CLAYTON, Mo. — The U.S. Division of Protection on Thursday bypassed Centene Corp. (NYSE: CNC) in awarding $136 billion in contracts for the medical health insurance supplied to active-duty navy members, a blow to the Clayton big and St. Louis’ largest public firm by income, which has lengthy held a number of the work.
The Protection Well being Company mentioned it was awarding the TRICARE contract for its west area to TriWest Healthcare Alliance of Phoenix, owned by Blue Cross Blue Protect nonprofits together with Blue Protect of California, Regence Blue Protect and BCBS of Arizona, together with the College of Colorado Hospital Authority and the College of New Mexico Hospital.
The $65.1 billion contract, held by Centene for years by way of its Well being Internet Federal Providers subsidiary, features a 12-month transition-in interval plus eight one-year possibility intervals, a Protection Division spokesman mentioned. The west contains 1.5 million beneficiaries in Arkansas, Illinois, Louisiana, Oklahoma, Texas and Wisconsin.
Centene mentioned in an announcement that “we’re upset by the DHA’s resolution.”
“We have now a debriefing scheduled with the DHA in early January and have requested particulars to which we’re entitled underneath the federal government’s process guidelines,” it mentioned. “Following receipt of this info, we will likely be able to find out our choices relating to the Company’s resolution.”
Centene this 12 months misplaced one other main award, when the California Division of Well being Care Providers introduced in August its intent to award contracts for Medicaid managed care contracts to Centene’s subsidiary, Well being Internet of California Inc., in 9 counties however not in others, together with Los Angeles and Sacramento counties. Centene is getting ready to take authorized motion if a California state company rejects its protest over how bidders had been chosen. And Centene, which has had a stagnant inventory worth this 12 months, has grappled with allegations of improper Medicaid billing to states. It is put aside $1.1 billion to resolve the claims, which are actually additionally the topic of a shareholder lawsuit towards ex-Centene executives.
Responding to Thursday’s resolution, TriWest mentioned in a assertion that a number of entities had been additionally aiding it with the work: Accenture, Blue Well being Intelligence, BizFlow, Cognitive Medical Programs, eviCore, EXL, FindHelp, HealthSparq, IBM, MDLIVE, MyRevelations, Omada, PsychArmor, PGBA, Signature Efficiency and Wells Fargo.
It additionally mentioned it beforehand held TRICARE contracts with the Protection Division for 17 years, starting in 1996 by way of 2013, additionally within the western U.S.
Click on right here to learn extra of the story on the St. Louis Enterprise Journal web site.
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