Affinity Health Plan
Affinity Health Plan, operating as Affinity by Molina Healthcare, is a New York State Medicaid managed care plan serving Medicaid-eligible individuals and families, plus Essential Plan enrollees, as a subsidiary of Molina Healthcare, Inc. (NYSE: MOH).
- Company typePrivate
- Founded-
- HeadquartersBronx, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
What Affinity Health Plan does
Affinity Health Plan operates as Affinity by Molina Healthcare, a Medicaid managed care plan serving low-income individuals and families in New York State. It is a brand subsidiary of Molina Healthcare, Inc. (NYSE: MOH), operating legally under Molina Healthcare of New York, Inc. The plan provides comprehensive health coverage including physician services, hospital care, prescription medications, preventive care, mental health, and maternal health services to Medicaid-eligible populations. It also offers the Essential Plan, a subsidized coverage product with over-the-counter (OTC) card benefits for qualifying New York residents, and supports the Senior Whole Health of New York plan for seniors.
The company's technology stack consists of conventional managed care infrastructure rather than differentiated proprietary systems. Members access services through the My Molina member portal and mobile app; providers use the Availity Essentials provider portal for claims, eligibility, and prior authorizations; and the Sapphire provider directory powers doctor and pharmacy search. The Molina Help Finder tool and Social Care Network are deployed to address social determinants of health, connecting members to community resources and self-referral capabilities. The plan is HIPAA-compliant and operates from a Bronx office at One Fordham Plaza.
The business model is capitated managed care: the company receives per-member-per-month premiums from New York State for Medicaid enrollees and from state-subsidized channels for Essential Plan members. Distribution occurs through direct enrollment (web, phone, in-person), a licensed broker channel for Essential Plans, and provider referrals. As a Medicaid plan, the company is wholly dependent on New York State government as its payer, and revenue is not separately disclosed from Molina's consolidated financials. The company's operating status is active, with continued product investment and a recent Bronx office relocation.
Affinity Health Plan firmographics
Firmographics- Name
- Affinity Health Plan
- Legal name
- Molina Healthcare of New York, Inc.
- Website
- https://affinityplan.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Affinity Health Plan, operating as Affinity by Molina Healthcare, is a New York State Medicaid managed care plan serving Medicaid-eligible individuals and families, plus Essential Plan enrollees, as a subsidiary of Molina Healthcare, Inc. (NYSE: MOH).
- Ownership category
- akta.pro rank
Affinity Health Plan industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
Keywords
Where Affinity Health Plan is headquartered
LocationHeadquarters
- HQ city
- Bronx
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Affinity Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Medicaid Managed Care Premiums: Capitated premiums received from state government for providing managed care coverage to Medicaid-eligible individuals and families.
- Essential Plan Premiums: Low-cost or no-cost health coverage for New York residents through the state's Essential Plan program, with premiums subsidized by government.
Go-to-market motion1 record
Distribution channels4 records
Marketing channels7 records
Affinity Health Plan product offering
Product offeringCore offering
Affinity Health Plan, operating as Affinity by Molina Healthcare, is a Medicaid managed care health plan in New York State providing comprehensive health coverage — including physician services, hospital care, prescription medications, preventive care, and mental health services — to Medicaid-eligible and Essential Plan-eligible residents. The plan is supplemented by an OTC card benefit for Essential Plan members, the Molina Help Finder community resource tool, and the Social Care Network connecting members to social support services.
Product overview
Affinity Health Plan, operating as Affinity by Molina Healthcare, is a health insurance provider in New York that offers multiple health plan products under the Molina Healthcare umbrella. The portfolio includes Medicaid plans (Affinity by Molina Healthcare, Molina Healthcare of New York), Senior Whole Health of New York for seniors, and Essential Plans with OTC benefits. These plans are supported by digital member tools including the My Molina mobile app and Molina Help Finder portal for community resource access. Healthcare providers access the system through the Availity Essentials Provider Portal.
Differentiator
Problem solved
Functional benefit
Products and services
- Affinity by Molina Healthcare Medicaid Plan
Companies that use Affinity Health Plan
Customer profileSegments3 records
Ideal customer profiles3 records
Affinity Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature3 records
Affinity Health Plan partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- AvailitycoreAvaility provides the Essentials Provider Portal for health care professionals to access claims, eligibility, prior authorizations, and other administrative functions. This is the designated provider portal for Molina Healthcare of New York including Affinity by Molina Healthcare members.
- SapphirecoreSapphire provider directory system powers the doctor and pharmacy search functionality (molina.sapphirethreesixtyfive.com) allowing members to find participating providers in the Affinity by Molina Healthcare network in New York.
Scale indicators1 record
Recent moves6 records
Expansion highlights5 records
Affinity Health Plan competitors and assessment
Company assessmentDirect peers
- Fidelis Care: Fidelis Care is a New York-focused health plan offering Medicaid Managed Care, Essential Plan, Child Health Plus, and Qualified Health Plans, now owned by Centene. It is one of Affinity's closest direct competitors in NY Medicaid, sharing the same product mix and target population.
- EmblemHealth: EmblemHealth is a New York-based nonprofit health plan serving Medicaid (through EmblemHealth Plan and ConnectiCare), Medicare, and commercial members. Comparable as a long-standing NY Medicaid plan with similar dual-segment (Medicaid + senior) focus.
- MetroPlus Health Plan: MetroPlus is a NYC-focused public-option Medicaid managed care plan owned by NYC Health + Hospitals. It directly competes with Affinity for the same Medicaid-eligible New Yorkers, particularly in the Bronx and surrounding boroughs where Affinity's office is located.
- Healthfirst: Healthfirst is one of the largest New York-based not-for-profit Medicaid managed care plans, serving Medicaid, Essential Plan, Child Health Plus, Medicare Advantage, and dual-eligible populations. Directly comparable as a NY-only Medicaid plan competing for the same members, providers, and brokers.
Regional players
- Oscar Health: Oscar Health is a New York-headquartered health insurer with growing individual ACA and small-group focus, plus the +Oscar technology platform. Comparable as a NY-headquartered health insurer, though Oscar's primary mix skews toward individual ACA rather than Medicaid, making the comparison thematic around NY-centric health plan operations.
- HealthPlus HP: HealthPlus HP is a New York-focused Medicaid and Child Health Plus plan now part of the Anthem/Empire network. Comparable as a regional NY Medicaid carrier with similar product mix and member demographics, particularly in the downstate NY market.
Broad incumbents
- Centene Corporation: Centene is the largest U.S. Medicaid managed care company, operating plans including Fidelis Care (NY), Empire (in select NY markets), and WellCare. Comparable as the parent-of-peer whose NY footprint directly overlaps with Affinity's market.
- Empire BlueCross BlueShield: Empire (an Anthem affiliate) is a major New York carrier offering Medicaid Managed Care, HARP, Child Health Plus, and Essential Plan. Comparable as a broad incumbent with overlapping NY Medicaid products and a large provider network.
- Aetna Better Health: Aetna Better Health (a CVS Health company) operates Medicaid managed care plans in multiple states including New York. Comparable as a national Medicaid player leveraging parent-company infrastructure similar to how Affinity leverages Molina.
- UnitedHealthcare Community Plan: UnitedHealthcare Community & State operates the nation's largest Medicaid managed care business, with a significant New York presence. Comparable as a scaled, multi-state Medicaid plan with broader resources than Affinity, competing for the same NY Medicaid and Essential Plan contracts.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights5 records
Customer concentration
Affinity Health Plan social profiles
Digital presenceAffinity Health Plan compliance and trust
Trust signalCompliance2 records
Affinity Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
Affinity Health Plan leadership team
Management profileNumber of profiles
Affinity Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Affinity Health Plan 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 Affinity Health Plan
What does Affinity Health Plan do?
Affinity Health Plan, operating as Affinity by Molina Healthcare, is a Medicaid managed care health plan in New York State providing comprehensive health coverage — including physician services, hospital care, prescription medications, preventive care, and mental health services — to Medicaid-eligible and Essential Plan-eligible residents. The plan is supplemented by an OTC card benefit for Essential Plan members, the Molina Help Finder community resource tool, and the Social Care Network connecting members to social support services.
Is Affinity Health Plan a public or private company?
Affinity Health Plan is a private company. It is classified as corporate owned and is currently operating.
When was Affinity Health Plan founded?
Affinity Health Plan was founded in -1. It employs 501 to 1,000 people.
Where is Affinity Health Plan based?
Affinity Health Plan is headquartered in Bronx, United States, in the North America region.
How does Affinity Health Plan make money?
Two revenue lines are on record. Medicaid Managed Care Premiums are the primary driver. The others are essential Plan Premiums.
Who are Affinity Health Plan's main competitors?
Direct peers on record are Fidelis Care, EmblemHealth, MetroPlus Health Plan and Healthfirst. Regional players are Oscar Health and HealthPlus HP. Broad incumbents are Centene Corporation, Empire BlueCross BlueShield, Aetna Better Health and UnitedHealthcare Community Plan.
Does Affinity Health Plan have an API?
No public API is recorded for Affinity Health Plan.
What industry is Affinity Health Plan in?
Affinity Health Plan's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans. Its NAICS code is 524114 and its SIC code is 6324.