Centene, North Carolina Medical Society And North Carolina Community Health Center Association Awarded Medicaid Contract

Fix Healthcare Technology, LLCNews & Events

ST. LOUIS, MO | PRNewswire |February 4, 2019

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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.

Centene, North Carolina Medical Society And North Carolina Community Health Center Association Awarded Medicaid Contract was last modified: February 5th, 2019 by Fix Healthcare Technology, LLC

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