Perinatal (children's health coverage), STAR+PLUS (managed care for individuals with disabilities or age 65+), and Medicare Advantage — exclusively for residents of El Paso and Hudspeth counties. El Paso Health holds URAC accreditation and operates under Texas Health and Human Services Commission contracts, with revenue derived from capitated premium payments from HHSC and Medicare for managing defined beneficiary populations.
The company's product portfolio is structured as a platform of eligibility-segmented programs supported by value-added service modules including non-emergency medical transportation, vision benefits, dental coverage, behavioral health services, the FIRSTCALL 24/7 nurse advice line, case management, Healthy Rewards incentive programs, and Applied Behavior Analysis services for autism spectrum disorder. El Paso Health reaches members through direct enrollment via the YourTexasBenefits state portal, 2-1-1 hotline routing, in-person application assistance at its local office, and a contracted provider network across the two-county service area. The organization also administers Preferred Administrators, a related benefit program providing coverage for El Paso County Hospital District associates and El Paso Children's Hospital employees.
El Paso Health's go-to-market is community-based and government-contract-driven, with no commercial sales motion, no disclosed technology platform beyond a third-party member portal, and no disclosed AI/ML capabilities. The company competes against other Texas Medicaid MCOs for service area designation and member auto-assignment, leveraging its local presence, provider relationships, and bilingual community outreach in a border region. Customer concentration is structurally high by design, as the company serves a single state Medicaid program in a fixed two-county geography with capitated, government-funded premium revenue.
El Paso Health firmographics
Firmographics- Name
- El Paso Health
- Legal name
- El Paso Health
- Website
- https://elpasohealth.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- El Paso Health is a non-profit Medicaid Managed Care Organization administering STAR, CHIP, STAR+PLUS, CHIP Perinatal, and Medicare Advantage health plans for residents of El Paso and Hudspeth counties in Texas under contracts with the Texas Health and Human Services Commission.
- Ownership category
- akta.pro rank
El Paso Health industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Individual and Family Services (6241), Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Medicaid Managed Care HMOs (HLAEAMAI)
- akta.pro secondary industries
- Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH), Open-Access HMOs (HLAEAMAF)
Keywords
Where El Paso Health is headquartered
LocationHeadquarters
- HQ city
- El Paso
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
El Paso Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Infrastructure, Marketing or Sales
Revenue model
- Medicaid Managed Care Premiums: El Paso Health generates revenue through capitated premium payments from the Texas Health and Human Services Commission (HHSC) for managing Medicaid beneficiaries under STAR, CHIP, and STAR+PLUS programs. The organization also receives Medicare Advantage premiums for dual-eligible and Medicare beneficiaries.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | STAR Program - No member cost sharing |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels4 records
El Paso Health product offering
Product offeringCore offering
El Paso Health is a local, non-profit Medicaid Managed Care Organization that administers government-sponsored health insurance programs — STAR, CHIP, CHIP Perinatal, CHIP Perinatal Newborn, STAR+PLUS, and Medicare Advantage — for eligible residents of El Paso and Hudspeth counties in Texas. The organization earns capitated premiums from the Texas Health and Human Services Commission and from Medicare to coordinate covered healthcare services delivered through a contracted network of physicians, specialists, hospitals, and pharmacies, and layers value-added services such as transportation, vision, behavioral health, 24/7 nurse advice (FIRSTCALL), case management, and ABA autism services on top of the core government benefit.
Product overview
El Paso Health is a local, non-profit Medicaid Managed Care Organization (MCO) serving El Paso and Hudspeth counties in Texas. The company's product portfolio is organized as a platform of government-sponsored health insurance programs — STAR (Medicaid for pregnant women and children), CHIP (Children's Health Insurance Program), CHIP Perinatal (for unborn children), STAR+PLUS (for disabled and elderly adults), and Medicare Advantage — supported by a set of value-added service modules including Healthy Rewards, Transportation, Vision, Behavioral Health, FIRSTCALL Medical Advice Infoline, Case Management, and Autism Spectrum Disorder ABA services. The company also offers a pharmacy finder and participates in HealthCare Options for low-income adults. The various programs serve distinct eligibility populations and are administered under separate program rules and benefit structures, unified under the El Paso Health brand.
Differentiator
Problem solved
Functional benefit
Products and services
- STAR Program
Companies that use El Paso Health
Customer profileNamed customers6 records
Segments5 records
Ideal customer profiles4 records
El Paso Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
El Paso Health partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- URACcoreURAC accreditation indicates El Paso Health meets quality standards for healthcare utilization management, provider credentialing, and member protection. The URAC seal appears on the organization's website, demonstrating compliance with national standards for Medicaid managed care organizations.
Scale indicators1 record
Recent moves5 records
Expansion highlights4 records
El Paso Health competitors and assessment
Company assessmentDirect peers
- Driscoll Health Plan: Non-profit Medicaid and CHIP health plan serving South Texas, including the Corpus Christi area. Comparable to El Paso Health as a community-based, non-profit Texas MCO with similar STAR and CHIP product offerings.
- Community Health Choice: Non-profit Medicaid and CHIP health plan serving the Houston and surrounding Texas counties. Comparable to El Paso Health as a community-based, non-profit Texas MCO serving STAR, CHIP, and related programs under an exclusive service area.
- Molina Healthcare of Texas: Government-funded health care programs including Medicaid, CHIP, and Medicare Advantage in Texas. Comparable to El Paso Health in mission and product portfolio as a government-program-focused health plan.
- Cook Children's Health Plan: Non-profit Medicaid and CHIP health plan serving children and pregnant women in the Tarrant County area of Texas. Comparable to El Paso Health as a non-profit, community-based MCO with a similar local exclusive service area structure.
- Aetna Better Health of Texas: Medicaid managed care plan serving Texas STAR and CHIP members. Comparable to El Paso Health as a state-contracted Medicaid MCO serving similar low-income populations in Texas.
- Parkland Community Health Plan: Non-profit community-based Medicaid health plan serving the Dallas County area in Texas. Closely comparable to El Paso Health as a Texas non-profit MCO operating under an exclusive service area model for STAR and CHIP.
- Amerigroup Texas: An Elevance Health company operating as a Texas Medicaid managed care plan serving STAR, CHIP, and STAR+PLUS members. Directly comparable to El Paso Health as a state-contracted Medicaid MCO serving vulnerable Texas populations.
- Superior HealthPlan: Texas-based Medicaid and CHIP managed care organization serving low-income families, children, and pregnant women across multiple service areas. Comparable to El Paso Health as a state-contracted MCO serving similar Medicaid populations under HHSC contracts.
- UnitedHealthcare Community Plan of Texas: Medicaid managed care plan serving Texas Medicaid beneficiaries through STAR and CHIP programs. Comparable to El Paso Health as a large-scale, state-contracted Medicaid MCO with overlapping product offerings.
Broad incumbents
- Blue Cross Blue Shield of Texas: Large statewide health insurer offering multiple insurance products, including Medicaid and CHIP plans in select service areas. Comparable as a Texas health insurer with broader commercial and government program presence than El Paso Health.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat3 records
Key risks5 records
Key highlights6 records
Customer concentration
El Paso Health social profiles
Digital presenceEl Paso Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
El Paso Health leadership team
Management profileNumber of profiles
El Paso Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
El Paso Health 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 El Paso Health
What does El Paso Health do?
El Paso Health is a local, non-profit Medicaid Managed Care Organization that administers government-sponsored health insurance programs — STAR, CHIP, CHIP Perinatal, CHIP Perinatal Newborn, STAR+PLUS, and Medicare Advantage — for eligible residents of El Paso and Hudspeth counties in Texas. The organization earns capitated premiums from the Texas Health and Human Services Commission and from Medicare to coordinate covered healthcare services delivered through a contracted network of physicians, specialists, hospitals, and pharmacies, and layers value-added services such as transportation, vision, behavioral health, 24/7 nurse advice (FIRSTCALL), case management, and ABA autism services on top of the core government benefit.
Is El Paso Health a public or private company?
El Paso Health is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was El Paso Health founded?
El Paso Health was founded in 1998. It employs 51 to 100 people.
Where is El Paso Health based?
El Paso Health is headquartered in El Paso, United States, in the North America region.
How does El Paso Health make money?
One revenue line is on record: medicaid Managed Care Premiums.
Who are El Paso Health's main competitors?
Direct peers on record are Driscoll Health Plan, Community Health Choice, Molina Healthcare of Texas, Cook Children's Health Plan, Aetna Better Health of Texas, Parkland Community Health Plan, Amerigroup Texas, Superior HealthPlan and UnitedHealthcare Community Plan of Texas. Blue Cross Blue Shield of Texas is listed as a broad incumbent.
Does El Paso Health have an API?
No public API is recorded for El Paso Health.
What industry is El Paso Health in?
El Paso Health's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAMAI, Medicaid Managed Care HMOs, with a secondary code of BPAIAKAH, Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage). Its NAICS code is 6241 and its SIC code is 6324.