AIS’s Directory of Health Plans

Datapoint: Cigna to Expand MA Plans to Connecticut

November 11, 2021

Cigna Corp. will expand its Medicare Advantage offerings to Connecticut for the 2022 plan year, according to a Nov. 8 press release. The plans will launch in New Haven county, and will include a number of supplemental benefits including dental, vision, hearing and pre-paid debit cards for health expenses, though the exact benefits vary by plan type. UnitedHealthcare is the MA market leader in Connecticut, with 164,038 members. Cigna currently serves 565,289 MA and dual eligible beneficiaries nationwide.

Cigna Corp. will expand its Medicare Advantage offerings to Connecticut for the 2022 plan year, according to a Nov. 8 press release. The plans will launch in New Haven county, and will include a number of supplemental benefits including dental, vision, hearing and pre-paid debit cards for health expenses, though the exact benefits vary by plan type. UnitedHealthcare is the MA market leader in Connecticut, with 164,038 members. Cigna currently serves 565,289 MA and dual eligible beneficiaries nationwide.

Source: AIS’s Directory of Health Plans

Datapoint: Colorado Providers Protest Bright Health

November 10, 2021

Providers in Summit County, Colorado are protesting startup insurer Bright Health over unpaid and denied claims, according to a Nov. 4 article in the Summit Daily. About 7,000 of Bright Health’s 59,011 Colorado members could be impacted by the dispute, as some physicians told the Summit Daily they may stop accepting Bright Health plans.

Source: AIS’s Directory of Health Plans

Providers in Summit County, Colorado are protesting startup insurer Bright Health over unpaid and denied claims, according to a Nov. 4 article in the Summit Daily. About 7,000 of Bright Health’s 59,011 Colorado members could be impacted by the dispute, as some physicians told the Summit Daily they may stop accepting Bright Health plans.

Source: AIS’s Directory of Health Plans

Datapoint: Aetna Expects 100K Additional Exchange Members in 2022

November 9, 2021

CVS Health Corp. CEO Karen Lynch at the company’s third-quarter 2021 earnings call she expects Aetna’s Affordable Care Act exchange enrollment to reach more than 100,000 members in the 2022 plan year. Aetna previously exited the exchanges in 2018, citing financial losses in excess of $200 million. ACA enrollment reached 12,949,212 members in 2021, according to the latest update to AIS’s Directory of Health Plans. Market leader Centene Corp. enrolls 15.7% of that cohort, with 2,031,174 lives.

CVS Health Corp. CEO Karen Lynch at the company’s third-quarter 2021 earnings call she expects Aetna’s Affordable Care Act exchange enrollment to reach more than 100,000 members in the 2022 plan year. Aetna previously exited the exchanges in 2018, citing financial losses in excess of $200 million. ACA enrollment reached 12,949,212 members in 2021, according to the latest update to AIS’s Directory of Health Plans. Market leader Centene Corp. enrolls 15.7% of that cohort, with 2,031,174 lives.

Source: AIS’s Directory of Health Plans

Datapoint: Minnesota Unveils Medicaid Contract Awards

November 8, 2021

The Minnesota Department of Human Services last week unveiled its latest Medicaid contract awards, valued at $3.87 billion. The contracts, granted to Blue Cross and Blue Shield of Minnesota, HealthPartners, Hennepin Health, Medica, UCare and new entrant UnitedHealthcare, cover about 600,000 children and qualifying parents in the Twin Cities metro area. Minnesota’s Medicaid managed care program currently serves 1,065,148 lives, with Blue Cross and Blue Shield of Minnesota as the market leader at 383,172 members.

The Minnesota Department of Human Services last week unveiled its latest Medicaid contract awards, valued at $3.87 billion. The contracts, granted to Blue Cross and Blue Shield of Minnesota, HealthPartners, Hennepin Health, Medica, UCare and new entrant UnitedHealthcare, cover about 600,000 children and qualifying parents in the Twin Cities metro area. Minnesota’s Medicaid managed care program currently serves 1,065,148 lives, with Blue Cross and Blue Shield of Minnesota as the market leader at 383,172 members.

Source: AIS’s Directory of Health Plans

Datapoint: Jefferson Health Completes Health Partners Plans Deal

November 4, 2021

Philadelphia-based health system Jefferson Health completed its deal to acquire Health Partners Plans. The 18-hospital system, a unit of Thomas Jefferson University Hospitals Inc, gained a 25% stake in the Medicare and Medicaid insurer in 2016, growing its share via deals with co-owners Einstein Healthcare Network, which Jefferson Health agreed to merge with in 2019, and Temple University Health System. Health Partners Plans currently serves 286,796 members in Pennsylvania, with more than 90% enrolled in a Medicaid product.

Philadelphia-based health system Jefferson Health completed its deal to acquire Health Partners Plans. The 18-hospital system, a unit of Thomas Jefferson University Hospitals Inc, gained a 25% stake in the Medicare and Medicaid insurer in 2016, growing its share via deals with co-owners Einstein Healthcare Network, which Jefferson Health agreed to merge with in 2019, and Temple University Health System. Health Partners Plans currently serves 286,796 members in Pennsylvania, with more than 90% enrolled in a Medicaid product.

Source: AIS’s Directory of Health Plans