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Aetna Better Health of Michigan recommended for CHCP contract

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Aetna Better Health of Michigan, a CVS Health® company, has been recommended by the Michigan Department of Health and Human Services to continue serving Medicaid and CHIP beneficiaries under a new Comprehensive Health Care Program contract. The program covers various populations, and Aetna Better Health of Michigan will expand services into a new region. This win reflects the company's commitment to improving healthcare access in Michigan.
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Securing a contract to serve Medicaid and CHIP beneficiaries is a significant milestone for Aetna Better Health of Michigan, indicating both a vote of confidence from the Michigan Department of Health and Human Services and a steady stream of revenue for the foreseeable future. Medicaid and CHIP programs are substantial components of the healthcare system, especially in providing for vulnerable populations. The expansion into the South Central Prosperity Region suggests that Aetna is strengthening its footprint in the state, which can be an indicator of growth and an increased market share within Michigan's healthcare sector.

From a policy perspective, the continuity of service provision ensures stability for beneficiaries. However, the implications of such contracts extend beyond immediate financials. They often involve rigorous performance metrics and quality standards, which Aetna must meet to maintain the contract. This can influence the company's operational priorities and investments in healthcare infrastructure.

The recommendation for Aetna Better Health of Michigan to continue its CHCP contract can be seen as a positive signal to investors, potentially leading to increased investor confidence in CVS Health's stock. The contract renewal typically means predictable, long-term revenue, which is a key factor in financial stability and growth projections. Moreover, the expansion into a new region could represent an avenue for additional revenue and patient base growth, which is often well-received in financial assessments.

It is important, however, to consider the costs associated with expanding services and whether the expected revenue will offset these costs. Investors will also be looking at how this contract fits into CVS Health's overall business strategy and whether it aligns with other initiatives aimed at driving growth.

The recommendation for Aetna Better Health of Michigan to continue serving as a provider under the CHCP contract is a testament to its competitive positioning in the healthcare market. The ability to maintain and expand its contract coverage areas demonstrates the company's operational competence and strategic alignment with state healthcare objectives.

Understanding the demographics and needs of the regions Aetna is expanding into is important for tailoring services and ensuring patient satisfaction. The expansion into the South Central Prosperity Region, in particular, could be indicative of underserved healthcare markets or strategic positioning against competitors. Market research would focus on the long-term viability of these regions and the potential for further expansion or partnership opportunities.

SOUTHFIELD, Mich., April 9, 2024 /PRNewswire/ -- Aetna Better Health of Michigan, a CVS Health® company (NYSE: CVS), has been recommended by the Michigan Department of Health and Human Services to continue serving Medicaid and CHIP beneficiaries under a new Comprehensive Health Care Program (CHCP) contract.

"We're committed to helping improve the health and wellbeing of members, their families and communities in Michigan," said Mark Santos, President, Aetna Medicaid. "We're pleased with this win and the opportunity to continue working with the State to provide access to coordinated whole-person health care to Michiganders."

The Comprehensive Health Care Program covers support of populations eligible for Aged, Blind, and Disabled (ABD), Children's Health Insurance Program (CHIP), Foster Care, and Temporary Assistance for Needy Families (TANF) programs. Aetna Better Health of Michigan has been recommended to continue supporting Michigan members in the Southwest Prosperity Region (region 8), Southeast Prosperity Region (region 9) and Detroit Metro Prosperity Region (region 10), while expanding services into South Central Prosperity Region (region 7).

"We're passionate about our work supporting Michigan Medicaid and CHIP members to help them achieve better health," said Teressa Smith, CEO, Aetna Better Health of Michigan. "We look forward to advancing the State's new MIHealthyLife pillars, driving innovation to improve health outcomes, promoting health equity and advocating for our members' social care needs."

Aetna Better Health of Michigan is one of the longest serving managed care organizations in the state, and manages the health benefits of more than 42,000 beneficiaries. Pending the completion of the state's protest period and contract negotiations, the new contract will begin later this year, with the option of renewals.

About Aetna Medicaid
Aetna Medicaid Administrators LLC (Aetna Medicaid), a CVS Health company, has over 30 years of experience managing the care of under-resourced populations, using innovative approaches and a local presence in each market to achieve both successful health care results and effective cost outcomes. Aetna Medicaid has expertise serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare. Currently, Aetna Medicaid owns and/or administers Medicaid managed health care plans under the names of Aetna Better Health and other affiliate names. Together, these plans serve members in 16 states, including Arizona, Florida, Illinois, Kansas, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia and West Virginia. For more information, see www.aetnabetterhealth.com.

About CVS Health
CVS Health® is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues — including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health — whether that's managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system — and their personal health care — by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

Media contact
Robert Joyce
Robert.Joyce@CVSHealth.com

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SOURCE CVS Health

Aetna Better Health of Michigan, a CVS Health® company, has been recommended.

The program covers populations eligible for Aged, Blind, and Disabled (ABD), Children's Health Insurance Program (CHIP), Foster Care, and Temporary Assistance for Needy Families (TANF) programs.

Aetna Better Health of Michigan will continue supporting members in regions 8, 9, and 10, while expanding into region 7.

Mark Santos, President of Aetna Medicaid, expressed the commitment.

The win reflects the company's dedication to providing coordinated whole-person health care to Michiganders.

The company is recommended to continue serving under a new Comprehensive Health Care Program contract.

The company will expand services into the South Central Prosperity Region (region 7).
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