Centene Subsidiary 'Ohana Health Plan Selected to Continue Offering Community Care Services to Hawaii Medicaid Members
Centene Corporation (NYSE: CNC) announced that its subsidiary, 'Ohana Health Plan, will continue to manage the Community Care Services (CCS) program in Hawaii under a new three-year contract beginning July 1, 2021. The CCS program delivers behavioral health services to around 5,000 Medicaid-eligible adults with severe mental illnesses. 'Ohana Health Plan has provided these services since 2013, reflecting its commitment to quality care. This new contract emphasizes the company's integrated healthcare approach and partnership with local organizations to improve member outcomes.
- Continued partnership with Hawaii's Med-QUEST Division enhances business stability.
- Three-year contract with options for two one-year renewals increases revenue predictability.
- 'Ohana Health Plan has been the sole provider since 2013, indicating strong market presence.
- None.
ST. LOUIS, Feb. 24, 2021 /PRNewswire/ -- Centene Corporation (NYSE: CNC) announced today its Hawaii subsidiary 'Ohana Health Plan was selected to continue administering services through the Community Care Services (CCS) program in partnership with the Hawaii Department of Human Services' Med-QUEST Division. The new three-year, statewide contract is anticipated to begin July 1, 2021 with the option for two, one-year renewal extensions.
Hawaii's CCS program delivers behavioral health services to approximately 5,000 Medicaid-eligible adults age 21 and older who have severe mental illness (SMI) or a severe and persistent mental illness (SPMI). 'Ohana Health Plan has been the sole provider of CCS services in Hawaii since 2013.
"We are humbled and proud to be selected to continue serving CCS members, which is a testament to our unique expertise, hard work, and dedication to working with our state partners and supporting our members with severe behavioral health conditions," said Scott J. Sivik, 'Ohana Health Plan President and CEO. "Over the past several years, and throughout the COVID-19 pandemic, we have worked to strengthen our network of providers and enhance our partnerships with local community-based organizations, so we can provide our members with access to quality, cost-effective behavioral healthcare services – especially during these challenging times."
Through the CCS program, 'Ohana Health Plan members have access to a number of benefits to meet their behavioral health needs, including intensive case management. 'Ohana Health Plan case managers meet one-on-one with members to assess their health needs, plan their care programs, and monitor their progress towards reaching their behavioral health goals. CCS members also have access to addiction support services, residential and outpatient treatment, prescription drug and medication management, emergency and crisis services, and employment services, among others.
"We are honored to continue our long-standing partnership with the state of Hawaii to provide comprehensive, quality healthcare to members living with complex behavioral healthcare needs," said Brent Layton, Centene's Executive Vice President, Markets, Products, International, and Chief Business Development Officer. "Centene has a long history of providing integrated physical and behavioral healthcare in Hawaii and across the nation. This new contract reinforces our unique 'whole health' approach to care, and we look forward to continuing to work with local providers and community partners to help our members live better, healthier lives."
'Ohana Health Plan, which operates under WellCare Health Insurance of Arizona, Inc., has served Hawaii residents through the state's Medicaid program since 2008. On Jan. 23, 2020, Centene Corporation acquired WellCare Health Insurance of Arizona, Inc. through its acquisition of WellCare Health Plans.
As of Dec. 31, 2020, 'Ohana Health Plan serves approximately 50,000 Medicaid and Medicare Advantage members across the state.
About Centene Corporation
Centene Corporation, a Fortune 50 company, is a leading multi-national healthcare enterprise that is committed to helping people live healthier lives. The Company takes a local approach – with local brands and local teams – to provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and individuals in correctional facilities. The Company also serves several international markets, and contracts with other healthcare and commercial organizations to provide a variety of specialty services focused on treating the whole person. Centene focuses on long-term growth and the development of its people, systems and capabilities so that it can better serve its members, providers, local communities, and government partners.
Forward-Looking Statements
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In particular, these statements include, without limitation, statements about our future operating or financial performance, market opportunity, growth strategy, competition, expected activities in completed and future acquisitions, including statements about the impact of our proposed acquisition of Magellan Health (the Magellan Acquisition), our recently completed acquisition of WellCare Health Plans, Inc. (WellCare and such acquisition, the WellCare Acquisition), other recent and future acquisitions, investments and the adequacy of our available cash resources. These forward-looking statements reflect our current views with respect to future events and are based on numerous assumptions and assessments made by us in light of our experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors we believe appropriate. 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You should not place undue reliance on any forward-looking statements, as actual results may differ materially from projections, estimates, or other forward-looking statements due to a variety of important factors, variables and events including, but not limited to: the impact of COVID-19 on global markets, economic conditions, the healthcare industry and our results of operations and the response by governments and other third parties; the risk that regulatory or other approvals required for the Magellan Acquisition may be delayed or not obtained or are obtained subject to conditions that are not anticipated that could require the exertion of management's time and our resources or otherwise have an adverse effect on us; the risk that Magellan Health's stockholders do not approve the definitive merger agreement; the possibility that certain conditions to the consummation of the Magellan Acquisition will not be satisfied or completed on a timely basis and accordingly the Magellan Acquisition may not be consummated on a timely basis or at all; uncertainty as to the expected financial performance of the combined company following completion of the Magellan Acquisition; the possibility that the expected synergies and value creation from the Magellan Acquisition or the WellCare Acquisition will not be realized, or will not be realized within the applicable expected time periods; the exertion of management's time and our resources, and other expenses incurred and business changes required, in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for the Magellan Acquisition; the risk that unexpected costs will be incurred in connection with the completion and/or integration of the Magellan Acquisition or that the integration of Magellan Health will be more difficult or time consuming than expected; the risk that potential litigation in connection with the Magellan Acquisition may affect the timing or occurrence of the Magellan Acquisition or result in significant costs of defense, indemnification and liability; a downgrade of the credit rating of our indebtedness, which could give rise to an obligation to redeem existing indebtedness; the possibility that competing offers will be made to acquire Magellan Health; the inability to retain key personnel; disruption from the announcement, pendency and/or completion and/or integration of the Magellan Acquisition or the integration of the WellCare Acquisition, or similar risks from other acquisitions we may announce or complete from time to time, including potential adverse reactions or changes to business relationships with customers, employees, suppliers or regulators, making it more difficult to maintain business and operational relationships; our ability to accurately predict and effectively manage health benefits and other operating expenses and reserves, including fluctuations in medical utilization rates due to the impact of COVID-19; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies, and advances in medicine; increased healthcare costs; changes in economic, political or market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act (ACA) and the Health Care and Education Affordability Reconciliation Act, collectively referred to as the ACA and any regulations enacted thereunder that may result from changing political conditions, the new administration or judicial actions, including the ultimate outcome in "Texas v. United States of America" regarding the constitutionality of the ACA; rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting our government businesses; our ability to adequately price products; tax matters; disasters or major epidemics; changes in expected contract start dates; provider, state, federal, foreign and other contract changes and timing of regulatory approval of contracts; the expiration, suspension, or termination of our contracts with federal or state governments (including, but not limited to, Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of pending or future legal and regulatory proceedings or government investigations; challenges to our contract awards; cyber-attacks or other privacy or data security incidents; the possibility that the expected synergies and value creation from acquired businesses, including businesses we may acquire in the future, will not be realized, or will not be realized within the expected time period; the exertion of management's time and our resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for acquisitions; disruption caused by significant completed and pending acquisitions making it more difficult to maintain business and operational relationships; the risk that unexpected costs will be incurred in connection with the completion and/or integration of acquisition transactions; changes in expected closing dates, estimated purchase price and accretion for acquisitions; the risk that acquired businesses will not be integrated successfully; restrictions and limitations in connection with our indebtedness; our ability to maintain or achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other quality scores in each case that can impact revenue and future growth; availability of debt and equity financing, on terms that are favorable to us; inflation; foreign currency fluctuations; and risks and uncertainties discussed in the reports that Centene has filed with the Securities and Exchange Commission. This list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain other factors that may affect our business operations, financial condition and results of operations, in our filings with the Securities and Exchange Commission (SEC), including our annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. Due to these important factors and risks, we cannot give assurances with respect to our future performance, including without limitation our ability to maintain adequate premium levels or our ability to control our future medical and selling, general and administrative costs.
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SOURCE Centene Corporation
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