SCAN Group

What SCAN Group does

SCAN Group is a not-for-profit, mission-driven healthcare organization founded in 1977 and headquartered in Long Beach, California. It operates as a parent holding company for a portfolio of senior-focused healthcare entities, with SCAN Health Plan serving as the core Medicare Advantage business covering approximately 440,000 members and generating approximately $8 billion in annual revenue through CMS capitation and premium payments. The company achieved a 4.0-Star CMS rating for 2026 (its 13th consecutive year at 4+ Stars) and ranks as the #1 health plan in California outside of Kaiser Permanente, having surged into the top 10 Medicare Advantage plans nationally following 40.6% year-over-year membership growth.

Beyond the health plan, SCAN operates a vertically integrated care delivery ecosystem spanning Homebase Medical (in-home clinical care for homebound seniors, formed from the 2022 acquisition of The Residentialist Group), myPlace Health (PACE programs, fully acquired in 2025/2026), Healthcare in Action (medical care for seniors experiencing homelessness), Welcome Health (primary care), and Independence at Home (caregiver support). Distribution combines direct Medicare enrollment, strategic health system partnerships (notably with Sutter Health adding ~41,000 members), and the forthcoming 'Brokers as Health Navigators' program launching across five states in Spring 2026.

The underlying technology stack includes AI-powered medical chart summarization and call summarization tools deployed in operational workflows, with enterprise AI strategy newly led by the company's first Chief AI Officer. SCAN's 'Reinventing Aging' corporate development initiative includes strategic minority investments in adjacent senior care companies (Monogram Health, MedArrive, Arine, SafelyYou, SafeRide Health), positioning the organization as both an operator and an ecosystem builder in senior healthcare.

Name

SCAN Group

Legal name

SCAN Group

Website

https://thescangroup.org

Company type

Private

Founded year

1977

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

SCAN Group is a not-for-profit healthcare organization operating SCAN Health Plan, a Medicare Advantage insurer serving approximately 440,000 older adults with $8 billion in annual revenue, alongside affiliated care delivery subsidiaries providing in-home, primary care, PACE, and homeless outreach services.

Ownership category

akta.pro rank

Product category

Medicare Advantage Insurance

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Services for the Elderly and Persons with Disabilities (62412), Services for the Elderly and Persons with Disabilities (624120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Care Coordination & Navigation (Multi-Provider) (HLADALAB)

akta.pro secondary industries

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC), Benefits, Insurance & Long-Term Care Planning Navigation (Medicare/Medicaid/LTC) (HLADALAI)

Keywords

• Medicare Advantage plans
• Senior healthcare services
• In-home clinical care
• Managed care insurance
• PACE program services

Headquarters

HQ city

Long Beach

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Technology or R&D

Revenue model

1. Medicare Advantage Premiums: Revenue from Medicare Advantage plan membership. SCAN Health Plan generates approximately $8 billion in annual revenue from approximately 440,000 members through capitation payments and premiums from Medicare Advantage plans.
2. Care Delivery Services: Revenue from clinical care services provided through affiliated care delivery organizations including Healthcare in Action, Homebase Medical, Welcome Health, and myPlace Health to seniors and vulnerable populations.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels5 records

Core offering

SCAN Group is a mission-driven not-for-profit organization that delivers healthcare services to older adults primarily through SCAN Health Plan, a Medicare Advantage organization serving approximately 440,000 members. The portfolio includes an integrated care delivery ecosystem with multiple subsidiaries providing in-home clinical care, primary care, PACE programs, caregiver support, and medical care for homeless seniors, all designed to support seniors' health and independence.

Product overview

SCAN Group is a mission-driven healthcare organization implementing new ways to deliver evidence-based, patient-centered care to older adults. The organization operates as a platform of affiliated companies and brands rather than a single unified product. SCAN Health Plan serves as the core Medicare Advantage offering with approximately 440,000 members, while the portfolio includes Healthcare in Action (homeless care), Homebase Medical (homebound care services), Independence at Home (caregiver support), Welcome Health (primary care), and myPlace Health (PACE programs). The portfolio structure enables SCAN to address various segments of senior care delivery from hospital-to-home transitions, homeless populations, chronic disease management, and comprehensive PACE programs.

Differentiator

Problem solved

Functional benefit

Brands

• Healthcare in Action: Medical group providing care to older adults and other vulnerable individuals who are experiencing homelessness
• Homebase Medical
• Independence at Home
• Welcome Health
• myPlace Health
• Reinventing Aging

Products and services

• SCAN Health Plan A not-for-profit Medicare Advantage organization offering health plans with industry-leading, innovative benefits designed to support the health and independence of older adult members; serves approximately 440,000 members and ranks in the top 10 Medicare Advantage plans nationally.
• Healthcare in Action A medical group providing care to older adults and other vulnerable individuals who are experiencing homelessness, reaching patients through street-medicine and outreach-based services.
• Homebase Medical A clinical team providing quality wrap-around services to homebound older adults with complex health needs, including in-home clinical care, palliative care, and chronic disease management to improve quality of life at home.
• Independence at Home A service providing no-cost programs, support, and resource referrals for older adults and caregivers to help seniors maintain independence at home.
• Welcome Health A primary care medical group providing personalized care for older adults through dedicated senior-focused primary care practices.
• myPlace Health A care delivery organization providing Programs of All-Inclusive Care for the Elderly (PACE) including personalized care and coverage to older adults who wish to remain safely living in their homes, with comprehensive medical, behavioral health, social, and pharmacy services.
• Brokers as Health Navigators Program A first-of-its-kind Medicare Advantage broker program that equips brokers with training, tools, and incentive compensation for guiding members through preventive care milestones such as welcome calls, flu vaccinations, and annual wellness visits.

Quantifiable outcome

• 40.6% membership growth, adding 127,000 new members to reach approximately 440,000 total members
• +3 more outcomes

Named customers2 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

AI capability2 records

Feature2 records

Partnerships

Two partnerships are on record, tiered core.

• Sutter HealthcoreStrategic or Co-development Partner · 3 February 2026Strategic partnership with Sutter Health in Northern California where SCAN added approximately 41,000 new members during the Annual Enrollment Period, expanding SCAN's presence in Northern California market.
• Commonwealth Care AlliancecoreStrategic or Co-development Partner · 1 January 2025Initially partnered with Commonwealth Care Alliance to incubate myPlace Health, a PACE organization, before SCAN Group acquired full ownership in spring 2025. Both organizations collaborated to establish the PACE care model.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• UnitedHealth Group (Optum): Largest US health insurer with the largest MA franchise (~8M members) and vertically integrated care delivery through Optum. Comparable to SCAN's MA-plus-care-delivery model but vastly larger and for-profit.
• Elevance Health (Anthem): Large multi-state Blue Cross Blue Shield licensee with a growing MA franchise and Carelon services arm. Comparable as a diversified MA payer with care management capabilities.
• Centene Corporation: Largest US Medicaid managed-care insurer with growing MA footprint, particularly among dual-eligible seniors. Comparable risk-bearing government payer model with similar dual-eligible exposure.
• CVS Health (Aetna): Major MA payer through Aetna with integrated retail health (CVS stores, Oak Street Health primary care). Comparable MA-plus-care-delivery strategy to SCAN, particularly in value-based primary care for seniors.

Direct peers

• Alignment Health: Tech-enabled Medicare Advantage insurer focused on seniors, primarily in California and select Western states. Closest publicly-traded comparable in size, geography, and tech-forward MA approach.
• Kaiser Permanente: Integrated payer-provider system dominant in California, currently #1 health plan in the state. The primary benchmark SCAN measures itself against (#1 in CA outside of Kaiser), with similar vertically integrated model.
• Molina Healthcare: Government-sponsored health plan focused on Medicaid and Medicare, including dual-eligible populations. Comparable mission-driven orientation toward vulnerable and lower-income seniors and dual eligibles.
• Clover Health: Tech-forward MA insurer focused on seniors with software-driven care management. Comparable in mission (seniors), size, and willingness to use technology to differentiate care delivery.
• Commonwealth Care Alliance: Massachusetts-based not-for-profit integrated plan serving dual-eligible seniors, including PACE. Direct comparable as a mission-driven payer-provider originally co-founded myPlace Health with SCAN before SCAN took full ownership.
• Humana: Largest pure-play Medicare Advantage insurer in the US with ~5M MA members. Directly comparable to SCAN as a risk-bearing MA payer focused on seniors, with similar Star-rating-driven economics and broker distribution.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/scanhealthplan
• LinkedInlinkedin.com/company/thescangroup

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries11 records

Funding overview

Funding rounds

Investors

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

M&A2 records

Investments9 records

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

Frequently asked questions about SCAN Group