Summit Community Care
Summit Community Care is a Provider-Led Arkansas Medicaid PASSE that manages coordinated healthcare for beneficiaries with developmental disabilities or complex behavioral health needs under a state capitation model.
- Company typePrivate
- Founded2019
- HeadquartersLittle Rock, United States
- Headcount1–10
- GTM typeB2C
- OfferingServices
What Summit Community Care does
Summit Community Care is a Provider-Led Arkansas Shared Savings Entity (PASSE) that has operated under the Arkansas Medicaid program since March 2019. The organization manages healthcare services for Medicaid beneficiaries diagnosed with developmental disabilities or complex behavioral health needs, functioning as a managed care plan that receives capitation payments from the state and shares in savings and losses based on cost management performance. Members are assigned to Summit through a state-administered independent assessment process conducted by Optum, with the option to switch PASSEs within 90 days of enrollment. The company is headquartered in Little Rock, Arkansas, and holds three NCQA accreditations (Health Plan, Health Equity, and Health Equity Plus).
Summit Community Care firmographics
Firmographics- Name
- Summit Community Care
- Legal name
- Summit Community Care
- Website
- https://summitcommunitycare.com
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Summit Community Care is a Provider-Led Arkansas Medicaid PASSE that manages coordinated healthcare for beneficiaries with developmental disabilities or complex behavioral health needs under a state capitation model.
- Ownership category
- akta.pro rank
Summit Community Care industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC)
Keywords
Where Summit Community Care is headquartered
LocationHeadquarters
- HQ city
- Little Rock
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Summit Community Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Supply Chain, Technology or R&D, Infrastructure, Marketing or Sales
Revenue model
- Medicaid Capitation Payments: Summit Community Care operates as a Provider-Led Arkansas Shared Savings Entity (PASSE), receiving capitation payments from the Arkansas Medicaid program to manage healthcare services for assigned beneficiaries with developmental disabilities or behavioral health needs. The organization shares in both savings and losses based on healthcare cost management performance.
Go-to-market motion1 record
Distribution channels2 records
Marketing channels4 records
Summit Community Care product offering
Product offeringCore offering
Summit Community Care is a Provider-Led Arkansas Shared Savings Entity (PASSE) that provides coordinated healthcare services to Arkansas Medicaid beneficiaries with developmental disabilities or complex behavioral health needs. Its core offering is a comprehensive Medicaid health plan delivering medical, pharmacy, specialty pharmacy, vision, behavioral health, and care management services through dedicated care coordinators and a contracted provider network. The organization is funded by capitation payments from the Arkansas Medicaid program and shares in both savings and losses based on healthcare cost management performance.
Product overview
Summit Community Care is a Provider-Led Arkansas Shared Savings Entity (PASSE) that operates as a coordinated care platform serving Medicaid beneficiaries with developmental disabilities or complex behavioral health needs. The platform centers on a care management model providing benefits administration through CarelonRx for pharmacy, EyeMed for vision, and comprehensive behavioral health services. Key products include the Member Secure Application portal for self-service, the Care Management program with dedicated coordinators, the Taking Care of Baby and Me maternal health program, and the Cancer Care Navigator program. Additional offerings span Health and Wellness Resources with health education content and interactive tools, a Quality Management Program for care oversight, and a Healthy Rewards incentive program. The architecture combines core benefits delivery with specialized care programs and member engagement tools to provide coordinated, personalized healthcare support.
Differentiator
Problem solved
Functional benefit
Products and services
- Summit Community Care PASSE Plan A Provider-Led Arkansas Shared Savings Entity (PASSE) health plan serving Medicaid beneficiaries in Arkansas with developmental disabilities or complex behavioral health needs, providing coordinated healthcare services and support to help members maintain their health and independence.
- Summit Community Care Benefits Package Comprehensive Medicaid benefits including doctor visits, prescription medicines, specialty services, preventive care, and behavioral health services, designed to support members with developmental disabilities or behavioral health needs.
- Pharmacy Benefits Prescription and over-the-counter drug coverage provided through CarelonRx, including specialty pharmacy services for complex medication needs, available to plan members.
- Specialty Pharmacy Specialized pharmacy services for members requiring complex or specialty medications, integrated with the overall pharmacy benefits program administered by CarelonRx.
- Care Management One-on-one support through care coordinators and case managers (nurses and social workers) who help members navigate healthcare services, develop personalized care plans, and connect with community resources.
- Getting Care 24/7 Round-the-clock access to care including a 24/7 Nurse Line, urgent care guidance, emergency care coordination, and behavioral health services without requiring PCP referrals.
- Taking Care of Baby and Me Program Maternal health program providing OB case management, pregnancy resources, prenatal and postpartum incentive programs, and support for high-risk pregnancies including NICU support.
- Cancer Care Navigator Program Oncology support program providing a team of nurses and healthcare providers to help members diagnosed with cancer navigate treatment, simplify care coordination, and access dietary, medication management, and after-hours support services.
- Member Secure Web Application Online member portal enabling PCP changes, ID card viewing and printing, secure messaging with Member Services, prescription management, and address updates.
- Healthy Rewards Program Wellness incentive program offering rewards for completing health checkups and screenings, including a $25 prenatal visit incentive for first trimester visits and a $50 postpartum visit incentive for visits 7-84 days after delivery.
- Vision Benefits Vision care coverage managed through EyeMed, providing access to eye care providers, eye exams, and vision services for plan members.
- Behavioral Health Services Mental health and substance use disorder services including inpatient and outpatient behavioral health, partial hospitalization, and treatment services, available to members without PCP referral.
Quantifiable outcome
- Members receive personalized care plans designed for individual needs
- +1 more outcomes
Companies that use Summit Community Care
Customer profileNamed customers2 records
Segments2 records
Ideal customer profiles2 records
Summit Community Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Summit Community Care partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- CarelonRxcorePharmacy benefits manager providing prescription drug coverage. Summit Community Care partners with CarelonRx to provide pharmacy benefits including specialty pharmacy services to members.
- EyeMedcoreVision benefits manager providing eye care coverage. EyeMed manages vision benefits including eye exams and eyewear for Summit Community Care members.
- OptumcoreHealthcare services partner conducting independent assessments for PASSE beneficiaries. Members contact Optum at 844-809-9538 to schedule reassessments as required for renewal.
- Arkansas Division of Medical Services (DMS) PASSE Ombudsman OfficecoreState regulatory partner providing oversight and dispute resolution for PASSE-related issues. Members who cannot resolve issues with Summit Community Care can contact the DMS PASSE Ombudsman Office for assistance.
- American Lung AssociationminorHealth education partner providing asthma education resources, including video content about asthma attacks and lung health information.
- American Diabetes AssociationminorHealth education partner providing diabetes management resources, glycemic index information, and living with diabetes program access.
Scale indicators2 records
Recent moves6 records
Expansion highlights4 records
Summit Community Care competitors and assessment
Company assessmentDirect peers
- Empower Healthcare Solutions: Empower Healthcare Solutions is another certified Provider-Led Arkansas Shared Savings Entity (PASSE) serving Medicaid beneficiaries with developmental disabilities and behavioral health needs. It is the most direct competitor to Summit in the same geography, contract structure, and target population.
- Arkansas Total Care: Arkansas Total Care is a competing Arkansas PASSE serving the same Medicaid DD/behavioral-health population under the same state contract framework. It is backed by Centene and competes directly with Summit for state-assigned beneficiaries in Arkansas.
Broad incumbents
- Centene Corporation: Centene is the largest US Medicaid managed care insurer and the parent of Arkansas Total Care. Centene competes broadly with Summit across multiple state Medicaid programs and serves complex-needs populations with similar care-coordination infrastructure at much greater scale.
- Elevance Health (Anthem): Elevance Health operates Anthem-affiliated Medicaid health plans across multiple states and appears connected to Summit via the [email protected] reporting channel. Comparable as a large multi-state Medicaid managed care operator with deep government-program expertise.
- Molina Healthcare: Molina Healthcare is a major national Medicaid managed care organization with significant ABD and behavioral health membership. Comparable to Summit as a government-program-focused MCO serving complex Medicaid populations, though at substantially larger scale.
- UnitedHealth Group: UnitedHealth Group operates UnitedHealthcare Community & State, one of the largest US Medicaid MCOs, and its Optum arm performs eligibility assessments for Summit's PASSE members. Comparable as a Medicaid managed care incumbent and ecosystem partner for state Medicaid programs.
- Humana: Humana operates Medicaid managed care plans in multiple states, often with a focus on complex and dual-eligible populations. Comparable to Summit as a diversified government-program health plan serving similar Medicaid subpopulations.
- CareSource: CareSource is a nonprofit Medicaid managed care plan operating across multiple states with focus on government-sponsored populations including those with disabilities and behavioral health needs. Comparable to Summit as a mission-driven Medicaid MCO serving complex populations.
Emerging players
- Magellan Health: Magellan Health specializes in behavioral health and complex-care management for Medicaid and other government populations. Comparable to Summit's behavioral-health service line and care-coordination capabilities, with overlap in specialty population management.
Others
- CarelonRx: CarelonRx (an Elevance Health company) is Summit's pharmacy benefits manager partner for prescription and specialty pharmacy services. Included as an ecosystem partner given its integral role in Summit's benefit delivery and shared Medicaid expertise.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks7 records
Key highlights7 records
Customer concentration
Summit Community Care social profiles
Digital presenceSummit Community Care compliance and trust
Trust signalCompliance7 records
Summit Community Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Summit Community Care leadership team
Management profileNumber of profiles
Summit Community Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Summit Community 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 Summit Community Care
What does Summit Community Care do?
Summit Community Care is a Provider-Led Arkansas Shared Savings Entity (PASSE) that provides coordinated healthcare services to Arkansas Medicaid beneficiaries with developmental disabilities or complex behavioral health needs. Its core offering is a comprehensive Medicaid health plan delivering medical, pharmacy, specialty pharmacy, vision, behavioral health, and care management services through dedicated care coordinators and a contracted provider network. The organization is funded by capitation payments from the Arkansas Medicaid program and shares in both savings and losses based on healthcare cost management performance.
Is Summit Community Care a public or private company?
Summit Community Care is a private company. It is classified as unknown and is currently operating.
When was Summit Community Care founded?
Summit Community Care was founded in 2019. It employs 1 to 10 people.
Where is Summit Community Care based?
Summit Community Care is headquartered in Little Rock, United States, in the North America region.
How does Summit Community Care make money?
One revenue line is on record: medicaid Capitation Payments.
Who are Summit Community Care's main competitors?
Direct peers on record are Empower Healthcare Solutions and Arkansas Total Care. Broad incumbents are Centene Corporation, Elevance Health (Anthem), Molina Healthcare, UnitedHealth Group, Humana and CareSource. Magellan Health is listed as an emerging player. CarelonRx is listed as an others.
Does Summit Community Care have an API?
No public API is recorded for Summit Community Care.
What industry is Summit Community Care in?
Summit Community Care's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAC, Aged, Blind & Disabled (ABD) Managed Care Plans. Its NAICS code is 624120 and its SIC code is 6324.