Centene's Buckeye Health Plan Secures vital Ohio Medicaid Contract

Centene’s Commitment to Dual Eligible Members

Centene Corporation, a prominent healthcare enterprise, is dedicated to transforming the lives of individuals by ensuring they receive essential health services. Recently, one of its subsidiaries, Buckeye Health Plan, was awarded a significant contract by the Ohio Department of Medicaid. This contract aims to serve dual eligible Medicare and Medicaid members through a Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP), which emphasizes the importance of seamless healthcare access.

Understanding FIDE SNP Programs

The FIDE SNP model is designed specifically for individuals who are eligible for both Medicare and Medicaid, allowing them to receive comprehensive care through a single managed care organization. This integrated approach facilitates a coordinated delivery of medical, behavioral, and long-term services, enhancing the overall care experience for users. Buckeye Health Plan’s selection reflects the state's confidence in its capability to deliver high-quality services to these vulnerable populations.

MyCare Ohio Transition

For existing MyCare Ohio members, there will be no immediate changes. Current providers will continue delivering services until the transition to the Next Generation MyCare Plans scheduled for early 2026. This transition will broaden the scope of services available to eligible members across 29 counties, with plans for statewide expansion thereafter. The goal is to improve accessibility to necessary healthcare services for those dependent on both Medicare and Medicaid.

Leadership Insights

Centene’s CEO, Sarah M. London, expressed pride in collaborating with the Ohio Department of Medicaid. She emphasized the intent to ensure that members receive comprehensive services under one program, enabling them to focus on their health and wellness. This demonstrates Centene's aim to forge strong community connections through personalized care approaches.

Expansion Potential for Buckeye Health Plan

Buckeye is one of four health plans chosen to implement the FIDE SNP product in Ohio. Presently, their current program serves over 9,000 members across 12 counties. With the new contract, there is an opportunity for Buckeye to scale its services statewide by the year 2027, aiming to reach a larger population with essential healthcare services. This expansion aligns with Centene's commitment to addressing the unique needs of individuals facing complex healthcare challenges.

An Innovative Approach to Healthcare

According to Buckeye Health Plan President and CEO, Steve Province, the organization is honored to continue its service to dual eligible individuals in Ohio. Buckeye has been actively addressing the healthcare needs of this demographic for over a decade and focuses on innovative solutions to help members thrive. The organization is committed to overcoming barriers to healthcare access, thereby improving overall health outcomes for its members.

About Centene Corporation

Centene Corporation is a Fortune 500 company that stands out as a significant player in the healthcare sector. It caters primarily to government-sponsored individuals, including those who are under-insured or uninsured. Its philosophy relies on local strategies, using diverse teams to offer affordable, high-quality services. The company effectively serves more than one in 15 individuals across the nation, ensuring vital health care provisions.

About Buckeye Health Plan

Buckeye Health Plan specializes in managed healthcare services for Ohioans participating in Medicaid, Medicare, and the Health Insurance Exchange. Since its inception in 2004, Buckeye has focused on enhancing the health of its community members by providing coordinated healthcare and necessary support systems. As a subsidiary of Centene Corporation, Buckeye’s efforts align with the overarching goals of both organizations centered on quality care and population health.

Frequently Asked Questions

What is the purpose of the FIDE SNP program?

The FIDE SNP program aims to provide integrated medical, behavioral, and long-term services for individuals eligible for both Medicare and Medicaid under a single managed care organization.

Who benefits from the newly awarded contract?

Dual eligible members in Ohio will benefit from this contract as it ensures continued and expanded access to essential healthcare services.

When will the new MyCare Ohio plans be launched?

The Next Generation MyCare plans will transition in early 2026, allowing healthcare service improvements across multiple counties.

How many members does Buckeye currently serve?

Currently, Buckeye serves over 9,000 members across 12 counties in Ohio under its managed care programs.

What is Centene Corporation's focus in healthcare?

Centene Corporation focuses on providing affordable, high-quality healthcare services to under-insured and uninsured individuals across the United States.

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