Ritter Insurance Marketing, Craig Ritter

Evolent to Acquire Premier’s Ohio MA Business

Earlier this week, Evolent Health announced that they will be taking over the insurance business portion of long-time customer, Premier Health, in early 2018.

Evolent has been helping Premier offer value-based care since early 2013. They assisted Premier with the launch of their Medicare Advantage and commercial health plans in 2015, which did quite well the first several years of operation in the Dayton, Ohio, area.

However, the presidents of the companies have decided that a further merge would benefit both associations. Premier Health President and CEO Mary Boosalis states, “This change plays to the strengths of both organizations, and the timing was right, given the current growth opportunity.”

Under this revised agreement, Evolent will obtain Premier Health Plan, effective in the 2018 plan year. Even with Premier’s plan under Evolent’s umbrella, the benefits of the plan for 2018 will not change, nor will the plan’s network of about 6,000 providers. This change will also not affect the Annual Enrollment Period in any way.

In addition to Evolent acquiring Premier Health Plan, two more agreements have been made. One, a long-term provider arrangement has been put in place so that Premier Health’s hospitals and physicians can perform medical services for the members of the health plan. And two, Premier has made a long-term services agreement with Evolent to sustain the system’s population health management efforts across employee, Next Generation ACO and payer partnership populations.

Comprehensively, these agreements will affect Ohio clients minimally, if at all. Most importantly, their coverage and plans will remain unchanged, regardless of the switch in ownership.

Posted by filed under Medicare Advantage, Ohio .


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