Three in­sur­ers score In­di­ana dual-el­i­gi­ble con­tract

Modern Healthcare - - REGIONAL NEWS - —Bob Her­man

In­di­ana has se­lected three health in­sur­ers to man­age care for poor, el­derly, blind and dis­abled peo­ple un­der a new four-year, $4 bil­lion Med­i­caid pro­gram.

An­them Blue Cross and Blue Shield , Man­aged Health Ser­vices of In­di­ana and MD­wise won the con­tracts, which start April 1. An­them Blues is a sub­sidiary of In­di­anapo­lis-based An­them (un­til last week known as Wel­lPoint), and MHS is a sub­sidiary of Cen­tene Corp. MD­wise, founded by In­di­ana Univer­sity Health and the Health and Hos­pi­tal Corp. of Mar­ion County, is a not-for-profit plan.

The man­aged-care com­pa­nies will re­ceive lump-sum pay­ments to pro­vide co­or­di­nated care for 84,000 aged, blind and dis­abled Med­i­caid en­rollees who also qual­ify for Medi­care, a pop­u­la­tion of­ten re­ferred to as dual-el­i­gi­bles.

Each in­surer is ex­pected to re­ceive about $335 mil­lion in an­nual rev­enue un­der the con­tract, as­sum­ing each cov­ers an equal amount of en­rollees, said Justin Lake, an an­a­lyst with J.P. Mor­gan Se­cu­ri­ties.

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.