The Law Firms filed the lawsuit Illinicare Care Coordinators, Behavioral Health Care Coordinators, and Program Specialists collectively “Care Coordinators employed at any time over the past three years that Illinicare, Health care Company failed to pay overtime, despite regularly working over 40 hours per workweek.
We believe that this group includes all Care Coordinators employed across the country over the past three (3) years that worked for Illinicare.
IlliniCare Health Plan (IlliniCare) is a Managed Care Organization (MCO) engaged to provide assistance under Illinois’ Integrated Care Program. IlliniCare is a whollyowned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services.
Centene will retain IlliniCare’s Medicare-Medicaid Alignment Initiative business and
IlliniCare’s statewide YouthCare foster care contract, set to commence in February 2020. Centene’s Ambetter business in Illinois is not affected. The companies stated they are pledged to ensuring that there is a smooth transition for members. The financial terms of the transaction were not disclosed. The closing of the transaction with CVS Health is subject to U.S. federal antitrust clearance, receipt of Illinois state regulatory approvals and other customary closing conditions, as well as the closing of the Centene – WellCare transaction.
Dec. 28, 2020, announced IlliniCare Health a Medicaid managed care plan that serves members across Illinois, has officially rebranded and changed its name to Aetna Better Health of Illinois (ABH-IL). Materials for the plan year 2021 will reflect the new Aetna Better Health of Illinois name.
Centene Corp. has granted to sell its subsidiary IlliniCare Health to CVS Health, the company announced that as part of its unfinished $17.3 billion megamergers with WellCare Health Plans.
The sale includes Centene’s Medicaid and Medicare Advantage plans in Illinois, though the St. Louis-based insurer will maintain ownership of IlliniCare’s MedicareMedicaid Alignment Initiative that will begin in February 2020.
This is the latest development for Centene as it seeks to create the $17.3 billion megamergers with Tampa-based WellCare that was announced in March. The unfinished transaction has already obtained regulatory approval from 25 states.
According to the CEO of Centene Michael Neidroff “We are continuing to make progress towards completing our transaction with WellCare and the divestiture of our IlliniCare Health plan is the next step in that process,”
The closing of the transaction with CVS Health is subject to U.S. governmental antitrust permission, receipt of Illinois state regulatory support and other conventional closing conditions, as well as the closing of the Centene – WellCare transaction.
“Our employees in Illinois have done an exceptional job serving our communities in the state. We are pleased to enter this agreement with CVS Health, under which these employees can continue helping members achieve better health outcomes while delivering benefits to providers. We will work closely with CVS Health to ensure a smooth transition of this business for members, employees, and providers.” he added.
Thousands of low-income patients may have to struggle to get new doctors this month after University of Chicago Medicine enhanced the latest major health system to break up with IlliniCare Health, an insurer that administers benefits for the state’s Medicaid program.
- of C. Medicine follows Northwestern Medicine and Advocate Health Care in leading away from IlliniCare Health, one of 12 Medicaid led care organizations in the state. Medicaid managed care institutions are insurers that manage benefits for Medicaid, a state- and federally funded health insurance program for the underprivileged.
About 8,000 IlliniCare members will no longer be able to get in-network services from U. of C. Medicine or University of Chicago Physicians Group, according to U. of C. Medicine. IlliniCare pegs that number closer to 4,000 patients when the contract ends.
Though it’s unclear how big a part payment difficulties performed in the U. of C. dispute, other Medicaid managed care associations have fought to pay their bills because of the state’s budget problems. It’s a situation that is “dramatically reducing the Medicaid recipients’ access to health care,” according to a June court order forcing the state to pay the insurers more money.
About 2 million Illinois citizens get coverage through Medicaid managed care organizations.
Yet another Medicaid operated care organization, Aetna Better Health of Illinois, has threatened to leave the program if it doesn’t win more state payments.
Since lawmakers supported a budget last month, the state has begun to pay the insurers more, but it still owes Medicaid administered care organizations about $3.5 billion. The idea back Medicaid managed care, in general, is to improve patients’ health and spend money more efficiently.
