Health Net, UC and UC Health create new
collaboration model to serve nearly 100,000 enrollees in the Health
Net Blue & Gold HMO
Initiative expected to help deliver greater
efficiencies, quality and cost savings to UC employees across the
state with Health Net coverage
Health Net of California, Inc., a subsidiary of Health Net,
Inc., is expanding the implementation of accountable care
arrangements for University of California (UC) employees at UC
campuses in Davis, Irvine and San Diego in 2016.
Health Net currently has accountable care arrangements at UC
campuses in Los Angeles and San Francisco. The new systemwide
agreement between UC and Health Net expands the role of UC Health
in a new accountable care arrangement responsible for serving the
health care needs of almost half of the UC employees across the
state enrolled in Health Net Blue & Gold HMO.
Enhanced Collaboration
To optimize the performance of the Health Net Blue & Gold
HMO, which is the health coverage selected by many UC employees and
their eligible family members, Health Net, UC and UC Health have
established a new collaboration model.
“Together, we are committed to a long-term collaboration that
continues managing and expanding a portfolio of clinical care
initiatives to help enhance the health care experience of Health
Net members and help improve affordability,” said Steve Sell,
president of Health Net’s Western Region Health Plan.
Health Net has been at the forefront of developing innovative
arrangements that enhance the ability of health care providers to
improve quality, affordability, and the overall care
experience.
“UC Health is committed to managing its patient population in a
way that integrates services across the full spectrum of care, to
increase efficiencies in the delivery system and lead to better
outcomes and enhanced patient satisfaction,” said John Stobo, M.D.,
executive vice president for UC Health. “The expanded accountable
care arrangements between Health Net and UC in 2016 will serve UC’s
employees, non-Medicare retirees and their covered family members
enrolled in the Health Net Blue & Gold HMO who utilize UC
Health’s own provider groups and medical centers.”
“The expanded contractual relationship with Health Net provides
even more transparency into our health care delivery system for the
benefit of our employee population,” Stobo said. “Our arrangement
enables us to work as a team with Health Net to develop advanced
care models and integrated systems and apply best practices at all
five academic medical centers to provide the right care at the
right time and in the right place.”
“Health Net’s existing accountable care arrangement in San
Francisco clearly demonstrates the power of collaboration,” said
Sell. “During its first three years, the San Francisco initiative
achieved $25 million in savings by increasing access to care
through wider use of urgent care centers, transforming members’
care experience when they were hospitalized, and offering
assistance for members and physicians to better manage patients’
medications. Together, these improvements help improve patients’
relationships with their doctors, and the success is due to the
collaborative efforts of our provider partners: UCSF Medical
Center, Hill Physicians Medical Group and Dignity Health.”
“Ever since we implemented our care arrangements in San
Francisco in 2013 and Los Angeles in 2015, our goal has been to
help improve clinical outcomes and the patient experience while
aiming to reduce the health care cost expenditures of our UC
members,” said Terri Guzy, Health Net vice president of Strategic
Provider Partnerships. “We’re excited about the expansion to the
Davis, Irvine and San Diego campuses, and we look forward to
working with the University of California to build upon its
clinical expertise as we evolve to the next stage of our innovative
arrangements.”
UC Health’s accountable care arrangements are highlights of the
Health Net Blue & Gold provider network, which was specifically
developed in collaboration with UC. The network contracts with
selected physician groups and hospitals in 30 California counties
and provides access to employees and non-Medicare retirees of the
UC system and their eligible family members.
UC employees and their eligible family members may get more
information about the Health Net Blue & Gold HMO at
www.healthnet.com/uc.
About Health Net
Health Net, Inc. (NYSE:HNT) is a publicly traded managed care
organization that delivers managed health care services through
health plans and government-sponsored managed care plans. Its
mission is to help people be healthy, secure and comfortable.
Health Net provides and administers health benefits to
approximately 6.1 million individuals across the country
through group, individual, Medicare (including the Medicare
prescription drug benefit commonly referred to as “Part D”),
Medicaid and dual eligible programs, as well as programs with the
U.S. Department of Defense and U.S. Department of Veterans Affairs.
Health Net also offers behavioral health, substance abuse and
employee assistance programs, and managed health care products
related to prescription drugs.
For more information on Health Net, Inc., please visit Health
Net’s website at www.healthnet.com.
About University of California
With 10 campuses, five medical centers, three national labs and
more than 1.7 million alumni, the University of California is the
nation’s premier public research university. For more, visit:
http://www.universityofcalifornia.edu/.
About UC Health
University of California Health includes five academic medical
centers and 17 health professional schools. For more information,
visit http://health.universityofcalifornia.edu
Cautionary Statements
The company and its representatives may from time to time make
written and oral forward-looking statements within the meaning of
the Private Securities Litigation Reform Act (“PSLRA”) of 1995,
including statements in this and other press releases, in
presentations, filings with the Securities and Exchange Commission
(“SEC”), reports to stockholders and in meetings with investors and
analysts. All statements in this press release, other than
statements of historical information provided herein, may be deemed
to be forward-looking statements and as such are intended to be
covered by the safe harbor for “forward-looking statements”
provided by PSLRA. These statements are based on management’s
analysis, judgment, belief and expectation only as of the date
hereof, and are subject to changes in circumstances and a number of
risks and uncertainties. Without limiting the foregoing, statements
including the words “believes,” “anticipates,” “plans,” “expects,”
“may,” “should,” “could,” “estimate,” “intend,” “feels,” “will,”
“projects” and other similar expressions are intended to identify
forward-looking statements. Actual results could differ materially
from those expressed in, or implied or projected by the
forward-looking information and statements due to a number of
factors, variables or events. Certain of these factors relate to
the company’s proposed business combination with Centene
Corporation (“Centene”), including, among other things, the
expected closing date of the transaction; the possibility that the
expected synergies and value creation from the proposed merger will
not be realized, or will not be realized within the expected time
period, including as a result of conditions, terms, obligations or
restrictions imposed by regulators in connection with their
approval of, or consent to, the merger; the risk that the
businesses will not be integrated successfully; disruption from the
merger making it more difficult to maintain business and
operational relationships; the risk that unexpected costs will be
incurred; the possibility that the merger does not close,
including, but not limited to, due to the failure to satisfy the
closing conditions, including the receipt of required regulatory
approvals; the risk that financing for the transaction may not be
available on favorable terms; and certain other risks associated
with the merger, as more fully discussed in the definitive joint
proxy statement/prospectus that was filed with the SEC on September
21, 2015, in connection with the merger. Other factors include,
among others, health care reform and other increased government
participation in and taxation or regulation of health benefits and
managed care operations, including but not limited to the
implementation of, and subsequent modifications to, the Patient
Protection and Affordable Care Act and the Health Care and
Education Reconciliation Act of 2010 and the regulations
promulgated thereunder (collectively, the “ACA”) as well as any
related fees, assessments and taxes; the company’s ability to
successfully participate in California’s Coordinated Care
Initiative, which is subject to a number of risks inherent in
untested health care initiatives and requires the company to
adequately predict the costs of providing benefits to individuals
that are generally among the most chronically ill within each of
Medicare and Medi-Cal and implement delivery systems for benefits
with which the company has limited operating experience; the
company’s ability to successfully participate in the federal and
state health insurance exchanges under the ACA, which involve
uncertainties related to the mix and volume of business that could
negatively impact the adequacy of the company’s premium rates and
may not be sufficiently offset by the risk apportionment provisions
of the ACA; increasing health care costs, including but not limited
to costs associated with the introduction of new treatments or
therapies; the company’s ability to reduce administrative expenses
while maintaining targeted levels of service and operating
performance; the recompetition of the company’s T-3 contract for
the TRICARE North region; negative prior period claims reserve
developments; rate cuts and other risks and uncertainties affecting
the company’s Medicare or Medicaid businesses; trends in medical
care ratios; membership declines or negative changes in the
company’s health care product mix; unexpected utilization patterns
or unexpectedly severe or widespread illnesses; failure to
effectively oversee the company’s third-party vendors;
noncompliance by the company or the company’s business associates
with any privacy laws or any security breach involving the
misappropriation, loss or other unauthorized use or disclosure of
confidential information; the timing of collections on amounts
receivable from state and federal governments and agencies;
litigation costs; regulatory issues with federal and state agencies
including, but not limited to, the California Department of Managed
Health Care and Department of Health Care Services, the Arizona
Health Care Cost Containment System, the Centers for
Medicare & Medicaid Services, the Office of Civil Rights
of the U.S. Department of Health and Human Services and state
departments of insurance; operational issues; changes in political,
economic or market conditions; investment portfolio impairment
charges; volatility in the financial markets; and general business
and market conditions. The factors described in the context of such
forward-looking statements in this press release could cause the
company or Centene’s plans with respect to the proposed merger,
actual results, performance or achievements, industry results and
developments to differ materially from those expressed in or
implied by such forward-looking statements. Additional factors that
could cause actual results to differ materially from those
reflected in the forward-looking statements include, but are not
limited to, the risks discussed in the “Risk Factors” section
included within the company’s most recent Annual Report on Form
10-K and any subsequent Quarterly Reports on Form 10-Q filed with
the SEC and the other risks discussed in the company’s filings with
the SEC. Readers are cautioned not to place undue reliance on these
forward-looking statements. Except as may be required by law, the
company undertakes no obligation to address or publicly update any
of its forward-looking statements to reflect events or
circumstances that arise after the date of this release.
This release contains references and links to
other websites that may contain content that is not owned or
controlled by Health Net. Please be aware that references or links
to other websites are provided for the user’s convenience and that
Health Net is not responsible for any such content that is not
owned or controlled by Health Net. Health Net does not express an
opinion on any such content and disclaims any liability in
connection therewith.
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version on businesswire.com: http://www.businesswire.com/news/home/20160211005437/en/
Health Net, Inc.Investor Contact:Peter O’Neill,
(818) 676-8692peter.oneill@healthnet.comorMedia Contact:Brad
Kieffer, (818)
676-6833brad.kieffer@healthnet.comwww.twitter.com/hn_bradkieffer
Health Net (NYSE:HNT)
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Health Net (NYSE:HNT)
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