AIS’s Directory of Health Plans

Datapoint: Aetna to Expand Illinois Duals Plan

June 17, 2021

Aetna will expand its Illinois Medicare-Medicaid Alignment Initiative demonstration health plan from Chicago and central Illinois to the entire state, according to a June 11 news release. Automatic enrollment into the expanded plan will begin in September. 61,577 dual eligibles are currently enrolled in Illinois’ MMAI demonstration plans, with Aetna holding 15.4% of the market.

Aetna will expand its Illinois Medicare-Medicaid Alignment Initiative demonstration health plan from Chicago and central Illinois to the entire state, according to a June 11 news release. Automatic enrollment into the expanded plan will begin in September. 61,577 dual eligibles are currently enrolled in Illinois’ MMAI demonstration plans, with Aetna holding 15.4% of the market.

Source: AIS’s Directory of Health Plans

Datapoint: Nevada Gov. OKs Public Option Insurance

June 16, 2021

Following Washington’s lead, Nevada will become the second state to create a public option insurance market. Governor Steve Sisolak (D) on June 9 signed a bill that will make a public option available by 2026. The new law requires the public option plans to offer 5% lower premiums than plans on the state’s exchange market, with the ultimate goal of reducing premium costs by about 15%. Approximately 3.2 million people have health insurance in Nevada, with 55,696 currently enrolled in an exchange plan. About 22.6% of the insured population receives Medicaid benefits.

Following Washington’s lead, Nevada will become the second state to create a public option insurance market. Governor Steve Sisolak (D) on June 9 signed a bill that will make a public option available by 2026. The new law requires the public option plans to offer 5% lower premiums than plans on the state’s exchange market, with the ultimate goal of reducing premium costs by about 15%. Approximately 3.2 million people have health insurance in Nevada, with 55,696 currently enrolled in an exchange plan. About 22.6% of the insured population receives Medicaid benefits.

Source: AIS’s Directory of Health Plans

Datapoint: Alignment Healthcare Expands to Arizona

June 15, 2021

Medicare Advantage startup Alignment Healthcare last week said it will expand its plan offerings to Arizona in 2022. The plans will be available in two of the state’s most populous counties, Pima and Maricopa. Alignment currently serves 81,477 members in California, Nevada and North Carolina.

Medicare Advantage startup Alignment Healthcare last week said it will expand its plan offerings to Arizona in 2022. The plans will be available in two of the state’s most populous counties, Pima and Maricopa. Alignment currently serves 81,477 members in California, Nevada and North Carolina.

Source: AIS’s Directory of Health Plans

Datapoint: Sentara, Cone Health Abandon Affiliation Plans

June 10, 2021

Two nonprofit health systems, Norfolk, Virginia’s Sentara Healthcare and Greensboro, North Carolina’s Cone Health, have ended their efforts to combine, according to a June 2 press release from Sentara. “Recently, in the final analysis, we mutually decided that we can best serve our communities by remaining independent organizations,” Cone Health CEO Terry Akin said in the release. Sentara, which operates a system of 12 hospitals, has a robust health insurance unit, currently serving 832,084 members in its Optima Health and Virginia Premier products. Cone Health operates a five-hospital system and has a smaller managed care business. Its wholly owned insurance unit, Care N’ Care Insurance Company of North Carolina, currently serves 29,492 Medicare Advantage members in its HealthTeam Advantage-branded plans.

Two nonprofit health systems, Norfolk, Virginia’s Sentara Healthcare and Greensboro, North Carolina’s Cone Health, have ended their efforts to combine, according to a June 2 press release from Sentara. “Recently, in the final analysis, we mutually decided that we can best serve our communities by remaining independent organizations,” Cone Health CEO Terry Akin said in the release. Sentara, which operates a system of 12 hospitals, has a robust health insurance unit, currently serving 832,084 members in its Optima Health and Virginia Premier products. Cone Health operates a five-hospital system and has a smaller managed care business. Its wholly owned insurance unit, Care N’ Care Insurance Company of North Carolina, currently serves 29,492 Medicare Advantage members in its HealthTeam Advantage-branded plans.

Source: AIS’s Directory of Health Plans

Datapoint: Zing Health to Acquire Lasso Healthcare

June 9, 2021

In an effort to expand its geographic footprint, Medicare Advantage (MA) startup Zing Health last month said it has entered an agreement to acquire Lasso Healthcare, which offers Medicare Medical Savings Account plans in 34 states and Washington, D.C.Zing Health enrolls just 794 MA members in Illinois, Indiana and Michigan. Financial terms of the deal were not disclosed, and it is expected to close in the third quarter of 2021 subject to regulatory approval.

In an effort to expand its geographic footprint, Medicare Advantage (MA) startup Zing Health last month said it has entered an agreement to acquire Lasso Healthcare, which offers Medicare Medical Savings Account plans in 34 states and Washington, D.C.Zing Health enrolls just 794 MA members in Illinois, Indiana and Michigan. Financial terms of the deal were not disclosed, and it is expected to close in the third quarter of 2021 subject to regulatory approval.

Source: AIS’s Directory of Health Plans