GlobalHealth

What GlobalHealth does

GlobalHealth Holdings, LLC is a private, Oklahoma-based health maintenance organization headquartered in Oklahoma City that provides Medicare Advantage HMO plans, Chronic Special Needs Plans (C-SNP), Dual Special Needs Plans (D-SNP), and commercial health coverage to State, Education, and Municipal employees of Oklahoma. The company operates across 26 Oklahoma counties and holds program contracts with the Centers for Medicare & Medicaid Services (CMS) and Oklahoma Medicaid. As an integrated payer, it coordinates medical, pharmacy (Part D), dental, vision, hearing, and supplemental benefits including Smart Wallet allowance cards, Papa Pals in-home support, non-emergency transportation, and gym memberships.

The technology platform consists of operational portals (Member, Provider, Quality), the Connecture-powered electronic enrollment platform supporting broker and direct-to-consumer sales, and the MedImpact pharmacy benefit management system for prescription pricing, mail-order refills, generic availability, and drug interaction lookups. The company earned a 4-star Medicare plan rating for the 2026 plan year and holds NCQA Model of Care approvals for its C-SNP through 2026 and D-SNP through 2028, providing regulatory legitimacy and quality assurance.

GlobalHealth generates revenue primarily through recurring subscription premiums: Medicare Advantage premiums paid by CMS under Part C, Part D prescription drug premiums, and commercial premiums from the State of Oklahoma and its education and municipal subdivisions. Distribution is multi-channel: licensed insurance agents and brokers (operating under a structured appointment process requiring Oklahoma Producer licensing, E&O insurance, AHIP certification, and annual recertification), direct-to-consumer phone enrollment, and online self-serve enrollment via Connecture. Founded in 2003 with 51–100 employees, the company remains a regionally focused HMO without disclosed outside equity, venture funding, or M&A activity.

Name

GlobalHealth

Legal name

GlobalHealth Holdings, LLC

Website

https://globalhealth.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

51–100 employees

Short description

GlobalHealth is a private Oklahoma City-based Medicare Advantage HMO serving Medicare beneficiaries, C-SNP and D-SNP members, and State of Oklahoma public-sector employees across 26 Oklahoma counties via agent/broker and direct enrollment channels.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), HMO Medical Centers (621491)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH)

akta.pro secondary industries

Open-Access HMOs (HLAEAMAF), Medicaid Managed Care HMOs (HLAEAMAI)

Keywords

• Medicare Advantage plans
• HMO health insurance
• Special needs plans
• Oklahoma Medicaid coverage
• Pharmacy benefits management

Headquarters

HQ city

Oklahoma City

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Advantage Premium Revenue: GlobalHealth generates revenue through Medicare Advantage HMO plan premiums. The company contracts with Medicare (CMS) and Oklahoma Medicaid programs to provide health coverage to beneficiaries. Revenue is derived from monthly premiums paid by the federal government (Part C) and members, based on plan enrollment and risk adjustment.
2. State of Oklahoma Employee Plan Premiums: Revenue from State, Education, and Municipal Employees benefit plans providing commercial health coverage to Oklahoma public sector employees.
3. Part D Prescription Drug Coverage: Medicare Part D prescription drug plan revenue integrated with Medicare Advantage plans, covering insulin products at capped costs and Part D vaccines.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

GlobalHealth is an Oklahoma-based health insurance company operating as an HMO that sells Medicare Advantage plans (including Chronic Condition Special Needs Plans and Dual-Eligible Special Needs Plans) and commercial health plans for State of Oklahoma employees. The company supplements core medical coverage with dental, vision, hearing, pharmacy, and home support benefits delivered through member and provider portals.

Product overview

GlobalHealth is a health insurance company offering Medicare Advantage and State/ Education/Municipal employee benefit plans in Oklahoma. The core product portfolio includes HMO-based Medicare Advantage plans (including C-SNP and D-SNP Special Needs Plans) and commercial plans for State of Oklahoma employees. These are supplemented by integrated member-facing modules including the Member Portal, Provider Portal, Broker Sales Portal (Connecture), and Quality Portal. Value-added benefits include Smart Wallet allowance cards for OTC/groceries/utilities, dental/vision/hearing coverage, pharmacy services via MedImpact PBM, home support services (Papa Pals), gym memberships, and transportation services. The company operates as an HMO with Medicare and Oklahoma Medicaid program contracts.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare Advantage HMO Plans Health maintenance organization Medicare Advantage plans that provide combined medical and prescription drug coverage to Medicare-eligible individuals residing in GlobalHealth's Oklahoma service area.
• Chronic Condition Special Needs Plan (C-SNP) Medicare Advantage Special Needs Plan designed for members with specific chronic conditions, providing targeted care coordination and condition-specific supplemental benefits.
• Dual-Eligible Special Needs Plan (D-SNP) Medicare Advantage plan for individuals dually eligible for Medicare and Oklahoma Medicaid, coordinating benefits across both programs to provide integrated medical, behavioral, prescription drug, and long-term services and supports.
• State of Oklahoma Employee Health Plan Group commercial health insurance plan provided to State of Oklahoma employees and their dependents, administered by GlobalHealth as the contracted plan.
• Pharmacy Benefits Prescription drug coverage included with GlobalHealth Medicare Advantage and commercial plans, administered through a partner pharmacy benefits manager.
• Supplemental Benefits (Dental, Vision, Hearing, Smart Wallet, Home Support) Extra benefits packaged with GlobalHealth Medicare Advantage plans, including dental, vision, and hearing coverage, an over-the-counter Smart Wallet allowance, and home support services.

Quantifiable outcome

• NCQA-approved Special Needs Plan Model of Care through 2026 for C-SNP and 2028 for D-SNP
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Five partnerships are on record, tiered core.

• MedImpact Healthcare SystemscoreTechnology or IntegrationMedImpact serves as GlobalHealth's Pharmacy Benefit Manager (PBM), providing the technology platform for prescription drug pricing, pharmacy location search, mail order refills, generic drug availability checks, and drug interaction/side effect information for members.
• ConnecturecoreTechnology or IntegrationConnecture provides the electronic enrollment portal platform for GlobalHealth's broker and direct sales operations, enabling e-application submissions, tele-sales call recording, and enrollment processing.
• Centers for Medicare & Medicaid Services (CMS)coreOthersCMS is the federal agency that administers Medicare and works with private insurance companies like GlobalHealth to offer Medicare Advantage plans. GlobalHealth has MA program contracts with CMS.
• Oklahoma MedicaidcoreOthersOklahoma Medicaid program partners with GlobalHealth for D-SNP (Dual Special Needs Plan) operations, providing coverage coordination for members eligible for both Medicare and Medicaid.
• National Committee for Quality Assurance (NCQA)coreOthersNCQA reviews and approves GlobalHealth's Special Needs Plan Model of Care, certifying the company's C-SNP (through 2026) and D-SNP (through 2028) programs for quality standards compliance.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Molina Healthcare: Government-sponsored health plan focused on Medicaid and Medicare, including D-SNP products in Oklahoma. Comparable dual-eligible member focus and state-contract-based revenue model.
• Aetna (CVS Health): National Medicare Advantage and commercial health plan carrier with HMO products in Oklahoma, competing with GlobalHealth for MA beneficiaries and employer groups. Offers integrated CVS pharmacy and clinical services.
• Humana: One of the largest Medicare Advantage-focused carriers in the U.S., with HMO plan offerings in Oklahoma counties overlapping with GlobalHealth. Brings national scale in MA, SNPs, and PBM services.
• UnitedHealthcare: The largest Medicare Advantage carrier nationally and a significant presence in Oklahoma, competing with GlobalHealth across MA, D-SNP, and employer-sponsored plans. Offers broader scale and provider network reach.
• Centene Corporation: Major Medicaid and D-SNP carrier operating Wellcare-branded Medicare Advantage plans in multiple states including Oklahoma. Direct overlap with GlobalHealth's D-SNP book given dual-eligible focus.
• Cigna Group: National health insurer with Medicare Advantage and employer-sponsored plan offerings in Oklahoma. Competes with GlobalHealth on commercial state-employee and MA product lines.

Emerging players

• Devoted Health: Medicare Advantage-focused carrier with HMO products and supplemental benefits, similar in product architecture to GlobalHealth. Represents the type of well-capitalized emerging MA player that could enter Oklahoma.
• Alignment Healthcare: Technology-enabled Medicare Advantage carrier focusing on senior care with chronic-condition management capabilities. Comparable SNP and chronic-care focus to GlobalHealth's C-SNP business, though operating in different geographies.

Direct peers

• Blue Cross Blue Shield of Oklahoma: The largest commercial and Medicare Advantage health plan in Oklahoma, directly competing with GlobalHealth for state employees and Medicare beneficiaries across the same counties. Operates similar HMO/POS plan structures with comparable supplemental benefits.
• CommunityCare HMO: Oklahoma-based HMO serving Tulsa and northeastern Oklahoma, directly competing with GlobalHealth's Medicare Advantage and employer plans in overlapping service areas. Operates as a regional HMO with similar product mix.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/globalhealthinc
• LinkedInlinkedin.com/company/2068675
• Xx.com/globalhealthok

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

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

M&A

Investments1 record

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

Frequently asked questions about GlobalHealth