Health insurers are holding their first quarterly calls with investors for 2026; UnitedHealthcare appears to be back on track after a rocky 2025, and Centene is reportedly holding steady despite losses from surging ACA premiums.
Centene's profits rose 17.5% to $1.5 billion in the first quarter with revenue increasing 7.1% to $49.9...Arizona News
Arizona Complete Health, a subsidiary of Centene and one of Arizona’s largest AHCCCS insurers, has awarded $950,000 in capital grants to 32 nonprofit and public-sector organizations statewide.
According to the insurer, the grants are intended to strengthen community infrastructure supporting healthcare access, housing stability,...
Medicaid enrollees are having an increasingly difficult time locating providers to address their medical and behavioral concerns in a timely manner, including those enrolled in the Arizona Health Care Cost Containment System (AHCCCS).
An increasing number of enrollees are coming forward with stories that they have been unable to find...
James Stover is the new plan president & chief executive officer of Arizona Complete Health (Centene). Stover was previously Centene’s president of Arizona Medicaid.
Martha Smith, ACH’s previous plan president and CEO has moved to a new undisclosed corporate role.Arizona News
The Arizona Health Care Cost Containment System (AHCCCS) last week terminated its December 2023 ALTCS-EPD contract awards, resetting a procurement process that has been contested for nearly two years.
AHCCCS said it will issue a new request for proposals for the ALTCS-EPD program, with submissions expected in fall 2026.
Mercy Care,...Arizona News
DispatchHealth, which partners with Arizona Complete Health to provide mobile urgent care to Medicaid members in Maricopa and Pima counties, is gaining national scale through a merger with Medically Home—just as the federal waiver supporting hospital-at-home care nears its expiration.
Arizona Complete Health holds the largest...Arizona News
Beginning October 1, 2025, Banner Health and Mercy Care will join Centene and UnitedHealthcare to provide covered services for about 26,000 Arizonans enrolled in its Arizona Long Term Care System (ALTCS) Elderly and/or Physically Disabled (EPD) program. Statewide contracts were awarded to Centene and UHC but Banner Health and Mercy Care...Arizona News
With about 28.6 million members, including 12 million Medicaid lives, 4.4 million Marketplace members, and 4.8 million commercial enrollees, Centene beat its 2023 numbers; $2.7 billion in profit and $154 billion in revenue.
The insurer's biggest pocket of business is Medicaid; $84 billion in premium and service revenue in 2024....Arizona News
Banner-University Family Care, Mercy Care, and UnitedHealthcare Community Plan will continue to serve members enrolled in the Arizona Long Term Care System for the elderly and physically disabled through September 30, 2025.
Last week, On September 8, 2024, The Arizona Health Care Cost Containment System (AHCCCS) dismissed the...Arizona News
On September 8, 2024, The Arizona Health Care Cost Containment System (AHCCCS) dismissed the recommendation of an administrative law judge and denied the appeal of Mercy Care, Health Choice Arizona and Banner-University Family Care after all three local non-profits contested the agency's award of its Arizona Long Term Care EPD contracts...
An Administrative Law Judge on August 9 decided against Arizona's Medicaid agency and in favor of insurers protesting the agency's choice of Arizona Complete Health Complete Care Plan and UnitedHealthcare Community Plan to provide long-term care services to about 26,000 AHCCCS members who are enrolled in the Arizona Long Term Care System...
Duo Health, a value-based medical group designed to manage chronic kidney disease (CKD) and end-stage kidney disease (ESKD), announced a new strategic partnership with Arizona Complete Health’s Medicare Advantage program, Wellcare by Allwell.
The value-based care program targets Arizona Wellcare by Allwell MA members with...
The Arizona Health Care Cost Containment's (AHCCCS) procurement process ended in December when Arizona's Medicaid agency chose Centene (Arizona Complete Health) and UnitedHealthcare (UHC Community Plan) to provide integrated healthcare to Medicaid eligible Arizonans who are elderly and/or have a physical disability in the Arizona Long...
Nationally CMS reports 20.3 million people have chosen a Marketplace plan during the open enrollment period which closes January 16, 2024; about 3.7 million of those consumers were first-time shoppers on the ACA Health Insurance Marketplace.
It's already a historic year for the Marketplace with more than 18 million people in the...
Our annual data edition focusing on the Arizona Health Care Cost Containment System (AHCCCS) covers a lot of territory and 15 pages to help readers keep tabs on the agency charged with overseeing the managed care plans contracted with the state to deliver care to about 2.2 million Arizona Medicaid members.
Correction: On Page 4 the...
Collectively, UHC Community Plan and Arizona Complete Health Complete Care Plan will provide health care services to the approximately 26,000 members enrolled in the Arizona Long Term Care System (ALTCS) and who are elderly and/or living with a physical disability, known as the ALTCS-EPD program. It marks the first time members across...Arizona News
Arizona Complete Health's AHCCCS membership in the sate totals 372,445 while Care1st Health Plan of Arizona serves approximately 80,626 Arizona Medicaid members. Both Centene plans also have Regional Behavioral Health Agreements in separate geographic service areas that cover Medicaid members with a serious mental illness (SMI).
Mercy...Arizona News
After a request from Congress, the Office of Inspector General analyzed prior authorization and appeals data from 115 risk-based managed care organizations (MCOs) including Centene's Arizona Complete Health & Care1st Health Plans. According to the report, in Arizona Centene denied one out of every eight prior authorization (PA)...
Most shoppers who qualify for a subsidy won't feel the cost of rising Marketplace premiums and with eligibility expanded to include the cost of family coverage, HealthCare.gov may see the busiest season ever as it celebrates its 10th open enrollment period (OEP) Nov. 1, 2022 through January 15, 2023.
Eight insurers, but not...
The Hertel Report's annual data edition focusing on Arizona Medicaid includes everything you need to know about AHCCCS and the contracted managed care organizations (MCOs) providing integrated healthcare to 2.5 million in Arizona.
AHCCCS 2022 DATA EDITION
What's Inside:
Pandemic Population Growth
AHCCCS Complete Care MCOs
...
