Verda Healthcare

What Verda Healthcare does

Verda Healthcare is the parent company for Medicare Advantage Prescription Drug (MAPD) and Chronic Special Needs (C-SNP) HMO plans operating in Texas, Arizona, and California, serving seniors aged 65 and older in underserved multicultural communities. Founded in 2022 and headquartered in Huntington Beach, California, the company offers two main products: Verda Noble Care, a standard HMO available during Medicare Open Enrollment, and Verda Noble Chronic Care, a C-SNP for members with diabetes mellitus, chronic heart failure, and cardiovascular disorders available year-round. Revenue is generated through capitated CMS payments and member premiums; pricing is not publicly disclosed and is accessed via direct enrollment, broker consultation, or phone sales.

Name

Verda Healthcare

Legal name

Verda Healthcare, Inc.

Website

https://verdahealthcare.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

11–50 employees

Short description

Verda Healthcare is the parent company for Medicare Advantage Prescription Drug and C-SNP HMO plans serving seniors aged 65 and older in underserved Asian-American, Hispanic-American, and Arab-American communities across Texas, Arizona, and California.

Ownership category

akta.pro rank

Product category

Medicare Advantage Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

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

akta.pro secondary industries

C-SNP Condition Categories (Diabetes/CVD/CHF/COPD/ESRD/etc.) (HLAEAGAC), Chronic Condition Special Needs Plans (C-SNP) (FSAIAGAE)

Keywords

• Medicare Advantage plans
• Managed care services
• Health plan administration
• Special needs plans
• Multicultural healthcare

Headquarters

HQ city

Huntington Beach

HQ country

United States

HQ region

North America

Offices3 records

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 Premiums: Verda Healthcare generates revenue primarily through Medicare Advantage plan premiums. As a Medicare Advantage Prescription Drug (MAPD) plan, the company receives capitated payments from the Centers for Medicare & Medicaid Services (CMS) and collects premiums from enrolled members. The company offers two plan types: Verda Noble Care (HMO) for general Medicare-eligible seniors, and Verda Noble Chronic Care (HMO C-SNP) for members with qualifying chronic conditions.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels4 records

Core offering

Verda Healthcare operates Medicare Advantage Prescription Drug (MAPD) HMO plans, including a standard plan (Verda Noble Care) and a Chronic Condition Special Needs Plan (Verda Noble Chronic Care HMO C-SNP) for members with diabetes, chronic heart failure, and cardiovascular disorders. The company administers member enrollment, benefits management, claims processing, prior authorization, and utilization management, distributing plans in Texas, Arizona, and California through community advocates, brokers, and provider networks.

Product overview

Verda Healthcare is a Medicare Advantage Plan parent company offering products in Texas, Arizona, and California. The company operates two main Medicare Advantage Prescription Drug (MAPD) plans: Verda Health Plan of Texas and Verda Health Plan of Arizona. Under these plans, the company offers two product variants: Verda Noble Care (HMO), a standard Medicare Advantage HMO plan available during open enrollment, and Verda Noble Chronic Care (HMO C-SNP), a chronic condition Special Needs Plan available year-round for members with qualifying conditions such as diabetes, chronic heart failure, and cardiovascular disorders. The company focuses on serving seniors in underserved, ethnic communities across the United States.

Differentiator

Problem solved

Functional benefit

Brands

• Verda Noble Care: Medicare Advantage HMO plan available to patients turning 65 or during Medicare Open Enrollment (October 15 through December 7)
• Verda Noble Chronic Care

Products and services

• Verda Health Plan of Texas Medicare Advantage Prescription Drug (MAPD) plan serving seniors in Texas, focusing on underserved ethnic communities in Fort Bend, Harris, and Montgomery counties. Operates under a CMS contract and Texas Department of Insurance state license.
• Verda Health Plan of Arizona Medicare Advantage Prescription Drug (MAPD) plan serving seniors in Arizona, with state license from Arizona Department of Insurance and Financial Institutions. Operates a community center in Chandler.
• Verda Noble Care (HMO) Medicare Advantage HMO plan available to patients turning 65 or during Medicare Open Enrollment (October 15 through December 7). Provides hospital, medical, and prescription drug coverage.
• Verda Noble Chronic Care (HMO C-SNP) Medicare Advantage Chronic Care Special Needs Plan (C-SNP) available year-round for members with chronic conditions including Diabetes Mellitus, Chronic Heart Failure, and Cardiovascular Disorders (Cardiac Arrhythmias, Peripheral Vascular Disease, Coronary Artery Disease, Chronic Venous Thromboembolic Disorder).

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• IntegraNet Health, Inc.coreStrategic or Co-development Partner · 1 April 2024Verda Health Plan of Texas and IntegraNet Health, Inc. formed a strategic partnership in April 2024 to advance healthcare quality and accessibility in underserved communities across Texas. IntegraNet is among the largest IPAs in Texas, offering an expansive network of primary care and specialists who care for traditionally underserved populations. The partnership combines Verda's Medicare Advantage expertise with IntegraNet's established track record and digital platform for consumer engagement in medical, lifestyle, and behavioral changes. The alliance is specifically designed for individuals 65 or older focusing on Hispanic, Asian, and Arab Americans in underserved counties.

Scale indicators2 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Molina Healthcare: National government-sponsored health plan with Medicare Advantage and Medicaid, focused on low-income and multicultural populations. Broad incumbent in the same dual-eligible / underserved space.
• Humana: Largest U.S. Medicare Advantage carrier with nationwide HMO/PPO footprint and Star-Rating-driven member retention model. Defines the competitive ceiling for any small MA plan.
• SCAN Health Plan: Large nonprofit Medicare Advantage HMO in California (and select other states) with significant multicultural enrollment. Comparable as a California MA leader; materially larger and more diversified.
• Anthem Blue Cross (Elevance Health): Major Blue Cross Blue Shield plan offering Medicare Advantage across multiple states including California, Texas, and Arizona. Sets pricing/benchmark baseline in Verda's three target states.

Direct peers

• Clever Care Health Plan: California-headquartered Medicare Advantage HMO plan that explicitly serves Asian-American and other multicultural seniors with bilingual staff and community-center outreach. Near-clone of Verda's positioning and product mix.
• Alignment Healthcare: California-based Medicare Advantage insurer targeting seniors with a tech-forward, multicultural positioning and MA-only focus. Directly comparable in product category, geography, and target demographic.
• Imperial Health Plan of California: California-headquartered Medicare Advantage HMO serving senior populations, including multicultural communities. Smaller MA-only competitor operating similar product structure.
• Easy Choice Health Plan: California Medicare Advantage HMO plan co-founded by Verda CEO Frank Vo. Direct precedent for Verda's multicultural HMO model and a useful reference for membership ramp curves.
• Astiva Health: Southern California Medicare Advantage HMO with C-SNP focus on multicultural seniors; co-founded by Verda CEO Frank Vo. Operates the same multicultural HMO + C-SNP playbook that Verda is replicating in TX/AZ/CA.

Emerging players

• Clover Health: Technology-driven Medicare Advantage insurer focused on value-based care for senior populations, with significant California presence. Smaller-than-incumbent MA-only operator pursuing software-enabled care management.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/verdahealthcare
• Facebookfacebook.com/VerdaHealthcare
• LinkedInlinkedin.com/company/mastery-consulting

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries2 records

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 Verda Healthcare