Coordinated Care
Coordinated Care is a Washington-based managed care organization and wholly owned subsidiary of Centene Corporation, serving over 200,000 members through Medicaid (Apple Health), foster care, Medicare Advantage, and Ambetter Marketplace plans across Washington state.
- Company typePrivate
- Founded2016
- HeadquartersTacoma, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What Coordinated Care does
Coordinated Care is a Washington-based managed care organization and wholly owned subsidiary of Centene Corporation (NYSE: CNC), serving more than 200,000 members across the state. The company operates four core insurance product lines: Washington Apple Health (Medicaid managed care), Apple Health Core Connections (statewide foster care managed care, awarded through competitive bidding in 2016), Ambetter from Coordinated Care (Qualified Health Plans sold through the Washington Health Benefit Exchange), and Medicare Advantage (offered in partnership with the Wellcare brand). Members are predominantly low-income Medicaid enrollees, foster care youth, marketplace individual and family purchasers, and Medicare-eligible seniors and disabled individuals.
The company runs a capitated managed-care administration model integrated with Washington state Medicaid systems, including ProviderOne for eligibility verification, and supports care coordination across physical health, behavioral health, pharmacy, and vision benefits. The technology stack includes HIPAA-compliant PHI handling, machine-readable JSON files for Transparency in Coverage compliance, integrations with PaySpan Health for electronic remittance, Express Scripts as the pharmacy benefit manager, National Imaging Associates for imaging management, Evolut for provider clinical policies, and Google Analytics for web analytics. Member-facing surface area includes the Ambetter mobile app, Ambetter Telehealth for virtual 24/7 care, the Ambetter HealthHub portal, and the Healthy Rewards / My Health Pays rewards programs. The operation holds NCQA Health Plan Accreditation and NCQA Health Equity Accreditation, with multi-language support across 15 languages.
Revenue is generated through per-member-per-month premium payments from Washington state government agencies (Medicaid and Foster Care contracts), individual Marketplace premiums subject to Washington Office of the Insurance Commissioner approval, and Medicare Advantage capitation. Distribution is multi-channel, combining the Washington Healthplanfinder exchange, licensed brokers and navigators, regional county-level contacts, and direct member services via call centers. The company has no independent funding rounds, no M&A activity, and operates exclusively within Washington state, with growth signals concentrated in accelerating premium rate increases (10.7% in 2025, 21% in 2026, 22.4% requested for 2027) and continued product-surface expansion rather than geographic or membership expansion.
Coordinated Care firmographics
Firmographics- Name
- Coordinated Care
- Legal name
- Coordinated Care of Washington, Inc.
- Website
- https://coordinatedcarehealth.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Coordinated Care is a Washington-based managed care organization and wholly owned subsidiary of Centene Corporation, serving over 200,000 members through Medicaid (Apple Health), foster care, Medicare Advantage, and Ambetter Marketplace plans across Washington state.
- Ownership category
- akta.pro rank
Coordinated Care industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Nursing and Residential Care Facilities (623), Home Health Care Services (6216)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicaid Expansion (ACA Adult) Managed Care Plans (HLAEAEAB)
- akta.pro secondary industry
- Integrated Primary Care in Behavioral Health Settings (HLAFAGAM)
Keywords
Where Coordinated Care is headquartered
LocationHeadquarters
- HQ city
- Tacoma
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Coordinated Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Managed Care Premiums: Coordinated Care generates revenue through premium payments from Medicaid (Apple Health), Medicare Advantage, and individual Marketplace (Ambetter) members. The organization operates as a capitated managed care organization receiving per-member-per-month payments to administer healthcare benefits.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Individual health insurance market plans |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels6 records
Coordinated Care product offering
Product offeringCore offering
Coordinated Care is a Washington State managed care organization that administers government-sponsored and commercial health insurance plans, including Washington Apple Health (Medicaid), Apple Health Core Connections (Foster Care), Medicare Advantage, and Ambetter Marketplace Qualified Health Plans. The company operates as a capitated managed care plan receiving per-member-per-month payments, coordinating physical health, behavioral health, pharmacy, vision, and dental benefits for more than 200,000 members statewide.
Product overview
Coordinated Care is a Washington-based managed care organization and wholly owned subsidiary of Centene Corporation, providing health insurance to over 200,000 members across multiple product lines. The company operates a platform-plus-products architecture offering four core insurance products: Washington Apple Health (Medicaid), Apple Health Core Connections (foster care), Medicare Advantage, and Ambetter from Coordinated Care (Marketplace/QHP). These core products are supplemented by modular add-on services including Ambetter Telehealth (virtual care), My Health Pays Rewards Program, Start Smart for Your Baby (maternity), Care Management, Health Management Programs, Nurse Advice Line, Coordinated Care Harvest Bucks (food incentives), Healthy Kids Club, and a Mobile App. The company emphasizes whole-person care, treating members holistically across physical and behavioral health, with focus on underserved communities and vulnerable populations including foster youth and those with complex health needs.
Differentiator
Problem solved
Functional benefit
Brands
- My Health Pays Rewards: Rewards program where members earn rewards for taking charge of their health
- Ambetter Telehealth
- Start Smart for Your Baby
- Apple Health Core Connections
Products and services
- Washington Apple Health Plan (Medicaid) Washington Medicaid managed care plan providing comprehensive health coverage including physical health, behavioral health, pharmacy, routine vision, and dental for eligible Washington residents.
- Apple Health Core Connections (Foster Care) Managed care program for children and youth in foster care, extended foster care, adoption support, young adult alumni of foster care, and children reunified with parents. Provides coordinated healthcare with trauma-informed care focus.
- Ambetter from Coordinated Care (Marketplace QHP) Qualified Health Plan offered through Washington Health Benefit Exchange (Marketplace). Provides individual and family health insurance coverage with essential health benefits, preventive care, and rewards programs.
- Medicare Advantage Plan Medicare Advantage plan providing coverage for Medicare-eligible individuals, combining hospital, medical, and often prescription drug coverage.
- Ambetter Telehealth Virtual 24/7 care service allowing members to connect with doctors via video and phone for medical consultations without in-person visits.
- My Health Pays Rewards Program Rewards program allowing members to earn dollar rewards for completing healthy activities and preventive care, redeemable for pharmacy cost share at Hy-Vee and Walmart.
- Start Smart for Your Baby Maternity health program providing support for pregnant members through education, care coordination, and resources for a healthy pregnancy and baby.
- Care Management Personalized care coordination services helping members manage chronic conditions, navigate healthcare systems, and access appropriate resources.
- Nurse Advice Line 24/7 nurse advice line providing members with round-the-clock access to registered nurses for health guidance and triage.
- Coordinated Care Harvest Bucks Healthy food incentive program providing members with funds to purchase fresh produce and healthy food items at participating locations.
- Ambetter Health Mobile App Mobile application enabling members to manage healthcare on-the-go, access digital ID cards, view claims, find in-network providers, and check coverage.
Companies that use Coordinated Care
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles4 records
Coordinated Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration9 records
Coordinated Care partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- Seattle SeahawkscoreCoordinated Care partnered with the Seattle Seahawks to host the third annual Strong Youth Strong Communities Summit at Lumen Field, bringing together over 300 students to address youth mental health. The partnership includes community events focused on youth wellness and belonging.
- Sandy Hook PromisecoreCoordinated Care partnered with Sandy Hook Promise for the No One Eats Alone Day initiative, supporting 35 schools across Washington and 5,000 schools nationwide. The program helps students combat social isolation and build connections with classmates.
- Sea Mar Community Health CenterscoreCoordinated Care partnered with Sea Mar Community Health Centers to establish a $100,000 endowed scholarship supporting underrepresented students pursuing careers in dentistry. The scholarship aims to address healthcare provider shortages and strengthen diversity in Washington's dental workforce.
- University of WashingtoncoreUniversity of Washington is the recipient institution for the $100,000 endowed scholarship created through partnership with Coordinated Care and Sea Mar Community Health Centers to support underrepresented students in dentistry.
Scale indicators2 records
Recent moves5 records
Expansion highlights4 records
Coordinated Care competitors and assessment
Company assessmentDirect peers
- Community Health Plan of Washington: Washington-state nonprofit managed care organization offering Medicaid, Medicare Advantage, and Marketplace plans. Directly competes with Coordinated Care across the same Apple Health contracts and Washington Health Benefit Exchange.
- Molina Healthcare: National Medicaid-focused managed care company that operates Molina Healthcare of Washington. Competes head-to-head with Coordinated Care for Washington Apple Health contracts and runs a similar government-program MCO model.
- Premera Blue Cross: Largest Washington-based health plan offering individual, Medicare Advantage, and some Medicaid-adjacent products. A direct Marketplace and Medicare Advantage competitor within Coordinated Care's core Washington geography.
- Kaiser Foundation Health Plan of Washington: Integrated provider-payer system offering Medicare Advantage, individual, and group plans in Washington. Competes for the same Washington MA and Marketplace members as Coordinated Care, though with a vertically integrated care model.
- Amerigroup (Elevance Health): Medicaid managed care subsidiary of Elevance Health (formerly Anthem) that participates in Washington Medicaid programs. Closely comparable as a multi-state Medicaid MCO with similar government contract dependency.
- WellCare: Sister Centene subsidiary focused on Medicaid and Medicare Advantage. Operates the same business model as Coordinated Care under shared Centene infrastructure, making it a near-identical peer for benchmarking.
Broad incumbents
- UnitedHealthcare: Largest U.S. health insurer offering Medicaid, Medicare Advantage, and Marketplace plans in Washington through UnitedHealthcare Community Plan. Operates broader portfolio but directly competes in WA Apple Health and Ambetter-equivalent exchange products.
- Humana: Major Medicare Advantage-focused insurer with Washington presence. Direct peer for Coordinated Care's Medicare Advantage product line, though Humana does not operate Medicaid in Washington.
Regional players
- BridgeSpan Health: Pacific Northwest health plan offering individual and family Marketplace plans in Washington and Oregon. A regional peer competing in the Washington Health Benefit Exchange against Ambetter from Coordinated Care.
- PacificSource Health Plans: Nonprofit health plan serving Washington, Oregon, Idaho, and Montana with individual, Medicare Advantage, and Medicaid products. Regional peer overlapping with Coordinated Care's Washington footprint.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Coordinated Care social profiles
Digital presenceCoordinated Care compliance and trust
Trust signalCompliance6 records
Coordinated Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Coordinated Care leadership team
Management profileNumber of profiles
Coordinated Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Coordinated 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 Coordinated Care
What does Coordinated Care do?
Coordinated Care is a Washington State managed care organization that administers government-sponsored and commercial health insurance plans, including Washington Apple Health (Medicaid), Apple Health Core Connections (Foster Care), Medicare Advantage, and Ambetter Marketplace Qualified Health Plans. The company operates as a capitated managed care plan receiving per-member-per-month payments, coordinating physical health, behavioral health, pharmacy, vision, and dental benefits for more than 200,000 members statewide.
Is Coordinated Care a public or private company?
Coordinated Care is a private company. It is classified as corporate owned and is currently operating.
When was Coordinated Care founded?
Coordinated Care was founded in 2016. It employs 251 to 500 people.
Where is Coordinated Care based?
Coordinated Care is headquartered in Tacoma, United States, in the North America region.
How does Coordinated Care make money?
One revenue line is on record: managed Care Premiums.
Who are Coordinated Care's main competitors?
Direct peers on record are Community Health Plan of Washington, Molina Healthcare, Premera Blue Cross, Kaiser Foundation Health Plan of Washington, Amerigroup (Elevance Health) and WellCare. Broad incumbents are UnitedHealthcare and Humana. Regional players are BridgeSpan Health and PacificSource Health Plans.
Does Coordinated Care have an API?
Yes. Coordinated Care offers machine-readable files in JSON format for product, formulary, and provider network information as required by Transparency in Coverage rules. These files can be downloaded by third parties to review pricing, network rates, and allowed amounts. The JSON file directory provides access to product, formulary, and provider data. Additionally, PaySpan Health integration provides electronic remittance advices via HIPAA 835 format for download to practice management systems. Developer documentation is at api.centene.com/ambetter/reference/cms-data-index.json.
What industry is Coordinated Care in?
Coordinated Care's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEAEAB, Medicaid Expansion (ACA Adult) Managed Care Plans, with a secondary code of HLAFAGAM, Integrated Primary Care in Behavioral Health Settings. Its NAICS code is 623 and its SIC code is 6324.