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Centene Medicaid Dominance Continues with Delaware Expansion

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Centene Medicaid Dominance Continues with Delaware Expansion


The insurer now holds Medicaid contracts in 30 states, representing practically 25% of complete market share.

Centene now holds Medicaid enterprise in 30 states with its most up-to-date award in Delaware, introduced final week.

Centene is the nation’s largest Medicaid insurer, with greater than 15 million members, together with 4 of the most important states: California, Florida, New York, and Texas. In Q1 2022, Louisiana and Indiana re-awarded its statewide Medicaid MCO contracts to Centene 

Within the firm’s press launch, Centene CEO Sarah London acknowledged: “We look ahead to constructing on our practically 40 years of Medicaid expertise to enhance well being outcomes for Delaware residents and supply higher worth to the state.”

The Centene award expands Delaware’s Medicaid MCO depend to a few. Highmark Well being Choices Blue Cross Blue Defend has been within the state since 2015 and AmeriHealth Caritas since 2018.

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In an company launch, Delaware Division of Well being and Social Companies Secretary Molly Magarik acknowledged: “These firms not solely will provide extra option to our Medicaid members, however additionally they perceive Delaware’s dedication to value-based care, and to the important companies that our Medicaid members want and deserve.”

Delaware Medicaid overview

Diamond State Well being Plan (DSHP) is the identify of Delaware’s Medicaid program, which integrates bodily, behavioral, and long-term care, the latter as part of DSHP-Plus. Whole enrollment is roughly 300,000.

Delaware is considered one of only some states with all-payer benchmarks — Medicaid, Medicare, and industrial insurers — for high quality and spending. Delaware can be a Medicaid enlargement state, with Medicaid/CHIP enrollment rising practically 24% throughout the pandemic (February 2020–March 2022) per information printed by the Kaiser Household Basis.

President and COO Brent Layton added: “It’s a privilege to be chosen by the state of Delaware to supply native healthcare companies and packages that deal with social determinants of well being and take away boundaries to take care of Medicaid members throughout the state.”

Centene’s Medicaid projections

Whereas Q2 2022 efficiency is forthcoming, Layton anticipated the next in Centene’s first-quarter investor name:

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  • Redeterminations: “Our Medicaid development continues to be aided by the continuing suspension of redeterminations … [W]e anticipate the return of redeterminations in August … and are assured in our skill to retain and entice membership.”
  • Change enterprise: “So [in] the 29 states the place we have now Medicaid well being plans, we have now the change or our Ambetter product in 25 of them. So we’re in a position to overlap the counties and in a whole lot of methods, overlap the supplier community.”
  • Medicaid pipeline: “There is not any doubt the Medicaid RFP pipeline is reopening. It is far more like a 2017, ’18 and ’19 … [W] we have now ready for these [reprocurements] … However we additionally see a whole lot of new alternatives.”

Layton cites Centene’s shut relationships within the states the place it does enterprise, commenting within the Delaware award launch: “We’re excited to work with the state and suppliers on confirmed fashions of value-based care to ship transformative healthcare and enhance the well being of Diamond State Well being enrollees.”

Laura Beerman is a contributing author for HealthLeaders.



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Delaware

Today in Delaware County history, May 14

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Today in Delaware County history, May 14


100 Years Ago, 1924: Receiving complaint that drug addicts, one of them wanted by the Wilmington, Del., authorities, were in a shack at the rear of 9 Jeffrey St., Sgt. Miley and Officers Petersons, Bradley, Owens and Handy descended upon the place about 5 o’clock this morning and took into custody four persons. All denied the charge of drug addict, but were ordered held pending further investigation.

75 Years Ago, 1949: Fire which authorities believed was started by fumigation candles caused an estimated $2,000 worth of damage in an apartment in the Fifth Ward Friday afternoon. Firemen had to don masks and ease their way through the thick yellow, sulphuric smoke to fight the blaze in the second floor apartment located at 924 Walnut St. The blaze was discovered shortly before 3 p.m. by Mrs. Dorothy Chapman, who lives next door at 926 Walnut St. She reported she saw smoke seeping from windows on the second floor and she telephoned the Moyamensing Fire Company.

50 Years Ago, 1974: Delaware County employees have been given numbered tickets to attend a Republican organization rally at 8 tonight at the Alphine Inn, Springfield, the reason for the numbered tickets is to “keep out hecklers and anybody who might cause a disturbance,” according to Robert F. Kelly, county Republican chairman. He pointed out the rally was being held in the home town of the major anti-organization candidate, incumbent U.S. Rep. Lawrence G. Williams (R-7).

25 Years Ago, 1999: Baldt Anchor will be among 11 Pennsylvania companies accompanying Gov. Tom Ridge as he embarks on a trade mission to Asia, his second trip there in 18 months. Baldt, a century-old company, today only employs 30 workers at the Chester facility where it manufactures ship anchors and does a lot of business with the Navy. But Baldt is seeking to resume what was once an extensive overseas business. Baldt marketing director Karen Kelly said Baldt is looking to establish contacts in the Asian regions.

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10 Years Ago, 2014: Authorities are investigating a carjacking Wednesday night involving the wife of Chester Mayor John Linder, according to a report by 6ABC “Action News.” Mrs. Linder was forced at gunpoint to exit her gold-colored 2005 Ford Taurus at about 9:30 p.m. Wednesday. After Mrs. Linder got out of her vehicle, the two men jumped inside and drove toward I-95, according to authorities. Mrs. Linder reportedly escaped without injuries. According to Chester Police Commissioner Joseph Bail, three suspects were detained for questioning and the vehicle was recovered.

— COLIN AINSWORTH



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University of Delaware student charged with hate crime for vandalizing Holocaust memorial, officials say

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University of Delaware student charged with hate crime for vandalizing Holocaust memorial, officials say



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NEWARK, Del. (CBS) — A University of Delaware student was charged with a hate crime and banned from campus after vandalizing a Holocaust memorial and going on an “antisemitic tirade,” the attorney general’s office announced Monday. 

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Jenna Kandeel, 23, was charged with several misdemeanor offenses after vandalizing the Holocaust memorial sponsored by a Jewish student group at the University of Delaware last week on Wednesday, May 8. 

Kandeel was arrested by the University of Delaware Police Department after witnesses reported she damaged “several flags at a Holocaust memorial on the UD Green and made vulgar statements about the Jewish community and the Holocaust,” according to officials. 

Kandeel admitted to the vandalism after she was taken into custody, according to officials.   

Antisemitic incidents have been on the rise across the country since the Hamas attacks against Israel in 2023. 

“We have a proud history of protecting free speech in this country, including and especially political dissent,” Delaware Attorney General Kathy Jennings said in a release. “But we need to be lucid enough to recognize the daylight — miles of it, in this case — between protest and hate. The Holocaust is not ancient history. 80 years later, the world’s Jewish population still has not recovered; its survivors are still with us; and I fear that we still have not learned its lessons. Seeing this ignorance on display, particularly in an increasingly antisemitic climate, should be a wake-up call. We still have work to do.”  

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Delaware Judiciary updates progress on 2022 diversity plans recommendations

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Delaware Judiciary updates progress on 2022 diversity plans recommendations


The Delaware Judiciary releases an update report to its 2022 Strategic Plan to improve diversity in the Delaware bench and bar.

Nearly two-thirds of the 50 recommendations in the plan have been implemented or will be in the coming months.

Diversity, Equity and Inclusion Officer for the Delaware court system Kaelae Shaner says the biggest strides made are in engagement with college and pre-college students, including re-imagining and re-energizing the Delaware Law-Related Education Center.

Shaner emphasizes removing barriers to the bar exam are also significant.

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“Like trimming the testing subjects and essays that are part of the bar examination,” Shaner says. “And a huge, huge barrier was the administration of the bar exam being only once per year, now offered twice a year. Also changed some of the fees associated with the bar examination.”

Shaner notes the bar is not just an exam, but an extensive process that also evaluates candidates’ moral and ethical character. She says they are taking a closer look at the way “fitness” to practice law is standardized.

Shaner says for current judges and court staff, they have started providing enhanced training to reduce implicit bias in the court environment.

Overall Shaner says the courts are understaffed but doesn’t think there is a shortage of qualified candidates. She says the courts are also working to unify job descriptions so applicants are more aware of the type of work they’ll be doing.

“Which will hopefully increase our reach and increase interest in qualified candidates for these positions,: Shaner says. “Because it’s great work, it’s rewarding work, and we have a workforce here in Delaware. I don’t think it is a shortage of qualified candidates so much as just increasing our awareness.”

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Initiatives still left on the to-do list include some more long-term goals – such as alternate pathways to licensure like formalized mentorships as opposed to the bar exam.

“The biggest issue with bar exams across the country, the conversation is like, does this rogue memorization really help with on the job performance?” Shaner says.

Shaner notes other states like Connecticut and Oregon have successfully implemented a pathway through formalized mentorships.

The report also highlights the recent formation of the Delaware Leadership Council on Legal Diversity by representatives from several large Delaware firms. They are working on recruitment and retention initiatives – and reconvening the Delaware Judiciary’s Access to Justice Commission.

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