Recently Highmark announced that it had purchased full control of Gateway Health, a company that serves more than 355,000 Pennsylvanians with health insurance. Highmark Wholecare will be the new name for Gateway Health’s goods. Highmark’s arrangement with Mercy Health’s parent firm, Trinity Health, was not made public. “This acquisition will help us further our mission and better serve current and future Medicaid and Medicare, members across Pennsylvania,” Highmark Health Plan President Deborah Rice-Johnson said in a statement. Highmark had owned 50% of Downtown-based Gateway with Livonia, Mich.-based Trinity Health subsidiary Mercy Health since 1992 when Gateway was created. Gateway is among the private insurers in Pennsylvania that are paid by the state to cover people with Medicaid or Medicare benefits.
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Here are five recent coverage expansions that payers have announced since Aug. 24.
Mass Advantage, a new Medicare Advantage plan, is being co-launched by UMass Memorial Health Ventures, Shields Managed Care Solutions, and WCAS CM. Members in Central Pennsylvania will have more Medicare Advantage provider options thanks to a partnership between Capital Blue Cross and York, Pa.-based WellSpan Health. In 2022, UnitedHealthcare will re-enter the Affordable Care Act fold, expanding its services to seven new states. Union Blue, a joint health plan designed for labour unions and their members, was unveiled by CareFirst of Maryland and Highmark. Sana, founded in Austin, Texas, stated on August 24 that it is expanding its employer-based health coverage to Arizona.
Source: Daily Advent
Anthem partners with Blue shield and Hartford for value-based healthcare
Anthem Blue Cross and Blue Shield (Anthem) and Hartford HealthCare (HHC) have launched a groundbreaking new partnership that signals a substantial move toward value-based healthcare programs and policies. As part of the agreement, the two institutions pledge to form a strong working relationship aimed at reducing costs and utilization by putting a greater emphasis on primary and preventative care. The new agreement also includes a strategy for community health outreach to ensure that people who are uninsured have access to coverage through current programs like Covered Connecticut or Access Health CT, the state’s health insurance exchange.
Source: KULR8