SCAN Health Plan to move into Texas, expand presence in Nevada – MedCity News

SCAN Well being Plan, a Medicare Benefit insurer, will start providing well being plans in two Texas counties and develop its providers in Nevada in 2023, the corporate introduced final week.

With the growth, pending CMS approval, Lengthy Seaside, California-based SCAN will attain almost 7 million potential clients throughout 4 states, together with California and Arizona, in accordance with a information launch.

The counties in Texas are Harris County and Bexar County, which embrace Houston and San Antonio. In Nevada, the well being plan is presently in Clark County and is increasing into Nye County.

“As a result of we’re presently in Nevada, it was a pure extension of our present presence,” stated Sherry Stanislaw, common supervisor and an officer of the well being plan. “[With] Texas, we expanded into Arizona and Nevada this 12 months, so it felt like a pure extension as we broaden Southwest.”

Stanislaw added that Texas has a number of Medicare eligible individuals, which attracted SCAN as a result of it solely serves seniors.

Within the new Texas market, SCAN is contracting with Houston-based IntegraNet Well being and Prospect Medical Group, primarily based in Orange, California, Stanislaw stated. SCAN already works with Prospect in its California and Arizona markets. When contemplating companions, SCAN seems for these with an excellent fame in the neighborhood and experience in serving seniors, qualities these medical teams met, Stanislaw stated.

Whereas increasing into these new markets, the well being plan is doing a number of outreach to make sure shoppers, suppliers and brokers know SCAN is obtainable, Stanislaw stated.

“We’ve been assembly with brokers, introducing ourselves and I’d say 50% of the brokers knew who SCAN was and 50% haven’t heard of us,” Stanislaw stated. “A key effort is getting our title on the market, speaking to key stakeholders, brokers, suppliers and shoppers about who SCAN is, getting our model out and letting individuals know the way we differentiate ourselves from the competitors.”

SCAN’s opponents embrace large payers like UnitedHealthcare and Anthem, CEO Sachin Jain advised MedCity in a earlier interview. However what units SCAN aside from its competitors is that it’s a nonprofit and “invests and reinvests in our members and the advantages and providers that we’re in a position to present,” Stanislaw stated. 

Though it’s shifting to a brand new market, Stanislaw burdened that SCAN will not be a startup, which makes it simpler for it to develop. The corporate was based in 1977.

“We’ve got a 45-year historical past,” she stated. “We’re not new to MA. We’re nicely grounded, now we have a number of expertise. We’re simply new to Texas.”

SCAN isn’t stopping with these expansions, she added. The corporate is trying to transfer into extra markets within the coming years, although Stanislaw declined to say which of them.

“I at all times say that the easiest way to ship on our mission is to supply it to extra individuals,” Stanislaw stated.

Picture: designer491, Getty Photographs