Tag: Centene

COLUMBIA, S.C. – HME providers are fighting large managed care organizations that are increasingly pushing into more states and offering reduced reimbursement rates, say industry stakeholders.  The straw that’s breaking the camel’s back: The COVID-19 pandemic pushing the cost of doing business even higher, says Craig Douglas, vice president of payer and member relations for VGM.  “Acquisition...

AAHomecare and the Florida Alliance of Home Care Services have met with the Agency for Health Care Administration to discuss concerns with a recent request for proposal issued by Centene to manage the HME and home health network for all Centene and Wellcare plans in the state. Concerns with the RFP, which is estimated to impact 43% of patients, include a lack of oversight of third-party administrators and subcontractors…AAHomecare seeks a delay in Medicaid rate reductions in Arkansas until the public...

ST. LOUIS - As big payers get ever bigger, HME providers and stakeholders fear the impact these monopolies could have on the market.Centene Corp. in January finalized its acquisition of WellCare Health Plans, creating what it calls the leading healthcare enterprise focused on government-sponsored health care programs. It now provides health care to more than 24 million members across 50 states.“The bigger the payers get, the more control of the market they have,” said Craig Douglas, vice...

ST. LOUIS - Centene Corp. has completed its acquisition of WellCare Health Plans, creating what it calls the leading healthcare enterprise focused on government-sponsored healthcare programs.Centene now provides health care to more than 24 million members across 50 states, or one in 15 people across the nation."We are pleased to have completed this transformational acquisition to create a leading healthcare enterprise committed to helping people live healthier lives through access to high-quality...

TAMPA, Fla. - MS Supply and Home Health Company, a mom-and-pop provider, has filed a lawsuit against WellCare, claiming the managed care organization owes it more than $1 million.MS Supply contracted with WellCare to provide DME, complex rehab and home health services to Medicare Advantage patients throughout the state of Florida in 2015, and has received approximately 15 home health referrals and 25 to 30 DME referrals from them a day. Problems didn't start until 2016, says Farie Sanchez, COO.“We...