Centene, North Carolina Medical Society And North Carolina Community Health Center Association Awarded Medicaid Contract
Joint Venture to Offer Unique Approach to Medicaid Reform in North Carolina
ST. LOUIS, Feb. 4, 2019 /PRNewswire/ -- Centene Corporation (NYSE: CNC) announced today that its North Carolina subsidiary, Carolina Complete Health, has been awarded a contract in North Carolina for the Medicaid Managed Care program. Carolina Complete Health is a joint venture partnership with the North Carolina Medical Society and North Carolina Community Health Center Association to offer a unique approach to Medicaid reform.
Pending regulatory approval, the new three-year contract is effective February 1, 2020 and includes the option to renew for up to two additional years. Under the agreement, Carolina Complete Health will provide Medicaid managed care services in Regions 3 and 5 with a focus on the state's goals of whole-person care, localized care management and addressing the full set of factors impacting health. A key feature of the joint venture will be the active participation of physicians in the ownership of the health plan and responsible leadership in its governance.
"We are pleased to be selected to work with the state of North Carolina to implement its new Medicaid managed care program," said Michael F. Neidorff, Chairman and CEO for Centene. "Through our transformative model, Carolina Complete Health will ensure providers are involved in health care decisions, using our advanced systems, and promoting value-based care. Members will have access to the highest quality services and experience better health outcomes at a competitive cost."
"As the oldest professional society in the state and the largest group representing North Carolina physicians and PAs, we are looking forward to working with our partners to launch Carolina Complete Health, an innovative Medicaid plan serving our most vulnerable citizens," said North Carolina Medical Society CEO Robert W. Seligson, MBA, MA. "Both Centene Corporation and the NC Community Health Center Association share our core values of patient-focused, physician-led care and working diligently toward achieving better health for all North Carolinians."
"We're excited to partner with North Carolina physicians and the industry leading Centene Corporation to develop a patient-centered, provider-directed Medicaid plan," said E. Benjamin Money, Jr., President and CEO for NCCHCA. "With over 50 years of service to Medicaid beneficiaries in North Carolina, community health centers have the experience and relationships necessary to make our effort a success. Health Centers are governed by the patients that use their services. Having the direct engagement of consumers and providers creates the necessary elements to drive decisions aimed at increasing access, improving quality, and managing costs."
Centene provides Medicaid managed care programs in 26 states, and is the leader in the four largest Medicaid markets, including California, Florida, New York and Texas.
About Centene Corporation
Centene Corporation, a Fortune 100 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long-Term Services and Supports (LTSS), in addition to other state-sponsored programs, Medicare (including the Medicare prescription drug benefit commonly known as "Part D"), dual eligible programs and programs with the U.S. Department of Defense. Centene also provides healthcare services to groups and individuals delivered through commercial health plans. Centene operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, commercial programs, home-based primary care services, life and health management, vision benefits management, pharmacy benefits management, specialty pharmacy and telehealth services.
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Such factors include, but are not limited to, Centene's ability to accurately predict and effectively manage health benefits and other operating expenses and reserves; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies and advances in medicine; increased healthcare costs; changes in economic, political or 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 and any regulations enacted thereunder that may result from changing political conditions or judicial actions, including the ultimate outcome of the District Court decision in "Texas v. United States of America" regarding the constitutionality of the Affordable Care Act (ACA) on Friday, December 14, 2018; rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting Centene's government businesses; Centene's ability to adequately price products on federally facilitated and state-based Health Insurance Marketplaces; tax matters; disasters or major epidemics; the outcome of legal and regulatory proceedings; changes in expected contract start dates; provider, state, federal and other contract changes and timing of regulatory approval of contracts; the expiration, suspension or termination of Centene's contracts with federal or state governments (including but not limited to Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of pending or future litigation or government investigations; challenges to Centene's contract awards; cyber-attacks or other privacy or data security incidents; the possibility that the expected synergies and value creation from acquired businesses, including, without limitation, the Health Net Acquisition and the Fidelis Care Acquisition, will not be realized, or will not be realized within the expected time period; the exertion of management's time and Centene's resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for the Health Net Acquisition or the Fidelis Care Acquisition; disruption caused by significant completed and pending acquisitions, including the Health Net Acquisition and the Fidelis Care Acquisition, making it more difficult to maintain business and operational relationships; the risk that unexpected costs will be incurred in connection with the completion and/or integration of acquisition transactions, including among others, the Health Net Acquisition and the Fidelis Care Acquisition; changes in expected closing dates, estimated purchase price and accretion for acquisitions; the risk that acquired businesses, including Health Net and Fidelis Care, will not be integrated successfully; the risk that, following the Fidelis Care Acquisition, Centene may not be able to effectively manage its expanded operations; restrictions and limitations in connection with Centene's indebtedness; Centene's ability to 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; availability of debt and equity financing, on terms that are favorable to Centene; inflation; foreign currency fluctuations; the stock split and the required stockholders approval to increase Centene's authorized common stock; and risks and uncertainties discussed in the reports that Centene has filed with the SEC. These forward-looking statements reflect Centene's current views with respect to future events and are based on numerous assumptions and assessments made by Centene in light of its experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors it believes 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. The factors described in the context of such forward-looking statements in this press release could cause Centene's plans with respect to the Health Net Acquisition, the Fidelis Care Acquisition, actual results, performance or achievements, industry results and developments to differ materially from those expressed in or implied by such forward-looking statements. Although it is currently believed that the expectations reflected in such forward-looking statements are reasonable, no assurance can be given that such expectations will prove to have been correct and persons reading this press release are therefore cautioned not to place undue reliance on these forward-looking statements which speak only as of the date of this press release. Centene does not assume any obligation to update the information contained in this press release (whether as a result of new information, future events or otherwise), except as required by applicable law. This list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain other risk factors that may affect Centene's business operations, financial condition and results of operations, in Centene's filings with the SEC, including the annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K.
SOURCE Centene Corporation
Released February 4, 2019