ST. LOUIS, Oct. 25, 2017 /PRNewswire/ Mercy and Centene Corporation (NYSE: CNC) subsidiaries LifeShare and Arkansas Health & Wellness announced today that their recently formed joint venture, Arkansas Total Care, has received a license from the Arkansas Insurance Department to become a risk-based provider organization (RBPO). The license will allow Arkansas Total Care to manage a Medicaid special needs population comprised of people with high behavioral health needs and individuals with developmental/intellectual disabilities.
The approved organizations will manage and take on full-risk of this population beginning in January 2019. As part of the transition, each organization will provide care coordination services to the population beginning in early 2018. The Arkansas Department of Human Services anticipates that 30,000 individuals with high needs will be enrolled in the state's program.
"The state of Arkansas has taken an innovative step to improve coordination of behavioral health, developmental/intellectual disabilities, and physical health services with this provider-led program. Mercy is pleased to participate in this model of care for the benefit of the Northwest Arkansas and the River Valley communities," said Steve Goss, M.D., president of Mercy Clinic Northwest Arkansas. "The Arkansas Department of Insurance and the Department of Human Services have been leaders and partners during this organizational stage. Mercy looks forward to being part of a high-quality program of services for thousands of our community members and their families, owing to the DHS team's support and the excellence of the Centene organization and its network."
"Receiving this license is a significant milestone in our path to serve the state's most vulnerable populations," said John Ryan, President and CEO for Arkansas Health & Wellness. "We believe provider-led health plans can ensure providers are leading healthcare decisions that result in better health outcomes for members at a lower cost to the state."
Mercy, named one of the top five large U.S. health systems in 2017 by Truven, an IBM Watson Health company, serves millions annually. Mercy includes 44 acute care and specialty (heart, children's, orthopedic and rehab) hospitals, more than 700 physician practices and outpatient facilities, 40,000 co-workers and more than 2,000 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has outreach ministries in Arkansas, Louisiana, Mississippi and Texas.
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 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 Care (LTC), in addition to other state-sponsored programs, Medicare (including the Medicare prescription drug benefit commonly known as "Part D"), as well as programs with the U.S. Department of Defense and U.S. Department of Veterans Affairs. 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, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
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