Health care for people. Not profit.
Not-for-profit means more for you.
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.
“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
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.
We’ve been making a difference for 40 years.
Get the facts in our 2025 Impact Report.
Our latest video series highlights the vital role not-for-profit organizations play in shaping healthier, more equitable communities.
Learn what happens when communities lose coverage—and why consistent care saves lives.
“If you need care, you shouldn’t have to think about the fact that you need that care.”
José A. Pagán
PhD Professor and Chair, Department of Public Health Policy & Management, NYU School of Global Public Health and Chair of the Board of Directors, NYC Health + Hospitals
Public health is a public investment with a return far greater than dollars.
“Public health, by definition, is not only individual health but community health. Cutting public health funding not only jeopardizes those whom the funding cuts directly impact, but also others who might think, ‘this isn’t relevant for us’.”
Prabal K. De, Ph.D.
Professor & Chair
Department of Economics and Business
Colin Powell School for Civic and Global Leadership
City College, City University of New York
Fair housing doesn’t just happen. It takes a bold not-for-profit movement to make it a reality.
“Housing needs to be fair and equitable to everyone regardless of your income, regardless of what you look like. We tell our members every day that health care starts at home.”
Rob Solano
Co-Founder & Executive Director
Churches United For Fair Housing (CUFFH)
Stronger Together
Leaders across the city share how people-first partnerships drive projects.