Better Health Outcomes, Lower Costs Delivering healthier outcomes, significant savings, and local jobs to our communities. Centene Corporation is a leading, multi-line healthcare enterprise that provides access to quality care for under-insured and uninsured individuals. Centene offers unique, cost-effective coverage solutions for lowincome populations through locally-based health plans and a wide range of specialty services. Centene’s core philosophy is that quality healthcare is best delivered locally. This approach enables us to provide accessible, high-quality, and culturally-sensitive healthcare services to our members. Our care coordination model utilizes integrated programs that can only be delivered effectively by a local staff, resulting in meaningful job creation within the communities we serve. Moreover, our programs enable us to partner with trusted providers to promote a medical home for each member, so they can receive timely and appropriate care. For more information, please visit www.centene.com. States with at-risk managed care membership States with business operations Centene Corporation Headquarters Implementation in progress STATES WITH AT-RISK MEMBERSHIP ARIZONA Bridgeway Health Solutions Mem: 7,000 / Emp: 193 INDIANA MHS Mem: 199,500 / Emp: 162 MINNESOTA (1) Centurion Mem: 9,500 / Emp: 44 TENNESSEE (1) Centurion Mem: 21,200 / Emp: 649 ARKANSAS Ark. Health & Wellness Solutions Mem: 36,600 / Emp: 56 KANSAS Sunflower State Health Plan Mem: 144,200 / Emp: 310 MISSISSIPPI Magnolia Health Mem: 99,300 / Emp: 185 TEXAS Superior HealthPlan Mem: 961,100 / Emp: 1,410 CALIFORNIA California Health & Wellness Mem: 144,700 / Emp: 149 LOUISIANA Louisiana Healthcare Connections Mem: 150,800 / Emp: 237 MISSOURI Home State Health Mem: 64,900 / Emp: 65 WASHINGTON Coordinated Care Mem: 192,500 / Emp: 162 FLORIDA Sunshine Health Mem: 411,200 / Emp: 1,316 MASSACHUSETTS (1) CeltiCare Health Mem: 46,600 / Emp: 61 NEW HAMPSHIRE New Hampshire Healthy Families Mem: 56,600 / Emp: 59 WISCONSIN MHS Health Wisconsin Mem: 74,700 / Emp: 105 GEORGIA Peach State Health Plan Mem: 382,600 / Emp: 274 Centurion Mem: 10,600 / Emp: 835 OHIO Buckeye Health Plan Mem: 261,000 / Emp: 489 SOUTH CAROLINA Absolute Total Care Mem: 106,500 / Emp: 130 NOTES: 1. 2. Contracts for Correctional Healthcare Services in Mass., Tenn., and Minn. Subject to acquisition closing and regulatory approvals in late 2014 HEALTHCARE COVERAGE OPTIONS INCLUDE: ADDITIONAL SPECIALTY SERVICES INCLUDE: AMBETTER: • Low-Income Medicaid • Behavioral and Specialty Therapies Ambetter is Centene's Health Insurance • Children’s Health Insurance Program (CHIP) • Pharmacy and Specialty Pharmacy Benefits Marketplace product and is currently • Aged, Blind, and Disabled (ABD)/ABD Duals • Life and Health Management offered in nine states. Ambetter plans • Long-Term Services and Supports (LTSS) • Managed Vision include a wide variety of valuable • Foster Care • Telehealth programs, educational tools, and • Medicare (Special Needs Plans) • Case Management Software Solutions support that are designed to fit the • Health Insurance Marketplace • Dental Benefits needs and budget of the consumer. • Correctional Healthcare • In-Home Health Services © 2014 Centene Corporation. All rights reserved. ILLINOIS IlliniCare Health Mem: 31,300 / Emp: 357 MICHIGAN (2) Fidelis SecureCare of Michigan Implementation in Progress 11/06/14 Innovations that improve health and access to care The Centene Advantage • Proven quality outcomes • Documented cost savings • Local job creation • Innovative programs • Financial predictability • Local member care MEMBERCONNECTIONS® is an outreach program where representatives visit members where they live and work to help them navigate the complex healthcare system and get them the community resources they need. Additionally, Connections Plus® provides free cell phones to high-risk members who do not have safe, reliable access to a telephone—allowing them 24-hour instant access to physicians, case managers, health plan personnel, telehealth services, and 911. Selected Awards CENTACCOUNT® uses financial incentives to promote healthy activity, such as regular check-ups and routine screenings that are age, gender, and health-status appropriate. This program not only strengthens the relationships between members and their Medical Home, but also promotes personal healthcare responsibility and ownership. 2014 U.S. ENVIRONMENTAL PROTECTION AGENCY’S NATIONAL ENVIRONMENTAL LEADERSHIP AWARD — Peach State Health Plan – Asthma Management Program START SMART FOR YOUR BABY® is an extensive, award-winning education and outreach program for pregnant members, new moms, and their babies. Start Smart promotes both education and communication between members and case managers to prevent premature births and lower the risks of NICU admissions. HEALTH PASSPORT is a patient-centered, internet-based health record that allows healthcare providers to overcome the information barriers that exist within a transient population. Using state-of-the-art technology, Health Passport improves care coordination, eliminates redundancy, and reduces provider errors. It provides secure access to the member’s treatment history including prescription drug utilization, immunization history, reported allergies, past doctor visits, behavioral health history, laboratory tests, vital signs, and patient demographics. Inclusive Portfolio of Solutions to Cover the Uninsured Centene recognizes the complex challenges that states are facing today. Since 2008, Centene has delivered cost-effective coverage programs which are designed to expand coverage to traditionally underserved populations who lack access to affordable commercial health insurance and do not qualify for Medicaid or other public health insurance programs. Centene offers a full-continuum of health insurance solutions. These offerings foster a seamless transition between public and privately-funded healthcare to provide a portable coverage solution designed for the volatility of life. 2014 MEDICAID HEALTH PLANS OF AMERICA: CHILDREN'S HEALTH AWARD — Centene Corporation – Start Smart For Your Baby® Texting Program 2014 CASE-IN-POINT PLATINUM AWARDS — Disease Management/ Population Health—Peach State Health Plan’s Improving Pediatric Dental Outcomes for Medicaid Members; Long-Term Care—Sunshine Health Plan's Long-Term Care Program; Managed Care—Cenpatico of AZ’s Child and Family Team Facilitator Certification; Pediatric Case Management—NurseWise’s Proactive Emergency Department Education Program; Wellness/Prevention—Centene Corporation’s Book Series. 2012 URAC BEST PRACTICES IN HEALTH CARE CONSUMER EMPOWERMENT AND PROTECTION AWARDS — Platinum Award for "Asthma Solutions for a Managed Medicaid Population" 2012 NATIONAL URBAN LEAGUE — Health Innovator Award NCQA Accreditations HEALTH PLAN, COMMENDABLE: Florida, Georgia, South Carolina, Texas, Wisconsin HEALTH PLAN, ACCREDITED: Illinois, Indiana, Kansas, Louisiana, Mississippi, Missouri, Ohio, Washington NEW HEALTH PLAN, ACCREDITED: Massachusetts MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS: Cenpatico Behavioral Health UTILIZATION MANAGEMENT/CREDENTIALING: OptiCare DISEASE MANAGEMENT ACCREDITATION: Nurtur WELLNESS AND HEALTH PROMOTION ACCREDITATION: Nurtur URAC Accreditations ACCREDITED, DISEASE MANAGEMENT: Nurtur The Centene Foundation for Quality Healthcare ACCREDITED, HEALTH UTILIZATION MANAGEMENT: Cenpatico (in Ariz.) The Centene Foundation for Quality Healthcare supports proactive and innovative strategies that improve the quality of healthcare for low-income individuals and families. This is accomplished through an inspired philanthropic giving plan that seeks to promote efforts and activities that identify and address core causes of unequal access and treatment in healthcare. ACCREDITED, SPECIALTY PHARMACY: AcariaHealth ACCREDITED, HEALTH CALL CENTER: NurseWise ACCREDITED, PHARMACY BENEFIT MANAGEMENT: US Script
© Copyright 2024 ExpyDoc