MemorialCare Select Health Plan

What MemorialCare Select Health Plan does

MemorialCare Select Health Plan is a not-for-profit managed care health plan operating as an Independent Practice Association (IPA) within the MemorialCare Health System. It administers Commercial, Medicare, and Medi-Cal coverage for members in Los Angeles and Orange counties through contractual arrangements with five carrier partners: Anthem Blue Cross, Blue Shield of California, Health Net, LA Care Health Plan, and Molina Healthcare. The plan delivers care through a network of 100+ primary care physicians, 1,200+ specialists, 38 urgent care locations, and partner hospitals including Miller Children's & Women's Hospital Long Beach, Long Beach Medical Center, and Community Medical Center Long Beach—all part of the broader MemorialCare Health System's six hospitals and 200 care locations.

The plan's technology layer is built on Epic's electronic health records with two principal portals: the MyChart patient portal, which gives members 24/7 access to test results, prescription renewal requests, appointment management, and provider messaging, and the MC Link provider portal, which handles eligibility verification, claim status checks, and referral submission and review. A Find a Doctor search tool leverages Google Maps for location-based provider discovery, and pharmacy benefits are administered through a contract with MedImpact Health Systems as PBM, providing nationwide pharmacy network access, mail-order prescription services, claims payment, and formulary management.

Revenue is generated through capitation and premium arrangements with the five carrier partners across three member segments (Commercial, Medicare, Medi-Cal), supplemented by managed pharmacy benefit services via MedImpact. The go-to-market combines direct member services (phone, email, online portals) with a channel-partner model in which carriers enroll members and the IPA delivers care through its contracted provider network. Member support services include health education, disease management programs for chronic conditions, team-based care management, and free language assistance across 16 California languages. The entity does not publicly disclose revenue, and operates within the parent MemorialCare Health System without independent funding rounds or M&A activity.

Name

MemorialCare Select Health Plan

Legal name

MemorialCare Select Health Plan

Website

https://memorialcareselecthealthplan.org

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

1–10 employees

Short description

MemorialCare Select Health Plan is a not-for-profit IPA health plan offering Commercial, Medicare, and Medi-Cal coverage in Los Angeles and Orange counties through a network of 100+ PCPs, 1,200+ specialists, and MemorialCare hospitals, distributed via Anthem, Blue Shield, Health Net, LA Care, and Molina carrier partnerships.

Ownership category

akta.pro rank

Product category

Managed Care Health Insurance

NAICS

Ambulatory Health Care Services (621), All Other Outpatient Care Centers (621498)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Care Management & Population Health Program Administration (HLAEALAG)

akta.pro secondary industries

Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI), Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

Keywords

• Managed care plans
• Medicare Advantage coverage
• Medi-Cal health plan
• Provider network services
• Pharmacy benefit management

Headquarters

HQ city

Fountain Valley

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Health Plan Premium Revenue: Generates revenue through Premium payments from Commercial, Medicare, and Medi-Cal member contracts. Operates as an IPA (Independent Practice Association) with multiple health plan partners including Anthem Blue Cross, Blue Shield of California, Health Net, LA Care Health Plan, and Molina Healthcare.
2. Pharmacy Benefit Management: Contracts with MedImpact Health Systems as a Pharmacy Benefit Manager to provide access to a nationwide network of participating pharmacies, mail order prescription services, and claims payments for prescription drugs.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

MemorialCare Select Health Plan is a managed care Independent Practice Association (IPA) that delivers Commercial, Medicare, and Medi-Cal health coverage to members in Los Angeles and Orange counties. It contracts with major California health plans and leverages the MemorialCare Health System provider network of 100+ primary care physicians, 1,200+ specialists, six hospitals, and 38 urgent care locations, supported by the Epic-based MyChart patient portal, MC Link provider portal, and pharmacy benefit management through MedImpact.

Product overview

MemorialCare Select Health Plan is a managed care health plan offering Commercial, Medicare, and Medi-Cal coverage through a regional provider network. The plan provides members access to over 100 primary care physicians and 1200+ specialists across Los Angeles and Orange counties, with affiliated hospitals including Miller Children's & Women's Hospital Long Beach. The core health plan is supported by a provider portal (MCLink), a patient portal (MyChart), a provider search tool, 38 urgent care locations, health education services, disease management programs, care management services, and language assistance. The plan operates through contracted partnerships with major California health insurers including Anthem Blue Cross, Blue Shield of California, Health Net, LA Care Health Plan, and Molina Healthcare.

Differentiator

Problem solved

Functional benefit

Products and services

• MemorialCare Select Health Plan Coverage A managed care health plan providing Commercial, Medicare, and Medi-Cal coverage with access to a network of over 100 primary care physicians, 1,200+ specialists, and contracted hospitals across Los Angeles and Orange counties.
• Contracted Health Plans Network Multi-plan partnerships with Anthem Blue Cross, Blue Shield of California, Health Net, LA Care Health Plan, and Molina Healthcare that enable member enrollment and plan administration through the MemorialCare Select provider network.
• Care Management Services Team-based care coordination delivered by nurses, care coordinators, and social workers to help members manage medical conditions and reduce emergency room visits and hospitalizations.
• Pharmacy Benefit Services Pharmacy benefit management delivered via MedImpact Health Systems, providing access to a nationwide network of participating pharmacies, mail order prescription services, claims payments for prescription drugs, and management of the Plan's drug formulary list.
• Language Assistance Services Free interpreting services, access to translated member materials, and sign language interpretation assistance for hearing-impaired members across the top California languages identified by HHS.

Quantifiable outcome

• 38 urgent care locations for convenient access to care within 24-48 hours
• +1 more outcomes

Named customers3 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

Integration2 records

Feature3 records

Partnerships

Ten partnerships are on record, tiered core and major.

• MemorialCare Health SystemcoreStrategic or Co-development PartnerParent health system providing the integrated delivery network including six hospitals, 200 care locations, MemorialCare Medical Group, Greater Newport Physicians, and affiliated ambulatory surgery centers, imaging facilities, and urgent care centers across Los Angeles and Orange counties.
• Miller Children's & Women's Hospital Long BeachcoreStrategic or Co-development PartnerRegion's premier pediatric center providing specialized care for children and women, affiliated with MemorialCare Health System.
• Long Beach Medical CentercoreStrategic or Co-development PartnerAcute care hospital providing advanced medical services to MemorialCare Select members.
• Community Medical Center Long BeachcoreStrategic or Co-development PartnerCommunity hospital providing medical services to MemorialCare Select members.
• MedImpact Health SystemscoreTechnology or IntegrationPharmacy Benefit Manager (PBM) providing access to nationwide network of participating pharmacies, mail order prescription services, claims payments for prescription drugs, and management of the Plan's drug formulary list.
• Anthem Blue CrossmajorChannel Partner/ Reseller/ DistributorHealth plan partner providing Commercial and Medi-Cal coverage through the MemorialCare Select provider network.
• Blue Shield of CaliforniamajorChannel Partner/ Reseller/ DistributorHealth plan partner providing coverage through the MemorialCare Select provider network.
• Health NetmajorChannel Partner/ Reseller/ DistributorHealth plan partner providing coverage through the MemorialCare Select provider network.
• LA Care Health PlanmajorChannel Partner/ Reseller/ DistributorLos Angeles County health plan partner providing Medi-Cal coverage through the MemorialCare Select provider network.
• Molina HealthcaremajorChannel Partner/ Reseller/ DistributorHealth plan partner providing Medi-Cal coverage through the MemorialCare Select provider network.

Scale indicators5 records

Recent moves1 record

Expansion highlights4 records

Direct peers

• Health Net: California managed care plan offering Medi-Cal, Medicare, and Commercial coverage and one of MemorialCare Select's contracted partners. Comparable as a California-headquartered payer whose network model relies on contracted IPA partners.
• LA Care Health Plan: Los Angeles County's public Medi-Cal managed care plan and one of MemorialCare Select's named health plan partners for Medi-Cal enrollment. Directly comparable as a California-focused Medi-Cal IPA/plan serving overlapping LA County membership.
• Sharp Health Plan: San Diego-based integrated health plan affiliated with Sharp HealthCare, offering Commercial, Medicare, and Medi-Cal coverage through an owned delivery system. Closely comparable as a regional integrated plan-IPA-hospital model mirroring MemorialCare Select.
• Molina Healthcare: Government-sponsored managed care plan focused on Medi-Cal and Medicare and a named partner of MemorialCare Select for Medi-Cal coverage in California. Closely comparable as a Medicaid-heavy managed care organization with similar California footprint.

Regional players

• CalOptima: Orange County's public Medi-Cal managed care plan serving overlapping SoCal membership with MemorialCare Select. Comparable as a California county-based Medi-Cal plan with strong regional concentration in the same Orange County market.
• Inland Empire Health Plan (IEHP): Riverside and San Bernardino county Medi-Cal and Medicare plan operating a public, community-based managed care model in neighboring Southern California. Comparable as a California regional Medicaid managed care plan.

Broad incumbents

• Anthem Blue Cross (California): Large California commercial and Medi-Cal health plan and a MemorialCare Select partner. Comparable as a statewide incumbent that contracts with multiple IPAs including MemorialCare Select for member access.
• Kaiser Permanente (California): Integrated payer-provider system with deep California market share across Commercial, Medicare, and Medi-Cal. Comparable to MemorialCare Select as an integrated delivery system with health plan, hospital, and physician capabilities in California.
• Blue Shield of California: California-headquartered nonprofit health plan offering Commercial, Medicare, and Medi-Cal coverage and a MemorialCare Select partner. Comparable as a broad incumbent payer relying on contracted provider networks.

Others

• MedImpact Health Systems: Independent pharmacy benefit manager that provides PBM services to MemorialCare Select. Comparable as a contracted services partner that supports pharmacy benefit administration for similar managed care plans and IPAs.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/memorialcare-select-health-plan

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about MemorialCare Select Health Plan