{"id":12795,"date":"2024-09-02T12:04:24","date_gmt":"2024-09-02T12:04:24","guid":{"rendered":"https:\/\/distilinfo.com\/healthplan\/?p=12795"},"modified":"2024-09-02T12:04:24","modified_gmt":"2024-09-02T12:04:24","slug":"payer-ma-updates-boost-healthcare","status":"publish","type":"post","link":"https:\/\/distilinfo.com\/healthplan\/payer-ma-updates-boost-healthcare\/","title":{"rendered":"Strategic Payer M&#038;A Updates Boost Healthcare Innovation"},"content":{"rendered":"\r\n<div id=\"rank-math-toc\" class=\"wp-block-rank-math-toc-block has-pale-ocean-gradient-background has-background\"><nav>\r\n<ul>\r\n<li><a href=\"#payer-m-a-drives-industry-progress\">Payer M&amp;A Drives Industry Progress<\/a><\/li>\r\n<li><a href=\"#united-health-groups-acquisition-moves\">UnitedHealth Group\u2019s Acquisition Moves<\/a>\r\n<ul>\r\n<li><a href=\"#united-health-and-surgery-partners\">UnitedHealth and Surgery Partners<\/a><\/li>\r\n<li><a href=\"#united-healths-proposed-acquisition-of-amedisys\">UnitedHealth\u2019s Proposed Acquisition of Amedisys<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<li><a href=\"#elevance-healths-strategic-expansion\">Elevance Health\u2019s Strategic Expansion<\/a>\r\n<ul>\r\n<li><a href=\"#elevance-healths-primary-care-venture-mosaic-health\">Elevance Health&#8217;s Primary Care Venture: Mosaic Health<\/a><\/li>\r\n<li><a href=\"#elevance-healths-bid-withdrawal-for-evolent-health\">Elevance Health\u2019s Bid Withdrawal for Evolent Health<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<li><a href=\"#humanas-new-primary-care-clinics\">Humana\u2019s New Primary Care Clinics<\/a><\/li>\r\n<li><a href=\"#centenes-sale-of-collaborative-health-systems\">Centene\u2019s Sale of Collaborative Health Systems<\/a><\/li>\r\n<li><a href=\"#molina-healthcares-acquisition-of-connecti-care\">Molina Healthcare\u2019s Acquisition of ConnectiCare<\/a><\/li>\r\n<li><a href=\"#priority-healths-expansion-plans\">Priority Health\u2019s Expansion Plans<\/a><\/li>\r\n<li><a href=\"#optums-strategic-moves\">Optum\u2019s Strategic Moves<\/a>\r\n<ul>\r\n<li><a href=\"#optums-acquisition-of-amedisys\">Optum\u2019s Acquisition of Amedisys<\/a><\/li>\r\n<li><a href=\"#optums-sale-of-workers-compensation-settlement-solutions\">Optum\u2019s Sale of Workers&#8217; Compensation Settlement Solutions<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<li><a href=\"#lifetime-healthcare-and-capital-district-physicians-health-plan-merger\">Lifetime Healthcare and Capital District Physicians Health Plan Merger<\/a><\/li>\r\n<li><a href=\"#conclusion\">Conclusion<\/a><\/li>\r\n<li><a href=\"#fa-qs\">FAQs<\/a>\r\n<ul>\r\n<li><a href=\"#q-1-what-is-the-significance-of-united-healths-potential-acquisition-of-surgery-partners\">Q1: What is the significance of UnitedHealth\u2019s potential acquisition of Surgery Partners?<\/a><\/li>\r\n<li><a href=\"#q-2-why-did-elevance-health-withdraw-from-bidding-for-evolent-health\">Q2: Why did Elevance Health withdraw from bidding for Evolent Health?<\/a><\/li>\r\n<li><a href=\"#q-3-how-will-molina-healthcares-acquisition-of-connecti-care-impact-its-operations\">Q3: How will Molina Healthcare\u2019s acquisition of ConnectiCare impact its operations?<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<\/nav><\/div>\r\n\r\n\r\n\r\n<h3 id=\"payer-m-a-drives-industry-progress\" class=\"wp-block-heading\">Payer M&amp;A Drives Industry Progress<\/h3>\r\n\r\n\r\n\r\n<p>The healthcare industry has witnessed a flurry of merger and acquisition (M&amp;A) activities in 2023, with major payers making strategic moves to expand their reach and enhance service offerings. This article highlights 10 significant payer M&amp;A updates reported since May 22, focusing on the latest developments involving industry giants like UnitedHealth Group, Elevance Health, Humana, Centene, and more.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"united-health-groups-acquisition-moves\" class=\"wp-block-heading\">UnitedHealth Group\u2019s Acquisition Moves<\/h3>\r\n\r\n\r\n\r\n<h4 id=\"united-health-and-surgery-partners\" class=\"wp-block-heading\">UnitedHealth and Surgery Partners<\/h4>\r\n\r\n\r\n\r\n<p>UnitedHealth Group, a dominant player in the healthcare industry, is reportedly eyeing the acquisition of <a href=\"http:\/\/UnitedHealth Group explores acquisition of Surgery ...  OR Manager https:\/\/www.ormanager.com \u203a Briefs\" target=\"_blank\">Surgery Partners, the third-largest ambulatory surgical center (ASC) operator<\/a> in the United States. According to Bloomberg, UnitedHealth is among the potential buyers considering this strategic acquisition, which could significantly boost its presence in the ASC market. Surgery Partners operates a vast network of facilities, providing a range of outpatient surgical services, making it an attractive target for UnitedHealth as it seeks to diversify its service portfolio.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"united-healths-proposed-acquisition-of-amedisys\" class=\"wp-block-heading\">UnitedHealth\u2019s Proposed Acquisition of Amedisys<\/h4>\r\n\r\n\r\n\r\n<p>In addition to its interest in Surgery Partners, UnitedHealth Group has set its sights on acquiring Amedisys, a leading home health provider. The proposed $3.3 billion deal was announced in June 2023, but it is currently under review by the U.S. Department of Justice. As part of the merger process, UnitedHealth and Amedisys have agreed to sell an unspecified number of care centers to VitalCaring Group. This divestiture aims to address potential antitrust concerns and smooth the path for the merger&#8217;s approval later this year.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"elevance-healths-strategic-expansion\" class=\"wp-block-heading\">Elevance Health\u2019s Strategic Expansion<\/h3>\r\n\r\n\r\n\r\n<h4 id=\"elevance-healths-primary-care-venture-mosaic-health\" class=\"wp-block-heading\">Elevance Health&#8217;s Primary Care Venture: Mosaic Health<\/h4>\r\n\r\n\r\n\r\n<p>Elevance Health, formerly known as Anthem, is making significant strides in the provider space with the launch of Mosaic Health, a joint venture in primary care. This initiative, in collaboration with <a href=\"http:\/\/Elevance Health and Clayton, Dubilier &amp; Rice Sign ...  Elevance Health https:\/\/www.elevancehealth.com \u203a newsroom \u203a elevanc...\" target=\"_blank\">private equity firm Clayton, Dubilier &amp; Rice, reflects Elevance Health&#8217;s commitment to expanding its healthcare services<\/a>. While the financial terms of this partnership have not been disclosed, the venture is expected to enhance access to primary care and improve patient outcomes through innovative care models.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"elevance-healths-bid-withdrawal-for-evolent-health\" class=\"wp-block-heading\">Elevance Health\u2019s Bid Withdrawal for Evolent Health<\/h4>\r\n\r\n\r\n\r\n<p>In a surprising move, Elevance Health recently withdrew from the bidding process for healthcare software company Evolent Health. Although the reasons for this decision have not been made public, it indicates a strategic shift in Elevance\u2019s M&amp;A approach. The withdrawal suggests that Elevance may be focusing on other opportunities or reassessing its priorities in the rapidly evolving healthcare technology landscape.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"humanas-new-primary-care-clinics\" class=\"wp-block-heading\">Humana\u2019s New Primary Care Clinics<\/h3>\r\n\r\n\r\n\r\n<p>Humana is also expanding its footprint in the primary care sector by opening clinics in 23 former Walmart Health sites. This strategic move involves Walmart leasing the locations to Humana, enabling the insurer to provide accessible primary care services across multiple communities. Although the financial details of the deal have not been disclosed, this initiative underscores Humana&#8217;s commitment to enhancing healthcare delivery and increasing its market presence.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"centenes-sale-of-collaborative-health-systems\" class=\"wp-block-heading\">Centene\u2019s Sale of Collaborative Health Systems<\/h3>\r\n\r\n\r\n\r\n<p>Centene Corporation, a major player in the managed care industry, has decided to sell its management services subsidiary, Collaborative Health Systems, to Astrana Health. The financial terms of the transaction remain undisclosed, but this divestiture aligns with Centene&#8217;s broader strategy to streamline operations and focus on its core businesses. Collaborative Health Systems has been instrumental in managing value-based care arrangements, and its acquisition by Astrana Health is expected to bolster the latter\u2019s capabilities in this space.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"molina-healthcares-acquisition-of-connecti-care\" class=\"wp-block-heading\">Molina Healthcare\u2019s Acquisition of ConnectiCare<\/h3>\r\n\r\n\r\n\r\n<p>Molina Healthcare has announced its plans to acquire ConnectiCare, a subsidiary of EmblemHealth, for $350 million. This acquisition will add approximately 140,000 members to Molina&#8217;s portfolio, encompassing Medicare, marketplace, and commercial products. The deal is part of Molina\u2019s ongoing efforts to expand its footprint in the Northeastern United States, particularly in Connecticut, where ConnectiCare has a strong presence.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"priority-healths-expansion-plans\" class=\"wp-block-heading\">Priority Health\u2019s Expansion Plans<\/h3>\r\n\r\n\r\n\r\n<p>Priority Health, a Michigan-based health plan, is set to acquire Physicians Health Plan of Northern Indiana, a Fort Wayne-based payer with more than 52,000 members across Indiana and Ohio. This acquisition, expected to close in 2024, will enhance Priority Health\u2019s reach in the Midwest and strengthen its position as a leading regional health insurer. The merger is anticipated to provide members with greater access to care and a broader range of healthcare services.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"optums-strategic-moves\" class=\"wp-block-heading\">Optum\u2019s Strategic Moves<\/h3>\r\n\r\n\r\n\r\n<h4 id=\"optums-acquisition-of-amedisys\" class=\"wp-block-heading\">Optum\u2019s Acquisition of Amedisys<\/h4>\r\n\r\n\r\n\r\n<p>Optum, a subsidiary of UnitedHealth Group, has announced its intent to acquire Amedisys for $3.3 billion. This acquisition is part of Optum\u2019s broader strategy to expand its home health services and strengthen its position in the post-acute care market. The deal is currently under review by federal regulators, and its approval will depend on the successful resolution of any antitrust concerns.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"optums-sale-of-workers-compensation-settlement-solutions\" class=\"wp-block-heading\">Optum\u2019s Sale of Workers&#8217; Compensation Settlement Solutions<\/h4>\r\n\r\n\r\n\r\n<p>In another strategic move, Optum has sold its workers&#8217; compensation Settlement Solutions business to ExamWorks Compliance Solutions. This divestiture is part of Optum\u2019s ongoing efforts to streamline its operations and focus on its core healthcare services. The sale is expected to allow Optum to concentrate more resources on expanding its healthcare delivery capabilities and innovative care models.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"lifetime-healthcare-and-capital-district-physicians-health-plan-merger\" class=\"wp-block-heading\">Lifetime Healthcare and Capital District Physicians Health Plan Merger<\/h3>\r\n\r\n\r\n\r\n<p>The Lifetime Healthcare Companies, parent company of Excellus Blue Cross Blue Shield and Univera, has announced plans to merge with Capital District Physicians Health Plan (CDPHP). If approved, this merger will create a healthcare organization with nearly 2 million members and 6,000 employees. The combined entity will have a stronger presence in the upstate New York region, offering enhanced healthcare services to its members.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"conclusion\" class=\"wp-block-heading\">Conclusion<\/h3>\r\n\r\n\r\n\r\n<p>The recent M&amp;A activities among major payers like UnitedHealth Group, Elevance Health, Humana, Centene, and others reflect the dynamic nature of the healthcare industry. These strategic moves are driven by the need to expand service offerings, enhance patient care, and achieve greater efficiencies in a competitive market. As these deals progress, they will likely have a significant impact on the healthcare landscape, influencing everything from patient access to care to the overall quality of healthcare services.<\/p>\r\n\r\n\r\n\r\n<p><span class=\"ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak\" dir=\"ltr\">Discover the latest <a id=\"menurhl\" class=\"fui-Link ___1rxvrpe f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/distilinfo.com\/healthplan\/\" href=\"https:\/\/distilinfo.com\/healthplan\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Link payers&#039; news updates\"><strong>payers&#8217; news updates<\/strong><\/a> with a single click. Follow <a id=\"menurhn\" class=\"fui-Link ___1rxvrpe f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/distilinfo.com\/healthplan\/\" href=\"https:\/\/distilinfo.com\/healthplan\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Link DistilINFO HealthPlan\">DistilINFO HealthPlan<\/a> and stay ahead with updates. Join our community today!<\/span><\/p>\r\n\r\n\r\n\r\n<h3 id=\"fa-qs\" class=\"wp-block-heading\">FAQs<\/h3>\r\n\r\n\r\n\r\n<h4 id=\"q-1-what-is-the-significance-of-united-healths-potential-acquisition-of-surgery-partners\" class=\"wp-block-heading\">Q1: What is the significance of UnitedHealth\u2019s potential acquisition of Surgery Partners?<\/h4>\r\n\r\n\r\n\r\n<p>A1: UnitedHealth&#8217;s acquisition of Surgery Partners would enhance its presence in the ambulatory surgical center market, allowing it to expand its outpatient services and diversify its healthcare offerings.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"q-2-why-did-elevance-health-withdraw-from-bidding-for-evolent-health\" class=\"wp-block-heading\">Q2: Why did Elevance Health withdraw from bidding for Evolent Health?<\/h4>\r\n\r\n\r\n\r\n<p>A2: The reasons for Elevance Health\u2019s withdrawal from the bidding process have not been publicly disclosed, but it may indicate a shift in the company\u2019s strategic priorities or focus on other opportunities.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"q-3-how-will-molina-healthcares-acquisition-of-connecti-care-impact-its-operations\" class=\"wp-block-heading\">Q3: How will Molina Healthcare\u2019s acquisition of ConnectiCare impact its operations?<\/h4>\r\n\r\n\r\n\r\n<p>A3: The acquisition of ConnectiCare will add approximately 140,000 members to Molina\u2019s portfolio, strengthening its presence in the Northeastern U.S. and expanding its Medicare and commercial product offerings.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Payer M&amp;A Drives Industry Progress The healthcare industry has witnessed a flurry of merger and acquisition (M&amp;A) activities in 2023,&#8230; <a href=\"https:\/\/distilinfo.com\/healthplan\/payer-ma-updates-boost-healthcare\/\" style=\"white-space: nowrap;\">Continue Reading <i class=\"fas fa-long-arrow-alt-right\" style=\"vertical-align: middle;\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":12797,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[1],"tags":[442],"class_list":{"0":"post-12795","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-distilinfo-originals","8":"tag-payer-ma","9":"entry"},"_links":{"self":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12795"}],"collection":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/comments?post=12795"}],"version-history":[{"count":10,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12795\/revisions"}],"predecessor-version":[{"id":12852,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12795\/revisions\/12852"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media\/12797"}],"wp:attachment":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media?parent=12795"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/categories?post=12795"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/tags?post=12795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}