ST. LOUIS, July 17, 2018 /PRNewswire/ -- Centene
Corporation (NYSE:CNC) announced today that its wholly-owned
subsidiary, Envolve Pharmacy Solutions, was accredited by the
National Committee for Quality Assurance (NCQA) in Utilization
Management (UM). NCQA Utilization Management Accreditation is a
quality assessment program that focuses on consumer protection and
customer service improvement. Standards recognize organizations
that have open access networks, and can improve service quality and
utilize customized structures to meet purchaser needs.
By achieving this status, Envolve Pharmacy Solutions has
demonstrated a comprehensive commitment to quality care, improved
processes and better patient outcomes.
"NCQA accreditation affirms our commitment to providing clients
and their members with quality service and innovative solutions
that make a measurable difference in overall drug management,"
said Don Howard, Chief Executive Officer of Envolve Pharmacy
Solutions. "Through our member-focused model, we work to ensure
each member uses the right drug at the right time in the right
setting to achieve better health outcomes and lower costs."
"Achieving Utilization Management accreditation from NCQA
demonstrates that Envolve has the systems, process and personnel in
place to conduct utilization management in accordance with the
strictest quality standards," said Margaret E. O'Kane,
President of NCQA.
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
and U.S. Department of Veterans Affairs. 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 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://www.centene.com/investors.
About Envolve, Inc. ®
Envolve, Inc. is a family of
health solutions, working together to make healthcare simpler, more
effective and more accessible for everyone. As an agent for change
in healthcare, Envolve is committed to transforming the health of
the community, one person at a time. Envolve unifies medical
management, care management and coordination, specialty pharmacy,
PBM, vision, dental, behavioral health management, empowerment and
education services, 24/7 nurse advice services, and data, analytics
and IT solutions. For more information, please visit our website
www.envolvehealth.com or contact us today at
info@envolvehealth.com.
About NCQA
NCQA is a private, non-profit organization
dedicated to improving health care quality. NCQA accredits and
certifies a wide range of health care organizations. It also
recognizes clinicians and practices in key areas of performance.
NCQA is committed to providing health care quality information for
consumers, purchasers, health care providers and researchers.
Forward-Looking Statements
The company and its
representatives may from time to time make written and oral
forward-looking statements within the meaning of the Private
Securities Litigation Reform Act ("PSLRA") of 1995, including
statements in this and other press releases, in presentations,
filings with the Securities and Exchange Commission ("SEC"),
reports to stockholders and in meetings with investors and
analysts. In particular, the information provided in this press
release may contain certain forward-looking statements with respect
to the financial condition, results of operations and business of
Centene and certain plans and objectives of Centene with respect
thereto, including but not limited to the expected benefits of the
acquisition ("Health Net Acquisition") of Health Net, Inc. ("Health
Net") and the acquisition of New York
State Catholic Health Plan, Inc., d/b/a Fidelis Care New
York ("Fidelis Care") ("Fidelis
Acquisition" or "Fidelis Care Transaction"). These forward-looking
statements can be identified by the fact that they do not relate
only to historical or current facts. Without limiting the
foregoing, forward-looking statements often use words such as
"anticipate", "seek", "target", "expect", "estimate", "intend",
"plan", "goal", "believe", "hope", "aim", "continue", "will",
"may", "can", "would", "could" or "should" or other words of
similar meaning or the negative thereof. We intend such
forward-looking statements to be covered by the safe-harbor
provisions for forward-looking statements contained in PSLRA. A
number of factors, variables or events could cause actual plans and
results to differ materially from those expressed or implied in
forward-looking statements. 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; 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 or
Fidelis Care'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 or Fidelis Care'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 Acquisition, will not be realized, or will not be realized
within the expected time period, including, but not limited to, as
a result of any failure to obtain any regulatory, governmental or
third party consents or approvals in connection with the Fidelis
Acquisition or any conditions, terms, obligations or restrictions
imposed in connection with the receipt of such consents or
approvals; 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
Acquisition; disruption caused by significant completed and pending
acquisitions, including the Health Net Acquisition and the Fidelis
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 Acquisition; changes in expected
closing dates, estimated purchase price and accretion for
acquisitions; the risk that acquired businesses and pending
acquisitions, including Health Net and Fidelis Care, will not be integrated
successfully; the risk that the conditions to the completion of the
Fidelis Acquisition may not be satisfied or completed on a timely
basis, or at all; failure to obtain or receive any required
regulatory approvals, consents or clearances for the Fidelis
Acquisition, and the risk that, even if so obtained or received,
regulatory authorities impose conditions on the completion of the
transaction that could require the exertion of management's time
and Centene's resources, or otherwise have an adverse effect on
Centene or the completion of the Fidelis Acquisition; business
uncertainties and contractual restrictions while the Fidelis
Acquisition is pending, which could adversely affect Centene's
business and operations; change of control provisions or other
provisions in certain agreements to which Fidelis Care is a party, which may be triggered
by the completion of the Fidelis Acquisition; loss of management
personnel and other key employees due to uncertainties associated
with the Fidelis Acquisition; the risk that, following completion
of the Fidelis Acquisition, the combined company may not be able to
effectively manage its expanded operations; restrictions and
limitations that may stem from the financing arrangements that the
combined company will enter into in connection with the Fidelis
Acquisition; 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; 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, 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 reports on
Form 10-K, quarterly reports on Form 10-Q and current reports on
Form 8-K.
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SOURCE Centene Corporation