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Community Health Plan of Imperial Valley

Full company profile

uuid0022m2b

Namestring
Community Health Plan of Imperial Valley
Legal namestring
Community Health Plan of Imperial Valley
Websiteurl
chpiv.org
Company typeenum
Private
Founded yearint
1994
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
11–50
akta.pro rankint
HeadquartersImperial, United States
HQ citystring
Imperial
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
Medicaid managed care, Medicare Advantage plans, dual eligible benefits, health plan services, special needs plans
Industry3 codes
1D-SNP Plan Sponsorship & Benefit Design
CodeHLAEAFAAPrimaryYes
2D-SNP Social Determinants of Health (SDOH) & Community Supports
CodeHLAEAFAFPrimaryNo
3Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans
CodeHLAEAEAIPrimaryNo
SIC code1 code
  • Hospital & Medical Service Plans6324
Product category
Medicaid Managed Care
Social media profiles1 record
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model1 record
1Government Healthcare Plan Premiums
TypeSubscription Recurring
Description

As a Dual Eligible Special Needs Plan (D-SNP), CHPIV generates revenue through capitation payments from both Medicare and Medi-Cal programs for each enrolled member. The plan integrates social and healthcare services, with revenue derived from federal and state healthcare programs.

einpresswire.com
Distribution channels1 record

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components6 values
Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others
GTM typeB2C
B2C
Offering typeServices
Services
Brand1 record
1Community Advantage Plus
Description

D-SNP (Dual Eligible Special Needs Plan) launching in 2026 to serve residents eligible for both Medicare and Medi-Cal.

einpresswire.com
Core offering1 text field

Community Health Plan of Imperial Valley is a private nonprofit health plan that manages Medi-Cal coverage and provider networks for residents of Imperial County, California. It is preparing to launch its first Dual Eligible Special Needs Plan (D-SNP) called Community Advantage Plus in 2026 to integrate Medicare and Medi-Cal benefits with social services for dual-eligible individuals.

Differentiator
Functional benefit
Problem solved
Product overview1 text field

Community Health Plan of Imperial Valley (CHPIV) is launching its first product, Community Advantage Plus, a Dual Eligible Special Needs Plan (D-SNP) in 2026. This plan integrates social and healthcare services for residents eligible for both Medicare and Medi-Cal, marking the organization's first Medicare offering alongside its existing Medi-Cal services.

Product and service2 records
1Community Advantage Plus
CategoryDual Eligible Special Needs Plan (D-SNP) / Medicare Advantage
Description

A Dual Eligible Special Needs Plan (D-SNP) that integrates Medicare and Medi-Cal benefits with social services for residents of Imperial Valley eligible for both programs (low-income seniors and individuals with disabilities), launching in 2026.

2Medi-Cal Managed Care Plan
CategoryMedi-Cal Managed Care Plan
Description

CHPIV's core Medi-Cal health coverage and provider network management plan serving Imperial County residents in California, operating in partnership with the California Department of Health Care Services (DHCS).

Scale indicator1 record

Each record includes

Type, Value, Description, Source

Partnership2 partners
Strategic tierCoreTypeOthersAnnounced on2025-10-15
Description

CHPIV operates under CMS oversight as a Medicare Advantage plan provider. The plan's D-SNP must comply with federal Medicare regulations and receive CMS approval for plan operations and benefit structures.

Strategic tierCoreTypeOthersAnnounced on2025-10-15
Description

As a Medi-Cal managed care plan operating in California, CHPIV works with DHCS for Medi-Cal benefits administration. The D-SNP model coordinates care across both Medicare and Medi-Cal programs under state and federal regulatory frameworks.

Recent move5 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight4 records

Each record includes

Type, Description

Peers10 records
TypeDirect peer
Description

A public, county-organized Medi-Cal managed care plan in Orange County, California, also operating Medicare and D-SNP products. Like CHPIV, CalOptima is a locally rooted safety-net plan coordinating Medicare and Medi-Cal benefits for dual-eligibles.

TypeBroad incumbent
Description

A large, publicly traded managed care company with a Medi-Cal contract in California and a national D-SNP/MAPD book. Molina competes with CHPIV for Medi-Cal members in California while operating D-SNPs at national scale.

TypeEmerging player
Description

A California-focused Medicare Advantage plan with a material D-SNP portfolio targeting dual-eligible seniors. While for-profit and tech-enabled, Alignment is a relevant peer because it competes for many of the same dual-eligible enrollees in California, including Imperial-adjacent counties.

TypeBroad incumbent
Description

A large commercial and government health plan operating Medi-Cal, Medicare Advantage, and D-SNP products in California. Anthem is a deep-pocketed incumbent that competes against CHPIV in the same California counties.

TypeDirect peer
Description

The largest public Medi-Cal plan in California, serving Los Angeles County with Medi-Cal, L.A. Care Covered, and D-SNP product lines. L.A. Care's county-organized, community-governed model closely parallels CHPIV's structure at significantly larger scale.

TypeDirect peer
Description

A regional, community-based, not-for-profit Medi-Cal and Medicare (including D-SNP) plan serving Riverside and San Bernardino counties in California. IEHP is the closest analog to CHPIV in structure, mission, and dual-eligible focus, making it the most directly comparable peer.

TypeDirect peer
Description

A San Diego County-based, not-for-profit Medi-Cal managed care plan with an expanding Medicare/D-SNP line of business. Operates the same locally governed model CHPIV uses to serve Medi-Cal and dual-eligible members in a single California region.

TypeBroad incumbent
Description

An integrated, not-for-profit health system and health plan serving California with Medicare, Medi-Cal, and dual-eligible coverage. Kaiser competes with CHPIV for dual-eligible members across Southern California, including Imperial-adjacent service areas.

TypeBroad incumbent
Description

The largest U.S. Medicare Advantage sponsor and a major Medi-Cal contractor in California, with national D-SNP capabilities. UnitedHealthcare competes for dual-eligibles across California and represents the most resource-intensive competitor to CHPIV's planned D-SNP.

TypeBroad incumbent
Description

A long-standing California Medi-Cal managed care plan with affiliated Medicare Advantage and D-SNP offerings. Health Net competes with CHPIV for Medi-Cal enrollees in California and serves dual-eligibles at scale.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat3 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights5 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Segment1 record

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
No data
Compliance1 record

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

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

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

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

Community Health Plan of Imperial Valley

Medicaid Managed Carechpiv.org

Community Health Plan of Imperial Valley firmographics

Firmographics
Name
Community Health Plan of Imperial Valley
Legal name
Community Health Plan of Imperial Valley
Website
https://chpiv.org
Company type
Private
Founded year
1994
Operating status
Operating
Headcount range
11–50 employees
Ownership category
akta.pro rank

Community Health Plan of Imperial Valley industry classification

Industry
Product category
Medicaid Managed Care
SIC
Hospital & Medical Service Plans (6324)
akta.pro primary industry
D-SNP Plan Sponsorship & Benefit Design (HLAEAFAA)
akta.pro secondary industries
D-SNP Social Determinants of Health (SDOH) & Community Supports (HLAEAFAF), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)

Keywords

  • Medicaid managed care
  • Medicare Advantage plans
  • Dual eligible benefits
  • Health plan services
  • Special needs plans

Where Community Health Plan of Imperial Valley is headquartered

Location

Headquarters

HQ city
Imperial
HQ country
United States
HQ region
North America

Offices1 record

Markets served

Community Health Plan of Imperial Valley business model

Business model
GTM type
B2C
Offering type
Services
Cost components
Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others

Revenue model

  1. Government Healthcare Plan Premiums: As a Dual Eligible Special Needs Plan (D-SNP), CHPIV generates revenue through capitation payments from both Medicare and Medi-Cal programs for each enrolled member. The plan integrates social and healthcare services, with revenue derived from federal and state healthcare programs.

Go-to-market motion1 record

Distribution channels1 record

Community Health Plan of Imperial Valley product offering

Product offering

Core offering

Community Health Plan of Imperial Valley is a private nonprofit health plan that manages Medi-Cal coverage and provider networks for residents of Imperial County, California. It is preparing to launch its first Dual Eligible Special Needs Plan (D-SNP) called Community Advantage Plus in 2026 to integrate Medicare and Medi-Cal benefits with social services for dual-eligible individuals.

Product overview

Community Health Plan of Imperial Valley (CHPIV) is launching its first product, Community Advantage Plus, a Dual Eligible Special Needs Plan (D-SNP) in 2026. This plan integrates social and healthcare services for residents eligible for both Medicare and Medi-Cal, marking the organization's first Medicare offering alongside its existing Medi-Cal services.

Differentiator

Problem solved

Functional benefit

Brands

  • Community Advantage Plus: D-SNP (Dual Eligible Special Needs Plan) launching in 2026 to serve residents eligible for both Medicare and Medi-Cal.

Products and services

  • Community Advantage Plus A Dual Eligible Special Needs Plan (D-SNP) that integrates Medicare and Medi-Cal benefits with social services for residents of Imperial Valley eligible for both programs (low-income seniors and individuals with disabilities), launching in 2026.
  • Medi-Cal Managed Care Plan CHPIV's core Medi-Cal health coverage and provider network management plan serving Imperial County residents in California, operating in partnership with the California Department of Health Care Services (DHCS).

Companies that use Community Health Plan of Imperial Valley

Customer profile

Segments1 record

Ideal customer profiles2 records

Community Health Plan of Imperial Valley technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Community Health Plan of Imperial Valley partnerships and signals

Strategic signal

Partnerships

Two partnerships are on record, tiered core.

  • Centers for Medicare & Medicaid Services (CMS)coreOthers · 15 October 2025CHPIV operates under CMS oversight as a Medicare Advantage plan provider. The plan's D-SNP must comply with federal Medicare regulations and receive CMS approval for plan operations and benefit structures.
  • California Department of Health Care Services (DHCS)coreOthers · 15 October 2025As a Medi-Cal managed care plan operating in California, CHPIV works with DHCS for Medi-Cal benefits administration. The D-SNP model coordinates care across both Medicare and Medi-Cal programs under state and federal regulatory frameworks.

Scale indicators1 record

Recent moves5 records

Expansion highlights4 records

Community Health Plan of Imperial Valley competitors and assessment

Company assessment

Direct peers

  • CalOptima: A public, county-organized Medi-Cal managed care plan in Orange County, California, also operating Medicare and D-SNP products. Like CHPIV, CalOptima is a locally rooted safety-net plan coordinating Medicare and Medi-Cal benefits for dual-eligibles.
  • L.A. Care Health Plan: The largest public Medi-Cal plan in California, serving Los Angeles County with Medi-Cal, L.A. Care Covered, and D-SNP product lines. L.A. Care's county-organized, community-governed model closely parallels CHPIV's structure at significantly larger scale.
  • Inland Empire Health Plan (IEHP): A regional, community-based, not-for-profit Medi-Cal and Medicare (including D-SNP) plan serving Riverside and San Bernardino counties in California. IEHP is the closest analog to CHPIV in structure, mission, and dual-eligible focus, making it the most directly comparable peer.
  • Community Health Group: A San Diego County-based, not-for-profit Medi-Cal managed care plan with an expanding Medicare/D-SNP line of business. Operates the same locally governed model CHPIV uses to serve Medi-Cal and dual-eligible members in a single California region.

Broad incumbents

  • Molina Healthcare: A large, publicly traded managed care company with a Medi-Cal contract in California and a national D-SNP/MAPD book. Molina competes with CHPIV for Medi-Cal members in California while operating D-SNPs at national scale.
  • Anthem Blue Cross (California): A large commercial and government health plan operating Medi-Cal, Medicare Advantage, and D-SNP products in California. Anthem is a deep-pocketed incumbent that competes against CHPIV in the same California counties.
  • Kaiser Permanente (California): An integrated, not-for-profit health system and health plan serving California with Medicare, Medi-Cal, and dual-eligible coverage. Kaiser competes with CHPIV for dual-eligible members across Southern California, including Imperial-adjacent service areas.
  • UnitedHealthcare (Medicare & Medicaid): The largest U.S. Medicare Advantage sponsor and a major Medi-Cal contractor in California, with national D-SNP capabilities. UnitedHealthcare competes for dual-eligibles across California and represents the most resource-intensive competitor to CHPIV's planned D-SNP.
  • Health Net: A long-standing California Medi-Cal managed care plan with affiliated Medicare Advantage and D-SNP offerings. Health Net competes with CHPIV for Medi-Cal enrollees in California and serves dual-eligibles at scale.

Emerging players

  • Alignment Healthcare: A California-focused Medicare Advantage plan with a material D-SNP portfolio targeting dual-eligible seniors. While for-profit and tech-enabled, Alignment is a relevant peer because it competes for many of the same dual-eligible enrollees in California, including Imperial-adjacent counties.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights5 records

Customer concentration

Community Health Plan of Imperial Valley social profiles

Digital presence

Community Health Plan of Imperial Valley compliance and trust

Trust signal

Compliance1 record

Community Health Plan of Imperial Valley financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Community Health Plan of Imperial Valley leadership team

Management profile

Number of profiles

Community Health Plan of Imperial Valley funding detail

Funding detail

Funding overview

Funding rounds

Investors

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

Community Health Plan of Imperial Valley M&A and investment

M&A and investment

M&A

Investments

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

Frequently asked questions about Community Health Plan of Imperial Valley

What does Community Health Plan of Imperial Valley do?

Community Health Plan of Imperial Valley is a private nonprofit health plan that manages Medi-Cal coverage and provider networks for residents of Imperial County, California. It is preparing to launch its first Dual Eligible Special Needs Plan (D-SNP) called Community Advantage Plus in 2026 to integrate Medicare and Medi-Cal benefits with social services for dual-eligible individuals.

Is Community Health Plan of Imperial Valley a public or private company?

Community Health Plan of Imperial Valley is a private company. It is classified as nonprofit foundation owned and is currently operating.

When was Community Health Plan of Imperial Valley founded?

Community Health Plan of Imperial Valley was founded in 1994. It employs 11 to 50 people.

Where is Community Health Plan of Imperial Valley based?

Community Health Plan of Imperial Valley is headquartered in Imperial, United States, in the North America region.

How does Community Health Plan of Imperial Valley make money?

One revenue line is on record: government Healthcare Plan Premiums.

Who are Community Health Plan of Imperial Valley's main competitors?

Direct peers on record are CalOptima, L.A. Care Health Plan, Inland Empire Health Plan (IEHP) and Community Health Group. Broad incumbents are Molina Healthcare, Anthem Blue Cross (California), Kaiser Permanente (California), UnitedHealthcare (Medicare & Medicaid) and Health Net. Alignment Healthcare is listed as an emerging player.

Does Community Health Plan of Imperial Valley have an API?

No public API is recorded for Community Health Plan of Imperial Valley.

What industry is Community Health Plan of Imperial Valley in?

Community Health Plan of Imperial Valley's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAFAA, D-SNP Plan Sponsorship & Benefit Design, with a secondary code of HLAEAFAF, D-SNP Social Determinants of Health (SDOH) & Community Supports. Its SIC code is 6324.

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