Texas markets

11 payers entering and exiting markets

Jacob Emerson-

From Cigna’s new ACA plans to several states awarding Medicaid contracts, here are 11 recent payer moves to exit or enter markets since August 10:

  1. UPMC Health Plan will be available to Medicaid members across Pennsylvania beginning September 1, Philadelphia Business Journal reported.
  2. Iowa said Aug. 31 it intended to award four-year Medicaid managed care contracts to Elevance Health’s Amerigroup Iowa and Iowa’s Molina Healthcare. The two payors join Centene’s Iowa Total Care, which has a contract through 2025, to help run the state’s $7 billion program that serves 790,000 Iowans.
  3. Cigna said Aug. 29 that it will offer health plans in the ACA individual market in three new states (Texas, Indiana and South Carolina) and expand its offerings in three other states (Georgia, Mississippi and North Carolina). Nord) for the 2023 coverage year, potentially reaching around 730,000 additional members next year.
  4. Louisiana said Aug. 30 that it intended to contract with Magellan of Centene to administer drug benefits for the state’s Medicaid program.
  5. California selected Molina Healthcare, Anthem Blue Cross Partnership Plan and subsidiary Centene Health Net on August 25 for managed care contracts from January 1, 2024 through 2028.
  6. Sana entered the Wisconsin small business market on August 18.
  7. Safety Health Plan is launching a new ACA plan in 2023 that will serve west-central Wisconsin and provide access to the Marshfield Clinic Health System.
  8. Dean’s Health Plan will provide coverage to Wisconsin state employees in 2023 through the state’s Access Plan and Maintenance Plan.
  9. HealthPartnersa Bloomington, Minnesota-based provider-payer will offer coverage in southeast Wisconsin in 2023.
  10. Medova Healthcare Financial Group left Washington state on August 11 after the state ordered it to stop all sales of illegal health insurance policies. Medova waived his insurance license and was fined $310,000.
  11. Mississippi selected Molina Healthcare, TrueCare and Centene’s Magnolia Health Plan on August 10 to administer the state’s Medicaid and CHIP programs.

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