Managed Health Services
Indiana-focused managed care organization and wholly-owned Centene subsidiary providing Medicaid (Healthy Indiana Plan, Hoosier Care Connect, Hoosier Healthwise), Wellcare Medicare Advantage, and Ambetter ACA marketplace health plans to approximately 290,899 members statewide through capitated state contracts.
- Company typePrivate
- Founded-
- HeadquartersIndianapolis, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What Managed Health Services does
Managed Health Services (MHS) is an Indianapolis-headquartered managed care organization and a wholly-owned subsidiary of Centene Corporation (NYSE: CNC), licensed as a Managed Care Entity by the Indiana Office of Medicaid Policy and Planning. The company administers government-sponsored health plans for approximately 290,899 Indiana members, organized around three core programs: the Healthy Indiana Plan (HIP) for low-income adults aged 19–64, Hoosier Care Connect for aged, blind, and disabled beneficiaries, and Hoosier Healthwise for children, pregnant women, and families. In addition to Medicaid, MHS offers Wellcare-branded Medicare Advantage plans and Ambetter Health individual marketplace plans under the ACA exchange. Revenue is generated primarily through capitated per-member-per-month premiums from the state of Indiana and from CMS for Medicare and ACA lines, with no member-level premiums for eligible Medicaid beneficiaries.
MHS's technology stack is built on third-party integrations rather than proprietary infrastructure: members access benefits through the MyMHS mobile application (iOS/Android), provider analytics are powered by Interpreta via the Availity Portal with daily refreshes of pharmacy, membership, and claims data, and 24/7 telehealth is delivered through Teladoc Health. Provider-facing capabilities include a secure web portal with care gap notifications, member panel rosters, Trucare service plans, and HEDIS reporting, plus FHIR-based Patient Access and Provider Directory APIs that meet CMS interoperability requirements. Payment processing to providers runs through PaySpan Health, and clinical policy decisions for infectious disease testing are driven by Concert Genetics clinical frameworks. MHS employs 251–500 staff and operates a community-engagement model that includes 300+ annual events, a Member Advisory Council, the Start Smart for Your Baby maternity program, and language assistance in 150+ languages.
The business model relies on Indiana OMPP contract renewal, NCQA accreditation, and a contracted provider network spanning counties including Marion, Allen, Lake, Elkhart, Vanderburgh, and others. Distribution occurs through state-administered enrollment for Medicaid, Wellcare Medicare Advantage field sales, Ambetter marketplace enrollment, and a network of community relations specialists and member advocates. Member support is layered with the My Health Pays rewards program, Connections Plus cell phone lending, school-based services, and population-health programs covering tobacco cessation and preventive care incentives. The company does not disclose revenue, independent funding, or M&A activity; recent 2026 strategic actions include network contraction (ABA network closure), benefit reduction (enhanced dental cleaning discontinuation), and incremental clinical-policy buildout — collectively signaling cost discipline within a stable Indiana footprint rather than expansion.
Managed Health Services firmographics
Firmographics- Name
- Managed Health Services
- Legal name
- Managed Health Services
- Website
- https://mhsindiana.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Indiana-focused managed care organization and wholly-owned Centene subsidiary providing Medicaid (Healthy Indiana Plan, Hoosier Care Connect, Hoosier Healthwise), Wellcare Medicare Advantage, and Ambetter ACA marketplace health plans to approximately 290,899 members statewide through capitated state contracts.
- Ownership category
- akta.pro rank
Managed Health Services industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000), Accident & Health Insurance (6321)
- akta.pro primary industry
- Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans (HLAEAEAE)
Keywords
Where Managed Health Services is headquartered
LocationHeadquarters
- HQ city
- Indianapolis
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Managed Health Services business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain
Revenue model
- Medicaid Managed Care Premiums: MHS generates revenue primarily through capitated premiums paid by the Indiana Office of Medicaid Policy and Planning (OMPP) for administering health coverage to Medicaid beneficiaries enrolled in HIP, Hoosier Care Connect, and Hoosier Healthwise programs
- Medicare Advantage Premiums: Revenue from Medicare Advantage plans (Wellcare brand) serving seniors and people with disabilities
- Ambetter Health Premiums: Individual market health insurance premiums from ACA marketplace exchange plans branded as Ambetter Health
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid programs - no member premiums for eligible individuals |
| Subscription | Monthly | HIP cost-sharing paused as of policy date |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels6 records
Managed Health Services product offering
Product offeringCore offering
MHS is an Indiana managed care organization that contracts with the state Medicaid program and federal programs to deliver health insurance coverage and care management to enrolled members. It sells Medicaid plans (Healthy Indiana Plan, Hoosier Care Connect, Hoosier Healthwise), an ACA Marketplace plan (Ambetter), and a Medicare Advantage plan (Wellcare) to Indiana consumers, delivering care through a contracted provider network.
Product overview
Managed Health Services (MHS) is a Centene-operated Indiana Medicaid managed care organization offering a portfolio of health insurance products including Healthy Indiana Plan (HIP), Hoosier Care Connect, Hoosier Healthwise, Ambetter Health, and Wellcare Medicare Advantage plans. The product portfolio is unified under the MHS brand and supplemented by digital member tools — centered on the MyMHS Mobile App — and provider-facing solutions including the Provider Portal and Provider Analytics platform (powered by Interpreta). Telehealth is delivered through an integration with Teladoc Health for general medical and mental health virtual visits. MHS also operates member wellness programs (Healthy Rewards, Healthy Kids Club, Start Smart for Your Baby), community outreach services, language assistance, and interoperability tools compliant with CMS Patient Access rules. The provider ecosystem includes PCMH support, HEDIS quality reporting, electronic payment processing via PaySpan Health, and FHIR-based APIs for patient data access.
Differentiator
Problem solved
Functional benefit
Brands
- Healthy Indiana Plan (HIP): Indiana Medicaid program offering health coverage for low-income adults
- Hoosier Care Connect
- Hoosier Healthwise
- Ambetter Health
- Wellcare
Products and services
- Healthy Indiana Plan (HIP) Medicaid managed care plan for Indiana adults aged 19-64 meeting income and eligibility criteria, including members who contribute to a POWER account.
- Hoosier Care Connect Medicaid managed care plan for Indiana beneficiaries who are aged, blind, or disabled, providing integrated physical health, behavioral health, and care coordination benefits.
- Hoosier Healthwise Medicaid managed care plan for Indiana children, pregnant women, and families with low income, covering doctor visits, hospital care, prescriptions, and maternity benefits such as Start Smart for Your Baby.
- Ambetter Health Individual Affordable Care Act Marketplace health insurance plan offered to Indiana residents purchasing coverage on the exchange, with preventive, primary, specialty, and prescription benefits.
- Wellcare Medicare Advantage Medicare Advantage plan offered to Medicare-eligible Indiana residents, combining hospital, medical, and typically prescription drug coverage with extra benefits such as dental, vision, and hearing.
- MyMHS Mobile App Standalone mobile application for MHS plan members to view benefits, find providers, access telehealth via Teladoc Health, view digital ID cards, and engage with plan tools.
- Start Smart for Your Baby Maternity care management program that supports pregnant MHS members with care coordination, education, and incentives through pregnancy and postpartum.
- Healthy Rewards Program Wellness incentive program that rewards eligible MHS members for completing preventive screenings, well-child visits, and other healthy activities.
Quantifiable outcome
- Members can earn My Health Pays rewards for completing Health Needs Screening within 90 days of enrollment
- +2 more outcomes
Companies that use Managed Health Services
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles4 records
Managed Health Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability9 records
Feature5 records
Managed Health Services partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core.
- Teladoc HealthcoreTeladoc Health provides 24/7 telehealth services for MHS members including general medical care and mental health services via phone or video. Members can access board-certified providers for $0/visit through the Teladoc app or website at Teladoc.com/mhsindiana
- PaySpan HealthcorePaySpan Health provides electronic funds transfer (EFT) and electronic remittance advice (ERA) services for MHS network providers, enabling paperless claim payments and HIPAA 835 file downloads
- InterpretacoreInterpreta provides real-time analytics for MHS providers through the Availity Portal, offering daily care gap reports from pharmacy, membership, and claims data to optimize pay-for-performance metrics
- Availity PortalcoreAvaility serves as the platform host for MHS Provider Analytics and Interpreta analytics tools, providing network providers access to care gap information and performance data
- Mental Health America of IndianacoreMHS partners with Mental Health America of Indiana to provide the Member Ombudsman program, offering neutral advocacy for members experiencing problems with MHS services, providers, or healthcare decisions
- Centene CorporationcoreMHS is a subsidiary of Centene Corporation, a Fortune 500 healthcare enterprise specializing in government-sponsored programs
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Managed Health Services competitors and assessment
Company assessmentDirect peers
- MDwise: MDwise is an Indiana-based Medicaid managed care organization serving Hoosier Healthwise and HIP members, directly competing with MHS in the same state programs.
- Anthem Blue Cross and Blue Shield of Indiana: Anthem operates Indiana Medicaid managed care plans competing directly with MHS for HIP, Hoosier Care Connect, and Hoosier Healthwise members, and is one of the largest competing MCOs in the state.
- CareSource Indiana: CareSource is a non-profit Medicaid managed care plan serving Indiana, directly competing with MHS for state Medicaid members across the same Indiana programs.
- UnitedHealthcare Indiana: UnitedHealthcare operates Indiana Medicaid and Medicare Advantage plans, competing with MHS across both government program lines within the same geography.
Broad incumbents
- Molina Healthcare: Molina is a national Medicaid managed care incumbent with similar government-program focus, dual-eligible plans, and Marketplace offerings — a strong comparable on business model and product mix even though it does not operate in Indiana today.
- Humana: Humana is a major Medicare Advantage insurer with strong Indiana presence, competing with MHS's Wellcare Medicare Advantage line and sharing the government-program business model.
- Aetna (CVS Health): Aetna operates Medicaid managed care and Medicare Advantage plans nationally, with Indiana Medicaid presence — competing with MHS in the same state programs with broader portfolio scale.
- Elevance Health: Elevance Health (parent of Anthem) is one of the largest U.S. health insurers with significant Medicaid and Medicare Advantage footprints — directly comparable to MHS in product mix and government-program focus, but at national scale.
Others
- Centene Corporation: Centene is the parent company of MHS and a Fortune 500 managed care enterprise — a key ecosystem participant that provides corporate infrastructure, capital, and shared technology platforms supporting MHS's operations.
- Teladoc Health: Teladoc is a core technology and telehealth partner integrated with MHS, providing 24/7 virtual care services to members — an ecosystem participant enabling MHS's virtual care capabilities rather than a direct competitor.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Managed Health Services social profiles
Digital presenceManaged Health Services compliance and trust
Trust signalCompliance1 record
Managed Health Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Managed Health Services leadership team
Management profileNumber of profiles
Managed Health Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Managed Health Services 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 Managed Health Services
What does Managed Health Services do?
MHS is an Indiana managed care organization that contracts with the state Medicaid program and federal programs to deliver health insurance coverage and care management to enrolled members. It sells Medicaid plans (Healthy Indiana Plan, Hoosier Care Connect, Hoosier Healthwise), an ACA Marketplace plan (Ambetter), and a Medicare Advantage plan (Wellcare) to Indiana consumers, delivering care through a contracted provider network.
Is Managed Health Services a public or private company?
Managed Health Services is a private company. It is classified as corporate owned and is currently operating.
When was Managed Health Services founded?
Managed Health Services was founded in -1. It employs 251 to 500 people.
Where is Managed Health Services based?
Managed Health Services is headquartered in Indianapolis, United States, in the North America region.
How does Managed Health Services make money?
Three revenue lines are on record. Medicaid Managed Care Premiums are the primary driver. The others are medicare Advantage Premiums and ambetter Health Premiums.
Who are Managed Health Services's main competitors?
Direct peers on record are MDwise, Anthem Blue Cross and Blue Shield of Indiana, CareSource Indiana and UnitedHealthcare Indiana. Broad incumbents are Molina Healthcare, Humana, Aetna (CVS Health) and Elevance Health. Others are Centene Corporation and Teladoc Health.
Does Managed Health Services have an API?
Yes. MHS offers a FHIR-based Patient Access API and Provider Directory API. Developers can access the Patient Access API to retrieve member health data including claims, providers, pharmacy directory, and clinical information. The Provider Directory API enables access to provider network data. Access is via the Centene Partner Portal at partners.centene.com/apis. Developer documentation is at partners.centene.com/apis.
What industry is Managed Health Services in?
Managed Health Services's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAE, Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans. Its NAICS code is 524114 and its SIC code is 6324.