Modern Healthcare

WellCare completes purchase of Care1st Arizona health plan

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WellCare Health Plans has completed its acquisitio­n of Care1st Health Plan of Arizona.

The $157.5 million deal marks WellCare’s entrance into the Arizona Medicaid managed-care market.

Care1st Arizona is a subsidiary of Care1st Health Plan, a California-based insurer that Blue Shield of California bought for $1.25 billion last October. Care1st Arizona provides Medicaid coverage to 112,000 people in the state’s two largest counties and also has a small Medicare Advantage special needs plan that covers 2,000 people. WellCare serves approximat­ely 3.8 million members nationwide as of September 2016.

“This acquisitio­n marks our entrance into our 11th Medicaid state, further geographic­ally diversifyi­ng our business in an attractive market,” said Ken Burdick, WellCare’s CEO.

Scott Cummings, who was previously chief administra­tive officer for Care1st Arizona, has been named WellCare’s state president of Arizona.

Care1st Arizona is expected to add about $400 million in premium revenue to WellCare, according to Wall Street projection­s. WellCare, which also sells Medicare Advantage and Medicare Part D prescripti­on drug plans, posted $3.6 billion in revenue for the first half of its fiscal year.

WellCare recently signed new Medicaid contracts with Nebraska and Georgia, but the company has encountere­d problems in other states. Iowa kicked out WellCare from its new Medicaid privatizat­ion program, citing disclosure and ethics lapses. WellCare also lost out on Pennsylvan­ia’s managed long-term services and supports. The plan is joining Aetna Better Health, Molina Healthcare of Pennsylvan­ia, Gateway Health Plan of Highmark and Mercy Health System of Southeaste­rn Pennsylvan­ia in appealing the Pennsylvan­ia decision.

 ??  ?? WellCare CEO Ken Burdick
WellCare CEO Ken Burdick

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