MCOs- Highmark Wholecare boosts Medicaid membership by over 70,000

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[MM Curator Summary]: Highmark ate Gateway (nee Wholecare) and added 25% to its waistline.


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Highmark Wholecare has increased its Medicaid membership by nearly 25 percent since August, growing to more than 375,000 members. 

The company said Jan. 11 the increase came after a managed care contract procurement process with Pennsylvania. Total membership at Wholecare, which includes Medicaid and D-SNP plans, now exceeds 410,000. The company’s network includes 29,000 providers.

Highmark Health purchased Wholecare, formerly Gateway Health, in 2021. It officially rebranded as a BCBS licensee Jan. 1, 2022.