What Universal Healthcare does

Universal Healthcare IPA, Inc. is a California-licensed Independent Practice Association founded in 2020 that operates as a delegated provider network serving Kern County residents through Medicare Advantage and Medi-Cal managed care plans. The organization contracts with primary care physicians, specialists, urgent care facilities, and partner organizations including FQHCs (Omni Family Health, Clinica Sierra Vista), Kern Medical, and Adventist Health Physician Network. Its payer relationships span Anthem, Aetna, WellCare by Health Net, Health Net, and Kern Family Health Care, with members accessing care under capitation arrangements through these health plan contracts.

The company's technology platform is the EZ-NET Provider Portal, a third-party SaaS provided by Cedar Gate Technologies (version 6.8.0) that supports eligibility verification, authorization submission and tracking, and claim status review for contracted providers. Administrative and clinical functions — including contracting, credentialing, claims payment, utilization management, authorizations, quality management, population health, and care coordination — are handled by the affiliated Universal Healthcare MSO, LLC, which holds Knox-Keene licensure enabling delegated risk-bearing administration. Electronic claim submission is processed via Office Ally as the preferred clearinghouse.

The revenue model is per-member-per-month capitation from contracted Medicare Advantage and Medi-Cal health plans, with a complementary value-based care stream from the Sunrise Wellness Care CalAIM Enhanced Care Management program offered at no cost to eligible Medi-Cal members. The company is privately held with leadership comprising CEO Mike Myers (35+ years managed care experience), COO Louise Trevino (25+ years), and CFO Jeff Mihal (25+ years), and operates from its Bakersfield headquarters with no disclosed external investors, funding rounds, or M&A activity.

Name

Universal Healthcare

Legal name

Universal Healthcare IPA, Inc.

Website

https://universalhealthcareipa.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Short description

Universal Healthcare IPA, Inc. is a Kern County, California Independent Practice Association that contracts with Medicare Advantage and Medi-Cal health plans (Anthem, Aetna, Health Net, WellCare) to deliver primary and specialty care to members via a delegated provider network supported by its affiliated MSO and the EZ-NET provider portal.

Ownership category

akta.pro rank

Product category

Managed Care Provider Network

NAICS

HMO Medical Centers (621491), Ambulatory Health Care Services (621), Offices of Physicians (62111)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Independent Practice Association (IPA) Model HMOs (HLAEAMAD)

akta.pro secondary industries

Primary Care Networks, Groups & MSOs (HLAFAGAE), Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH)

Keywords

• Managed care services
• IPA provider network
• Medicare Advantage plans
• Medi-Cal managed care
• Care coordination services

Headquarters

HQ city

Bakersfield

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Others

Revenue model

1. Managed Care Capitation: The IPA operates under capitation arrangements with health plans (Medicare Advantage and Medi-Cal). The organization receives per-member-per-month (PMPM) payments to manage healthcare delivery for enrolled members through its network of contracted PCPs and specialists.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Universal Healthcare IPA operates a contracted provider network of primary care physicians and specialists serving Kern County, California residents enrolled in Medicare Advantage and Medi-Cal health plans. The IPA receives per-member-per-month capitation payments from health plans including Anthem, Aetna, WellCare by Health Net, and Health Net to coordinate and manage healthcare delivery for enrolled members. The related MSO entity provides administrative infrastructure including claims processing, utilization management, credentialing, and quality management.

Product overview

Universal Healthcare operates as a dual-entity organization: Universal Healthcare IPA, Inc. manages the provider network of primary care providers, specialists, and urgent care facilities serving Medicare Advantage and Medi-Cal members in Kern County, California. Universal Healthcare MSO, LLC provides the administrative infrastructure supporting the IPA with claims processing, utilization management, and provider support services. The EZ-NET Provider Portal serves as the technology platform enabling contracted providers to manage patient eligibility, authorizations, and claims. Sunrise Wellness Care offers a CalAIM Enhanced Care Management program for eligible Medi-Cal members requiring complex care coordination.

Differentiator

Problem solved

Functional benefit

Products and services

• Universal Healthcare IPA Provider Network A contracted network of primary care providers, specialists, and urgent care facilities serving Kern County, California residents enrolled in Medicare Advantage (Anthem, Aetna, WellCare by Health Net) and Medi-Cal (Anthem, Health Net) health plans. Coordinates healthcare delivery for members under capitation arrangements.
• Universal Healthcare MSO Services Management Services Organization providing administrative and clinical service support to the IPA, including contracting, accounting and finance, claims payment, member and physician support services, utilization management, authorizations, quality management, data collection and reporting, population health, and care coordination.

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature1 record

Partnerships

Eight partnerships are on record, tiered core and minor.

• Sunrise Wellness CarecoreStrategic or Co-development PartnerSunrise Wellness Care is a Medi-Cal CalAIM Enhanced Care Management program partnered with Universal Healthcare IPA. The program operates in Kern County, California, providing personalized care plans, appointment coordination, and connections to community and social services at no cost to eligible members.
• Children's Hospital Los Angeles (CHLA)minorChannel Partner/ Reseller/ DistributorCHLA provides specialty pediatric healthcare services. Universal Healthcare IPA refers members to CHLA for specialized pediatric care.
• Valley Children's HealthcareminorChannel Partner/ Reseller/ DistributorValley Children's Healthcare provides pediatric specialty care services. The IPA maintains referral relationships for pediatric specialty care.
• Omni Family HealthminorChannel Partner/ Reseller/ DistributorFederally Qualified Health Center (FQHC) providing primary care services. Listed as a primary care provider network partner.
• Kern MedicalminorChannel Partner/ Reseller/ DistributorKern Medical provides primary and specialty care services. Listed as a primary care provider network partner.
• Vanguard Medical CorporationminorChannel Partner/ Reseller/ DistributorMedical provider group providing care services. Listed as a primary care provider network partner.
• Clinica Sierra VistaminorChannel Partner/ Reseller/ DistributorFederally Qualified Health Center (FQHC) providing primary care services. Listed as a primary care provider network partner.
• Adventist Health Physician NetworkminorChannel Partner/ Reseller/ DistributorAdventist Health network of physicians providing care services. Listed as a primary care provider network partner.

Scale indicators1 record

Recent moves5 records

Expansion highlights4 records

Regional players

• Partnership HealthPlan of California: Northern/Central California Medi-Cal managed care plan with delegated IPA networks across multiple counties. Comparable in plan-delegate model; not currently operating in Kern County so not a direct competitor.
• Inland Empire Health Plan (IEHP): California Medi-Cal and MA managed care plan operating in the Inland Empire region that delegates risk to IPA networks. Comparable as a county-level public plan with delegated IPA relationships; does not directly compete in Kern County.
• L.A. Care Health Plan: Largest Medi-Cal managed care plan in California operating in Los Angeles County with extensive delegated IPA relationships. Comparable as a delegated-network model but in a different geography from Kern County.
• CalOptima: Orange County organized health system/Medi-Cal managed care plan that delegates to IPA networks. Comparable as a delegated-network customer model and operates in California Medi-Cal, though it is a plan rather than a competing IPA.
• Kern Family Health Care: Local Kern County Medi-Cal managed care plan that contracts with IPAs like UHC IPA for delegated provider network services. Comparable as the primary local health plan partner and a key customer/peer in the Kern Medi-Cal ecosystem.

Direct peers

• Heritage Provider Network: Large California IPA/MSO operating delegated risk-bearing networks across multiple Southern California counties under capitation with MA and Medi-Cal plans. Directly comparable business model (IPA + MSO chassis) serving similar Medicare Advantage and Medi-Cal populations.
• AltaMed Health Services: Large California FQHC/IPC operating delegated risk networks for Medi-Cal and Medicare Advantage in Southern California. Comparable IPA-style delegated model and CalAIM ECM/Community Supports delivery, though larger and more vertically integrated.

Others

• Office Ally: Healthcare clearinghouse used by UHC IPA for electronic claim submissions. Comparable as the integrated claims-processing vendor that supports IPA revenue cycle operations.
• Cedar Gate Technologies: Vendor providing the EZ-NET provider portal that UHC IPA uses for eligibility, authorizations, and claims. Comparable as the technology infrastructure provider enabling delegated IPA operations.

Broad incumbents

• Prospect Medical Holdings: Multi-state integrated provider network historically operating IPAs and medical groups across California. Comparable delegated-network model with Knox Keene-licensed entities contracting with major MA and Medi-Cal plans.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/61570156863019
• LinkedInlinkedin.com/company/universal-healthcare-mso-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Universal Healthcare