AmeriHealth District of Columbia
- Company typePrivate
- Founded2013
- HeadquartersWashington, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
AmeriHealth District of Columbia firmographics
Firmographics- Name
- AmeriHealth District of Columbia
- Legal name
- AmeriHealth Caritas District of Columbia
- Website
- https://amerihealthcaritasdc.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
AmeriHealth District of Columbia industry classification
Industry- Product category
- Medicaid Managed Care
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicaid Expansion (ACA Adult) Managed Care Plans (HLAEAEAB)
Keywords
Where AmeriHealth District of Columbia is headquartered
LocationHeadquarters
- HQ city
- Washington
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AmeriHealth District of Columbia business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Medicaid Capitation: AmeriHealth Caritas DC receives capitated (per-member-per-month) payments from the District of Columbia government in exchange for providing covered health care services to enrolled Medicaid beneficiaries. The organization bears financial risk for managing the health care needs of its enrollee population within the fixed per-capita预算.
- Healthy DC Plan Premiums: Starting January 1, 2026, the plan will offer the Healthy DC Plan for DC adult residents with moderate incomes who do not meet Medicaid income requirements, funded through premium payments.
Go-to-market motion1 record
Distribution channels4 records
Marketing channels8 records
AmeriHealth District of Columbia product offering
Product offeringCore offering
AmeriHealth Caritas District of Columbia is a Medicaid managed care organization contracted with the District of Columbia Department of Health Care Finance to provide government-sponsored health coverage to DC Medicaid beneficiaries. The plan covers primary and specialty care, vision and dental care, prescription drugs, hospital stays, and transportation for medical appointments. Effective January 1, 2026, the company is expanding to offer the Healthy DC Plan for DC adult residents with moderate incomes who do not meet Medicaid income requirements.
Product overview
AmeriHealth Caritas District of Columbia operates as a Medicaid managed care organization offering two distinct health plans: the Medicaid Plan for full DC Medicaid beneficiaries, and the Healthy DC Plan (launching January 1, 2026) for DC adult residents with moderate incomes. The company provides a mobile app for enrollee access. The product portfolio centers on government-sponsored health coverage with comprehensive benefits including primary care, specialty care, prescription drugs, dental, vision, and transportation services.
Differentiator
Problem solved
Functional benefit
Brands
- Healthy DC Plan: A new health care plan providing quality health coverage for DC adult residents who have moderate incomes and do not meet the DC Medicaid income requirements.
Products and services
- DC Medicaid Plan A Medicaid health care plan for enrollees who qualify for full DC Medicaid benefits, covering primary and specialty care, vision and dental care, prescription drugs, hospital stays, and transportation for medical appointments.
- Healthy DC Plan A health care plan providing quality health coverage for DC adult residents with moderate incomes who do not meet DC Medicaid income requirements, covering essential health benefits such as primary and specialty care, hospital stays, and prescription drugs.
- AHC Mobile App Mobile application available on iOS and Android platforms enabling enrollees to access their health information, manage benefits, find providers, and control third-party app data sharing preferences.
Companies that use AmeriHealth District of Columbia
Customer profileNamed customers2 records
Segments2 records
Ideal customer profiles2 records
AmeriHealth District of Columbia technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
AmeriHealth District of Columbia partnerships and signals
Strategic signalPartnerships
14 partnerships are on record, tiered core and minor.
- District of Columbia Department of Health Care Finance (DHCF)coreDHCF is the District government agency that administers the Medicaid program and contracts with AmeriHealth Caritas DC to provide managed care services to eligible beneficiaries. The agency oversees the program's regulatory compliance and provides program sponsorship.
- District of Columbia GovernmentcoreThe government of the District of Columbia, led by Mayor Muriel Bowser, partners with AmeriHealth Caritas DC to provide health coverage to District residents through Medicaid and the Healthy DC Plan.
- NaviNet (Provider Portal)coreNaviNet is the provider-facing portal used by health care providers in the AmeriHealth Caritas DC network for claims, billing, prior authorizations, and care coordination activities.
- DarwinRx (Pharmacy Benefit Management)coreDarwinRx provides pharmacy benefit management services including the pharmacy directory and prescription drug coverage for AmeriHealth Caritas DC enrollees.
- K&K SolutionsminorK&K Solutions, founded by Kim Coplen and Kelli Johnson, provides strategic planning and team-building services. They participated in AmeriHealth Caritas DC's 2021 Small Business Program and partner with organizations nationwide on DEI initiatives and engagement plans.
- The Aquiline GroupminorFounded by Evelyn Rodriguez in 2002, The Aquiline Group provides communications services including marketing communications, partnership development, and recruitment. They assist AmeriHealth Caritas DC with provider recruitment efforts, particularly recruiting doulas for maternal health initiatives.
- Grapevine HealthminorFounded by Dr. Lisa Fitzpatrick, Grapevine Health delivers trusted health information to underserved communities. They began working with AmeriHealth Caritas DC in 2021 to assist health systems and insurers in addressing health literacy.
- ADC Management SolutionsminorFounded by Brandy R. Butler in 2003, ADC Management Solutions provides human resources and administrative management solutions. Recognized as a Top Women-Owned Business by Washington Business Journal.
- Tiber Hudson LLCminorA full-service law firm established in 1996, majority minority owned and Certified Business Enterprise in the District. Malik Edwards joined as partner in 2019 and advises on CBE compliance and District government contracting.
- MMI Consulting Group LLCminorFounded by Alexandra J. Herndon in 2016, MMI is a woman- and minority-owned Certified Business Enterprise providing training, financial management, health care communications, and professional development services. Partners with AmeriHealth Caritas DC on Small Business Development Program mentorship.
- ROIG Communications LLCminorFounded in 2014 by Geraldine Barrientos and Mariana Barrientos Roig, ROIG Communications is a cross-cultural advertising and marketing agency providing strategic communications and counsel to build stakeholder relationships.
- Soul Tree LLCminorFounded by Marni Barron in 2011, Soul Tree LLC is a D.C.-based education, training, and consulting company focused on strategic advising, workforce development, and social services. Works with AmeriHealth Caritas DC on cultural and linguistic diversity training.
- Vanguard CommunicationsminorFounded in 1987 by Maria Rodriguez, Vanguard Communications is an award-winning D.C.-based communications and PR firm supporting nonprofits, foundations, and government agencies. Since 2017, provides communications and health promotion support for AmeriHealth Caritas DC.
- ACSI TranslationsminorFounded by Andres Echeverri in 2011, ACSI Translations provides foreign language translation, interpretation, and multicultural marketing services in over 60 languages. Has worked with AmeriHealth Caritas DC since 2015 to support the D.C. immigrant community.
Scale indicators2 records
Recent moves6 records
Expansion highlights6 records
AmeriHealth District of Columbia competitors and assessment
Company assessmentDirect peers
- CareFirst BlueCross BlueShield Community Health Plan District of Columbia: Direct competitor as a contracted DC Medicaid managed care plan, leveraging CareFirst's regional presence and serving an overlapping DC Medicaid population with comparable government-funded managed care products.
- AmeriHealth Caritas Pennsylvania: Sibling Medicaid managed care organization under the same AmeriHealth Caritas parent, operating a comparable state-contracted Medicaid plan in Pennsylvania with similar benefits, provider-network model, and shared back-office infrastructure (NaviNet, DarwinRx).
- MedStar Family Choice: Direct competitor as one of the contracted DC Medicaid managed care organizations serving DC Medicaid beneficiaries, with comparable benefits, provider-network model, and enrollee portal offerings in the same geography.
Broad incumbents
- Centene Corporation: Largest pure-play Medicaid managed care operator in the U.S., with state contracts across most Medicaid expansion states; directly comparable business model, scale, and risk-based capitation framework.
- Kaiser Permanente (Mid-Atlantic): Integrated health system serving the DC metro area with government-sponsored plan products; provides a comparable in-market competitor for government-contracted coverage in the District of Columbia region.
- AmeriHealth Caritas: Parent organization operating Medicaid managed care plans and related health services across multiple states; defines the shared platform, branding, and operational capabilities that AmeriHealth Caritas DC delivers at the state-contract level.
- Molina Healthcare: Pure-play government-sponsored managed care company operating Medicaid and related health plan products across multiple states under capitated contracts; a directly comparable business model serving low-income populations.
- Anthem Blue Cross Blue Shield (Medicaid plans): Operates state-contracted Medicaid managed care plans across many markets under full capitation, with comparable government relationships, member benefit design, and digital tool suites.
- Aetna Better Health: CVS Health-owned Medicaid managed care organization operating in multiple states under full-risk capitated contracts; directly comparable business model targeting Medicaid beneficiaries.
- UnitedHealthcare Community Plan: National Medicaid managed care operator with presence across many states including the mid-Atlantic; competes for state contracts and applies similar capitated, full-risk model serving government-sponsored populations.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
AmeriHealth District of Columbia social profiles
Digital presenceAmeriHealth District of Columbia financial estimates
Financial estimateRevenue estimate
Valuation estimate
AmeriHealth District of Columbia leadership team
Management profileNumber of profiles
AmeriHealth District of Columbia funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AmeriHealth District of Columbia 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 AmeriHealth District of Columbia
What does AmeriHealth District of Columbia do?
AmeriHealth Caritas District of Columbia is a Medicaid managed care organization contracted with the District of Columbia Department of Health Care Finance to provide government-sponsored health coverage to DC Medicaid beneficiaries. The plan covers primary and specialty care, vision and dental care, prescription drugs, hospital stays, and transportation for medical appointments. Effective January 1, 2026, the company is expanding to offer the Healthy DC Plan for DC adult residents with moderate incomes who do not meet Medicaid income requirements.
Is AmeriHealth District of Columbia a public or private company?
AmeriHealth District of Columbia is a private company. It is classified as corporate owned and is currently operating.
When was AmeriHealth District of Columbia founded?
AmeriHealth District of Columbia was founded in 2013. It employs 11 to 50 people.
Where is AmeriHealth District of Columbia based?
AmeriHealth District of Columbia is headquartered in Washington, United States, in the North America region.
How does AmeriHealth District of Columbia make money?
Two revenue lines are on record. Medicaid Capitation is the primary driver. The others are healthy DC Plan Premiums.
Who are AmeriHealth District of Columbia's main competitors?
Direct peers on record are CareFirst BlueCross BlueShield Community Health Plan District of Columbia, AmeriHealth Caritas Pennsylvania and MedStar Family Choice. Broad incumbents are Centene Corporation, Kaiser Permanente (Mid-Atlantic), AmeriHealth Caritas, Molina Healthcare, Anthem Blue Cross Blue Shield (Medicaid plans), Aetna Better Health and UnitedHealthcare Community Plan.
Does AmeriHealth District of Columbia have an API?
No public API is recorded for AmeriHealth District of Columbia.
What industry is AmeriHealth District of Columbia in?
AmeriHealth District of Columbia's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAB, Medicaid Expansion (ACA Adult) Managed Care Plans. Its SIC code is 6324.