Healthfirst is a not-for-profit managed care organization that provides high-quality healthcare services to individuals and families in New York. They operate through government-sponsored health insurance programs such as Medicaid, Medicare Advantage, and Child Health Plus, making money by managing these plans and receiving payments from the government based on the number of enrollees and the services provided. Founded in 1993 by a consortium of major hospitals, Healthfirst has grown to serve over 1.6 million members, emphasizing community-based care and partnerships with local healthcare providers.