News Briefs

✦ Aiding in its efforts to deliver timely care and meet members in their “preferred environments,” Anthem, Inc. on March 24 said it will buy home-based nursing management company myNEXUS, Inc. According to a March 24 press release from the firms, myNEXUS provides integrated clinical support services for approximately 1.7 million Medicare Advantage members across 20 states. It utilizes a digital platform that combines an advanced analytic rules engine and a staff of more than 250 clinicians to “effectively plan for and to optimize home care.” It also has a nationwide network of high-performing home health providers and nurse agencies, including nine of the top 10 highest quality national and local providers. The transaction will allow myNEXUS to “broaden our capabilities as we strive to transform how quality healthcare is delivered to the people we serve,” said myNEXUS CEO Juan Vallarino. Upon close, myNEXUS will operate as a wholly owned subsidiary of Anthem and will join its Diversified Business Group. MyNEXUS currently manages approximately 830,000 Anthem MA members and group retirees in all states except Florida, Tennessee and New Jersey. The deal is expected to close in the second quarter of 2021 and is subject to customary closing conditions. Contact Leslie Porras at leslie.porras@anthem.com.

✦ Minneapolis-based not-for-profit insurer UCare has joined the industry-wide Community Connectors Program led by America’s Health Insurance Plans, which aims to vaccinate 2 million vulnerable Americans against COVID-19 over 100 days. UCare will utilize its community partners to help as many eligible members as possible receive their vaccines. Building on its current efforts to support vaccination, UCare will do the following: Host two large-scale COVID-19 vaccine events at the State Fairgrounds in spring and summer, offer UCare Healthmobile COVID-19 vaccine events in greater Minnesota and targeted neighborhoods in the Twin Cities metro starting this spring, conduct a multicultural educational campaign in UCare member languages and communities, make outreach calls to eligible members to help schedule COVID-19 appointments and/or register them with the Minnesota Dept. of Health COVID-19 Vaccine Connector, operate a vaccine hotline, and conduct community outreach and education to “ensure fair and just access to the vaccine for all populations UCare serves.” The insurer provides health benefits to 550,000 members, including those enrolled in Medicare and/or Medicaid, throughout Minnesota and parts of western Wisconsin. Contact Wendy Wicks at wwicks@ucare.org.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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