MCOs- Highmark Wholecare boosts Medicaid membership by over 70,000

MM Curator summary

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

[MM Curator Summary]: Highmark ate Gateway (nee Wholecare) and added 25% to its waistline.

 
 

Clipped from: https://www.beckerspayer.com/payer/highmark-wholecare-boosts-medicaid-membership-by-over-70-000.html

Highmark Wholecare has increased its Medicaid membership by nearly 25 percent since August, growing to more than 375,000 members. 

The company said Jan. 11 the increase came after a managed care contract procurement process with Pennsylvania. Total membership at Wholecare, which includes Medicaid and D-SNP plans, now exceeds 410,000. The company’s network includes 29,000 providers.

Highmark Health purchased Wholecare, formerly Gateway Health, in 2021. It officially rebranded as a BCBS licensee Jan. 1, 2022.