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Posts tagged with "Centene"

National News

Centene to Study Impact of COVID-19 on Racial Minorities and Underprivileged Communities

Centene and the National Minority Quality Forum are joining forces to study how the coronavirus pandemic is impacting communities of color. The Minority and Rural Health Coronavirus Study will offer free diagnostic and antibody testing in five states through Quest Diagnostics and will track 5,000 racial and ethnic minority...
National News

Healthcare Stocks Surge on the Biden Bounce After Worst Week Since 2009

The healthcare sector led the market rally on Wednesday following a Super Tuesday Joe Biden victory that drove stocks higher. In an emergency decision, the Fed cut rates 50 basis points on Tuesday, offering little relief for the market that closed down 2.8 percent - erasing any intra-day gains. With Biden the clear representative of...
Arizona News

Arizona Complete Health Payment Delays Still Impacting Southern Arizona Behavioral Health Agencies

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

Medicaid Block Grant Talks Don't Phase Private Insurers

With two-thirds of U.S. Medicaid beneficiaries receiving care from managed care organizations, private insurers are unlikely to suffer from the Medicaid block grant plan. A majority of states contract with MCOs to provide coverage and the government space is still perceived as a prime growth strategy for large insurers such as...
National News

Centene & WellCare $17.3B Megamerger Gets Final Approval - Readies For Close

The deal is schedule to close Thursday, Jan. 23 and requires WellCare to divest its Medicaid and MA plans in Missouri, a Medicaid plan in Nebraska and requires Centene to divest its Medicaid and MA plans in Illinois. Both Medicaid and MA markets in Arizona feature Centene and WellCare products. The combined company will now be one...
Arizona News

AHCCCS Sanctions Arizona Complete Health $250K & Caps ACC Enrollment

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 News

Centene to Expand ACA Exchange Plan Offerings in Arizona

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...
National News

American Hospital Association Wants DOJ to Investigate WellCare Centene Merger

The powerhouse lobby is putting pressure on the U.S. Justice Department to look into whether the merger will reduce competition in Medicaid managed care and Medicare Advantage markets. In an eight-page letter, AHA cites the DOJ's injunction to block Aetna's acquisition of Humana and other recent forced divestures by UnitedHealth...
Centene Announces Purchase of WellCare for $17.3B Arizona News

Centene Announces Purchase of WellCare for $17.3B

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)...
Arizona News

Cigna Returns to the ACA Individual Market - Health Net & BCBSAZ Remain in The Mix

In Arizona rate review filings, Cigna Healthcare of Arizona proposed an 18.2 percent on-average rate reduction for individual products it plans to offer in 2019.  The insurer returns to the Arizona market after offering individual/family exchange plans in 2014, 2015 and 2016. Cigna dropped out of the 2017 market, leaving only two...
National News

Class Action Lawsuit Filed in Federal Court Alleges Centene Failed to Have Adequate Number of Providers in its Network

Centene is an insurer that offers individual health insurance under its Ambetter brand in 15 states. The lawsuit outlines a number of instances where Ambetter enrollees have had difficulty finding a doctor, have had to travel for health care, have been denied care that they thought was covered and in-network, or have relied on...
Arizona Comings & Goings

Mike Franks is New Program VP

Mike Franks is now the vice president of Medicare programs for Centene. He was formerly Banner Health's senior director or risk adjustment and quality Programs. In 2015, Franks arrived in Arizona from California where he was VP of Medicare operations for Humana.
Arizona News

Aetna Will Exit Arizona Individual Market in 2018

Citing financial risk and an uncertain outlook. People who purchased health insurance directly from Aetna can keep their plans through the end of this year but will need to search for other options in 2018. Aetna did not offer subsidized plans through the Affordable Care Act marketplace this year, but it did sell "off-exchange"...
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