AIS’s Directory of Health Plans

Datapoint: North Carolina Medicaid Transformation Set for Next Year

July 13, 2020

North Carolina Governor Roy Cooper (D) on July 2 signed a bill that will allow the state’s long-awaited Medicaid transformation to begin no later than July 2021. The bill mandates that the state must finally begin transitioning its Medicaid beneficiaries from the fee-for-service system to managed care plans, a move that was originally set to begin in November 2019, then delayed to February 2020, then stalled again after Republican legislators staged a budget standoff. North Carolina serves 2,286,807 Medicaid beneficiaries as of June 2020.

North Carolina Governor Roy Cooper (D) on July 2 signed a bill that will allow the state’s long-awaited Medicaid transformation to begin no later than July 2021. The bill mandates that the state must finally begin transitioning its Medicaid beneficiaries from the fee-for-service system to managed care plans, a move that was originally set to begin in November 2019, then delayed to February 2020, then stalled again after Republican legislators staged a budget standoff. North Carolina serves 2,286,807 Medicaid beneficiaries as of June 2020.

Source: AIS’s Directory of Health Plans

Datapoint: Molina Completes YourCare Health Plan Deal

July 8, 2020

Molina Healthcare last week completed its $40 million acquisition of certain assets of YourCare Health Plan, most notably its New York Medicaid plan, which currently serves 40,715 members. The deal brings a 59.7% enrollment boost to Molina’s New York Medicaid products. YourCare’s parent company, Monroe Plan for Medical Care, will shift its focus to providing integrated care for its members and providers, as well as administrative services.

Molina Healthcare last week completed its $40 million acquisition of certain assets of YourCare Health Plan, most notably its New York Medicaid plan, which currently serves 40,715 members. The deal brings a 59.7% enrollment boost to Molina’s New York Medicaid products. YourCare’s parent company, Monroe Plan for Medical Care, will shift its focus to providing integrated care for its members and providers, as well as administrative services.

Source: AIS’s Directory of Health Plans

Datapoint: Bright Health Plots 2021 Expansion

July 7, 2020

Startup insurer Bright Health last week unveiled its 2021 market expansion plans. For the first time, the insurer will offer products to employer groups, including fully insured small group plans in Denver, Nashville, Memphis and Nebraska. In addition, the insurer will bring its individual and family plans to new markets in Florida and North Carolina, and expand to the Chicago area in Illinois. On the Medicare Advantage side, Bright Health will expand its Florida offerings to Fort Lauderdale. Bright Health currently enrolls 158,698 people in its individual commercial products, and 5,118 Medicare Advantage members.

Startup insurer Bright Health last week unveiled its 2021 market expansion plans. For the first time, the insurer will offer products to employer groups, including fully insured small group plans in Denver, Nashville, Memphis and Nebraska. In addition, the insurer will bring its individual and family plans to new markets in Florida and North Carolina, and expand to the Chicago area in Illinois. On the Medicare Advantage side, Bright Health will expand its Florida offerings to Fort Lauderdale. Bright Health currently enrolls 158,698 people in its individual commercial products, and 5,118 Medicare Advantage members.

Source: AIS’s Directory of Health Plans

Datapoint: Centene to Acquire Shuttered Illinois Medicaid Plan’s Membership

July 6, 2020

Centene Corp. last week said that its Illinois Medicaid subsidiary, Meridian Health Plan of Illinois, Inc., will absorb about 56,000 members from the recently shuttered NextLevel Health Partners. The Chicago-based Medicaid plan closed its doors after a planned acquisition by Molina Healthcare fell through in April. Centene’s two Illinois subsidiaries, Meridian and IlliniCare, currently serve 344,365 Medicaid members in the state.

Centene Corp. last week said that its Illinois Medicaid subsidiary, Meridian Health Plan of Illinois, Inc., will absorb about 56,000 members from the recently shuttered NextLevel Health Partners. The Chicago-based Medicaid plan closed its doors after a planned acquisition by Molina Healthcare fell through in April. Centene’s two Illinois subsidiaries, Meridian and IlliniCare, currently serve 344,365 Medicaid members in the state.

Source: AIS’s Directory of Health Plans

Datapoint: Oklahoma Voters Approve Medicaid Expansion

July 2, 2020

Voters in Oklahoma on Tuesday passed a ballot measure to bring Medicaid expansion to the state by July 2021. It was a slim victory, with 50.5% of voters approving the initiative, according to state election data. Oklahoma currently serves 765,411 Medicaid beneficiaries, the majority of whom are children.

Voters in Oklahoma on Tuesday passed a ballot measure to bring Medicaid expansion to the state by July 2021. It was a slim victory, with 50.5% of voters approving the initiative, according to state election data. Oklahoma currently serves 765,411 Medicaid beneficiaries, the majority of whom are children.

Source: AIS’s Directory of Health Plans