Seven insurers, but not Bright Health, are offering individual and family coverage in Arizona on HealthCare.gov including last year's newcomers Banner/Aetna and Medica Community Health Plan. We reviewed the plan data from the Arizona Department of Insurance and Financial Institutions and provide readers a Marketplace snapshot.
Nearly...
On October 1, 2022, new ACC-RBHA contracts began with Mercy Care (Central GSA), Arizona Complete Health (South GSA) and Care 1st Health Plan (North GSA) resulting in about 6,100 members transitioning from the Health Choice RBHA to Care1st. Aligning RBHA service areas with ACC and ALTCS contracts also shifted about 1,900 members the Mercy...Arizona News
The insurer has a strong presence in Arizona, insuring about 400,000 Medicaid and 47,000 MA lives, and also competes under the Ambetter brand on the Health Insurance Marketplace.
According to reporting from the Phoenix Business Journal, Centene's notice to terminate its Medicaid contract with Tenet Healthcare's Abrazo Health...National News
The longtime leader of Centene, Neidorff died Thursday, April 7, 2022 surrounded by family and friends, he was 79 years old. London, former vice chairman of Centene was appointed CEO on March 22, 2022.
Neidorff joined Centene, now the largest Medicaid managed care company in America, as CEO in 1996 and led the company from a $40...Arizona News
Blue Cross Blue Shield of Arizona's (BCBSAZ) AHCCCS Complete Care (ACC) product, Health Choice Arizona (HCA), did not receive an expanded contract from the Arizona Health Care Cost Containment System (AHCCCS) and effective October 1, 2022, HCA's approximately 12,000 SMI members will move to Care1st, the newly awarded health plan in the...
Arizona's Medicaid program continues to grow and so does this year's data edition. Along with enrollment by county and market reports, readers will learn more about how the Arizona Healthcare Cost Containment System (AHCCCS) is bending the cost curve, responding to the COVID-19 pandemic and managing the "great unwinding". Quality...
Angela Burzynski has returned to Centene as director of payment innovation. She was previously a strategy consultant for Humana after serving as senior manager of the provider network at Centene....Arizona Comings & Goings
This is a grim holiday season in Arizona with COVID-19 cases spiking 52% in the two weeks following Thanksgiving. Healthcare workers are managing increasing hospitalizations and deaths; capacity is tightening with 92% of inpatient and 93% of ICU beds in use - the state's largest healthcare system expanded its morgue capacity with...Arizona Comings & Goings
While ACH is still under a "capped contract" in Southern Arizona for claims processing delays, the area's behavioral health providers are still complaining about unexplained claim rejections and payment delays.
The Arizona Daily Star reports Pima county's smaller behavioral health agencies are having trouble weathering payment...Arizona News
Arizona Complete Health (ACH) awarded a $25,000 grant to Benson Hospital to renovate an outdated inpatient unit.
According to San Pedro Valley News-Sun, the facility hasn’t been remodeled in “three decades.”
Julia Strange, the hospital’s chief executive officer, commented on how the hospital will put the funds to...Arizona News
The Centene-owned managed care organization has continued to face challenges migrating its physical health service and behavioral health service providers into a single provider network database and providers are paying the price with more than a million claims adversely impacted by the migration as of Sept. 23.
The database went live...Arizona Comings & Goings
Arizona Complete Health, BCBSAZ, Bright Health, Cigna and Oscar Health are all prepping for open enrollment November 1.
Arizona Complete Health, with a dozen silver plans, offers the most options to enroll in the most popular metal-level plan. The insurer expanded its sales territory in 2020 beyond Maricopa and Pima counties and...Arizona News
Arizona's Medicaid agency took comments on the proposed merger and transition plan of Arizona Complete Health (Centene) and Care1st Health Plan (WellCare) that will result in one insurer - Centene expanding its AHCCCS Complete Care (ACC) market footprint statewide.
AHCCCS approved the transition plan with following provisions:
...Arizona News
If you know AHCCCS doesn't allow one MCO to own or manage more than one contract in the same geographic service area (GSA), you're probably curious about the merger's impact on Arizona Complete Health-Complete Care Plan (Centene) and Care1st Health Plan of Arizona (WellCare) since both have members in the Central GSA. Also of concern is...Arizona News
Missouri-based managed care enterprise Centene announced an expansion of its Affordable Care Act plan offerings to ten new markets, including Arizona, where it currently offers 17 plans in Maricopa and Pima counties as Health Net: Arizona Complete Health.
As of June 30, Centene served 1.9 million individual exchange members in 20...Arizona Comings & Goings
Rob Neely, former Vice President of Network Operations at Healthnet Federal Services and Arizona Complete Health, recently joined Seven Summits Consulting as principal.Arizona News
Centpatico Integrated Care, now Arizona Complete Health, is the regional behavioral health authority in southern Arizona. An increase in police mental health transports and inpatient psychiatric stays in Pima County has Tucson mental health service providers and advocates concerned.
With little patient outcome data, it's...
