Anthem, Inc. Completes Acquisition of myNEXUS Home Health Benefits Manager
Anthem, Inc. (NYSE: ANTM) has completed its acquisition of myNEXUS, a home-based nursing management company serving approximately 1.7 million Medicare Advantage members across 20 states. This strategic move aims to enhance home healthcare services through advanced analytics and digital solutions. myNEXUS will operate as a wholly-owned subsidiary, integrating its services into Anthem's offerings to improve patient outcomes and reduce readmissions. Financial terms of the deal were not disclosed, and Anthem's 2021 EPS guidance remains unchanged.
- Acquisition aligns with Anthem's strategy to provide integrated whole-person care.
- myNEXUS enhances Anthem's clinical pathways and member navigation services.
- Expected improvement in patient outcomes and reduced readmissions through advanced analytics.
- None.
Anthem, Inc. (NYSE: ANTM) today announced that it has completed its acquisition of myNEXUS, Inc. (“myNEXUS”), a comprehensive home-based nursing management company for payors. myNEXUS delivers integrated clinical support services for approximately 1.7 million Medicare Advantage members across 20 states.
“We are excited to combine myNEXUS’ power of digital and advanced analytics to expertly manage and coordinate home-based healthcare with the offerings that the Diversified Business Group brings including a deeper set of clinical pathways and member navigation as well as social drivers of health and behavioral health, to create truly integrated solutions,” said Prakash Patel, M.D., Anthem Executive Vice President, and President, Anthem Diversified Business Group. “The addition of myNEXUS fits with Anthem’s strategy to deliver whole person care and offer a seamless end to end experience that will help improve outcomes, reduce readmissions and improve members’ and their family’s experience of wellbeing.”
myNEXUS deploys a user-friendly platform for providers to highly automate the home visit authorization process, speed time to care, increase provider effectiveness and improve member satisfaction. The digital platform combines an advanced analytic rules engine, with a clinical staff of over 250 clinicians to effectively plan for and to optimize home care. Additionally, myNEXUS has established a nationwide network of high performing home health providers and nurse agencies including nine of the top ten highest quality national and local providers.
myNEXUS will operate as a wholly-owned subsidiary of Anthem and its associates will join Anthem’s Diversified Business Group. Financial terms of the transaction were not disclosed. The company’s 2021 EPS guidance remains unchanged. Anthem’s legal advisors are White & Case LLP and Faegre, Biddle, Drinker & Reath LLP. Latham & Watkins LLP and Waller Lansden Dortch & Davis, LLP are acting as legal advisors for myNEXUS.
About Anthem, Inc.
Anthem is a leading health benefits company dedicated to improving lives and communities, and making healthcare simpler. Through its affiliated companies, Anthem serves more than 116 million people, including more than 43 million within its family of health plans. We aim to be the most innovative, valuable and inclusive partner. For more information, please visit www.antheminc.com or follow @AnthemInc on Twitter.
About myNEXUS, Inc.
myNEXUS is a post-acute benefits management company focused on delivering innovative home and community-based product offerings. myNEXUS provides comprehensive management services to health plans and other risk-bearing organizations on an at-risk or fee-for-service basis for total medical expense related to Integrated Home Health, Stars Performance Improvement Program, Social Determinants of Health, Inpatient Avoidance and Clinical Programs.
Forward-Looking Statements
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These risks and uncertainties include, but are not limited to: the impact of large scale medical emergencies, such as public health epidemics and pandemics, including COVID-19, and catastrophes; trends in healthcare costs and utilization rates; our ability to secure sufficient premium rates, including regulatory approval for and implementation of such rates; the impact of federal and state regulation, including ongoing changes in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, as amended (collectively, the “ACA”) and the ultimate outcome of legal challenges to the ACA; changes in economic and market conditions, as well as regulations that may negatively affect our liquidity and investment portfolios; our ability to contract with providers on cost-effective and competitive terms; competitive pressures and our ability to adapt to changes in the industry and develop and implement strategic growth opportunities; reduced enrollment; unauthorized disclosure of member or employee sensitive or confidential information, including the impact and outcome of any investigations, inquiries, claims and litigation related thereto; risks and uncertainties regarding Medicare and Medicaid programs, including those related to non-compliance with the complex regulations imposed thereon; our ability to maintain and achieve improvement in Centers for Medicare and Medicaid Services, or CMS Star ratings and other quality scores and funding risks with respect to revenue received from participation therein; a negative change in our healthcare product mix; costs and other liabilities associated with litigation, government investigations, audits or reviews; the ultimate outcome of litigation between Cigna Corporation and us related to the merger agreement between the parties and the potential for such litigation to cause us to incur substantial additional costs, including potential settlement and judgment costs; risks and uncertainties related to our pharmacy benefit management (“PBM”) business including non-compliance by any party with the PBM services agreement between us and CaremarkPCS Health, L.L.C.; medical malpractice or professional liability claims or other risks related to healthcare and PBM services provided by our subsidiaries; general risks associated with mergers, acquisitions, joint ventures and strategic alliances; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; possible restrictions in the payment of dividends from our subsidiaries and increases in required minimum levels of capital; our ability to repurchase shares of our common stock and pay dividends on our common stock due to the adequacy of our cash flow and earnings and other considerations; the potential negative effect from our substantial amount of outstanding indebtedness; a downgrade in our financial strength ratings; the effects of any negative publicity related to the health benefits industry in general or us in particular; failure to effectively maintain and modernize our information systems; events that may negatively affect our licenses with the Blue Cross and Blue Shield Association; the impact of international laws and regulations; changes in U.S. tax laws; intense competition to attract and retain employees; and various laws and provisions in our governing documents that may prevent or discourage takeovers and business combinations.
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