Champion’s Comprehensive medicare advantage platform
Champion Health Plan
Medicare Made Easy
Champion Health Plan is a locally operated, provider-aligned Medicare Advantage organization purpose-built to partner with Medical Groups, IPAs, and Health Systems. Champion integrates proven Chronic Special Needs Plan (C-SNP) expertise, provider ownership, high-touch care management, and modern technology to deliver superior clinical outcomes and sustainable financial performance.
Champion is led by a highly experienced executive and clinical leadership team that built and operated the third-largest C-SNP platform in the United States, culminating in Bright Health Group’s 2020 acquisition of Universal Care Inc. (dba Brand New Day). Our platform offers health systems a differentiated, scalable, and aligned pathway for Medicare Advantage growth—without sacrificing local control, clinical integrity, or governance discipline.
Who We Are
Champion Health Plan was founded by seasoned healthcare and managed care executives to serve Medicare beneficiaries across the full acuity spectrum—from individuals with complex chronic conditions to those focused on prevention, independence, and healthy aging.
Champion is not a transactional payer; we are a strategic partner built to align incentives, clinical outcomes, and financial performance over time.
Our Model is Designed for:
Provider partnership and shared governance
Local execution with accountable leadership
Long-term value creation for physicians and health systems
The Champion Difference
Champion delivers more than Medicare coverage—we deliver a differentiated care experience that simplifies the care journey, strengthens coordination, and improves outcomes for every member.
Championed Care reflects our commitment to:
- Proactive, coordinated care across settings
- Early identification and intervention for rising-risk members
- High-touch, community-based support for complex populations
- A superior member and provider experience
Built to improve the lives of Medicare beneficiaries and the providers who care for them
A Comprehensive Medicare Advantage Platform
Champion offers a full portfolio of Medicare Advantage Prescription Drug (MAPD) products designed to meet the needs of diverse beneficiary populations.
Chronic Special Needs Plans
(C-SNPs)
Purpose-built programs for members with:
- End-Stage Renal Disease (ESRD)
- Chronic Kidney Disease (CKD)
- Diabetes
- Cardiovascular disease
- Chronic and disabling mental illness
- Other CMS-qualified chronic conditions
Traditional Medicare Advantage Prescription Drug (MAPD) Plans
Competitive offerings for beneficiaries seeking:
- Preventive and primary care focus
- Personalized support
- Proactive care coordination and wellness engagement
Our Capabilites
Technology-Enabled, Human-Centered Care
Champion combines advanced analytics with local, hands-on care delivery. Our technology platform leverages AI-driven insights, predictive modeling, and real-time data to enable early intervention and improve outcomes.
Core capabilities include:
- AI-powered risk stratification and predictive triggers
- Telehealth and remote monitoring
- Medication and polypharmacy management
- Dedicated local case managers providing high-touch support
Community-Based Care Management
Champion operates robust, locally embedded care management programs with true “boots-on-the-ground” teams.
This model:
- Reduces avoidable hospitalizations and ED utilization
- Improves adherence and chronic condition management
- Enhances member satisfaction and Star performance
- Strengthens provider engagement and alignment
Aligned Incentives, Sustainable Value
Champion’s value-based care model aligns incentives across the full provider ecosystem—primary care, specialists, hospitals, post-acute providers, and condition-specific experts.
This alignment enables:
- Improved clinical outcomes and fewer acute events
- Greater financial transparency and predictability for providers
- Optimized utilization across medical, pharmacy, and post-acute settings
- Lower total cost of care for medical groups and health systems
Our model scales effectively across both traditional MAPD and high-acuity C-SNP populations, delivering durable value regardless of risk mix.
Service Area and
Growth Strategy
Champion Health Plan currently operates in 13 markets across California and Nevada. The platform is designed for disciplined geographic expansion into additional markets and states in partnership with aligned provider organizations.
California Counties
- Fresno
- Imperial
- Kern
- Los Angeles
- Madera
- Orange
- Riverside
- San Bernardino
- San Diego
Nevada Counties
- Clark
- Washoe
- Churchill
- Carson City