Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Easily share your publications and get. Employees who are regularly scheduled to work 24 or more hours per week are eligible to enroll in medical, dental, vision, spending accounts, voluntary and Company. September 2017 September 29, 2017 U. S. Department of Justice Former Executive of a Tenet Hospital Charged Along With Clinic Owner and Operator in 400 Million Fraud. Centene Corporation Reports 2. Fourth Quarter And Full Year Results. Q4. Full Year. GAAP diluted EPS1. Health Net acquisition related expenses. Amortization of acquired intangible assets. California minimum medical loss ratio change 10. Charitable contribution 20. Debt extinguishment 30. Adjusted Diluted EPS1. A favorable impact associated with the retroactive change in the minimum medical loss ratio MLR calculation under Californias Medicaid expansion program, 1. Centene business and prior to the acquisition date for the legacy Health Net business. In connection with the additional revenue associated with the California minimum MLR change, the Company committed to a charitable contribution to its foundation of 5. Additional expense of 1. Senior Notes due 2. Tricare Programs And Its Four Subsidiaries' title='Tricare Programs And Its Four Subsidiaries' />Express Helpline Get answer of your question fast from real experts. An overview of RAND research by policy focus and research programs. RAND informs the current public policy debate and topics on the public agenda. We share our. Statistical Techniques Statistical Mechanics. Health Net Inc. 6. Senior Notes due 2. Included in diluted EPS and Adjusted Diluted EPS for the fourth quarter and year ended December 3. EPS benefits, respectively, related to the early adoption of the stock based compensation accounting standard, as well as the incorporation of retirement provisions in our stock based compensation agreements. In summary, the 2. Results. Q4. Full Year. Total revenues in millions1. Health benefits ratio. Selling, general administrative expense ratio. Selling, general administrative expense ratio, excluding Health Net acquisition related expenses. GAAP diluted EPS1. Adjusted Diluted EPS1. Total cash flow provided by operations in millions1,5. Michael F. Neidorff, Centenes Chairman and Chief Executive Officer, stated, Our strong fourth quarter results give us favorable operating momentum heading into 2. Health Net bolsters this with greater scale and product diversity. Fourth Quarter and Full Year Highlights. December 3. 1, 2. Total revenues for the fourth quarter of 2. Health benefits ratio HBR of 8. Selling, general and administrative SG A expense ratio of 1. SG A expense ratio of 9. SG A expense ratio excluding Health Net acquisition related expenses of 9. SG A expense ratio excluding Health Net acquisition related expenses of 9. Operating cash flow of 1. Diluted EPS for the fourth quarter of 2. Diluted EPS for the full year of 2. Adjusted Diluted EPS for the fourth quarter of 2. Adjusted Diluted EPS for the full year of 2. Other Events. In January 2. North Carolina Medical Society, working in conjunction with the North Carolina Community Health Center, to collaborate on a patient focused approach to Medicaid under the reform plan enacted in the State of North Carolina. The newly created health plan, Carolina Complete Health, was created to establish, organize and operate a physician led health plan to provide Medicaid managed care services in North Carolina. In January 2. 01. Pennsylvania subsidiary, Pennsylvania Health Wellness, was selected by the Pennsylvania Department of Human Services to serve Medicaid recipients enrolled in the Health. Choices program in three zones. Pending regulatory approval and successful completion of a readiness review, the three year agreement is expected to commence June 1, 2. In January 2. 01. Indiana subsidiary, Managed Health Services, began operating under a contract with the Indiana Family Social Services Administration to provide risk based managed care services for enrollees in the Healthy Indiana Plan and Hoosier Healthwise programs. In January 2. 01. Nebraska subsidiary, Nebraska Total Care, began operating under a contract with the Nebraska Department of Health and Human Services Division of Medicaid and Long Term Care as one of three managed care organizations to administer its new Heritage Health Program for Medicaid, ABD, CHIP, Foster Care and LTC enrollees. In November 2. 01. Peach State Health Plan, was awarded a statewide managed care contract to continue serving members enrolled in the Georgia Families managed care program, including Peach. Care for Kids and Planning for Healthy Babies. Through the new contract, Peach State Health Plan will be one of four managed care organizations providing medical, behavioral, dental and vision health benefits for its members. The contract is expected to become effective July 1, 2. In November 2. 01. Nevada subsidiary, Silver Summit Health Plan, was selected to serve Medicaid recipients enrolled in Nevadas Medicaid managed care program. The contract is expected to commence on July 1, 2. In November 2. 01. Company issued 1. Senior Notes due 2. The Company used the net proceeds of the offering to redeem its 5. Senior Notes due 2. Health Net Inc. s 6. Senior Notes due 2. Revolving Credit Facility, to pay related fees and expenses and for general corporate purposes. Membership. The following table sets forth the Companys membership by state for its managed care organizations December 3. Arizona. 59. 8,3. Arkansas. 58,6. 00. California. 2,9. 73,5. Florida. 71. 6,1. Georgia. 48. 8,0. Illinois. 23. 7,7. Indiana. 28. 5,8. Kansas. 13. 9,7. 00. Install Old Version Of Blackberry Messenger Icons. Louisiana. 47. 2,8. Massachusetts. 48,3. Michigan. 2,0. 00. Minnesota. 9,4. 00. Mississippi. 31. 0,2. Missouri. 10. 5,7. New Hampshire. 77,4. New Mexico. 7,1. 00Ohio. Installment Journalize Payment Programs. Oregon. 21. 7,8. 00. South Carolina. 12. Tennessee. 21,7. 00. Texas. 1,0. 72,4. Vermont. 1,6. 00. Washington. 23. 8,4. Wisconsin. 73,8. 00. Total at risk membership. TRICARE eligibles. Non risk membership1. Total. 11,4. 41,8. The following table sets forth our membership by line of business December 3. Medicaid TANF, CHIP Foster Care. ABD LTC7. 85,4. Behavioral Health. Commercial. 1,2. 39,1. Medicare Duals 13. Correctional. 13. Total at risk membership. TRICARE eligibles. Non risk membership1. Total. 11,4. 41,8. Membership includes Medicare Advantage, Medicare Supplement, Special Needs Plans, and Medicare Medicaid Plans. At December 3. 1, 2. Company served 1,0. Medicaid expansion programs in ten states, compared to 4. December 3. 1, 2. At December 3. 1, 2. Company served 3. December 3. 1, 2. At December 3. 1, 2. Company served 5. Health Insurance Marketplaces, compared to 1. December 3. 1, 2. Statement of Operations Three Months Ended December 3. For the fourth quarter of 2. The increase over prior year was primarily a result of the acquisition of Health Net, the impact from expansions and new programs in many of our states in 2. Health Insurance Marketplace business in 2. Sequentially, revenue increased over the third quarter of 2. MLR change in California. Additionally, during the fourth quarter we received approximately 5. California that were recorded in Premium tax revenue and Premium tax expense. HBR of 8. 4. 8 for the fourth quarter of 2. The year over year HBR decrease is primarily attributable to the acquisition of Health Net, which operates at a lower HBR due to a higher mix of commercial business. Also, in the fourth quarter of 2. California contracts with the Department of Health Care Services to amend the Medicaid expansion minimum MLR definition, reducing the fourth quarter HBR by 1. SG A expense ratio of 1. SG A expense ratio excluding Health Net acquisition related expenses of 9. The increase in the SG A expense ratio is primarily attributable to the addition of the Health Net business, which operates at a higher SG A expense ratio due to a higher mix of commercial and Medicare business. The charitable contribution of 5. SG A expense ratio by 5. Statement of Operations Year Ended December 3. Total revenues increased 7. December 3. 1, 2. Integrated Health Systems to Know. May 1. 5, 2. 01. 3 . Print Email. Beckers Hospital Review has named 1. Integrated Health Systems to Know, a list based on health systems range and coordination of healthcare services. The health systems listed here focus on the continuum of care, from wellness and preventive services to urgent care, inpatient care, outpatient care, hospice, health plan offerings and more. Many of these health systems have also demonstrated innovation through their participation in care and payment reform initiatives, such as accountable care organizations. The Beckers Hospital Review editorial team selected health systems based on rankings by healthcare analytics company IMS Health, as well as health systems financial, clinical and operational strength. Note This list is not an endorsement of included health systems or associated healthcare providers, and organizations cannot pay for inclusion on this list. Health systems are presented in alphabetical order. Adventist Health Roseville, Calif. Adventist Health includes 1. In addition to direct medical care, the system offers Telepharmacy. West telepharmacy services specially designed for rural hospitals to improve pharmacy capabilities and Adventist HealthClinical Engineering Services, which includes imaging and therapy, clinical engineering, laboratory and medical gas services. Adventist Health System Altamonte Springs, Fla. Adventist Health System includes 4. Florida Hospital in Orlando. In addition, the health system offers nursing homes, home health, behavioral health, family practices and a range of specialty services. Adventist Health System has an employee wellness program, Wellness Our Way, that includes free health assessments and screenings and personal plans for nutrition and exercise. The system also offers medical externships and a healthcare leadership development program for college students. Advocate Health Care Oak Brook, Ill. Advocate Health Care is the largest integrated healthcare system in Illinois, with more than 3. The system has more than 2. Advocate features a 4,0. Advocate Physician Partners, which collaborates with the systems hospitals through its clinical integration program. Advocate also has an accountable care organization called Advocate. Care a partnership with Blue Cross and Blue Shield of Illinois and a Medicare Shared Savings Program ACO. Alegent Creighton Health Omaha, Neb. Alegent Health, sponsored by Englewood, Colo. Catholic Health Initiatives, was formed in 1. It changed its name to Alegent Creighton Health after it acquired Creighton Medical Associates and Creighton University Medical Center in fall 2. With nearly 2,0. 00 beds, 1,5. Alegent Creighton Health is the largest non profit, faith based healthcare provider in Nebraska and southwest Iowa. The system includes 1. Alegent Creighton Clinic, a multispecialty network with more than 1. Ascension Health St. Louis. With more than 1,4. District of Columbia, Ascension Health is the largest Catholic, non profit health system in the country. The system offers acute care services, long term care, community health services, psychiatric care, rehabilitation services and residential care. Ascension Health has a subsidiary, Ascension Health Ventures, which invests in health companies, and a health IT service company, Ascension Health Information Services. In addition, the system partnered with Oak Hill Capital Partners in 2. Ascension Health Care Network, a joint venture that provides an alternate funding source for the acquisition of Catholic hospitals and other healthcare provider entities. Aurora Health Care Milwaukee. Aurora Health Care offers care at 1. In fact, two thirds of Auroras care is delivered outside hospitals. As the largest private employer in Wisconsin, Aurora has roughly 3. Aurora offers residencies in family practice, internal medicine, obstetricsgynecology, pharmacy and radiology, as well as fellowships in cardiology, gastroenterology, geriatrics, MRI imaging and womens health. Avera Health Sioux Falls, S. D. Avera Health offers a range of acute care, specialty care and wellness services at more than 3. The health system includes Avera Medical Group, which is comprised of more than 5. Avera Rural Health, which was established to support rural healthcare. Avera Health also offers health plans for individuals, employers and Medicare patients. Banner Health Phoenix. Banner Health delivers care in seven states through 2. The health system participates as a Pioneer Accountable Care Organization and partnered with Cigna in October for an accountable care initiative. Seventeen Banner Health facilities achieved stage 7 under HIMSS Analytics the highest stage of adopting electronic health records. Baptist Health Care Pensacola, Fla. Baptist Health Care includes four hospitals, two medical parks, an orthopedic and sports medicine facility, a network of physicians and an affiliated cardiology practice. Baptist Health Care also offers several unique services, including subacute services at Baptist Manor, behavioral healthcare and vocational services at Lakeview Center and patient centered excellence consulting from the Baptist Leadership Group. Baptist Health South Florida Coral Gables. Baptist Health South Florida includes approximately 1. Legenda I Met Your Mother Complete. The system offers additional services through its outpatient diagnostic facilities, urgent care centers, sleep centers, endoscopy centers, rehabilitation facilities and home care program. Baptist Health South Florida is also partnered with Baptist Health Medical Group, a network of more than 1. In addition, Baptist Health South Florida includes the Baptist Health International Center of Miami, one of the largest hospital based international programs in the country. Baptist Memorial Health Care Corp. Memphis, Tenn. Baptist Memorial Health Care Corp. Baptist Memorial also includes Baptist Health Services Group, a preferred provider organization with 5. Baptist Memorial Medical Group. In addition, the system features Baptist Memorial College of Health Sciences, a private college for undergraduate healthcare education. Bassett Healthcare Network Cooperstown, N. Y. Bassett Healthcare has six hospitals in addition to skilled nursing facilities, community and school based health centers and the Bassett Physician Group, a multispecialty group of more than 4. Its Bassett Regional Network, a group of physicians and other health professionals, offer primary, preventive and outpatient care. Bassett Healthcare Network also features a home care company and medical supply company. Bay. Care Health System Clearwater, Fla. More than 1. 9,0. Bay. Care Health System employees and 2,8. The system features 1. Bay. Care Alliant Hospital, a 4. Bay. Cares hospitals. Bay. Care also has various outpatient facilities, with services such as behavioral health, home care, imaging, laboratory services, orthopedics and wellness services. Baylor Health Care System Dallas. Baylor Health Care System offers more than 3. Baylor Research Institute locations and 2. Health. Texas locations. Health. Texas Provider Network is a multispecialty physician group at Baylor that includes more than 5. In addition to its care offerings, Baylor offers educational opportunities through the Texas A M Health Science Center College of Medicine Clinical Training Program in Dallas. Baystate Health Springfield, Mass. Baystate Health has 7.