Driscoll Health Plan
Driscoll Health Plan is a nonprofit Medicaid managed care organization serving low-income families, pregnant women, children, and children with disabilities across 24 South Texas counties through STAR, STAR Kids, CHIP, and CHIP Perinatal programs.
- Company typePrivate
- Founded1998
- HeadquartersCorpus Christi, United States
- Headcount51–100
- GTM typeB2C
- OfferingServices
What Driscoll Health Plan does
Driscoll Health Plan is a non-profit, community-based Medicaid managed care organization founded in 1998 and headquartered in Corpus Christi, Texas. It operates as part of the Driscoll Health System alongside Driscoll Children's Hospital, serving low-income families, pregnant women, children, and children and young adults with disabilities across 24 South Texas counties spanning the Nueces service area and the Rio Grande Valley. The organization administers four core government-funded programs — STAR (Medicaid for low-income families and pregnant women), STAR Kids (Medicaid for individuals up to age 20 with disabilities), CHIP (low-cost coverage for children who do not qualify for Medicaid), and CHIP Perinatal (prenatal coverage).
The product platform combines these core coverage programs with integrated service modules: Case Management and Disease Management (CMDM) with one-on-one nurse coaching, the Get Ready for Baby maternity program, non-emergency medical transportation delivered through SafeRide Health, telemedicine, and a portfolio of value-added services including gift-card incentives, sports physicals, and wellness programs. The technology stack centers on a member portal for benefits and ID card management, a provider portal for claims and prior authorizations, and a SafeRide transportation scheduling portal. Pharmacy benefits are outsourced to Navitus Health Solutions, vision to Envolve, and dental to DentaQuest, MCNA Dental, and United Healthcare Dental across segments.
Revenue is generated through capitation payments from the Texas Health and Human Services Commission (HHSC) for STAR and STAR Kids members and sliding-scale enrollment fees ($0-$50 annually) plus co-pays for CHIP enrollees. The go-to-market model is sales-led through the Your Texas Benefits state enrollment portal, supplemented by community-led outreach (school partnerships, food banks, sports sponsorships, and police department autism training programs) and trusted-provider referrals within Driscoll Children's specialty network.
Driscoll Health Plan firmographics
Firmographics- Name
- Driscoll Health Plan
- Legal name
- Driscoll Health Plan
- Website
- https://driscollhealthplan.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Driscoll Health Plan is a nonprofit Medicaid managed care organization serving low-income families, pregnant women, children, and children with disabilities across 24 South Texas counties through STAR, STAR Kids, CHIP, and CHIP Perinatal programs.
- Ownership category
- akta.pro rank
Driscoll Health Plan industry classification
Industry- Product category
- Medicaid Managed Care
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicaid Managed Care HMOs (HLAEAMAI)
- akta.pro secondary industry
- Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC)
Keywords
Where Driscoll Health Plan is headquartered
LocationHeadquarters
- HQ city
- Corpus Christi
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Driscoll Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Marketing or Sales, Technology or R&D, Infrastructure, Supply Chain
Revenue model
- Medicaid Managed Care Premiums: Revenue generated through capitation payments from Texas HHSC for administering Medicaid-managed care programs (STAR, STAR Kids) for eligible low-income families, children, pregnant women, and individuals with disabilities
- CHIP Premium Revenue: Revenue from CHIP program premiums paid by families based on income levels, ranging from $0-$50 annual enrollment fees plus cost-sharing based on federal poverty level
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | STAR - No-cost Medicaid coverage for low-income families, pregnant women, children, and adults |
| Subscription | Annual | STAR Kids - No-cost Medicaid coverage for children and young adults (age 20 and younger) with disabilities |
| Subscription | Annual | CHIP - Low-cost coverage for children not qualifying for Medicaid |
| Subscription | Annual | CHIP Perinatal - Prenatal coverage for pregnant women not qualifying for STAR |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels5 records
Driscoll Health Plan product offering
Product offeringCore offering
Driscoll Health Plan is a non-profit, community-based Health Maintenance Organization (HMO) that administers Medicaid-managed care and CHIP health insurance programs in South Texas. It delivers healthcare coverage to low-income families, pregnant women, children, and individuals with disabilities across 24 counties, in partnership with Texas HHSC and Driscoll Children's Hospital.
Product overview
Driscoll Health Plan is a non-profit, community-based Medicaid-managed care health insurance organization serving South Texas. The company operates a platform-plus-programs model with three main coverage products: STAR (Medicaid-managed care for low-income families), STAR Kids (Medicaid-managed care for children with disabilities ages 20 and younger), and CHIP (low-cost coverage for children not qualifying for Medicaid). The company also offers CHIP Perinatal for pregnant women. These core coverage programs are supported by integrated service modules including Case Management and Disease Management (CMDM), Get Ready for Baby (maternity care), Transportation services via SafeRide Health, and Telemedicine. Value-Added Services provide additional member rewards and benefits.
Differentiator
Problem solved
Functional benefit
Products and services
- STAR
Companies that use Driscoll Health Plan
Customer profileNamed customers1 record
Segments4 records
Ideal customer profiles4 records
Driscoll Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature4 records
Driscoll Health Plan partnerships and signals
Strategic signalPartnerships
18 partnerships are on record, tiered minor and core.
- Texas Association of Community Health Plans (TACHP)minorState association representing community health plans. Featured Driscoll Health Plan's Nurture Program as a member spotlight for successful outcomes in supporting pregnant women.
- SafeRide HealthcoreNon-emergency medical transportation (NEMT) partner providing 24/7 transportation services to STAR and STAR Kids members at no cost. Services include curb-to-curb/door-to-door transport, wheelchair accommodations, and family/friend mileage reimbursement program.
- Navitus Health SolutionscorePharmacy benefit manager providing prescription drug services for members across all programs (STAR, STAR Kids, CHIP). Provider toll-free line: 1-877-571-7500.
- Envolve VisioncoreVision benefits provider for STAR and STAR Kids members. Provides eye exams and glasses through in-network providers.
- DentaQuestcoreDental services provider for STAR and CHIP members. Toll-free: 1-800-516-0165, Monday-Friday 8am-6pm CST.
- MCNA DentalcoreDental services provider for STAR and CHIP members. Toll-free: 1-855-691-6262, Monday-Friday 7am-7pm CST.
- United Healthcare DentalminorDental services provider for specific member populations (STAR Kids Hidalgo, CHIP Nueces).
- Avail SolutionscoreBehavioral health hotline provider for mental health and substance misuse support, available 24 hours/7 days a week.
- Driscoll Children's HospitalcoreAffiliated pediatric hospital providing specialty centers and clinics across South Texas. DHP is a vital part of the Driscoll Health System. Specialty locations include McAllen, Harlingen, Brownsville, Laredo, Rio Grande City, Eagle Pass, Edinburg, Victoria, and Weslaco.
- Texas Health and Human Services Commission (HHSC)coreState regulatory agency overseeing Texas Medicaid and CHIP programs. Partners through state enrollment systems (Your Texas Benefits) for member enrollment and program administration.
- Your Texas BenefitscoreState-operated online enrollment portal for Texas Medicaid and CHIP programs, used by members to apply, check eligibility, and renew benefits.
- Bebo's AngelsminorPartner for Autism Risk & Management Training program with police departments, including Brownsville Police Department.
- Texas Children in Nature Network (TCiNN)minorReceived $10,000 check to create Library Educational Adventure Pack (LEAP) program addressing health disparities through nature for South Texas families.
- Coastal Bend Food BankminorReceived $5,500 check for Culinary Kits for Kids Program providing weekly food kits with fresh, pre-portioned food items to at-risk children and families.
- The Right StartminorReceived $10,000 check for summer program for low-income children focused on healthy choices and staying active at nearby college/university campus.
- Rio Grande Valley VipersminorNBA G-League team partnered for Back to School Expo providing backpacks and school supplies to Edinburg, Texas community.
- Camp AranzazuminorPartner to bring two-day camp experience to Laredo for Health Plan members and community.
- Fishing's FutureminorPartnered for inaugural Hook It 2 Cook It event in Hidalgo, Texas providing fishing and cooking education for South Texas families.
Scale indicators4 records
Recent moves6 records
Expansion highlights4 records
Driscoll Health Plan competitors and assessment
Company assessmentOthers
Direct peers
- Superior HealthPlan: Centene-owned Medicaid MCO and the largest Texas Medicaid plan, operating STAR, STAR+PLUS, STAR Kids, and CHIP across most Texas service delivery areas. Directly comparable as a Texas Medicaid managed care competitor with overlapping programs.
- Texas Children's Health Plan: Houston-based nonprofit Medicaid and CHIP health plan affiliated with Texas Children's Hospital, serving children and pregnant women in the Harris service area. Highly comparable mission-driven, pediatric-focused, hospital-affiliated Medicaid MCO model.
- Cook Children's Health Plan: Dallas-Fort Worth-based nonprofit STAR and CHIP Medicaid plan affiliated with Cook Children's Health Care System. Directly comparable as a community-based, hospital-affiliated, pediatric-focused Texas Medicaid MCO.
- Community First Health Plans: San Antonio-based nonprofit HMO owned by University Health, offering STAR, STAR Kids, CHIP, and Marketplace plans in the Bexar service area. Directly comparable as a Texas regional nonprofit Medicaid MCO with similar safety-net provider affiliation.
- Parkland Community Health Plan: Dallas-based nonprofit Medicaid and CHIP health plan affiliated with Parkland Health. Directly comparable as a Texas hospital-affiliated, mission-driven Medicaid MCO serving a defined metropolitan service area.
- El Paso Health: El Paso-based nonprofit Medicaid HMO operating STAR, STAR+PLUS, and CHIP in the El Paso service area. Comparable as a Texas regional nonprofit Medicaid MCO serving a distinct border-region population with similar demographic profile to Driscoll's Rio Grande Valley members.
Broad incumbents
- UnitedHealthcare Community & State (Texas): UnitedHealth Group's Medicaid division operating STAR, STAR+PLUS, STAR Kids, and CHIP across most Texas SDAs as a large incumbent national insurer. Comparable as a Texas Medicaid MCO competitor with substantially greater scale.
- Molina Healthcare of Texas: Molina's Texas Medicaid arm offering STAR, STAR+PLUS, CHIP, and Marketplace plans across multiple Texas service areas. Directly comparable as a Medicaid-focused insurer with overlapping government program offerings.
- Aetna Better Health of Texas: CVS Health-owned Medicaid MCO operating STAR, STAR Kids, and CHIP in multiple Texas SDAs. Comparable as a national-scale Medicaid competitor with overlapping product portfolio.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Driscoll Health Plan social profiles
Digital presenceDriscoll Health Plan compliance and trust
Trust signalCompliance2 records
Driscoll Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
Driscoll Health Plan leadership team
Management profileNumber of profiles
Driscoll Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Driscoll Health Plan 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 Driscoll Health Plan
What does Driscoll Health Plan do?
Driscoll Health Plan is a non-profit, community-based Health Maintenance Organization (HMO) that administers Medicaid-managed care and CHIP health insurance programs in South Texas. It delivers healthcare coverage to low-income families, pregnant women, children, and individuals with disabilities across 24 counties, in partnership with Texas HHSC and Driscoll Children's Hospital.
Is Driscoll Health Plan a public or private company?
Driscoll Health Plan is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Driscoll Health Plan founded?
Driscoll Health Plan was founded in 1998. It employs 51 to 100 people.
Where is Driscoll Health Plan based?
Driscoll Health Plan is headquartered in Corpus Christi, United States, in the North America region.
How does Driscoll Health Plan make money?
Two revenue lines are on record. Medicaid Managed Care Premiums are the primary driver. The others are CHIP Premium Revenue.
Who are Driscoll Health Plan's main competitors?
Blue Cross and Blue Shield of Texas (Government Programs) is listed as an others. Direct peers are Superior HealthPlan, Texas Children's Health Plan, Cook Children's Health Plan, Community First Health Plans, Parkland Community Health Plan and El Paso Health. Broad incumbents are UnitedHealthcare Community & State (Texas), Molina Healthcare of Texas and Aetna Better Health of Texas.
Does Driscoll Health Plan have an API?
No public API is recorded for Driscoll Health Plan.
What industry is Driscoll Health Plan in?
Driscoll Health Plan's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAMAI, Medicaid Managed Care HMOs, with a secondary code of HLAEAEAC, Aged, Blind & Disabled (ABD) Managed Care Plans. Its SIC code is 6321.