managed-care

(5)
Company
GHI
Health · Enterprise · Consumer

GHI

GHI pioneered the broad doctor network before the term PPO became everyday insurance language. Nearly nine decades later, its name survives inside EmblemHealth - and inside the health benefits of generations of New Yorkers.

health-insurance · nonprofit-insurerRead →
Company
Magellan Health
Health · Enterprise · Saas

Magellan Health

It started as a chain of psychiatric hospitals in Georgia. Fifty-plus years later, Magellan Health decides how millions of Americans get their mental health care approved - and after a $2.2 billion round trip through Centene, it is about to be on its own again.

behavioral-health · managed-careRead →
Company
Evolent
Health · Saas · Enterprise

Evolent

The company betting that the most expensive corner of American medicine - cancer, cardiology, and back surgery - can be run better when the people paying for care and the doctors delivering it are finally pulling in the same direction.

value-based-care · specialty-care-managementRead →
Company
DataCare
Saas · Health · Enterprise

DataCare

DataCare is a San Jose, California software company that builds cloud-based tools for the workers' compensation and managed care industry. Its Ahshay platform unifies medical case management, utilization review, and document workflows in one HIPAA-compliant, SOC 2 certified system, helping insurers, third-party administrators, self-insured employers, and nurse case managers process medical claims faster while keeping evidence-based, defensible documentation.

workers-compensation-software · medical-bill-reviewRead →
Company
Molina Healthcare
Health · Enterprise · Saas

Molina Healthcare

Molina Healthcare is a Fortune 500 managed care company headquartered in Long Beach, California, that provides government-sponsored health insurance - chiefly Medicaid, Medicare, and ACA Marketplace plans - to low-income and underserved Americans. Founded in 1980 by emergency-room physician Dr. C. David Molina, it grew from a single clinic in Wilmington into a multi-state insurer covering roughly 5.8 million members across some 20 states, with about $43 billion in 2025 premium revenue.

managed-care · medicaidRead →