Meridian Health Plan Of Mi Medicaid

Wellcare In Tampa Completes Acquisition Of Detroits Meridian Health Plan For $25b

WellCare Health Plans Inc. in Tampa today announced it has completed the acquisition of Detroit-based Meridian Health Plan of Michigan Inc., Meridian Health Plan of Illinois Inc., and MeridianRx, a pharmacy benefit manager following the receipt of all required regulatory approvals.

With the closing of the acquisition, effective on Sept. 1, Meridian is now a wholly-owned subsidiary of WellCare. Meridian will remain at its headquarters at One Campus Martius in downtown Detroit.

In May, WellCare announced it had entered into a definitive agreement to acquire Meridian for $2.5 billion in cash. Founded by Dr. David Cotton in 1997 as Health Plan of Michigan, Meridian is one of the largest privately held, for-profit managed care organizations in the United States and serves about 1.1 million members as of May 1 in Michigan, Illinois, Indiana, and Ohio.

Meridian was expected to generate more than $4.3 billion in total revenue in 2018. WellCare will diversify its Medicaid portfolio through the addition of Michigan, where Meridian has the No. 1 Medicaid market position.

âWellCare and Meridian have a shared commitment to quality, with Meridian maintaining high quality and accredited Medicaid plans in both Michigan and Illinois. We look forward to leveraging best practices across the entire company in order to improve quality for all of our members. We also want to welcome Meridian associates, members, agents, and providers to WellCare.â

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Meridian Michigan Medicaid Fee Schedule

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If theres a question you cant find the answer to on our website, call us at 1-855-323-4578 , 8 a.m. to 8 p.m., seven days a week. On weekends and on state or federal holidays, you may be asked to leave a message.

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You will need Adobe Reader to open PDFs on this site.

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How Can I Become A Meridian Provider

To become a contracted Meridian provider, call Provider Services at 888-773-2647.

In order to ensure and maintain a high level of medical care, all providers are credentialed by Meridian. Appropriate contracts and applications are provided along with a questionnaire regarding office function, personnel and the potential capacity to service more members.

Welcome Michigan Complete Members

Welcome Michigan Complete Health member, we are excited to have you here! We want to assure you that you will continue to receive quality and affordable healthcare services. You can explore all the ways we can serve you by clicking the button below.

MeridianComplete is a Medicare-Medicaid Plan for people eligible for both Medicaid and Medicare.

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About Meridian Health Plan

Meridian Health Plan is a family-owned, family-operated health plan whose mission is to continuously improve the quality of care in a low-resource environment. Meridian offers plans in Michigan, Illinois, Indiana, and Ohio. Meridian’s affiliates include Medicaid and Medicare health plans, a commercial plan available through the Health Insurance Marketplace , and MeridianRx, a Pharmacy Benefit Management company.

Expert Collections Containing Meridian Health Plan

Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.

Meridian Health Plan – Meridian Health Plan of Michigan, Meridian Health Plan of Illinois, and MeridianRx Businesses is included in 2 Expert Collections, including Pharma Supply Chain.

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Population Health Management Programs

Our Population Health Management Programs are offered to MeridianHealth members and designed to improve your overall health and quality of care. Please review the various programs below. For more information, or to find out how to get enrolled, please contact MeridianHealth at 888-437-0606.

Catching a Breath

The Catching a Breath Program provides member education on chronic obstructive pulmonary disease and other chronic conditions such as diabetes, hypertension and asthma. This program aims to improve self-management techniques and identify risk factors through the use of educational materials and assessment completions. In addition, Meridian partners with American Therapy Centers to provide an eight-week in-home respiratory therapy program for applicable members.

This is a wellness program. Participation in this program can help you maintain your eligibility in the Healthy Michigan Plan .

Complex Case Management

Meridian’s Complex Case Management Program assists members with all their healthcare needs by giving them tools to combat their chronic conditions and navigate their appointments and benefits.

Flu Outreach

The Flu Outreach Program is an educational program used to increase accessibility to the flu vaccination in order to add value towards preventative care and keeping members healthy.

Participation in this program could help you maintain your eligibility in the Healthy Michigan Plan .

Opioids

Rescue Inhaler Overutilization

Risk for Kidney Failure

Meridian And Papa Announce Companion Care Program Reduced Healthcare Costs By 33%

Participating Meridian Medicaid members experienced decreased emergency department visits, decreased hospital readmissions, and an increase in preventive care

DETROIT, Oct. 6, 2022 /PRNewswire/ — Meridian, a Michigan-based provider of government-sponsored health plans, announced today the results of a six-month program that offered services from Papa, a curated platform of companionship and support, to Medicaid members age 45 and over with a high rate of emergency department utilization. Overall, the program showed a 33% reduction in healthcare costs for active participants, highlighting the impact of proactively addressing social determinants of health through a companion care model.

“The correlation between unmet social needs and an increased risk of hospitalization is strong,” said Dr. Kay Judge, Chief Medical Officer, Meridian. “This particular group of members had five or more ED visits over the year that preceded the Papa program. By connecting these individuals with Papa Pals, we were able to identify and address social and clinical needs and increase the proactive support and care associated with driving better health, while potentially helping to avoid more serious issues down the line.”

Program highlights among engaged members:

• ED visits decreased by 25%

• Hospital readmissions decreased by 14%

• Cervical cancer screenings increased by 50%

• Diabetic eye exams increased by 46%

• HbA1C testing for diabetes diagnosis increased by 35%

About the Study

About Meridian

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