Centene Fact Sheet (PDF)

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