ST. LOUIS, Feb. 24, 2021 /PRNewswire/ -- Centene
Corporation (NYSE: CNC) announced today its Hawaii subsidiary 'Ohana Health Plan was
selected to continue administering services through the Community
Care Services (CCS) program in partnership with the Hawaii
Department of Human Services' Med-QUEST Division. The new
three-year, statewide contract is anticipated to begin July 1, 2021 with the option for two, one-year
renewal extensions.
Hawaii's CCS program delivers
behavioral health services to approximately 5,000 Medicaid-eligible
adults age 21 and older who have severe mental illness (SMI) or a
severe and persistent mental illness (SPMI). 'Ohana Health Plan has
been the sole provider of CCS services in Hawaii since 2013.
"We are humbled and proud to be selected to continue serving CCS
members, which is a testament to our unique expertise, hard work,
and dedication to working with our state partners and supporting
our members with severe behavioral health conditions," said
Scott J. Sivik, 'Ohana Health Plan
President and CEO. "Over the past several years, and throughout the
COVID-19 pandemic, we have worked to strengthen our network of
providers and enhance our partnerships with local community-based
organizations, so we can provide our members with access to
quality, cost-effective behavioral healthcare services – especially
during these challenging times."
Through the CCS program, 'Ohana Health Plan members have access
to a number of benefits to meet their behavioral health needs,
including intensive case management. 'Ohana Health Plan case
managers meet one-on-one with members to assess their health needs,
plan their care programs, and monitor their progress towards
reaching their behavioral health goals. CCS members also have
access to addiction support services, residential and outpatient
treatment, prescription drug and medication management, emergency
and crisis services, and employment services, among others.
"We are honored to continue our long-standing partnership with
the state of Hawaii to provide
comprehensive, quality healthcare to members living with complex
behavioral healthcare needs," said Brent
Layton, Centene's Executive Vice President, Markets,
Products, International, and Chief Business Development Officer.
"Centene has a long history of providing integrated physical and
behavioral healthcare in Hawaii
and across the nation. This new contract reinforces our unique
'whole health' approach to care, and we look forward to continuing
to work with local providers and community partners to help our
members live better, healthier lives."
'Ohana Health Plan, which operates under WellCare Health
Insurance of Arizona, Inc., has
served Hawaii residents through
the state's Medicaid program since 2008. On Jan. 23, 2020, Centene Corporation acquired
WellCare Health Insurance of Arizona, Inc. through its acquisition of
WellCare Health Plans.
As of Dec. 31, 2020, 'Ohana Health
Plan serves approximately 50,000 Medicaid and Medicare Advantage
members across the state.
About Centene Corporation
Centene Corporation, a
Fortune 50 company, is a leading multi-national 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
nearly 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, the TRICARE program, and individuals in correctional
facilities. The Company also serves several international markets,
and contracts with other healthcare and commercial organizations to
provide a variety of specialty services focused on treating the
whole person. Centene focuses on long-term growth and the
development of its people, systems and capabilities so that it can
better serve its members, providers, local communities, and
government partners.
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 (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 future operating or
financial performance, market opportunity, growth strategy,
competition, expected activities in completed and future
acquisitions, including statements about the impact of our proposed
acquisition of Magellan Health (the Magellan Acquisition), our
recently completed acquisition of WellCare Health Plans, Inc.
(WellCare and such acquisition, the WellCare Acquisition), other
recent and future acquisitions, 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: the impact of COVID-19 on global markets, economic
conditions, the healthcare industry and our results of operations
and the response by governments and other third
parties; the risk that regulatory or other approvals
required for the Magellan Acquisition may be delayed or not
obtained or are obtained subject to conditions that are not
anticipated that could require the exertion of management's time
and our resources or otherwise have an adverse effect on us; the
risk that Magellan Health's stockholders do not approve the
definitive merger agreement; the possibility that
certain conditions to the consummation of the Magellan Acquisition
will not be satisfied or completed on a timely basis and
accordingly the Magellan Acquisition may not be consummated on a
timely basis or at all; uncertainty as to the expected
financial performance of the combined company following completion
of the Magellan Acquisition; the possibility that the
expected synergies and value creation from the Magellan Acquisition
or the WellCare Acquisition will not be realized, or will not be
realized within the applicable expected time periods; the exertion
of management's time and our 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 Magellan
Acquisition; the risk that unexpected costs will be
incurred in connection with the completion and/or integration of
the Magellan Acquisition or that the integration of Magellan Health
will be more difficult or time consuming than
expected; the risk that potential litigation in
connection with the Magellan Acquisition may affect the timing or
occurrence of the Magellan Acquisition or result in significant
costs of defense, indemnification and liability; a
downgrade of the credit rating of our indebtedness, which could
give rise to an obligation to redeem existing
indebtedness; the possibility that competing offers
will be made to acquire Magellan Health; the inability
to retain key personnel; disruption from the announcement, pendency
and/or completion and/or integration of the Magellan Acquisition or
the integration of the WellCare Acquisition, or similar risks from
other acquisitions we may announce or complete from time to time,
including potential adverse reactions or changes to business
relationships with customers, employees, suppliers or regulators,
making it more difficult to maintain business and operational
relationships; our ability to accurately predict and effectively
manage health benefits and other operating expenses and reserves,
including fluctuations in medical utilization rates due to the
impact of COVID-19; 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 (ACA) and the Health Care and Education
Affordability Reconciliation Act, collectively referred to as the
ACA and any regulations enacted thereunder that may result from
changing political conditions, the new administration or judicial
actions, including the ultimate outcome in "Texas v. United States of America" regarding the
constitutionality of the ACA; rate cuts or other payment reductions
or delays by governmental payors and other risks and uncertainties
affecting our government businesses; our ability to adequately
price products; tax matters; disasters or major epidemics; changes
in expected contract start dates; provider, state, federal, foreign
and other contract changes and timing of regulatory approval of
contracts; the expiration, suspension, or termination of our
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
legal and regulatory proceedings or government investigations;
challenges to our contract awards; cyber-attacks or other privacy
or data security incidents; the possibility that the expected
synergies and value creation from acquired businesses, including
businesses we may acquire in the future, will not be realized, or
will not be realized within the expected time period; the exertion
of management's time and our 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 acquisitions; disruption
caused by significant completed and pending acquisitions 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;
changes in expected closing dates, estimated purchase price and
accretion for acquisitions; the risk that acquired businesses will
not be integrated successfully; restrictions and limitations in
connection with our indebtedness; 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; availability of debt and equity financing, on terms
that are favorable to us; inflation; foreign currency fluctuations;
and risks and uncertainties discussed in the reports that Centene
has filed with the Securities and Exchange Commission. 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
Securities and Exchange Commission (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.
View original
content:http://www.prnewswire.com/news-releases/centene-subsidiary-ohana-health-plan-selected-to-continue-offering-community-care-services-to-hawaii-medicaid-members-301234509.html
SOURCE Centene Corporation