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The acquisition comes as more states are looking to transition Medicaid to manage care programs and also as more focus is being placed on managing the dual eligible population — the older population that is eligible for both Medicare and Medicaid — who often suffer from multiple chronic conditions and are the most costly patients to care for in this country's health system.
While the offer price for Amerigroup represents a premium of roughly 43 percent over its closing price last Friday, WellPoint management feels the price is fair given the market opportunity. We expect states to take varying approaches to address these challenges which will lead to more managed care solutions and innovative programs to serve those that are eligible for both Medicare and Medicaid.
WellPoint also sees opportunity in serving the seniors and persons with disabilities SPD and long-term services and support markets LTSS as other areas where it can also provide value to state Medicaid programs. Specifically, executives of both companies said the experience of Amerigroup in serving LTSS populations, combined with WellPoint's CareMore subsidiary's services and care management model designed specifically for those who are chronically ill, will allow it to enhance the care of members while holding down costs.
When the deal is closed, expected in the first quarter of , WellPoint will have the largest book of Medicaid business among private insurers — roughly 4. The combined company will have Medicaid business operations in 19 states, which will also include 13 states where, officials noted, there are immediate opportunities to serve the dual-eligible population.
Carlson, Amerigroup's chairman and CEO. But, in addition to the Medicaid market, the Amerigroup acquisition will also play a part in WellPoint's strategy as it looks to compete in the retail market that will expand as a result of the Affordable Care Act and the advent of states' health insurance exchanges.
Once the exchanges are up and running, it is widely expected there will be a significant number of people who, based on employment, will move between a state's Medicaid program and the subsidized private insurance offered on the exchanges.
In short, in states where WellPoint has private plans as well as Medicaid plans, the purchase will allow for an easier transition for members moving from one program to the other.
Skip to main content. Hospitals disappointed by court decision leaving B repayment to HHS. Revenue Cycle Management. High out-of-pocket costs are affecting revenue cycles. Strategic Planning. Capital Finance. Cigna to increase venture spending on startups, tech.
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RN turnover in healthcare on the rise. Hint Connect expands direct primary care network. Medical Devices. The company has been a serial acquirer in recent years, having bought Contacts, a contact lens retailer, and CareMore, a provider of managed care for the elderly, over the last 12 months alone.
Shares of WellPoint rose 3. Both companies said the deal made sense regardless of the fate of the health care overhaul, which the Supreme Court upheld two weeks ago. The Supreme Court decision also appears to give states more latitude in deciding whether to participate in the Medicaid expansion, and some governors have intimated that they may pursue shrinking their enrollment rather than growing it.
Evans said that while federal officials were likely to try to find an eventual compromise with recalcitrant states, he estimates that as many as 13 million people live in states where Republican lawmakers could opt out of the federal expansion and reduce the number of individuals who are enrolled. Company officials discounted the possibility that state officials would make good on their threat to turn down significant federal money, emphasizing that the merger made sense even without the expansion.
Braly said. On a conference call on Monday, Ms. WellPoint also did not rule out offering plans in states where it is not licensed to use its popular Blue Cross brand.
Thus, Goldman endorsed a hasty sale of Amerigroup to WellPoint, which had a high likelihood of closing. The preliminary proxy materials related to the Proposed Transaction described Goldman's conflict as illusory because Goldman would only receive an outsized "cancellation payment" if a sale of the Company was consummated prior to October 22, , and that a sale was unlikely to close prior to such date. The preliminary proxy's description of Goldman's conflict was affirmatively misleading because the potential cancellation payment only disclosed a small part of Goldman's true interest in a sale of the Company.
After the Court granted our motion to expedite the litigation, Defendants substantively revised the proxy materials related to the Proposed Transaction to squarely address Goldman's conflict of interest.
Following extremely expedited discovery, the parties agreed to settle the remainder of the litigation in advance of a hearing to enjoin the Proposed Transaction. The October 2, settlement renewed the sale process by, among other things, moving the date that shareholders were to vote on the Proposed Transaction to allow time for competing bids, and modifying the deal protection devices in the WellPoint Merger Agreement that could dissuade potential suitors from submitting acquisition proposals.
Stroud's plans for the future. What do you think about the news? If Tom Brady decides to return for his age season, he should receive plenty of interest in free agency. NFL Media's Ian Rapoport names three teams that are expected to pursue the legendary quarterback this offseason. The Vikings continue to be the weirdest team in the history of the NFL. In the minutes before a commercial jet plunged into a gorge in central Nepal on Sunday morning, killing at least 68 of the 72 people on board, one passenger was reportedly streaming on Facebook Live—and captured the fiery crash from within the aircraft.
The second clip, shot by an unidentified male passenger, was shared widely across social media in the hours after the Yeti Airline. What do the odds say about the game? However, you should know that the tell-all book was a long time coming. In a recent interview with Hello! Another team is reportedly deep in the running for Tom Brady's services in Close this content.
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