Jai Medical Systems
Jai Medical Systems is a Maryland Medicaid Managed Care Organization that delivers HealthChoice benefits, case and disease management, and member/provider self-service portals to Maryland Medicaid recipients, funded by state capitation payments.
- Company typePrivate
- Founded1997
- HeadquartersHunt Valley, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Jai Medical Systems does
Jai Medical Systems Managed Care Organization, Inc. is a private, for-profit Managed Care Organization headquartered at 5010 York Road, Baltimore, Maryland. Founded in 1997, the company delivers Medicaid managed care services exclusively to Maryland Medicaid recipients under the state's HealthChoice program. It holds NCQA Health Plan Accreditation with a 4.5/5 rating in the 2022-2023 cycle, and is recognized as the Highest Rated Medicaid Health Plan in Maryland and one of the Top-Rated Medicaid health plans nationally, including four consecutive years of highest national NCQA ratings and a Maryland Department of Health #1 Quality ranking.
The company's core platform supports member enrollment, provider network management, case and disease management, and HEDIS-based quality assurance. Member- and provider-facing self-service is delivered through HealthX-powered portals, supplemented by a 24/7 nurse advice line, a Healthy Rewards incentive program, and care coordination programs spanning hypertension, asthma, diabetes, HIV/AIDS, and maternal health (MOM Program, Centering Pregnancy, Doulas, Home Visiting Services, Healthy Steps). The company operates with 101-250 employees and supports 18+ languages to serve Maryland's diverse Medicaid population.
Jai Medical Systems generates revenue through capitation payments received from the State of Maryland for each enrolled Medicaid member; members do not pay separate premiums. Distribution runs through the State of Maryland Enrollment Broker (1-855-642-8572) for member acquisition and through direct provider recruitment for network expansion. The company is single-state, single-product, and single-payer in structure, with all operational, regulatory, and revenue dependencies concentrated in Maryland Medicaid.
Jai Medical Systems firmographics
Firmographics- Name
- Jai Medical Systems
- Legal name
- Jai Medical Systems Managed Care Organization, Inc.
- Website
- https://jaimedicalsystems.com
- Company type
- Private
- Founded year
- 1997
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Jai Medical Systems is a Maryland Medicaid Managed Care Organization that delivers HealthChoice benefits, case and disease management, and member/provider self-service portals to Maryland Medicaid recipients, funded by state capitation payments.
- Ownership category
- akta.pro rank
Jai Medical Systems industry classification
Industry- Product category
- Medicaid Managed Care
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)
Keywords
Where Jai Medical Systems is headquartered
LocationHeadquarters
- HQ city
- Hunt Valley
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Jai Medical Systems business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Medicaid Capitation Premiums: Jai Medical Systems generates revenue as a Managed Care Organization (MCO) by receiving capitation payments from the State of Maryland for each enrolled Medicaid member. The company provides comprehensive healthcare benefits including standard HealthChoice benefits plus additional services such as free transportation and annual eye exams.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Maryland Medicaid managed care coverage |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels5 records
Jai Medical Systems product offering
Product offeringCore offering
Jai Medical Systems is a Maryland Medicaid Managed Care Organization (MCO) that delivers HealthChoice benefits to eligible Maryland Medicaid recipients. The organization provides comprehensive medical, pharmacy, and care coordination services, supplemented by value-added benefits such as free transportation to primary care appointments, annual eye exams, and health education, and operates disease management programs for chronic conditions including hypertension, asthma, diabetes, and HIV/AIDS.
Product overview
Jai Medical Systems operates as a unified Managed Care Organization offering Maryland Medicaid beneficiaries a comprehensive healthcare platform. The core offering combines standard HealthChoice Medicaid benefits with value-added services including free transportation to primary care appointments, annual eye exams, and health education. The organization delivers care coordination through its Case Management and Disease Management Programs, specifically addressing hypertension, asthma, diabetes, HIV/AIDS, and maternal health through programs like the MOM Program, Centering Pregnancy, Doulas, Home Visiting Services, and Healthy Steps. Members access services via a HealthX-powered Member Portal, while providers use a corresponding Provider Portal for billing, credentials, and resources. Quality assurance is maintained through annual HEDIS-based evaluations and a Provider Incentive Program.
Differentiator
Problem solved
Functional benefit
Products and services
- Maryland Medicaid HealthChoice Managed Care Plan A comprehensive Medicaid managed care health plan providing standard HealthChoice benefits plus additional value-added services (free transportation to primary care appointments, annual eye exams, health education) to adults and children enrolled in Maryland Medicaid through the State of Maryland Enrollment Broker.
- Case Management and Disease Management Programs
Quantifiable outcome
- 4.5 out of 5 NCQA Medicaid Health Insurance Plan Rating 2022-2023
Companies that use Jai Medical Systems
Customer profileNamed customers1 record
Segments2 records
Ideal customer profiles2 records
Jai Medical Systems technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Jai Medical Systems partnerships and signals
Strategic signalScale indicators3 records
Recent moves6 records
Expansion highlights3 records
Jai Medical Systems competitors and assessment
Company assessmentMarket position
Strengths4 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Jai Medical Systems social profiles
Digital presenceJai Medical Systems compliance and trust
Trust signalCompliance2 records
Jai Medical Systems financial estimates
Financial estimateRevenue estimate
Valuation estimate
Jai Medical Systems leadership team
Management profileNumber of profiles
Jai Medical Systems funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Jai Medical Systems 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 Jai Medical Systems
What does Jai Medical Systems do?
Jai Medical Systems is a Maryland Medicaid Managed Care Organization (MCO) that delivers HealthChoice benefits to eligible Maryland Medicaid recipients. The organization provides comprehensive medical, pharmacy, and care coordination services, supplemented by value-added benefits such as free transportation to primary care appointments, annual eye exams, and health education, and operates disease management programs for chronic conditions including hypertension, asthma, diabetes, and HIV/AIDS.
Is Jai Medical Systems a public or private company?
Jai Medical Systems is a private company. It is classified as unknown and is currently operating.
When was Jai Medical Systems founded?
Jai Medical Systems was founded in 1997. It employs 101 to 250 people.
Where is Jai Medical Systems based?
Jai Medical Systems is headquartered in Hunt Valley, United States, in the North America region.
How does Jai Medical Systems make money?
One revenue line is on record: medicaid Capitation Premiums.
Does Jai Medical Systems have an API?
No public API is recorded for Jai Medical Systems.
What industry is Jai Medical Systems in?
Jai Medical Systems's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP). Its SIC code is 6324.