SCAN Well being Plan, a Medicare Benefit insurer, will start providing well being plans in two Texas counties and develop its providers in Nevada in 2023, the corporate introduced final week.
With the enlargement, pending CMS approval, Lengthy Seashore, California-based SCAN will attain almost 7 million potential prospects throughout 4 states, together with California and Arizona, in keeping with a information launch.
The counties in Texas are Harris County and Bexar County, which embrace Houston and San Antonio. In Nevada, the well being plan is at present in Clark County and is increasing into Nye County.
“As a result of we’re at present in Nevada, it was a pure extension of our present presence,” stated Sherry Stanislaw, normal supervisor and an officer of the well being plan. “[With] Texas, we expanded into Arizona and Nevada this yr, so it felt like a pure extension as we broaden Southwest.”
Stanislaw added that Texas has a whole lot of Medicare eligible folks, which attracted SCAN as a result of it solely serves seniors.
Within the new Texas market, SCAN is contracting with Houston-based IntegraNet Well being and Prospect Medical Group, primarily based in Orange, California, Stanislaw stated. SCAN already works with Prospect in its California and Arizona markets. When contemplating companions, SCAN seems to be for these with an excellent popularity in the neighborhood and experience in serving seniors, qualities these medical teams met, Stanislaw stated.
Whereas increasing into these new markets, the well being plan is doing a whole lot of outreach to make sure shoppers, suppliers and brokers know SCAN is obtainable, Stanislaw stated.
“We’ve been assembly with brokers, introducing ourselves and I’d say 50% of the brokers knew who SCAN was and 50% haven’t heard of us,” Stanislaw stated. “A key effort is getting our identify on the market, speaking to key stakeholders, brokers, suppliers and shoppers about who SCAN is, getting our model out and letting folks understand how we differentiate ourselves from the competitors.”
SCAN’s opponents embrace large payers like UnitedHealthcare and Anthem, CEO Sachin Jain advised MedCity in a earlier interview. However what units SCAN other than its competitors is that it’s a nonprofit and “invests and reinvests in our members and the advantages and providers that we’re in a position to present,” Stanislaw stated.
Though it’s shifting to a brand new market, Stanislaw pressured that SCAN just isn’t a startup, which makes it simpler for it to develop. The corporate was based in 1977.
“We have now a 45-year historical past,” she stated. “We’re not new to MA. We’re effectively grounded, we have now plenty of expertise. We’re simply new to Texas.”
SCAN isn’t stopping with these expansions, she added. The corporate is seeking to transfer into further markets within the coming years, although Stanislaw declined to say which of them.
“I at all times say that one of the best ways to ship on our mission is to supply it to extra folks,” Stanislaw stated.
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