Priority Partners
- Company typePrivate
- Founded2000
- HeadquartersHanover, United States
- Headcount1–10
- GTM typeB2C
- OfferingServices
Priority Partners firmographics
Firmographics- Name
- Priority Partners
- Legal name
- Priority Partners Managed Care Organization
- Website
- https://ppmco.org
- Company type
- Private
- Founded year
- 2000
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Ownership category
- akta.pro rank
Where Priority Partners is headquartered
LocationHeadquarters
- HQ city
- Hanover
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Priority Partners 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 Payments: Priority Partners receives capitated (per-member-per-month) payments from the Maryland Department of Health for providing healthcare coverage to Medicaid beneficiaries and other eligible populations. The organization administers healthcare contracts with government programs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Others | Maryland Medicaid Managed Care - Low/No Cost Coverage |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels6 records
Priority Partners product offering
Product offeringCore offering
Priority Partners is a Medicaid Managed Care Organization serving Maryland residents by providing government-funded health insurance coverage, including coverage for low-income individuals, families, children, and pregnant women (Priority Partners MCO) and a dual-eligible Special Needs Plan (Priority Partners Advantage). Members access benefits through a contracted provider network, an online member portal, and integrated care coordination services.
Product overview
Priority Partners is a single-product Medicaid Managed Care Organization that provides comprehensive healthcare coverage to over 300,000 Maryland residents. The core offering is the Priority Partners MCO health plan, which bundles Medical Care, Prescription Coverage, Dental Care, and Vision Care into one integrated benefit package. Members can access these services through network providers and pharmacies. The organization supplements its core health plan with numerous free support programs including Health & Wellness Classes, Pregnancy Support, Mental Health Support, Care Management, Transportation Services, and the Rewards Program. Community-focused initiatives include the Cupboards Project for food security and Community Health Advocates for outreach. Members access services through the Member Portal, Virtual Care telemedicine, and FHIR-based Patient Access and Provider Directory APIs for digital interoperability.
Differentiator
Problem solved
Functional benefit
Products and services
- Priority Partners Managed Care Organization (MCO) Medicaid health insurance plan for eligible Maryland residents, including adults, families, children, and pregnant women, providing access to a contracted provider network and care coordination services through Johns Hopkins Health Plans.
- Priority Partners Advantage (Dual-Eligible Special Needs Plan) Special Needs Plan (SNP) providing integrated Medicare and Medicaid coverage for dual-eligible Maryland residents.
- Member Portal (HealthTrio Connect) Online portal enabling members to view benefits, access plan information, and manage interactions with Priority Partners.
Quantifiable outcome
- NCQA 90th percentile ranking for key HEDIS measures including childhood immunizations and postpartum care
- +1 more outcomes
Companies that use Priority Partners
Customer profileNamed customers3 records
Segments3 records
Ideal customer profiles1 record
Priority Partners technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
Feature3 records
Priority Partners partnerships and signals
Strategic signalPartnerships
16 partnerships are on record, tiered core and minor.
- Johns Hopkins Health PlanscorePriority Partners is a subsidiary of Johns Hopkins Health Plans. The parent organization provides administrative infrastructure, compliance oversight, and operational support for the MCO operations.
- Johns Hopkins MedicinecoreMajor healthcare provider partner within the Priority Partners network. Johns Hopkins Medicine is one of the leading health systems in Maryland providing specialty and tertiary care services to Priority Partners members.
- Baltimore Medical SystemcoreCommunity health center partner providing primary care services to Priority Partners members in the Baltimore area.
- CCI Health ServicescoreFederally Qualified Health Center partner providing comprehensive primary care services. Operates the Greenbelt location where a Priority Partners Cupboards mini-pantry opened in December 2025.
- Chase Brexton Health CarecoreCommunity health center partner providing primary and specialty care services to Priority Partners members.
- Chesapeake Health CarecoreCommunity health center partner serving Priority Partners members across the Eastern Shore region of Maryland.
- Choptank Community HealthcoreCommunity health center partner providing health services to Priority Partners members in the Mid-Shore area of Maryland.
- Greater Baden Medical ServicescoreCommunity health center partner serving Priority Partners members in Prince George's County and surrounding areas.
- Bay Community HealthcoreCommunity health center partner providing primary care services to Priority Partners members in Anne Arundel County.
- Maryland Department of HealthcoreState agency that authorizes and regulates Priority Partners as one of nine authorized MCOs in Maryland. Provides Medicaid capitated payments and oversees HealthChoice program.
- CRISP (Chesapeake Regional Information System for Our Patients)coreRegional Health Information Exchange through which Priority Partners shares member health information for treatment, payment, and care coordination purposes as permitted by law.
- Boys & Girls Clubs of Harford & Cecil CountiesminorPartner for the Cupboards Project food pantry initiative. Hosts fixed mini-pantries and mobile 'Club on the Go' food banks at their facilities in Aberdeen and Edgewood, Maryland.
- Boys & Girls Club of Annapolis & Anne Arundel CountyminorPartner for the Cupboards Project, hosting a mobile 'Club on the Go' food bank that delivers food to those in need in the Annapolis area.
- Living Word Seventh-day Adventist ChurchminorGlen Burnie church that presented Priority Partners with the Impact of Excellence Award in May 2026. Hosts one of the Cupboards Project mini-pantry locations.
- The Baltimore SunminorMedia partner acknowledged by Priority Partners for support of the Cupboards Project community initiative.
- Michele's GranolaminorLocal business acknowledged by Priority Partners for donations and support of the Cupboards Project.
Scale indicators4 records
Recent moves6 records
Expansion highlights5 records
Priority Partners competitors and assessment
Company assessmentDirect peers
- WellCare (Centene): WellCare, a Centene Corporation subsidiary, is a national Medicaid managed care organization operating in multiple state Medicaid programs with capitated contracts and a low-income beneficiary focus comparable to Priority Partners' core business model.
- Humana Healthy Horizons: Humana Healthy Horizons operates state Medicaid managed care plans with the same capitated revenue model and dual-eligible focus as Priority Partners, providing comparable services to Medicaid beneficiaries under similar state-level regulatory frameworks.
- Maryland Physicians Care: Maryland Physicians Care is a Medicaid MCO serving HealthChoice beneficiaries in Maryland with the same capitation revenue model, same state regulatory framework, and direct enrollment competition through Maryland Health Connection as Priority Partners. It is one of the nine authorized MCOs operating in the same statewide territory.
- Molina Healthcare: Molina Healthcare is a national Medicaid-focused managed care company operating across multiple state Medicaid programs including Maryland, with the same capitated revenue model and low-income enrollee population as Priority Partners, competing directly in the same Maryland HealthChoice market.
- Amerigroup Maryland: Amerigroup Maryland is a Medicaid Managed Care Organization serving Maryland HealthChoice enrollees, directly competing with Priority Partners for the same Medicaid beneficiaries through the same Maryland Health Connection marketplace. Both operate as one of nine state-authorized MCOs administering Medicaid capitation contracts with the Maryland Department of Health.
- Jai Medical Systems: Jai Medical Systems is a Maryland-based Medicaid HMO serving HealthChoice enrollees on the same capitated basis as Priority Partners, competing head-to-head for Medicaid beneficiaries in the same Maryland counties through the same state marketplace.
- Aetna Better Health of Maryland: Aetna Better Health of Maryland is a CVS Health-owned Medicaid MCO operating in the same Maryland HealthChoice program with identical capitation funding, regulatory oversight, and target population as Priority Partners, making it a direct competitor for member enrollment and provider contracts.
- UnitedHealthcare Community & State (Maryland): UnitedHealthcare Community & State operates a Maryland Medicaid MCO serving the same HealthChoice population under the same capitation arrangement; it is a national Medicaid managed care platform providing direct competition to Priority Partners in member acquisition, provider network breadth, and quality bonus eligibility.
Broad incumbents
- CareFirst BlueCross BlueShield: CareFirst is the dominant Maryland-based health insurer offering Medicaid managed care alongside commercial and Medicare products, competing with Priority Partners in the Maryland HealthChoice program but operating from a much broader portfolio and stronger brand position in the Maryland market.
- Kaiser Permanente (Mid-Atlantic): Kaiser Permanente Mid-Atlantic operates an integrated Medicaid managed care plan in Maryland competing for the same HealthChoice enrollees as Priority Partners, with a vertically integrated provider-payer model that competes on access and quality rather than scale.
Market position
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights2 records
Customer concentration
Priority Partners social profiles
Digital presencePriority Partners compliance and trust
Trust signalCompliance2 records
Priority Partners financial estimates
Financial estimateRevenue estimate
Valuation estimate
Priority Partners leadership team
Management profileNumber of profiles
Profiles1 record
Priority Partners funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Priority Partners 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 Priority Partners
What does Priority Partners do?
Priority Partners is a Medicaid Managed Care Organization serving Maryland residents by providing government-funded health insurance coverage, including coverage for low-income individuals, families, children, and pregnant women (Priority Partners MCO) and a dual-eligible Special Needs Plan (Priority Partners Advantage). Members access benefits through a contracted provider network, an online member portal, and integrated care coordination services.
Is Priority Partners a public or private company?
Priority Partners is a private company. It is classified as corporate owned and is currently operating.
When was Priority Partners founded?
Priority Partners was founded in 2000. It employs 1 to 10 people.
Where is Priority Partners based?
Priority Partners is headquartered in Hanover, United States, in the North America region.
How does Priority Partners make money?
One revenue line is on record: medicaid Capitation Payments.
Who are Priority Partners's main competitors?
Direct peers on record are WellCare (Centene), Humana Healthy Horizons, Maryland Physicians Care, Molina Healthcare, Amerigroup Maryland, Jai Medical Systems, Aetna Better Health of Maryland and UnitedHealthcare Community & State (Maryland). Broad incumbents are CareFirst BlueCross BlueShield and Kaiser Permanente (Mid-Atlantic).
Does Priority Partners have an API?
Yes. Priority Partners offers FHIR-based APIs for patient access and provider directory access as required by CMS-9115 interoperability rules. The Patient Access API enables members to access their health information through approved third-party apps, allowing them to share records with healthcare providers. The Provider Directory API enables developers to search and filter healthcare providers by location, specialty, and plan network. APIs follow HL7 R4 FHIR specification and DaVinci PDEX Plan Net Implementation Guide. Developer documentation is at api.jhhpfhir.com/r4/metadata.