WellCare Health Plans' Experience in the Medicaid HMO Market Positions Them to be a Top Insurer by 2019

NASHVILLE, Tenn., Nov. 2, 2010 /PRNewswire/ -- HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that WellCare Health Plans' experience in the Medicaid HMO market positions it to take advantage of upcoming Medicaid enrollment expansion through healthcare reform. According to the National MCO Analyzer: WellCare Health Plans, the expanded Medicaid eligibility rules as a result of reform will add an estimated 16 million new Medicaid beneficiaries by 2019, giving WellCare an opportunity to grow its Medicaid HMO business by 46 percent.

WellCare's Medicaid growth has occurred at a time when its Medicare footprint has narrowed with the shutdown of its private fee-for-service product and because of earlier marketing sanctions from the federal government. Nevertheless, the company's stand-alone Part D operation has allowed it to retain a national brand despite offering network-based health plans in only a handful of states.

WellCare's twin goals of growth and administrative cost efficiencies occur at a crucial time in the company's history. "WellCare has focused much of its energy on investigations and lawsuits following the 2007 allegations of its failure to return funding to Florida's Medicaid program," says HealthLeaders-InterStudy Senior Market Analyst Roy Moore. "With most of those issues now behind it, WellCare can now turn to seizing new business opportunities. WellCare has the chance to substantially grow its Medicaid HMO business, like it has in states such as Hawaii, where it has recently signed new contracts."

About National MCO Analyzer

National MCO Analyzer is the account manager's tool for in-depth analysis of national MCO corporate strategies, opportunities and challenges. Profiling the country's largest managed care organizations, each report includes:

• Market analysis from HealthLeaders-InterStudy's managed care market experts, along with an overview of opportunities and challenges for a plan in the year ahead.
• Competitive analysis outlining a managed care organization's strengths, challenges and opportunities.
• Plan dashboard providing national-level enrollment mix and trends.

About HealthLeaders-InterStudy

HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the authoritative source for managed care data, analysis and news. For more information, please visit www.HL-ISY.com.

About Decision Resources, Inc.

Decision Resources, Inc. is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources, Inc. at www.DecisionResourcesInc.com.

All company, brand or product names contained in this document may be trademarks or registered trademarks of their respective holders.

SOURCE HealthLeaders-InterStudy

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