AIS’s Directory of Health Plans

Datapoint: Sanford Health, UnityPoint Explore Merger

July 3, 2019

Two Midwest-based health systems, Sanford Health and UnityPoint Health, have signed a letter of intent to merge, the companies announced last week. The joint entity would own more than 70 hospitals in 26 states. Sanford also operates Sanford Health Plan, a health insurer with 186,584 members in Iowa, Minnesota, North Dakota and South Dakota. More than half (51.4%) of its members are enrolled in group risk plans.

Two Midwest-based health systems, Sanford Health and UnityPoint Health, have signed a letter of intent to merge, the companies announced last week. The joint entity would own more than 70 hospitals in 26 states. Sanford also operates Sanford Health Plan, a health insurer with 186,584 members in Iowa, Minnesota, North Dakota and South Dakota. More than half (51.4%) of its members are enrolled in group risk plans.

Source: AIS’s Directory of Health Plans

Datapoint: Blue Shield of California Launches New Digital Wellness Platform

July 1, 2019

Blue Shield of California last week revealed its revamped Wellvolution platform, created in partnership with Solera Health. Members can use online apps and in-person lifestyle programs to address issues that can vastly improve overall health and prevent disease, such as sleep quality, exercise, diet and tobacco cessation. Blue Shield of California is currently the third-largest insurer in California, with 3,371,824 members. Just over half of its members (51.3%) are enrolled in group risk plans.

Blue Shield of California last week revealed its revamped Wellvolution platform, created in partnership with Solera Health. Members can use online apps and in-person lifestyle programs to address issues that can vastly improve overall health and prevent disease, such as sleep quality, exercise, diet and tobacco cessation. Blue Shield of California is currently the third-largest insurer in California, with 3,371,824 members. Just over half of its members (51.3%) are enrolled in group risk plans.

Source: AIS’s Directory of Health Plans

Datapoint: Amerigroup Georgia Adds New Benefits to Address SDOH

June 26, 2019

Amerigroup Community Care, Anthem Inc.’s Medicaid unit in Georgia, announced June 20 that it is adding new benefits to support enrolled families with children, and address social determinants of health that can make Medicaid members more expensive to insure. The no-cost benefits include tutoring programs and SAT preparation for older children, and free baby food for infants following their 6-month check-up. Amerigroup currently serves 375,471 Medicaid and CHIP members in Georgia, 26.2% of the state’s managed Medicaid lives.

Amerigroup Community Care, Anthem Inc.’s Medicaid unit in Georgia, announced June 20 that it is adding new benefits to support enrolled families with children, and address social determinants of health that can make Medicaid members more expensive to insure. The no-cost benefits include tutoring programs and SAT preparation for older children, and free baby food for infants following their 6-month check-up. Amerigroup currently serves 375,471 Medicaid and CHIP members in Georgia, 26.2% of the state’s managed Medicaid lives.

Source: AIS’s Directory of Health Plans

Datapoint: Blue Self-Funded Enrollment

June 24, 2019

Blue Cross and Blue Shield plans enroll 43.2% of the overall administrative services only (ASO), or self-funded insurance market, with 53.4 million members. Anthem, Inc. is the market leader, with 19.4 million lives.

Blue Cross and Blue Shield plans enroll 43.2% of the overall administrative services only (ASO), or self-funded insurance market, with 53.4 million members. Anthem, Inc. is the market leader, with 19.4 million lives.

Source: AIS’s Directory of Health Plans

Datapoint: Centene Leads Funding Round for Behavioral Health Startup

June 20, 2019

Centene Corp. recently led a $60 million funding round for Quartet, a behavioral health tech startup that helps providers coordinate behavioral health services with primary care. Centene operates its own behavioral health unit, Cenpatico, to coordinate and deliver behavioral health services for its 13,636,591 members, 56.7% of which are enrolled in Medicaid and CHIP plans.

Centene Corp. recently led a $60 million funding round for Quartet, a behavioral health tech startup that helps providers coordinate behavioral health services with primary care. Centene operates its own behavioral health unit, Cenpatico, to coordinate and deliver behavioral health services for its 13,636,591 members, 56.7% of which are enrolled in Medicaid and CHIP plans.

Source: AIS’s Directory of Health Plans