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Health care for people. Not profit.

Not-for-profit means more for you.

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The Tale of Two Systems

America’s health insurance landscape presents two fundamentally different approaches: one where profit drives decisions and another where people come first.

For-profit insurers operate with a primary responsibility to generate returns for shareholders. This means that decisions about coverage, rates, and care options are filtered through the lens of maximizing profit margins and stock values. When premiums are collected, a significant portion flows upward to executive bonuses and investor dividends rather than back into member benefits.

Not-for-profit insurance represents a different vision. Born from community needs rather than market opportunities, these organizations often measure success through member well-being and health outcomes. With no shareholders demanding quarterly returns, most dollars get reinvested into expanding coverage, reducing out-of-pocket costs, and adding investments in community health initiatives.

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“For 40 years, MetroPlusHealth has stood as a steadfast advocate for New Yorkers, demonstrating that health care can—and should—be a human right, not a privilege.”

– Talya Schwartz, M.D., President and CEO, MetroPlusHealth

What This Means For You:

For-Profit Health Insurance

A portion of monies and premiums serve shareholder interests
Coverage decisions influenced by profit considerations
Call centers are often outsourced to cut costs, with representatives unfamiliar with local resources
Programs designed primarily to reduce company costs
Coverage decisions influenced by financial analysts and profit projections
Most monies fund your care, not shareholder profits
Monies get reinvested into comprehensive coverage and lower costs
Staff who live in your community and understand your needs
Health initiatives tailored to community needs, thanks to reinvested monies
Coverage decisions made by health care professionals with community input

Follow The Money: Where Your Premium Dollars Go

With not-for-profit health insurance, your money directly benefits you and your community. Bottom line: When profit isn’t the priority, YOU become the priority.

 

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Join our not-for-profit conversation

The ideas and impact don’t stop here. Be sure to follow us on social media.

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Meet Community Organizers

Watch personal stories from the front lines of grassroots health care advocacy.

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Hear From Elected Officials

Gain insights into policy efforts and the real-world impact on constituents.

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Dive Into Academics

Learn about research-driven perspectives on the effectiveness of nonprofit health care.

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What Economists Have To Say

Find an in depth analysis of the economic advantages of not-for-profit health care, including cost savings and system efficiency.

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We’ve been making a difference for 40 years.

Get the facts in our 2025 Impact Report.

Making Headlines, Changing Lives

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Stronger Together

Leaders across the city share how people-first partnerships drive projects.

When organizations work hand-in-hand with communities—not just for them—we see lasting change. Our shared commitment to meeting people where they are and addressing their real, everyday needs is what makes this work so impactful. Together, we’re building a healthier, more responsive New York.

Angela Torres
Executive Director of the Throggs Neck Community Alliance

Long-term well-being requires more than access—it requires trust, equity, and respect. Collaborating with not-for-profit health care partners who understand the value of grassroots leadership and inclusive development helps us move from survival to sustainability in our neighborhoods.

Dr. Mark Gonzalez
Deputy Director, We Stay/Nos Quedamos

From affordable housing to education to health care, true progress starts with putting people first. Working alongside those who share a vision for justice, access, and dignity means we can do more than address problems—we can transform systems for the better.

Rita Joseph
New York City Council Member

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last updated: April 28, 2025

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