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...
The lawsuit filed August 5 features an Arizona plaintiff and alleges the insurer has used a "churn-based strategy" that leveraged its role as a Medicaid insurer to boost enrollment in its Marketplace plans, which were allegedly in violation of network adequacy regulations, supplied beneficiaries with inaccurate provider directories, and...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
Arizona's Medicare Advantage market continues to climb with a 38 percent saturation rate; latest numbers following the annual enrollment period shows UnitedHealthcare's AARP branded product still reigns supreme.
According to data from the Centers for Medicare & Medicaid Services, UnitedHealthcare/Pacificare's AARP plan reprised...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
The agreement with Maricopa Integrated Health System applies to bundled payments for Maricopa County Medicaid members with the infectious liver disease. After the first year of the insurer's Hepatitis C Center of Excellence initiative, Care1st will measure quality and utilization outcomes for 100 members with the disease and then assess...
The Wall Street Journal pegs the sale at about $15.3 billion, but it's the giant footprint that the acquisition creates that's really impressive: Medicaid, Medicare, HIM products, coverage across all 50 states and 22 million members.
Centene, which is already the national market leader in managed Medicaid announced today (March 27)...
Care1st Health Plan Arizona is a WellCare company which currently serves 184,000 of the state's Medicaid members in eight counties under a new AHCCCS Complete Care (ACC) contract.
The company said the regional hub in Phoenix will better serve Medicaid members in Arizona, augment the company's clinical and operational functions...Arizona News
By the end of the month approximately 10,500 Coconino County residents receiving healthcare benefits from the Arizona Health Care Cost Containment System (AHCCCS) will have the opportunity to choose a new health plan.
Care1st Health Plan Arizona was awarded a new contract for the northern Arizona geographic service area (GSA),...
