Managed Health Services

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.

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

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

• Medicaid managed care
• Indiana health insurance
• Medicare Advantage plans
• ACA marketplace coverage
• Hoosier Healthwise

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. 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
2. Medicare Advantage Premiums: Revenue from Medicare Advantage plans (Wellcare brand) serving seniors and people with disabilities
3. Ambetter Health Premiums: Individual market health insurance premiums from ACA marketplace exchange plans branded as Ambetter Health

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core 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

Named customers3 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability9 records

Feature5 records

Partnerships

Six partnerships are on record, tiered core.

• Teladoc HealthcoreTechnology or IntegrationTeladoc 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 HealthcoreTechnology or IntegrationPaySpan 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
• InterpretacoreTechnology or IntegrationInterpreta 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 PortalcoreTechnology or IntegrationAvaility 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 IndianacoreStrategic or Co-development PartnerMHS 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 CorporationcoreOthersMHS 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

Direct 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

• YouTubeyoutube.com/user/MHSIndiana
• Facebookfacebook.com/ManagedHealthServices
• LinkedInlinkedin.com/company/managed-health-services

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Managed Health Services