Troy Medicare

Troy Medicare is a healthcare company that specialized in providing Medicare Advantage plans with a unique pharmacy-centric, value-based care model. Founded by pharmacists, the company aimed to empower independent pharmacies to serve as the primary hub for clinical care and medication management for seniors. By eliminating traditional barriers such as prior authorizations for most generic drugs and aligning incentives between providers and pharmacists, Troy Medicare sought to improve health outcomes and reduce total cost of care. The company was acquired by Bright Health Group in 2021 to bolster its presence in the North Carolina market, though the parent company later pivoted away from the Medicare Advantage business.