CareSource

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CareSource
Formerly
Dayton Area Health Plan
Non-Profit
Industryhealth care
Founded1989
FounderPamela Morris
Headquarters,
Area served
Ohio, Kentucky, Indiana, West Virginia, Georgia
Key people
Erhardt Preitauer, President and CEO
ProductsMedicaid Managed Care plans, Health Insurance Marketplace plans, MyCare Ohio plan, Medicare Advantage plans
Revenue$8.8 Billion USD (2017) [1]
Number of employees
4,000 [1]
Websitewww.caresource.com

CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio. It is the largest Medicaid plan in Ohio and is second in the United States.[2][3] In 2016, the company had more than $4 million worth of settlements from claim fraud.[4]

History[edit]

CareSource was founded in Dayton, Ohio by a group of concerned community leaders with the goal of expanding health care for underserved populations. The plan was originally called the Dayton Area Health Plan (DAHP) which was incorporated by three hospital CEOs and located its first headquarters in the offices of the Dayton Hospital Association. Pamela Morris became the company's first CEO, and has led the company until her retirement in 2018.[5] DAHP began with a $500,000 grant from the state of Ohio to address a growing issue with the health care problems of low income citizens.

Led by Pamela Morris, the company dealt with several regulatory hurdles from 1987 to 1989 from the Ohio Department of Insurance.[6] The DAHP had to raise funds, secure an HMO license and obtain a federal waiver allowing the company to operate solely as a mandatory enrollment plan. The DAHP would become the first mandatory Medicaid managed care program in 1989[5][7] In 1993 the federal waiver would expire and in order to allow the organization to continue (rather than maintain a mandatory 75/25 ratio of mandatory and voluntary enrollees) Congressional action would be required. This meant that at that time, 25% of the plan's members could not be on Medicaid or Medicare. It overcame these hurdles when U.S. Congressman Dave Hobson intervened on its behalf to gain an exception for the DAHP.[8]

In 1996, the DAHP expanded into the Columbus market with their Medicaid plan by buying the plan United Healthcare was administering.[9] With this expansion, the Dayton Area Health Plan became the largest Medicaid HMO in Ohio. The plan in Columbus kept its previous name, MedPlan. In 1997, the plan acquired Butler Health Plan and gained 6,000 more members in Butler County.[10] During this time, all plans operated by the Dayton Area Health plan kept their regional names.

In the year 2000, DAHP consolidated all its health plans under one name – CareSource.[5] In this year, the company had about 70,000 members. By 2003 that number exceeded 320,000.[11]

In 2004, the organization was ranked the sixth-largest Medicaid managed care plan in the United States by Interstudy.[12] Also in 2004, the company's training program-CareSource University opened to educate employees and keep service standards high.

In 2006, desiring to support surrounding non-profits, CareSource established the CareSource Foundation. The Foundation collaborates with non-profits who share in the mission of serving the underserved. It has awarded a total of 693 grants to non-profit organizations so far. In this same year when the economy was down in Dayton, Ohio and major employers like National Cash Register, General Motors, and Delphi closed or left town. In 2007 employment in the area remained weak, but CareSource saw business growth and became the only Medicaid Managed Care provider to offer services in all 88 counties in Ohio. That year CareSource broke ground on its new corporate headquarters in Downtown Dayton, showing the company's commitment to the city it was founded in. The project was the largest urban building development in Ohio at the time. Construction was completed in 2009 on the $55 million corporate headquarters at the corner of Main Street and Monument Avenue in downtown Dayton. The 300,000-square-foot, 9-story building is downtown's first new office tower since before 2000.[13] The building's Architect was BHDP Architecture.

By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan.[14] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO).[15]

In 2012, the company announced a partnership with Humana. This partnership worked to serve dual-eligible populations, or individuals who qualify for both Medicare and Medicaid in Ohio. In October 2012, the company expanded into Kentucky Medicaid with Humana, where the plan was known as Humana - CareSource.[16]

In 2013, CareSource announced that it would move some employees to a second office at 40 West Second Street in Downtown Dayton. 200 employees were relocated to that building, across from the Schuster Center in Dayton while others remained in the headquarters building a few blocks away.[3]

CareSource was the third largest company in the Dayton Area in 2013, behind AK Steel and Speedway, ranked by total revenue. From 2011 to 2012, the company’s revenue grew 21.43 percent to $3.4 billion. CareSource’s percent growth was more than double the average revenue growth of the other 99 largest Dayton companies in that time frame.[17] After the passing of the Affordable Care Act, CareSource worked with provider partners in 2013 to create an affordable option for Ohioans. They entered the Health Insurance Exchange and created a product which allowed the company to enter the commercial insurance market.[18]

In 2014, MyCare Ohio was launched to integrate Medicare and Medicaid benefits. CareSource used this opportunity to create a plan which assimilates both Medicaid and Medicare into one CareSource health plan.[19] The company would also exceed 2,000 employees and occupy the offices in three buildings in downtown Dayton by the end of the year.[20] The company also announced plans to expand into the health insurance marketplaces of Kentucky and Indiana.[21] The constant growth that CareSource experienced with healthcare reform and Medicaid expansion made it the third largest company in the Dayton area again in 2014.[22]

CareSource celebrated 25 years as one of the nation's largest Managed Medicaid Plans and the largest in Ohio in 2014. The company then served more than 1 million consumers in Ohio and Kentucky.[23]

In late 2014 and early 2015 a new division of CareSource was launched to address the other unmet needs of the company’s Ohio Medicaid population. The division, CareSource Life Services, began working with members in the Dayton-area. Through a partnership with Fuyao Glass America, the company was able to set up interviews for 40 members for full-time employment with the manufacturing company.[24] However, Life Services was not meant to be just a job center, it was meant to provide a number of resources. Karin VanZant, the cofounder and executive director of Think Tank, was hired to oversee the program.[25] Under VanZant’s leadership, the program grew to address other aspects that contribute to a person’s health including their housing and economic stability. According to the Dayton Business Journal, this new approach informed the way CareSource began to see its members.[26] The company began looking at how the Medicaid and social services aspects could be connected and coordinated to improve the wellness of members.

In 2016, CareSource began serving members in West Virginia through its health exchange product and was awarded the contract to serve Medicaid populations in Indiana[27] and Georgia, extending the company's geographic reach. The growth in membership was matched by growth in the number of employees. This resulted in the need for additional office space near the company headquarters in Dayton. A lease was signed for some employees to move into space on two floors of the Kettering Tower in downtown Dayton to make room for a total of 2,200 employees in the city.[28] To fill the company’s long-term need for additional space, CareSource announced in October 2016 that the company would build a new 6-story office building in downtown Dayton. The new building would provide space for 800 employees and create a campus-like environment in the urban core.[29] The new office, named the Pamela Morris Center to honor the legacy of its founder[30], will be located at First and Jefferson streets and be the first new high-rise in downtown Dayton since the company’s headquarters opened in 2008.[31]

CareSource passed AK Steel to become the second largest company by revenue in the Dayton-area. [32] In 2017, the company had $8.8 billion in revenue and 4,000 employees.[1]

The CareSource Foundation also celebrated its 10th Anniversary of giving back to the communities that the company serves in 2016. Over ten years, the Foundation gave more than $14.5 million in grants to over 1,000 different organizations throughout Ohio.[33] In 2016 alone, the CareSource Foundation invested more than $2.8 million in 147 nonprofits to strengthen the network of health and human service organizations.[34]

In April 2018, Pamela Morris retired as President and CEO. In May 2018, CareSource named Erhardt Preitauer as CEO. Preitauer was the former CEO of Horizon NJ Health.[1]

About CareSource[edit]

CareSource is a nonprofit health plan providing member-centric health care coverage to a wide variety of consumers in Ohio, Kentucky, Indiana, Georgia and West Virginia. CareSource is one of the nation's largest Medicaid managed care plans, but today also offers a lifetime of health coverage to nearly 2 million members including offerings on the Health Insurance Marketplace and Medicare Advantage plans.

Headquartered in Dayton, Ohio, CareSource has a workforce of 4,000 employees. CareSource is living its mission to make a lasting difference in its members' lives by improving their health and well-being. CareSource understands the challenges consumers face navigating the health system and works to put health care in reach for those it serves.[35]

Service area[edit]

CareSource has five offices, its headquarters in Dayton is spread across four buildings while satellite offices exist in Atlanta, Cleveland, Columbus, Indianapolis, and Louisville.[36] The company serves consumers in Georgia, Indiana, Kentucky, Ohio, and West Virginia.

References[edit]

  1. ^ a b c d "CareSource names new CEO, replacing Morris".
  2. ^ "Ernst & Young Entrepreneur Of The Year 2007 Magazine" (PDF). Ernst and Young. 2007-11-17: 27.[dead link]
  3. ^ a b "CareSource adds downtown Dayton office space". Dayton Business Journal. 2013-01-30.
  4. ^ CareSource. "Court again sides with Kettering Health in CareSource lawsuit". Retrieved 2016-07-13.
  5. ^ a b c "CareSource CEO named an E&Y Entrepreneur of the Year". Cincinnati Business Courier. 2007-11-29.
  6. ^ Verna, Gigi (1997-05-12). "When survival means growth". Cincinnati Business Courier. Retrieved 2016-07-13.
  7. ^ "CareSource History". CareSource. Retrieved 2016-07-13.
  8. ^ Navera, Tristan (2013-09-27), CareSource pumps life into heart of downtown Dayton, Dayton Business Journal, retrieved 2014-05-13
  9. ^ May, Troy (1996-12-02). "United HealthCare to sell its Medicaid HMO for $6M". Columbus Business First. Retrieved 2016-07-13.
  10. ^ "Dayton HMO makes acquisition". Dayton Business Journal. 1997-05-08. Retrieved 2016-07-13.
  11. ^ Study notes CareSource growth, Dayton Business Journal, 2003-12-02, retrieved 2014-05-13
  12. ^ "Company History and Timeline". Archived from the original on November 20, 2008. Retrieved 2009-06-04.
  13. ^ "CareSource Office Building". Archived from the original on November 20, 2008. Retrieved 2009-02-03.
  14. ^ DeBrosse, Jim (2010-01-09), Critics question hospitals’ CEO on CareSource board, Dayton Daily News, retrieved 2014-05-13
  15. ^ "Expansion to SW Ohio" (PDF). www.caresource.com. Retrieved 2010-04-07.
  16. ^ "CareSource Humana Alliance to Care for 'Dual-Eligible' Population in Ohio | Humana Healthcare". press.humana.com. Retrieved 2016-07-13.
  17. ^ Cogliano, Joe (2012-05-18). "Region's top 100 companies grew sales in '11". Dayton Business Journal.
  18. ^ "Marketplace 2018". CareSource.
  19. ^ "MyCare Ohio". CareSource.
  20. ^ Tristan, Navera (2014-05-23). "CareSource CEO Pam Morris on reshaping Dayton amid shifting health care world". Dayton Business Journal.
  21. ^ Navera, Tristan (2014-06-20). "CareSource plans expansion into Kentucky, Indiana health insurance marketplaces". Dayton Business Journal.
  22. ^ Applegate, Jane (2014-06-06). "Speedway tops top 100 companies list". Dayton Business Journal.
  23. ^ "Recent News Releases". CareSource.
  24. ^ Tucker, Randy (2015-03-10). "CareSource launches new division". Dayton Daily News.
  25. ^ Navera, Tristan (2015-05-22). "Meet the new director for CareSource's next venture". Dayton Business Journal. Retrieved 2016-09-07.
  26. ^ Navera, Tristan (2016-06-15). "New program guides CareSource in changing health care world". Dayton Business Journal. Retrieved 2016-09-07.
  27. ^ Herman, Bob (2016-06-13). "New Indiana Medicaid contracts snub UnitedHealthcare". Modern Healthcare. Retrieved 2016-06-30.
  28. ^ Tucker, Randy (2015-11-04). "CareSource plans new office space downtown". Dayton Daily News.
  29. ^ Navera, Tristan (2016-10-27). "CareSource to build 7-story office building downtown". Dayton Business Journal. Retrieved 2016-12-21.
  30. ^ "New downtown building to be named after founding CareSource CEO".
  31. ^ Tucker, Randy (2016-10-27). "CareSource to build 7-story office building in downtown". Dayton Daily News. Retrieved 2016-12-21.
  32. ^ Applegate, Jane (2016-06-03). "Top 100 Companies". Dayton Business Journal. Retrieved 2016-09-07.
  33. ^ \m/,, The Rockstars. "CareSource Foundation". CareSource. Retrieved 2016-06-30.
  34. ^ "CareSource Foundation Ends the Year with $2.8 Million in Awards -". DirectorsTalk Interviews. 2016-12-21. Retrieved 2016-12-21.
  35. ^ "CareSource Foundation Celebrates 10th Anniversary". www.msn.com. Retrieved 2016-06-30.[dead link]
  36. ^ CareSource: General Information, retrieved 2014-05-13

External links[edit]