Skylight Health Group is a managed care organization that delivers comprehensive health insurance solutions primarily in the Medicaid, Medicare Advantage and Affordable Care Act (ACA) marketplace programs. The company partners with state governments and provider networks to administer government-sponsored health plans, focusing on value-based care models and holistic care management. Its services encompass physician network development, claims administration, utilization management, and member engagement initiatives aimed at improving clinical outcomes and reducing overall healthcare costs.
Established in 2019 as a joint venture between regional health systems and seasoned healthcare investors, Skylight Health Group has rapidly expanded its service offerings and geographic reach. The company leverages proprietary analytics and care coordination platforms to identify high-risk members, guide preventive health interventions and streamline provider reimbursement processes. Over its brief history, Skylight has formed partnerships with leading hospitals, community health centers and behavioral health specialists to address social determinants of health for underserved populations.
Headquartered in Alpharetta, Georgia, Skylight Health Group serves members across multiple states in the southeastern and central United States. Its footprint includes Medicaid managed care plans in Georgia, Florida and Texas, as well as Medicare Advantage offerings in select markets. The company continues to pursue state plan expansions and new market entries through bid opportunities and collaborations with local health systems, aiming to bring coordinated care and patient-centered approaches to regions with diverse demographic needs.
Skylight Health Group’s leadership team combines experienced executives from the managed care, health technology and provider sectors. Its management emphasizes a balanced growth strategy that integrates clinical innovation, data-driven decision making and community outreach. With an eye toward future regulatory changes and evolving consumer expectations, the company is committed to refining its care delivery models and strengthening partnerships that support long-term health outcomes for members.
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