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Can Health Plans Explain Why They Aren’t Re

on May 30, 2014 in Eat Smart

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Coventry Health CareEditor’s Note: This review has been removed from our side-by-side comparison. Federal minimum in Kansas: 26 percent of Federal Poverty Line Unemployed parents in a family of three who earn more than $4,963.40 make too much to receive Medicaid coverage (26 percent of FPL). Federal minimum in Florida: 20 percent of Federal Poverty Line Unemployed parents in a family of three who earn over $3,818 make too much to receive Medicaid coverage (20 percent of FPL).Coventry Health Care

The sale process reaffirms that Aetna’s acquisition of Coventry was always about boosting its share of the fast-growing, U.S. government-backed Medicare and Medicaid programs. The business for sale offers cost and care management services to underwriters and administrators of workers’ compensation insurance, as well as employers. In fact, the Coventry Health Care Company offers their clients with access to mental health and behavioral services, in order to get their lives back on track.

The Coventry Company understands how difficult it can be to overcome problems, such as mental health issues and drug abuse. Health insurer Aetna expects to lose money on its business in health-law marketplaces this year, while its revenue and membership were boosted by its acquisition of Coventry Health Care. Aetna’s quarterly profit declined 4.1%, partly because of costs pegged to a pending Coventry Health Care purchase, but the health insurer’s revenue and membership rolls increased. Historically, the company has focused on providing risk based health insurance policies to individuals and smaller-midsized corporation’s.

Meanwhile, roughly a third of CVH’s revenue come from Medicare and Medicaid , and the company plans to increase this by over 50% in next few years. This segment primarily provides benefits through health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point of service (POS) products to employer groups in a variety of geographical markets. Under these plans, Coventry risks all medical and administrative costs in exchange for a monthly premium fee.

The division also offers administrative services only (ASO) plans, in which the customer pays a smaller fee in exchange for Coventry taking on all administrative costs, but the customer incurs their own medical costs. This segment primarily provides health benefits to individuals participating in the Government’s Medicare and Medicaid programs. Under these services, Coventry assumes medical and administrative risk for individuals in exchange for premium payments from state and federal governments.

Coventry Health Care