Insurer Centene: We Can Do Arkansas-Style Medicaid - 麻豆女优 Health News /news/insurer-centene-we-can-do-arkansas-style-medicaid/ 麻豆女优 Health News produces in-depth journalism on health issues and is a core operating program of 麻豆女优. Thu, 16 Apr 2026 05:07:52 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.5 /wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=32 Insurer Centene: We Can Do Arkansas-Style Medicaid - 麻豆女优 Health News /news/insurer-centene-we-can-do-arkansas-style-medicaid/ 32 32 161476233 Insurer Centene: We Can Do Arkansas-Style Medicaid /news/insurer-centene-we-can-do-arkansas-style-medicaid/ /news/insurer-centene-we-can-do-arkansas-style-medicaid/#respond Tue, 23 Apr 2013 19:33:06 +0000 http://khn.wp.alley.ws/news/insurer-centene-we-can-do-arkansas-style-medicaid/ Arkansas is the latest and perhaps best hope for those who want states resistant to the Affordable Care Act’s Medicaid expansion to reconsider.

Illustration by Darwinek via Wikimedia Commons

Last week the Arkansas legislature a plan to give Medicaid beneficiaries money to buy individual policies from private insurers on the state’s health insurance聽exchange — the subsidized, online markeplaces due to be in business next year. The governor — making it law.

The Department of Health and Human Services, which has said it “” of such聽arrangements, still needs to negotiate details and sign off.

One insurer is already expressing interest.

“We are very capable of doing an Arkansas-type model,” Centene Corp. CEO Michael Neidorff said聽Tuesday. “That’s something that would be a sweet spot for us.”

Centene sees opportunity in participating in the health law’s coverage expansions, whether Arkansas-style or not. It already runs聽Medicaid managed care plans for those with very low incomes in several states, although not in Arkansas. Now it wants to offer plans to individuals with slightly higher incomes through聽the exchanges.

“We believe we can achieve increased profitability in 2014 upon the commencement of the ACA,” Neidorff told stock analysts Tuesday. “The exchange market represents the largest growth opportunity for Centene over the next several years, estimated at $52 billion in our existing markets.”

Policy analysts expect from members moving between the ACA’s expanded Medicaid program and commercial policies sold on the exchanges as their incomes fluctuate. Centene wants to be on both sides of the line, selling “a product that offers people a comfortable transition,” said K. Rone Baldwin, chief of the company’s insurance group.

Whether managed by Centene or some other carrier, private, individual insurance in the Arkansas mode could help Medicaid members keep the same doctor and otherwise minimize disruptions when they graduate to a non-Medicaid exchange plan, some have suggested.

The Arkansas model faces large questions. . Commercial insurance of the type Arkansas sees covering Medicaid members typically pays doctors and hospitals more than traditional Medicaid or Medicaid managed care plans like Centene runs.

But the plan is being praised as a to Obamacare classic and is reportedly being eyed by , and other states resisting the Medicaid expansion.

Centene executives spoke to investment analysts on a conference call about the company’s quarterly profits. Like other insurers, they were coy about saying where they plan to offer exchange plans and on what terms.

“We do expect to be on the exchanges in a subset of the places where we have health plans today, and we’re entering into contracts with hospitals,” said Baldwin. How well will Centene be paying those hospitals to care for its exchange members? “It’s certainly not exactly at [lower] Medicaid rates but I wouldn’t say it’s exactly at [higher] commercial rates either,” he added.

The company $23 million for the quarter on revenue of $2.5 billion.

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