CENTENE SUBSIDIARY BUCKEYE HEALTH PLAN AWARDED CONTRACT TO SERVE DUAL ELIGIBILE MEDICARE AND MEDICAID MEMBERS IN OHIO
CENTENE SUBSIDIARY BUCKEYE HEALTH PLAN AWARDED CONTRACT TO SERVE DUAL ELIGIBILE MEDICARE AND MEDICAID MEMBERS IN OHIO
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.
康西哥公司(NYSE: CNC)是一家領先的醫療保健企業,致力於幫助人們過上更健康的生活。該公司宣佈,其子公司Buckeye Health Plan(Buckeye)已被俄亥俄州醫療補助部門(ODM)選中,繼續通過全面整合雙重資格特需計劃(FIDE SNP)爲雙重符合資格個體提供醫療保險和醫療補助服務。FIDE SNP全面整合雙重資格受益者的護理,由單一託管護理組織提供,使參保者能夠通過一個計劃獲得所有醫療、行爲和長期服務和支持。
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.
目前MyCare Ohio會員在此時不會有任何變化。目前的MyCare Ohio提供商將繼續像今天一樣爲MyCare Ohio會員提供服務,直到2026年1月過渡到下一代MyCare計劃爲止。屆時,選定的計劃將負責支持符合資格的俄亥俄州人士,他們符合同時擁有醫療保險和醫療補助的29個縣的醫療覆蓋範圍。該計劃的全州擴展將盡快展開。
"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."
「我們很榮幸能與ODM合作,爲俄亥俄社區提供他們需要和應得的個人特色護理,」康西哥公司首席執行官Sarah m. London表示。「通過我們的FIDE SNP計劃,我們將繼續確保我們的會員獲得他們需要的一切 - 在一個計劃下 - 以便他們關注自己的健康。」
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.
Buckeye是ODM選定的四家保險公司之一,通過該州的新FIDE SNP產品爲符合醫療保險-醫療補助資格的會員提供高質量醫療保健服務。Buckeye目前的MMP計劃在12個縣爲9000多名會員提供服務。通過下一代MyCare Ohio計劃提供的FIDE SNP產品,Buckeye有望在2027年該計劃擴展時在全州範圍內擴張覆蓋面。根據新合同,Buckeye將部署創新計劃以滿足會員的獨特需求,解決醫療保健障礙和健康的關鍵社會驅動因素,並改善護理以促進獨立自主。
"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."
作爲更健康的嚮導,Buckeye很榮幸繼續爲俄亥俄州雙重符合資格者提供服務,"Buckeye Health Plan 總裁兼首席執行官史蒂夫·普羅文斯說。"在爲這雙重符合資格的人群提供服務超過十年後,Buckeye了解提供創新解決方案以滿足俄亥俄州需求複雜醫療挑戰的重要性,並倡導支持幫助他們茁壯成長。我們期待在新合同下繼續與會員、服務提供者、照顧者以及俄亥俄州政府開展合作伙伴關係。
For more information about Buckeye's current MyCare Ohio product, visit mmp.buckeyehealthplan.com.
有關Buckeye當前MyCare Ohio產品的更多信息,請訪問 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.
密歇根州Meridian健康計劃公司,屬於康西哥公司,最近也被密歇根州健康與人類服務部門選定,爲密歇根州雙重符合資格者提供高度整合的醫療保險和醫療補助服務,通過高度整合的雙重符合資格特殊需求計劃。
About Centene Corporation
關於康西哥公司 康西哥公司是一家財富500強企業,是一家領先的醫療保健企業,致力於幫助人們過上更健康的生活。該公司採用本地化方法,擁有本地品牌和本地團隊,爲政府贊助和商業醫療保健計劃提供全面集成的、高質量的和具有成本效益的服務,側重於未受保險和未投保的個人。康西哥爲全國近15個人之一提供價廉而優質的產品,包括醫療補助和醫療保險計劃(包括醫療處方藥計劃),以及健康保險市場、TRICARE計劃服務的個人和家庭。該公司還與其他醫療保健和商業機構簽訂合同,提供各種專業服務,專注於治療整個人。康西哥專注於長期增長和價值創造,以及開發其人員、系統和能力,以便更好地爲其會員、提供商、當地社區和政府合作伙伴服務。
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.
康西哥公司,一家財富500公司,是一家致力於幫助人們過上更健康生活的領先醫療企業。該公司採取了本地化的方式-擁有本地品牌和本地團隊-爲政府贊助和商業醫療保健項目提供完全整合的高質量和具有成本效益的服務,重點關注保險覆蓋不足和未保險個體。康西哥向全國超過15分之一的人口提供價格實惠且高質量的產品,包括醫療補助和醫療保險會員(包括藥物處方計劃醫療保險會員)以及由醫療保險市場和TRICARE項目服務的個人和家庭。
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, .
康西哥公司利用其投資者關係網站發佈有關公司的重要信息,包括可能對投資者具有重要意義的信息。有關康西哥的財務和其他信息定期發佈,並可在康西哥的投資者關係網站上查看。
About Buckeye Health Plan
關於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 .
Buckeye Health Plan爲俄亥俄州的醫療保障、醫療保險、綜合醫療保障醫療補助(稱爲MyCare Ohio)和醫療保險交換提供管理醫療保健。自2004年以來,Buckeye一直致力於通過提供協調的醫療保健和個人和家庭成長所需的其他基本支持,改善俄亥俄州人的健康,其中許多人收入較低。Buckeye健康計劃是康西哥公司的一部分。在 Twitter 上關注 Buckeye @Buckeye_Health,在 Facebook 上關注。
Forward-Looking Statements
前瞻性聲明
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.
除本新聞稿中涉及當前或歷史事實陳述外,全部觀點均屬前瞻性聲明。在不限於前述範圍的情況下,前瞻性聲明經常使用"相信"、"預期"、"計劃"、"期望"、"估計"、"打算"、"尋求"、"目標"、"可能"、"將"、"願意"、"可能"、"應當"、"能夠"、"繼續"等類似用語或表達(以及其否定形式)。康西哥公司及其子公司(Centene,公司,我們)打算使這些前瞻性聲明涵蓋1995年《私人證券訴訟改革法案》中關於前瞻性聲明的避風港條款,並出於遵守這些避風港條款之目的,我們包括這一聲明。具體而言,這些聲明包括但不限於關於我們預期的合同開始日期和條款、未來的營運或財務表現、市場機遇、競爭、與已完成和未來收購和出售有關的預期活動、我們的投資以及我們可用現金資源的充分性。這些前瞻性聲明反映我們對未來事件的當前看法,並基於我們根據我們的經驗和對歷史趨勢、當前狀況、業務戰略、營運環境、未來發展以及我們認爲適當的其他因素所做的衆多假設和評估。由於它們的特性,前瞻性聲明涉及已知和未知的風險和不確定性,因爲它們與將來會發生的事件相關,並取決於未來會發生的情況,包括可能導致我們或我們行業的實際結果、活動水平、表現或成就與任何未來結果、活動水平、表現或這些前瞻性聲明所暗示的成就實質上不同的經濟、監管、競爭和其他因素。這些聲明不能保證未來的表現,並且存在各種風險、不確定因素和假設。本新聞稿中包含的全部前瞻性聲明均基於我們在本日可得信息。除非法律另有要求,否則我們不承擔更新或修訂本新聞稿中包含的前瞻性聲明的義務,無論是基於新信息、未來事件還是其他任何情況,在本日之後。您不應過分依賴任何前瞻性聲明,因爲由於各種重要因素、變量和事件,實際結果可能與預測、估計或其他前瞻性聲明差異巨大,包括但不限於:我們設計和定價具有競爭力和/或精算合理的產品的能力,包括但不限於因美國醫療補助金重新決定而導致的任何影響;我們能否維持或實現美國醫療保險與醫療服務管理中心(CMS)的星級評分的改善,並維持或實現其他質量評分的改善,後者可能影響營業收入和未來增長;我們準確預測和有效管理健康福利和其他營業費用以及儲備金,包括醫療利用率的波動;競爭,包括對於供應商、經紀人分銷網絡、合同再採購和有機增長的競爭;我們能否充分預測並提供運營資源以維持服務水平要求;我們能否有效管理我們的信息系統;來自業務交易(包括收購、剝離以及與第三方關係的變化)的中斷、意外成本或類似風險;對房地產、投資、商譽和無形資產的減值;高級管理層變動、一名或多名關鍵人才的離職或無法吸引、僱用、整合和留住熟練人員;會員和營收下降或出乎意料的趨勢;政府支付人員的裁減或其他支付減少或延遲以及影響營收和未來增長的其他風險和不確定因素;醫療成本的增加;通貨膨脹和利率;社會、經濟和政治狀況以及地緣政治事件的影響,包括受美國總統任期及國會變動影響導致的變化;市場條件的改變;聯邦或州法律或法規的變更,包括與所得稅改革或政府醫療計劃相關的變化以及與《患者保護與平價醫療法案》和《醫療保健及教育可負擔性和解法法案》(統稱爲ACA)以及根據其頒佈的任何法規相關的變化;關於政府停擺、債務上限或撥款的不確定性;稅務事務;災害、氣候相關事件、戰爭或攻擊行爲或重大疫情;預期合同開始日期和條款的變化;提供商、經紀人、供應商、州、聯邦以及其他合同的變更以及由於抗議而導致合同獲得監管批准的時間拖延;與美國聯邦或州政府(包括但不限於醫療補助金、醫療保險或其他客戶)解約相關的困難:難以預測法律或監管審計、調查、訴訟案件或事項的時間或結果,包括但不限於我們解決由州提出的關於過去合規行爲的索賠和/或指控,並且是否能夠以可接受的條件或根本無法解決這些索賠、審查或調查,或者州政府、聯邦政府股東訴訟人或政府的進一步索賠、審查或調查是否會提出;我們合同授予遇到的挑戰;網絡攻擊或其他數據安全事件或我們未能遵守適用的隱私、數據或安全法律和法規;管理層的壓力和我們資源的使用以及遵守與我們的合同中的條款和與任何監管、政府或第三方對併購或出售的同意或批准有關的承諾相關的業務變更所需的其他支出;任何對於預期的收盤日期、估計收購價格或收購或出售的增值的變化;我們投資組合的損失;在我們負債的限制和限定;我們公司家族評級、發行人評級或我們負債信用評級的下調;可有利於我們的債務和股本融資的可用性;以及我們已向美國證券交易委員會(SEC)提交的報告中討論的風險和不確定因素。這些重要因素清單並非旨在窮盡。我們更充分地討論某些這些事項,以及可能影響我們的營業、財務狀況和運營結果的某些其他因素,在與SEC的文件中,包括我們的10-K表年度報告、10-Q表季度報告和8-K表目前報告。由於這些重要因素和風險,我們無法保證至於我們未來的表現,包括但不限於我們能否保持足夠的保費水平或者我們能否控制未來的醫療、銷售、總行政成本。
SOURCE CENTENE CORPORATION
來源:康西哥公司
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