AIS’s Directory of Health Plans

Datapoint: Priority Health, Total Health Care to Merge

September 3, 2019

Priority Health and Total Health Care, Inc. said Aug. 29 that they plan to merge. The two Michigan-based health maintenance organizations would cover 174,186 medical lives, if the deal is approved by state regulators. A total of 1,761,033 recipients are currently enrolled in Medicaid HMO plans in Michigan.

Priority Health and Total Health Care, Inc. said Aug. 29 that they plan to merge. The two Michigan-based health maintenance organizations would cover 174,186 medical lives, if the deal is approved by state regulators. A total of 1,761,033 recipients are currently enrolled in Medicaid HMO plans in Michigan.

Source: AIS’s Directory of Health Plans

Datapoint: Cigna Reportedly Selling Life, Disability Insurance Business

August 29, 2019

Recent reports suggest Cigna Corp. is considering selling its life insurance and group disability products, which currently cover about 15.4 million people according to the insurer’s second-quarter 2019 financial statements. The move would allow the company to focus more on its health insurance business. Cigna currently enrolls 16,400,235 people in its health insurance products, with 82.9% covered through an administrative services only (ASO) contracting arrangement.

Recent reports suggest Cigna Corp. is considering selling its life insurance and group disability products, which currently cover about 15.4 million people according to the insurer’s second-quarter 2019 financial statements. The move would allow the company to focus more on its health insurance business. Cigna currently enrolls 16,400,235 people in its health insurance products, with 82.9% covered through an administrative services only (ASO) contracting arrangement.

Source: AIS’s Directory of Health Plans

Datapoint: Oscar to Expand to Six New States in 2020

August 28, 2019

Oscar Health said last week it will expand its 2020 commercial offerings to Colorado, Georgia, Kansas, Missouri, Pennsylvania and Virginia, as well as six new markets in states where it already has a presence. Oscar offers plans for individuals and families both on and off the Affordable Care Act exchanges, as well as small group plans. The insurer currently enrolls 255,000 members, with about 66% enrolled in exchange products.

Oscar Health said last week it will expand its 2020 commercial offerings to Colorado, Georgia, Kansas, Missouri, Pennsylvania and Virginia, as well as six new markets in states where it already has a presence. Oscar offers plans for individuals and families both on and off the Affordable Care Act exchanges, as well as small group plans. The insurer currently enrolls 255,000 members, with about 66% enrolled in exchange products.

Source: AIS’s Directory of Health Plans

Datapoint: Oklahoma Mulls Medicaid Expansion

August 27, 2019

Oklahoma residents are working on a ballot initiative to vote on Medicaid expansion in the state’s 2020 elections, while a bipartisan legislative committee made up of both state House and Senate members is also deciding on whether to draft expansion legislation. Oklahoma currently serves 735,643 Medicaid beneficiaries and does not contract with any managed care plans. Expansion could bring benefits to about 500,000 additional residents, according to state data.

Oklahoma residents are working on a ballot initiative to vote on Medicaid expansion in the state’s 2020 elections, while a bipartisan legislative committee made up of both state House and Senate members is also deciding on whether to draft expansion legislation. Oklahoma currently serves 735,643 Medicaid beneficiaries and does not contract with any managed care plans. Expansion could bring benefits to about 500,000 additional residents, according to state data.

Source: AIS’s Directory of Health Plans

Datapoint: Anthem Plans New MA Joint Venture in Maine

August 26, 2019

Anthem, Inc. will partner with MaineHealth, a nonprofit health and hospital network, to offer Medicare Advantage (MA) plans in Maine in 2020. Just 318,278 Mainers currently receive Medicare benefits, with 37.2% enrolled in an MA plan. Martin’s Point Health Care, a Portland-based provider-sponsored organization, is currently the MA market leader in Maine, with 46,466 members.

Anthem, Inc. will partner with MaineHealth, a nonprofit health and hospital network, to offer Medicare Advantage (MA) plans in Maine in 2020. Just 318,278 Mainers currently receive Medicare benefits, with 37.2% enrolled in an MA plan. Martin’s Point Health Care, a Portland-based provider-sponsored organization, is currently the MA market leader in Maine, with 46,466 members.

Source: AIS’s Directory of Health Plans