24.07.2007 20:15:00
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Health Net of New York to Transfer Medicare Advantage HMO Contract for Four New York City-Area Boroughs to Touchstone Health Partnership
Health Net of New York, Inc. (HN New York), a wholly-owned subsidiary of
Health Net, Inc. (NYSE:HNT), and Touchstone Health Partnership, Inc.
(Touchstone), a physician-owned Medicare HMO serving New York
beneficiaries, today announced that they have entered into a definitive
agreement for HN New York to transfer its Medicare Advantage HMO
contract and the administration of health care benefits for HN New York’s
Medicare HMO members in four New York City boroughs to Touchstone. The
terms of the agreement were not disclosed.
The transfer affects approximately 6,500 HN New York Medicare members
covered under HN New York’s Medicare Advantage
HMO program in Brooklyn (Kings County), Bronx, Queens and Staten Island
(Richmond County). Approximately 5,700 of those individuals currently
receive their health care benefits from Touchstone under terms of a
contract between HN New York and Touchstone. HN New York will continue
to offer Medicare Part D throughout the state and Private
Fee-for-Service (PFFS) coverage to seniors and other Medicare-eligible
individuals in upstate New York. HN New York’s
commercial product offerings and Health Net, Inc.’s
Medicare Advantage operations in other parts of the country are also
unaffected.
The transfer is expected to become effective on September 1, 2007,
subject to approval by the Centers for Medicare & Medicaid Services
(CMS).
"We strongly support the mission of the
Medicare Advantage program,” said
Steve Calabrese, Medicare officer for Health Net of the
Northeast. "This transfer will allow us to
focus on our core and targeted expansion markets for Medicare in the
state of Connecticut, where we are experiencing significant growth, and
in upstate New York.”
Calabrese added, "Each member’s
welfare remains both Health Net’s and
Touchstone’s foremost concern. Both companies
will do everything possible to assure a seamless transition of care for
all members.” HN New York’s
members’ coverage will automatically
transition to Touchstone effective September 1, 2007, assuming the
transaction is approved by CMS.
"Our two organizations have worked together
to serve Medicare members for the past eight years and share a tradition
of providing quality service and value to them,”
said John Randazzo, Touchstone Health Partnership CEO. "We
will continue that tradition by focusing on the unique needs of seniors
and other Medicare-eligible individuals and providing them with the same
benefits they currently receive.”
To ensure a smooth transition, members will be able to contact the
Touchstone or Health Net Member Services Helplines for answers to their
questions and help with the process. Members can call Touchstone at
(888) 777-0204 or Health Net at (800) 547-8734. Touchstone and
Health Net will communicate with members and providers in New York
according to CMS guidelines.
About Health Net
Health Net, Inc. is among the nation’s
largest publicly traded managed health care companies. Its mission is to
help people be healthy, secure and comfortable. The company’s
health plans and government contracts subsidiaries provide health
benefits to approximately 6.6 million individuals across the country
through group, individual, Medicare, Medicaid and TRICARE and Veterans
Affairs programs. Health Net’s behavioral
health subsidiary, MHN, provides mental health benefits to approximately
7.1 million individuals in all 50 states. The company’s
subsidiaries also offer managed health care products related to
prescription drugs, and offer managed health care product coordination
for multi-region employers and administrative services for medical
groups and self-funded benefits programs.
For more information on Health Net, Inc., please visit the company’s
Web site at www.healthnet.com. About Touchstone Health Partnership
Founded in New York City by local doctors, Touchstone Health Partnership’s
exclusive goal is to provide efficient and quality health care to
Medicare beneficiaries in the communities it serves. Touchstone Health
is committed to the delivery of compassionate, coordinated and
comprehensive health care services through community-based neighborhood
doctors and providers. At Touchstone Health, each member is treated as a
total person, not just as a set of symptoms. For more information on how
you can receive Medicare with ExtraCare, please visit us at the Web at www.touchstone-health.com.
Cautionary Statements
This release contains forward-looking statements within the meaning of
Section 21E of the Securities Exchange Act of 1934, as amended, and
Section 27A of the Securities Act of 1933, as amended, that involve a
number of risks and uncertainties. All statements, other than statements
of historical information provided herein, may be deemed to be
forward-looking statements. These statements are based on management’s
analysis, judgment, belief and expectation only as of the date hereof,
and are subject to uncertainty and changes in circumstances. Without
limiting the foregoing, the words "believes,” "anticipates,” "plans,” "expects,” "may,” "should,” "could,” "estimate,” "intend”
and other similar expressions are intended to identify forward-looking
statements. Actual results could differ materially due to, among other
things, rising health care costs, negative prior period claims reserve
developments, trends in medical care ratios, issues relating to provider
contracts, litigation costs, operational issues, health care reform and
general business conditions. Additional factors that could cause actual
results to differ materially from those reflected in the forward-looking
statements include, but are not limited to, the risks discussed in the "Risk
Factors” section included within the
company's most recent Annual Report on Form 10-K and Quarterly Reports
on Form 10-Q filed with the SEC. Readers are cautioned not to place
undue reliance on these forward-looking statements. The company
undertakes no obligation to publicly revise these forward-looking
statements to reflect events or circumstances that arise after the date
of this release.
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