WellCare Signs Two-Year Agreement with The Children's Care Network

Collaboration Designed to Improve Member's Care Coordination, Access to Care and Health Outcomes

Dec 03, 2015, 08:30 ET from WellCare Health Plans, Inc.

ATLANTA and TAMPA, Fla., Dec. 3, 2015 /PRNewswire/ -- WellCare Health Plans, Inc. (NYSE: WCG), a leading provider of managed care services for government-sponsored health care programs, and The Children's Care Network, Inc., a physician-led, subsidiary corporation of Children's Healthcare of Atlanta, today announced a two-year agreement that will align incentives to drive quality and efficiency of care achievements to improve health outcomes for children.

This partnership, a first for The Children's Care Network with a managed care organization, represents a new standard of collaboration that is designed to improve health outcomes and provide better experience of care for patients and their families. The Children's Care Network, Georgia's only clinically integrated pediatric network, is managing care for approximately 77,500 WellCare Medicaid members.

Under the agreement, WellCare will provide incentive payments to The Children's Care Network for quality-based improvements in certain Healthcare Effectiveness Data and Information Set (HEDIS®) measures, a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service.

"Quality-based reimbursements represent a new standard of collaboration between managed care organizations and providers, better aligning payment with the value of care and health outcomes achieved," said Roman Kulich, WellCare's region president, Georgia and South Carolina. "This agreement incentivizes The Children's Care Network, which has access to the resources of the Children's Healthcare of Atlanta, to deliver quality care and positive outcomes in a cost effective way for nearly 80,000 of our Medicaid members." 

"We believe bringing great pediatric doctors together with a leading children's hospital system, and working in an integrated way to deliver the best care and improve the health of those we serve is vital for the children of our community," said Karen DeGood, executive director of The Children's Care Network. "We are excited to have the opportunity to partner with WellCare to support these goals through an agreement that rewards improvements in quality and efficiency."

As of Sept. 30, 2015, WellCare serves approximately 590,500 Medicaid and PeachCare for Kids® plan members, 35,000 Medicare Advantage plan members and 23,000 Medicare Prescription Drug Plan members in Georgia. To learn more about how we care for Georgians watch Gloria's story at http://youtu.be/qyn-nywze04.

HEDIS® is a registered trademark of the National Committee for Quality Assurance.

About The Children's Care Network, Inc. The Children's Care Network is Georgia's only clinically integrated pediatric network. The physician-led network aims to improve the quality of care for every child in Georgia and strengthen the state's independent pediatric system. With more than 1,100 physician members, the network was created in 2014 by Children's Healthcare of Atlanta and a group of committed community physicians. Through the development and implementation of evidence-based, quality and clinical improvements, and sharing of data among all members of the network, The Children's Care Network aims to improve outcomes, increase efficiency and reduce inpatient and outpatient costs. Learn more at www.choa.org/CIN.

About WellCare Health Plans, Inc. Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. WellCare serves approximately 3.8 million members nationwide as of Sept. 30, 2015. For more information about WellCare, please visit the company's website at www.wellcare.com or view the company's videos at https://www.youtube.com/user/WellCareHealthPlan.

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SOURCE WellCare Health Plans, Inc.