Insurers Eye Medicare Advantage Acquisitions
WellPoint and CareMore Health Group
The giant WellPoint gained about 54,000 Medicare Advantage members as well as access to healthcare clinics that cater to that population when it completed on August 22nd its acquisition of CareMore Health Group.
The Cerritos, Calif.-based Medicare Advantage plan has members in Arizona, California and Nevada where it also operates 26 clinics staffed with physicians and other healthcare professionals. Most of CareMore's members have chronic conditions that require the care of several specialists.
The insurer, which has about 550,000 Medicare Advantage members, had been looking for a way to jumpstart its participation in the market. During a February conference call with investors, CEO Angela Braly acknowledged the insurer's struggles and said the company would probably make an acquisition to grow that market segment. "We haven't captured the market share that we could there."
WellPoint estimates that every year until 2030, about one million baby boomers will become eligible for Medicare in the 14 states where it offers insurance plans.
While CareMore adds some members, James said the acquisition of the healthcare clinics that will have the most impact. The addition of CareMore provides WellPoint with a model for delivering care coordination and intensive treatment of chronic conditions. WellPoint plans to expand the clinic model to additional CareMore and WellPoint markets.
- CFO Exchange: Smartphones Poised to Disrupt Healthcare, Says Topol
- CNO on Hospital Redesign: 'You Can't Over-Communicate'
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Consumerism Drives Healthcare Branding, Rebranding Efforts
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- 3 Traits Personality Assessments Can't Reveal
- Carondelet to Pay $35M to Settle Fraud Allegations
- Some Cancer Hospitals' Quality Data Will Soon Be Public
- Antibiotic Overuse a 'Huge Threat' to Patient Safety, Says CDC