HealthSpring Awarded Three-Year Illinois Medicare-Medicaid Contract

  HealthSpring Awarded Three-Year Illinois Medicare-Medicaid Contract

 New Program Aligns Medical and Behavioral Health Services for Dual-Eligible

Business Wire

CHICAGO & NASHVILLE, Tenn. -- November 13, 2012

HealthSpring, a Cigna company, has been awarded a three-year contract with the
Illinois Department of Healthcare and Family Services to provide managed care
services to dual-eligible beneficiaries in Greater Chicago as part of the
Illinois Medicare-Medicaid Alignment Initiative (ILMMAI). The ILMMAI program,
upon receiving federal approval, will be part of the Centers for Medicare &
Medicaid Services’ (CMS) Medicare-Medicaid Plans (previously referred to as
Financial Alignment Demonstration Plans), which center on integrating Medicare
and Medicaid benefits and services to create a unified, easy-to-navigate
health care system for the dual-eligible population.

The ILMMAI program is one in a series of the State’s initiatives to transform
the health care environment in Illinois to one that is more patient-centered,
with a focus on improved health outcomes, enhanced patient safety and better
access to care. Illinois health care data indicate a clear need to improve
care delivery for dual-eligible beneficiaries and to shift long-term care
utilization from institutions to community-based services. A 2011 CMS report
showed that Illinois is the nation’s sixth highest in potentially avoidable
hospital readmission rates among dual-eligible beneficiaries.

“We are pleased to join together with the Illinois Department of Healthcare
and Family Services to offer a full array of health care benefits and services
to Illinois residents,” said Herb Fritch, president of HealthSpring.
“HealthSpring’s coordinated care model has yielded proven results for
dual-eligible patients and our focus on personalized and preventive care
aligns well with the State’s vision to deliver better access to care and
improved patient outcomes for the dual-eligible population.”

Under the ILMMAI program, HealthSpring will be responsible for coordinating
enrollees care and for providing the following:

  *Medical services
  *Behavioral health services
  *Pharmacy services
  *Long-term services and supports (LTSS)

Enrollment in the demonstration is voluntary and the approximately 118,000
eligible beneficiaries in the Greater Chicago area may select which plan to
join or opt out to stay with traditional Medicaid. The Greater Chicago service
area for the ILMMAI demonstration includes six counties: Cook, Lake, Kane,
DuPage, Will and Kankakee. The State selected this region because of the high
density of dual-eligible beneficiaries and the existence of a robust medical

HealthSpring has served Greater Chicago residents since January 2005 with
Medicare Advantage plans and is uniquely suited for the ILMMAI project due to
extensive experience delivering improved patient results for dual-eligible
beneficiaries. Over 30 percent of HealthSpring’s national Medicare Advantage
membership represents dual-eligible beneficiaries. Additionally,
HealthSpring’s Special Needs Plan, which exclusively serves dual-eligible
beneficiaries, is the largest in the Greater Chicago area, with 50 percent
market share.

About HealthSpring

HealthSpring, a Cigna company, is one of the country’s leading health plans
focused on delivering care to the senior population, predominately through
Medicare Advantage and other Medicare and Medicaid products. Along with its
companies Bravo Health and Leon Medical Centers Health Plans, HealthSpring
serves more than one million customers in locations across the country. Based
in Nashville, Tennessee, HealthSpring operates health plans in Alabama,
Delaware, Florida, Georgia, Illinois, Maryland, Mississippi, New Jersey,
Pennsylvania, Tennessee, Texas, West Virginia and Washington, D.C.
HealthSpring also offers a national stand-alone prescription drug plan. For
more information, visit

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Graham Harrison, 615-234-6710
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