ST.
LOUIS, Nov. 1, 2024 /PRNewswire/ -- Centene
Corporation (NYSE: CNC), a leading healthcare enterprise
committed to helping people live healthier lives, announced today
that its subsidiary, Buckeye Health Plan (Buckeye), has been
selected by the Ohio Department of Medicaid (ODM) to continue
providing Medicare and Medicaid services for dually eligible
individuals through a Fully Integrated Dual Eligible Special Needs
Plan (FIDE SNP). FIDE SNPs fully integrate care for dually eligible
beneficiaries under a single managed care organization, allowing
enrollees to receive all of their medical, behavioral and long-term
services and supports through one plan.
MyCare Ohio members will not have any change at this time.
Current MyCare Ohio providers will continue to serve MyCare Ohio
members as they do today until the transition to the Next
Generation MyCare plans in January
2026. At that time, the selected plans will be responsible
for supporting Ohioans who are eligible for both Medicare and
Medicaid healthcare coverage in the 29 counties where MyCare Ohio
is currently available. Statewide expansion of the program will
follow as quickly as possible.
"We are proud to be working with ODM to connect Ohio communities with the personal,
specialized care they need and deserve," said Centene Chief
Executive Officer, Sarah M. London.
"With our FIDE SNP program, we will continue to make sure our
members get everything they need – under one plan – so they can
focus on their health."
Buckeye is among four health plans selected by ODM to deliver
high-quality healthcare to Medicare-Medicaid eligible members
through the state's new FIDE SNP product. Buckeye's current MMP
program serves more than 9,000 members across 12 counties. With the
FIDE SNP product offered through the Next Generation MyCare Ohio
Program, Buckeye has the potential to expand its reach statewide
when the program expands in 2027. Under the new contract, Buckeye
will deploy innovative initiatives to meet members' unique needs,
addressing barriers to healthcare and critical social drivers of
health, and improving care to promote independence.
"As your guide to better health, Buckeye is honored to continue
to serve dually eligible Ohioans," said Buckeye Health Plan
President and CEO, Steve Province.
"After serving this dual-eligible population for over a decade,
Buckeye understands the importance of providing innovative
solutions to meet the needs of Ohioans with complex healthcare
challenges and advocating for support to help them thrive. We look
forward to continuing our partnerships with members, providers,
caregivers and the State of Ohio
under the new contract."
For more information about Buckeye's current MyCare Ohio
product, visit mmp.buckeyehealthplan.com.
Meridian Health Plan of Michigan, Inc., a Centene Corporation company,
was also recently selected by the Michigan Department of
Health and Human Services to provide highly integrated Medicare and
Medicaid services for dually eligible Michiganders through a Highly
Integrated Dual Eligible Special Needs Plan.
About Centene Corporation
Centene Corporation, a Fortune 500 company, is a leading
healthcare enterprise that is committed to helping people live
healthier lives. The Company takes a local approach – with local
brands and local teams – to provide fully integrated, high-quality
and cost-effective services to government-sponsored and commercial
healthcare programs, focusing on under-insured and uninsured
individuals. Centene offers affordable and high-quality products to
more than 1 in 15 individuals across the nation, including Medicaid
and Medicare members (including Medicare Prescription Drug Plans)
as well as individuals and families served by the Health Insurance
Marketplace and the TRICARE program.
Centene uses its investor relations website to publish important
information about the Company, including information that may be
deemed material to investors. Financial and other information about
Centene is routinely posted and is accessible on Centene's investor
relations website, http://investors.centene.com/.
About Buckeye Health Plan
Buckeye Health Plan offers managed healthcare for Ohioans
on Medicaid, Medicare, integrated Medicaid-Medicare (called MyCare
Ohio) and the Health Insurance Exchange. Since 2004, Buckeye has
been dedicated to improving the health of Ohioans, many with low
incomes, by providing coordinated healthcare and other essential
support that individuals and families need to grow and thrive.
Buckeye Health Plan is a Centene Corporation company. Follow
Buckeye on Twitter @Buckeye_Health and on Facebook at
http://www.facebook.com/BuckeyeHealthPlan.
Forward-Looking Statements
All statements, other than statements of current or
historical fact, contained in this press release are
forward-looking statements. Without limiting the foregoing,
forward-looking statements often use words such as "believe,"
"anticipate," "plan," "expect," "estimate," "intend," "seek,"
"target," "goal," "may," "will," "would," "could," "should," "can,"
"continue" and other similar words or expressions (and the negative
thereof). Centene Corporation and its subsidiaries (Centene, the
Company, our or we) intends such forward-looking statements to be
covered by the safe-harbor provisions for forward-looking
statements contained in the Private Securities Litigation Reform
Act of 1995, and we are including this statement for purposes of
complying with these safe-harbor provisions. In particular, these
statements include, without limitation, statements about our
expected contract start dates and terms, our future operating or
financial performance, market opportunity, competition, expected
activities in connection with completed and future acquisitions and
dispositions, our investments and the adequacy of our available
cash resources. These forward-looking statements reflect our
current views with respect to future events and are based on
numerous assumptions " and assessments made by us
in light of our experience and perception of historical trends,
current conditions, business strategies, operating environments,
future developments and other factors we believe appropriate. By
their nature, forward-looking statements involve known and unknown
risks and uncertainties and are subject to change because they
relate to events and depend on circumstances that will occur in the
future, including economic, regulatory, competitive and other
factors that may cause our or our industry's actual results, levels
of activity, performance or achievements to be materially different
from any future results, levels of activity, performance, or
achievements expressed or implied by these forward-looking
statements. These statements are not guarantees of future
performance and are subject to risks, uncertainties and
assumptions. All forward-looking statements included in this press
release are based on information available to us on the date
hereof. Except as may be otherwise required by law, we undertake no
obligation to update or revise the forward-looking statements
included in this press release, whether as a result of new
information, future events, or otherwise, after the date hereof.
You should not place undue reliance on any forward-looking
statements, as actual results may differ materially from
projections, estimates, or other forward-looking statements due to
a variety of important factors, variables and events including, but
not limited to: our ability to design and price products that are
competitive and/or actuarially sound including but not limited to
any impacts resulting from Medicaid redeterminations; our ability
to maintain or achieve improvement in the Centers for Medicare and
Medicaid Services (CMS) Star ratings and maintain or achieve
improvement in other quality scores in each case that can impact
revenue and future growth; our ability to accurately predict and
effectively manage health benefits and other operating expenses and
reserves, including fluctuations in medical utilization rates;
competition, including for providers, broker distribution networks,
contract reprocurements and organic growth; our ability to
adequately anticipate demand and provide for operational resources
to maintain service level requirements; our ability to manage our
information systems effectively; disruption, unexpected costs, or
similar risks from business transactions, including acquisitions,
divestitures, and changes in our relationships with third parties;
impairments to real estate, investments, goodwill, and intangible
assets; changes in senior management, loss of one or more key
personnel or an inability to attract, hire, integrate and retain
skilled personnel; membership and revenue declines or unexpected
trends; rate cuts or other payment reductions or delays by
governmental payors and other risks and uncertainties affecting our
government businesses; changes in healthcare practices, new
technologies, and advances in medicine; our ability to effectively
and ethically use artificial intelligence and machine learning in
compliance with applicable laws; increased healthcare
costs; inflation and interest rates; the effect of social,
economic, and political conditions and geopolitical events,
including as a result of changes in U.S. presidential
administrations or Congress; changes in market conditions; changes
in federal or state laws or regulations, including changes with
respect to income tax reform or government healthcare programs as
well as changes with respect to the Patient Protection and
Affordable Care Act and the Health Care and Education Affordability
Reconciliation Act (collectively referred to as the ACA) and any
regulations enacted thereunder; uncertainty concerning government
shutdowns, debt ceilings or funding; tax matters; disasters,
climate-related incidents, acts of war or aggression or major
epidemics; changes in expected contract start dates and terms;
changes in provider, broker, vendor, state, federal, and other
contracts and delays in the timing of regulatory approval of
contracts, including due to protests; the expiration, suspension,
or termination of our contracts with federal or state governments
(including, but not limited to, Medicaid, Medicare or other
customers); the difficulty of predicting the timing or outcome of
legal or regulatory audits, investigations, proceedings or matters,
including, but not limited to, our ability to resolve claims and/or
allegations made by states with regard to past practices on
acceptable terms, or at all, or whether additional claims, reviews
or investigations will be brought by states, the federal government
or shareholder litigants, or government investigations; challenges
to our contract awards; cyber-attacks or other data security
incidents or our failure to comply with applicable privacy, data or
security laws and regulations; the exertion of management's time
and our resources, and other expenses incurred and business changes
required in connection with complying with the terms of our
contracts and the undertakings in connection with any regulatory,
governmental, or third party consents or approvals for acquisitions
or dispositions; any changes in expected closing dates, estimated
purchase price, or accretion for acquisitions or dispositions;
losses in our investment portfolio; restrictions and limitations in
connection with our indebtedness; a downgrade of our corporate
family rating, issuer rating or credit rating of our indebtedness;
the availability of debt and equity financing on terms that are
favorable to us and risks and uncertainties discussed in the
reports that Centene has filed with the Securities and Exchange
Commission (SEC). This list of important factors is not intended to
be exhaustive. We discuss certain of these matters more fully, as
well as certain other factors that may affect our business
operations, financial condition, and results of operations, in our
filings with the SEC, including our annual report on Form 10-K,
quarterly reports on Form 10-Q and current reports on Form 8-K. Due
to these important factors and risks, we cannot give assurances
with respect to our future performance, including without
limitation our ability to maintain adequate premium levels or our
ability to control our future medical and selling, general and
administrative costs.
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