AIS’s Directory of Health Plans

Datapoint: Anthem Launches New MA Partnership with CVS Pharmacy

January 17, 2019

Anthem, Inc. this week announced a new partnership with CVS Health that will allow its California Medicare Advantage members to use their health plan allowance to purchase over-the-counter drugs at CVS pharmacies statewide. Anthem currently has 112,896 Medicare Advantage members in California, 4.7% of the state’s market share.

Anthem, Inc. this week announced a new partnership with CVS Health that will allow its California Medicare Advantage members to use their health plan allowance to purchase over-the-counter drugs at CVS pharmacies statewide. Anthem currently has 112,896 Medicare Advantage members in California, 4.7% of the state’s market share.

Source: AIS’s Directory of Health Plans

Datapoint: California to Shift Medicaid Drug Benefit to Fee-for-Service

January 16, 2019

New California Gov. Gavin Newsom (D) signed an executive order on Jan. 7 that would transform California’s Medicaid drug benefit to an entirely fee-for-service system. California currently has about 1.4 million Medicaid beneficiaries in fee-for-service, while the remaining 10.6 million are enrolled in managed care plans. California has the largest Medicaid managed care system in the country.

New California Gov. Gavin Newsom (D) signed an executive order on Jan. 7 that would transform California’s Medicaid drug benefit to an entirely fee-for-service system. California currently has about 1.4 million Medicaid beneficiaries in fee-for-service, while the remaining 10.6 million are enrolled in managed care plans. California has the largest Medicaid managed care system in the country.

Source: AIS’s Directory of Health Plans

Datapoint: Centene Corp. to Purchase QualChoice

January 15, 2019

Centene Corp. this month entered an agreement to buy QCA Health Plan, Inc., an Arkansas-based health insurer with 88,855 members, as of the latest update to AIS’s Directory of Health Plans. Most of QualChoice’s members are enrolled in individual and group commercial products, but the insurer also operates a small Medicare Advantage plan with about 1,000 members. Financial details of the transaction have not been disclosed.

Centene Corp. this month entered an agreement to buy QCA Health Plan, Inc., an Arkansas-based health insurer with 88,855 members, as of the latest update to AIS’s Directory of Health Plans. Most of QualChoice’s members are enrolled in individual and group commercial products, but the insurer also operates a small Medicare Advantage plan with about 1,000 members. Financial details of the transaction have not been disclosed.

Source: AIS’s Directory of Health Plans

Datapoint: Maine Gov. Signs Executive Order to Expand Medicaid

January 14, 2019

Maine’s new governor, Janet Mills (D), Jan. 3 issued an executive order to expand Medicaid in the state, following more than a year of blocked attempts from the previous administration. Maine voters voiced their approval for Medicaid expansion in Nov. 2017. Expansion could add more than 70,000 people to the state’s Medicaid population, currently at 261,128 lives.

Maine’s new governor, Janet Mills (D), Jan. 3 issued an executive order to expand Medicaid in the state, following more than a year of blocked attempts from the previous administration. Maine voters voiced their approval for Medicaid expansion in Nov. 2017. Expansion could add more than 70,000 people to the state’s Medicaid population, currently at 261,128 lives.

Source: AIS’s Directory of Health Plans

Datapoint: Humana Anticipates 12% MA Boost in 2019

January 10, 2019

Humana Inc. projected its Medicare Advantage (MA) growth expectations to up to 12% more lives, about 375,000 to 400,000 people, in 2019, according to a Jan. 2 Securities and Exchange Commission filing. Humana currently serves 3,300,150 MA members, and is the second-largest MA insurer in the U.S., behind UnitedHealthcare.

Humana Inc. projected its Medicare Advantage (MA) growth expectations to up to 12% more lives, about 375,000 to 400,000 people, in 2019, according to a Jan. 2 Securities and Exchange Commission filing. Humana currently serves 3,300,150 MA members, and is the second-largest MA insurer in the U.S., behind UnitedHealthcare.

Source: AIS’s Directory of Health Plans