Total membership of Highmark Wholecare (formerly Gateway Health) exceeds 410,000 As a result of the implementation of the new HealthChoices contract
Pittsburgh, January 11, 2023 /PRNewswire/ — With the recent implementation of the Pennsylvania HealthChoices Physical Health contract, former Gateway Health Highmark Wholecare increased its Medicaid membership by nearly 25% to more than 375,000. Over 410,000 people have health insurance coverage, including Medicaid and Medicare Dual-Special Needs plans.
“We are honored that so many Pennsylvanians have chosen Highmark Whole Care to help them manage their health. Ellen Duffield, President and CEO, Highmark Wholesalecare. “Our headquarters are Pittsburghour providers are state based and our members live exclusively in pennsylvaniaThe majority of our team members live and work in the Commonwealth. Our members are our neighbors. “
Founded in 1992, Highmark Wholecare is a mission-driven, community-based managed care organization dedicated to caring for the holistic health of its members. Through robust Medicaid and Medicare plans, and working with a network of 29,000 primary care physicians, specialists, hospitals, community partners and other ancillary providers, Highmark Wholecare coordinates healthcare beyond physicians and medical care. , helping members achieve lifelong health.
“We believe the results of implementing HealthChoices, especially for Medicaid members, are testament to our overall health approach to care,” said Duffield.
Through a competitive procurement process, the Pennsylvania Department of Human Services (DHS) has changed the Physical Health Managed Care Organizations (MCOs) available to Medicaid beneficiaries in each of the state’s five zones of the new Physical HealthChoices contract. . These changes forced hundreds of thousands of Medicaid recipients to switch her MCO. Recipients who were required to switch may do so voluntarily for two months. August 16, 2022Beneficiaries who needed to switch MCOs but were not assigned a new MCO by the time DHS started August 17, 2022 To start interviewing September 1, 2022.
During the HealthChoices voluntary enrollment period, Highmark Wholecare ranked second out of five MCOs for the number of voluntary enrollments in both Lehigh Capital and the Southwest Zone.
“We are a community-based health plan and an organization within the community that partners with a network of providers to provide services not only to our members, but also to provide them with the additional resources and support they need,” Duffield said. “We are committed to providing the best possible care to help our members live healthier lives and achieve not only physical health, but lifelong health.” We are proud to support local businesses and nonprofits in their quest to provide
In 2021, Highmark Health will acquire full ownership of Gateway Health, previously holding a 50% ownership interest. This paved the way for organizations to become Blue Cross Blue Shield licensees. Highmark Wholecare Blue Cross and/or Blue Shield Medicaid and Medicare Advantage Dual-Special Needs health insurance plan branding has begun. January 1, 2022.
About Highmark Whole Care
We believe in caring for the whole person, in every community where the need is greatest. We see a future where everyone has an equal chance to achieve peak health. Through leading Medicaid and Medicare programs, we coordinate health care beyond physicians and medicals to help members achieve not only physical health but also provide holistic care. Our team members work with a network of 29,000 primary care physicians, specialists, hospitals, and other ancillary health care providers to deliver this new kind of healthcare for 410,000 Medicaid and Medicare Her members. helps to promote We are also committed to supporting our neighbors through our many community outreach and engagement programs.
Source: Highmark Wholecare
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