Bangkok Post

Centene buys Magellan in mental health push

- FRANK CONNELLY JOHN TOZZI

Insurer Centene Corp agreed on Monday to buy Magellan Health Inc, in a transactio­n valuing the target company at $2.2 billion, to expand further into mental-health care.

Centene will pay $95 a share in cash, according to a statement, or 15% above Magellan Health’s closing price on Thursday. The purchase will be primarily funded with debt, and JPMorgan Chase & Co has provided a bridge financing commitment.

Centene is a top seller of government­sponsored health plans such as Medicaid and Medicare, and the combinatio­n will help it better integrate behavioura­l health into offerings.

Magellan manages specialty care, including treatments for mental health and substance use disorders, for insurers and other customers.

“There is a critical need for a fundamenta­lly better approach to supporting people with complex, chronic conditions through better integratio­n of physical and mental health care” Michael Neidorff, Centene’s chief executive officer, said in the statement. “This has become even more evident in light of the pandemic.”

“Patients’ medical costs can double or triple when combined with behavioura­l health conditions,’’ Neidorff said on a call with analysts.

Health plans and employers in the past turned to entities like Magellan to manage behavioura­l health separately from medical care, carving out a portion of insurance premiums for that purpose.

More recently, the industry has promoted integratin­g medical, behavioura­l, and pharmacy care, with one entity managing all three benefits.

Insurers have moved to consolidat­e medical plans with pharmacy benefit managers and other specialty health benefits businesses. Anthem Inc last year purchased a competitor to Magellan, Beacon Health Options.

Neidorff said in an interview that he envisioned pairing behavioura­l and medical interventi­ons together more seamlessly.

For example, when a patient is newly diagnosed with diabetes or cancer, they might get referred to a psychologi­st as well, he said.

“I want that family to have access to the psychologi­cal help they need to deal with it,” Neidorff said. “In the longer term, it reduces costs.”

Magellan CEO Ken Fasola will stay on, and the unit will continue to operate independen­tly within Centene after the transactio­n, according to the companies.

Centene has increased revenue from $23 billion in 2015 to about $111 billion expected in 2020 through a series of large health plan acquisitio­ns.

Last week the company closed the acquisitio­n of Pantherx, a specialty pharmacy focused on rare diseases.

The Magellan deal is expected to close in the second half of 2021.

Announced on the first business day of the year, the deal picks up where 2020 left off in terms of mergers.

Health-care companies announced $362.7 billion of deals last year, data compiled by Bloomberg show.

In December, AstraZenec­a Plc agreed to acquire rare-disease specialist Alexion Pharmaceut­icals Inc for $39 billion deal in the industry’s biggest transactio­n of 2020.

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