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Centene Subsidiary 'Ohana Health Plan Selected to Continue Serving Hawaii's Medicaid Managed Care and CHIP Programs Statewide

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Centene Corporation (NYSE: CNC) announced that its subsidiary, 'Ohana Health Plan, has been awarded a new statewide contract by the Hawaii Department of Human Services to administer services for Medicaid and CHIP members. The contract starts on July 1, 2021, and extends through December 31, 2026, with options for three 12-month extensions. Since 2008, 'Ohana has provided services to Hawaii residents, serving around 50,000 members as of December 2020. Centene aims to continue delivering high-quality care and support for individuals with complex healthcare needs in Hawaii.

Positive
  • Renewed statewide contract with Hawaii for Medicaid and CHIP services until 2026.
  • 'Ohana Health Plan has over a decade of experience in Hawaii, enhancing service continuity.
  • Opportunity for three additional 12-month contract extensions.
Negative
  • None.

ST. LOUIS, March 25, 2021 /PRNewswire/ -- Centene Corporation (NYSE: CNC) announced today its Hawaii subsidiary 'Ohana Health Plan was selected by the Hawaii Department of Human Services' Med-QUEST Division to continue administering covered services to eligible Medicaid and Children's Health Insurance Program (CHIP) members for medically necessary medical, behavioral health, and long-term services and supports. The new statewide contract is anticipated to begin July 1, 2021.

'Ohana Health Plan has served Hawaii residents through the state's Medicaid program since 2008. Under the new contract, 'Ohana Health Plan will continue to provide services for eligible Medicaid recipients in Temporary Assistance for Needy Families (TANF); the Children's Health Insurance Program (CHIP); Aged, Blind and Disabled (ABD); and expansion programs. The new contract runs through Dec. 31, 2026 with the option of three, 12-month extensions.

"We are honored the Hawaii Department of Human Services has selected 'Ohana Health Plan to continue serving eligible Medicaid and CHIP members across the state," said Scott Sivik, 'Ohana Health Plan President and CEO. "We have proudly served Hawaii for more than a decade and look forward to working collaboratively with our state partners, our network of providers, and our local communities to continue delivering high-quality, cost-effective care and services to help our members live better, healthier lives."

"We are humbled by the opportunity to continue serving Hawaii's Medicaid and Community Care Services (CCS) populations and supporting those individuals living with some of the most complex physical and behavioral healthcare needs in the state," said Brent Layton, Centene EVP and President of U.S. Health Plans, Products, and International. "We look forward to our continued partnership with Hawaii to provide services that address social determinants of health, remove barriers to care and treatment, and deliver better health outcomes for Hawaii residents."

'Ohana Health Plan operates under WellCare Health Insurance of Arizona, Inc. 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 served 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.

Centene uses its investor relations website to publish important information about the company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website, http://investors.centene.com/.

Forward-Looking Statements
All statements, other than statements of current or historical fact, contained in this press release are forward-looking statements. Without limiting the foregoing, forward-looking statements often use words such as "believe," "anticipate," "plan," "expect," "estimate," "intend," "seek," "target," "goal," "may," "will," "would," "could," "should," "can," "continue" and other similar words or expressions (and the negative thereof). Centene (the Company, our, or we) intends such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995, and we are including this statement for purposes of complying with these safe-harbor provisions. 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. By their nature, forward-looking statements involve known and unknown risks and uncertainties and are subject to change because they relate to events and depend on circumstances that will occur in the future, including economic, regulatory, competitive and other factors that may cause our or our industry's actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. These statements are not guarantees of future performance and are subject to risks, uncertainties and assumptions. All forward-looking statements included in this press release are based on information available to us on the date hereof. Except as may be otherwise required by law, we undertake no obligation to update or revise the forward-looking statements included in this press release, whether as a result of new information, future events or otherwise, after the date hereof. 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.

Cision View original content:http://www.prnewswire.com/news-releases/centene-subsidiary-ohana-health-plan-selected-to-continue-serving-hawaiis-medicaid-managed-care-and-chip-programs-statewide-301255795.html

SOURCE Centene Corporation

FAQ

What recent contract did Centene's subsidiary 'Ohana Health Plan secure in Hawaii?

'Ohana Health Plan secured a contract to administer services for Medicaid and CHIP members in Hawaii starting July 1, 2021.

How long is the new contract for 'Ohana Health Plan in Hawaii?

The contract runs through December 31, 2026, with options for three 12-month extensions.

How many members does 'Ohana Health Plan serve in Hawaii?

'Ohana Health Plan served approximately 50,000 Medicaid and Medicare Advantage members in Hawaii as of December 31, 2020.

When did 'Ohana Health Plan start serving Hawaii residents?

'Ohana Health Plan has been serving Hawaii residents since 2008.

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