New Hampshire Healthy Families

What New Hampshire Healthy Families does

NH Healthy Families (legal entity: Granite State Health Plan, Inc.) is a New Hampshire-based managed care organization founded in 2013 and headquartered in Bedford, NH. It operates two primary product lines under contract with state and federal payers. First, the NH Healthy Families Medicaid managed care plan is a contracted Managed Care Organization for the New Hampshire Department of Health and Human Services, providing comprehensive medical, behavioral health, pharmacy, vision, dental (where applicable), and non-emergency transportation coverage to Medicaid-eligible individuals and families statewide. Second, Ambetter from NH Healthy Families (underwritten by sibling Celtic Insurance Company) is a Qualified Health Plan on the federal Health Insurance Marketplace offering Bronze, Silver, and Gold tiers to individuals and families, with eligibility for premium tax credits; this marketplace product is being discontinued effective December 31, 2026.

The company is a wholly-owned subsidiary of Centene Corporation (NYSE: CNC), a Fortune 500 managed care enterprise, and runs on Centene's shared managed-care technology stack: claims processing, member and provider portals, prior authorization workflows, care management platforms, telehealth integration via Teladoc and MDLIVE, pharmacy benefit management through Express Scripts, specialty pharmacy through AcariaHealth, electronic funds transfer via PaySpan, community resource referrals via the Unite Us NH Care Connections platform, and HEDIS quality measurement tracking. NH Healthy Families has held the top NCQA quality rating among New Hampshire Medicaid health plans — 4.5 out of 5 stars in 2019-2020 and 2021, and 4.0 out of 5 stars in 2022.

NH Healthy Families generates revenue primarily through capitation premiums from the New Hampshire Medicaid program and individual marketplace premiums (Ambetter) for which federal subsidies may apply. Members are acquired via the state Medicaid enrollment process, the federal Health Insurance Marketplace (Healthcare.gov), direct website enrollment, broker relationships, and provider referrals. Revenue concentration is structurally high: the New Hampshire state government is the dominant counterparty, and the business is single-state, exposing the company to NH-specific Medicaid policy, procurement, and capitation rate decisions. The company reports 101-250 employees and operates predominantly as a brand-and-network entity rather than a technology-development entity, leveraging Centene's central infrastructure.

Name

New Hampshire Healthy Families

Legal name

Granite State Health Plan, Inc.

Website

https://nhhealthyfamilies.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

101–250 employees

Short description

NH Healthy Families is a wholly-owned Centene subsidiary that provides statewide Medicaid managed care and (until Dec 31, 2026) Ambetter Health Insurance Marketplace plans to New Hampshire residents, leveraging Centene's claims, pharmacy, prior authorization, and care management infrastructure.

Ownership category

akta.pro rank

Headquarters

HQ city

Bedford

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Revenue model

1. Medicaid Managed Care Premiums: NH Healthy Families receives capitation payments from the New Hampshire state government to manage healthcare coverage for Medicaid beneficiaries. The company assumes responsibility for providing comprehensive medical benefits to enrolled members in exchange for fixed monthly premiums per member.
2. Health Insurance Marketplace Premiums (Ambetter): Ambetter from NH Healthy Families operates as a Qualified Health Plan issuer in the New Hampshire Health Insurance Marketplace underwritten by Celtic Insurance Company. The company collects premium payments from individual enrollees and may receive government subsidies based on income levels.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

No content available for extraction.

Product overview

NH Healthy Families operates as a dual-product health insurance organization in New Hampshire. The core offering is the NH Healthy Families Medicaid managed care plan, which provides comprehensive healthcare coverage to families and individuals throughout the state. Alongside this, the organization offers Ambetter from NH Healthy Families as a Health Insurance Marketplace product with Bronze, Silver, and Gold plan options. The portfolio includes value-added programs such as Primary Care Connect for coordinated care, Start Smart for Your Baby for maternity support, My Health Pays Rewards for incentive-based wellness engagement, and Care Management services for members with complex health needs. Telehealth access is provided through MDLIVE and Teladoc partnerships, while transportation, vision, dental, and behavioral health services are coordinated through specialized vendor partnerships including Medical Transportation Management, Evolve, TurningPoint, and various mental health providers.

Differentiator

Problem solved

Functional benefit

Brands

• Ambetter Health: Health Insurance Marketplace plan brand offering bronze, silver, and gold tier coverage through the Affordable Care Act marketplace. Being discontinued effective December 31, 2026.

Quantifiable outcome

• 4.5 out of 5 NCQA Quality Rating (2019-2020, 2021) - Top rated NH Medicaid health plan
• +1 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration19 records

Feature5 records

Partnerships

20 partnerships are on record, tiered core and minor.

• Medical Transportation Management, Inc. (MTM)coreStrategic or Co-development PartnerMTM provides non-emergency medical transportation services for NH Healthy Families Medicaid members. Services include scheduling transportation to medical appointments, gas mileage reimbursement for family and friends transportation, and the MTM Link Member app for trip management.
• Teladoc HealthcoreTechnology or IntegrationTeladoc provides telehealth services for Ambetter members including virtual urgent care, dermatology, and general medical consultations available 24/7 through video or phone.
• Brightside HealthcoreTechnology or IntegrationBrightside Health provides virtual mental health services including therapy and psychiatry for Ambetter members age 13 and older.
• Grow TherapycoreTechnology or IntegrationGrow Therapy provides virtual mental health services including therapy and psychiatry for Ambetter members age 6 and older.
• Rula HealthcoreTechnology or IntegrationRula Health provides virtual mental health services including therapy for Ambetter members age 5 and older.
• Great SpeechcoreTechnology or IntegrationGreat Speech provides virtual speech therapy services for Ambetter members age 3 and older, offering therapy for articulation, autism, executive function, voice disorders, stroke recovery, and other conditions.
• National Imaging Associates (NIA)coreTechnology or IntegrationNIA manages prior authorization for imaging services including complex imaging, MRI, PET, CT scans, musculoskeletal services, cardiac procedures, and pain management for Ambetter members.
• TurningPoint HealthcarecoreTechnology or IntegrationTurningPoint manages musculoskeletal surgical quality and safety, and cardiac-related procedures for Ambetter members.
• EvolentcoreTechnology or IntegrationEvolent manages prior authorization for speech, occupational and physical therapy, complex imaging, musculoskeletal services, pain management, and spinal cord stimulator services for Ambetter and NH Healthy Families Medicaid members.
• CareCentrixcoreTechnology or IntegrationCareCentrix manages post-acute facility services including skilled nursing facilities (SNF), inpatient rehabilitation facilities (IRF), and long-term acute care hospitals (LTAC) for Ambetter members.
• Centene Vision ServicescoreTechnology or IntegrationCentene Vision Services manages vision care benefits including eye exams, frames, and lenses for NH Healthy Families members.
• Centene Dental ServicescoreTechnology or IntegrationCentene Dental Services manages dental care benefits for NH Healthy Families members with applicable dental coverage.
• SafeLink Wireless (Lifeline Program)minorStrategic or Co-development PartnerSafeLink Wireless Lifeline program provides free cell phones and monthly service discounts for eligible NH Healthy Families Medicaid members to improve communication access to healthcare services.
• Unite Us (NH Care Connections)coreStrategic or Co-development PartnerNH Care Connections powered by Unite Us connects NH Healthy Families members with community social services addressing social determinants of health including food assistance, housing, clothing, and other community resources.
• North Country ProvidersminorStrategic or Co-development PartnerNH Healthy Families partnered with North Country providers to fund programs focused on social determinants of health in underserved northern regions of New Hampshire.
• PaySpan HealthcoreTechnology or IntegrationPaySpan Health provides electronic funds transfer (EFT) and electronic remittance advice (ERA) services for provider payments, offering HIPAA-compliant claims payment processing.
• Boys & Girls Clubs of New HampshireminorStrategic or Co-development PartnerNH Healthy Families sponsors the Base Hits for Kids program in partnership with the NH Fisher Cats baseball team, supporting Boys & Girls Clubs of New Hampshire through donations and community engagement.
• New Hampshire Fisher CatsminorStrategic or Co-development PartnerNH Healthy Families partners with the New Hampshire Fisher Cats minor league baseball team on community initiatives including Base Hits for Kids program supporting local youth.
• New Hampshire Food BankminorStrategic or Co-development PartnerNH Healthy Families connects members with the New Hampshire Food Bank which operates mobile food pantries and food box pickups across the state to address food insecurity.
• AcariaHealthcoreTechnology or IntegrationAcariaHealth provides specialty pharmacy services for Ambetter members requiring specialized medications and pharmacy support.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Others

• Magellan Health: Specialty managed care company focused on behavioral health and complex care management — areas in which NH Healthy Families partners with vendors like Brightside, Rula, and Evolent; comparable as a behavioral health managed-care capability set rather than as a direct product competitor.

Broad incumbents

• Molina Healthcare: Large multi-state Medicaid managed care operator with similar state-by-state MCO model and heavy reliance on government contracts; broad incumbent peer with comparable revenue concentration and regulatory exposure.
• UnitedHealthcare of New England: National health insurer with significant NH presence across Medicaid (in some New England states), Medicare Advantage, and commercial; broader incumbent competing for the same employer and individual market pools.

Regional players

• Harvard Pilgrim Health Care: New England regional health plan operating in NH with commercial and Medicare products; overlapping geographic footprint and comparable health insurance product set though not a Medicaid specialist.
• Tufts Health Plan: New England nonprofit health plan offering Medicaid (in MA), commercial, and Medicare products; comparable product mix and regional footprint though operating primarily in Massachusetts rather than NH.

Direct peers

• Anthem Blue Cross and Blue Shield of New Hampshire: BCBS licensee in NH offering Medicaid (NH Healthy Families, AmeriHealth Caritas, etc.), Medicare Advantage, and commercial plans; the dominant commercial carrier in NH that NH Healthy Families also competes with on Marketplace where overlapping.
• Superior HealthPlan: Centene-owned Medicaid and Marketplace MCO operating in Texas; sister entity using the same Centene managed care platform, care management programs, and Ambetter brand, providing a direct operational benchmark for NH Healthy Families.
• WellSense Health Plan: Direct competitor Medicaid MCO serving New Hampshire Medicaid beneficiaries; competes head-to-head with NH Healthy Families for the same state contract and member population.
• AmeriHealth Caritas New Hampshire: Medicaid managed care competitor in New Hampshire holding a statewide Medicaid contract alongside NH Healthy Families and WellSense; directly comparable state Medicaid MCO peer.
• Ambetter from another state (e.g., Ambetter from Meridian, Ambetter from Superior): Other Centene-owned Ambetter Marketplace plans operating in other states under the same brand, technology stack, and distribution model; closest functional peers now that NH Ambetter is exiting.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/NHhealthy
• Facebookfacebook.com/nhhealthyfamilies
• LinkedInlinkedin.com/company/nh-healthy-families

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about New Hampshire Healthy Families