Monroe Plan for Medical Care

What Monroe Plan for Medical Care does

Monroe Plan for Medical Care is a non-profit, privately held B2B healthcare services organization headquartered in Pittsford, New York, now operating under the Elm & Oak Health brand following a 2026 consolidation that unified Monroe Plan for Medical Care and MP CareSolutions. Founded in 1970 by a group of progressive-minded physicians in Western New York, the organization delivers population-health, care management, utilization management, health-equity, Health Home, and value-based-contracting services to providers, payers, state agencies, and community organizations across New York State, with stated reach extending beyond the state. Its core technology is described as a healthcare analytics platform that combines data-driven insights with high-touch human support to manage whole-person health outcomes spanning physical health, behavioral health, and social determinants. The organization anchors delivery through an IPA network representing nearly 12,000 healthcare professionals across New York State and reports 79,000+ lives touched by its services.

Name

Monroe Plan for Medical Care

Legal name

Monroe Plan for Medical Care

Website

https://monroeplan.com

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

101–250 employees

Short description

Monroe Plan for Medical Care, now operating as Elm & Oak Health, is a non-profit B2B healthcare services organization founded in 1970 that delivers population health, care management, utilization management, and value-based contracting solutions to providers, payers, and state agencies across New York State through an IPA of nearly 12,000 healthcare professionals.

Ownership category

akta.pro rank

Product category

Managed Healthcare Services

NAICS

Individual and Family Services (6241), Other Individual and Family Services (624190), Emergency and Other Relief Services (62423)

SIC

Services-Health Services (8000)

akta.pro primary industry

Care Management & Population Health Program Administration (HLAEALAG)

akta.pro secondary industries

Risk Stratification & Predictive Modeling (utilization, cost, readmission) (HLACAHAB), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)

Keywords

• Care management services
• Population health management
• Healthcare analytics services
• Health equity programs
• IPA network services

Headquarters

HQ city

Pittsford

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Healthcare Services Revenue: Revenue generated through partnerships with healthcare providers, payers, state agencies, and communities for care management, utilization management, health equity initiatives, and population health services

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Monroe Plan for Medical Care (now operating as Elm & Oak Health) is a not-for-profit healthcare services organization that delivers care management, population health, health equity, healthcare analytics, utilization management, health home care management, and value-based contracting services to healthcare providers, payers, healthcare systems, and state agencies. Its offerings are operationalized through an Independent Practice Association (IPA) network of nearly 12,000 healthcare professionals across New York State and are designed to improve outcomes for vulnerable populations by combining high-touch human support with data-driven analytics.

Product overview

Elm & Oak Health (formerly Monroe Plan for Medical Care) operates as an integrated healthcare services organization offering a platform of partner solutions for providers, healthcare systems, communities, and state agencies. The portfolio includes Care Management, Health Equity, Health Home Care Management, Healthcare Analytics, Population Health, Utilization Management, and Value-Based Contracting & Quality as core service modules. Community Services division provides Community Programs, Social Care Network Navigation, and Safe Options Support (SOS). The company also maintains a Provider Network of nearly 12,000 healthcare professionals across New York State through IPA membership. Former subsidiaries Monroe Plan for Medical Care and MP CareSolutions were unified under the Elm & Oak Health brand in 2026. The organization serves vulnerable populations with a model combining data-driven insights and high-touch human support.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Management High-touch care coordination services designed to improve patient outcomes and reduce healthcare costs through personalized support and intervention, delivered to providers, healthcare systems, communities, and state agencies.
• Health Equity Services focused on reducing health disparities and ensuring equitable access to healthcare resources for vulnerable populations, delivered to providers, communities, and state agencies.
• Health Home Care Management Care management services provided through New York State's Health Home program, coordinating services for individuals with chronic conditions.
• Healthcare Analytics Data-driven insights and analytics services to help healthcare organizations make informed decisions, measure outcomes, and improve population health.
• Population Health Comprehensive approaches to managing the health outcomes of specific populations, focusing on prevention, intervention, and chronic disease management, integrating physical health, behavioral health, and social determinants of health.
• Utilization Management Review and management of healthcare resource utilization to ensure appropriate care delivery, reduce unnecessary services, and control costs, primarily for payers and providers.
• Value-Based Contracting & Quality Programs supporting healthcare organizations in transitioning from fee-for-service to value-based care models, including quality measurement and performance optimization.
• Community Programs Local health initiatives and programs designed to serve community needs and improve health outcomes at the grassroots level for vulnerable populations.
• Social Care Network Navigation Services helping individuals navigate social care resources, connecting them with community support services beyond traditional healthcare.
• Safe Options Support (SOS) Support services providing safe options and resources for individuals in vulnerable situations.
• Provider Network / IPA Membership Network of nearly 12,000 healthcare professionals across New York State, offering Independent Practice Association (IPA) membership for providers to participate in value-based care arrangements.

Quantifiable outcome

• 79,000+ lives touched by their healthcare services

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Physician Founders (Western New York)coreStrategic or Co-development Partner · 1 January 1970Founded in 1970 by a small group of progressive-minded physicians in Western New York. This founding partnership established the organization's roots in community-based healthcare and set the foundation for their population health approach.
• IPA Network (Independent Practice Association)coreStrategic or Co-development PartnerRepresents a network of nearly 12,000 healthcare professionals across New York State through their IPA membership structure, enabling coordinated care delivery and population health management.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• SOMOS Innovation Healthcare IPA: A New York-based Independent Practice Association network serving Medicaid and underserved populations with care management and value-based contracting services. Directly comparable as a regional IPA with physician-network roots delivering population health services to vulnerable populations.
• Hudson Valley Care: A Hudson Valley / New York regional care management organization providing care coordination, population health, and provider network services to Medicaid beneficiaries. Closely mirrors Monroe Plan's regional IPA-plus-care-management model in an adjacent NY geography.
• Care Compass Network: A New York Performing Provider System (PPS) and care management organization coordinating population health, behavioral health, and social care services across upstate New York. Highly comparable as a regional care management/PHMO serving Medicaid populations.
• Partners Health Plan: A New York-based care coordination organization serving individuals with intellectual and developmental disabilities through managed care and care management. Comparable as a NY regional PHMO with state agency partnerships and high-touch care management for vulnerable populations.
• Public Health Solutions: A New York-based non-profit public health organization providing health insurance enrollment, social care navigation, and community health programs. Comparable as a NY-focused non-profit delivering social care and population health services to vulnerable populations.
• Healthix: One of the largest public health information exchanges (RHIOs) in New York, providing population health data and analytics infrastructure to providers, payers, and state agencies. Comparable as a NY-based healthcare analytics and population health platform, though focused on data infrastructure rather than direct care management.

Broad incumbents

• Beacon Health Options (now Carelon Behavioral Health): A large national behavioral health managed care and care management organization. Comparable to Monroe Plan's care management and utilization management capabilities, but at significantly larger scale and with a broader geographic footprint.
• Healthfirst: A major New York-based not-for-profit health plan serving Medicaid, Medicare, and individual market members with strong care management programs. Overlaps with Monroe Plan in serving NY Medicaid populations and partnering with the same provider ecosystem, but operates as a payer rather than a care management vendor.
• EmblemHealth: A large New York-based not-for-profit health insurer with care management and population health programs serving Medicaid and commercial members. Comparable in mission, NY geography, and emphasis on serving vulnerable populations, but with broader plan ownership and a much larger membership base.
• CareSource: A national non-profit managed care plan focused on Medicaid, Marketplace, and Medicare populations with strong care management infrastructure. Comparable to Monroe Plan as a non-profit serving government-sponsored populations with care management, but operates across multiple states at substantially larger scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/monroe-plan-for-medical-care

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Monroe Plan for Medical Care