{"id":149351,"date":"2018-03-23T11:37:07","date_gmt":"2018-03-23T16:37:07","guid":{"rendered":"https:\/\/centralhealth.sbdev.io\/?p=149351"},"modified":"2018-10-10T10:19:10","modified_gmt":"2018-10-10T15:19:10","slug":"sendero-health-plans-withdrawing-from-star-medicaid-and-chip-market-effective-may-1","status":"publish","type":"post","link":"https:\/\/www.centralhealth.net\/vi\/sendero-health-plans-withdrawing-from-star-medicaid-and-chip-market-effective-may-1\/","title":{"rendered":"Sendero Health Plans r\u00fat kh\u1ecfi th\u1ecb tr\u01b0\u1eddng STAR Medicaid v\u00e0 CHIP c\u00f3 hi\u1ec7u l\u1ef1c t\u1eeb ng\u00e0y 1 th\u00e1ng 5"},"content":{"rendered":"<p>(Austin) \u2013 Central Health th\u00f4ng b\u00e1o v\u00e0o th\u1ee9 s\u00e1u, ng\u00e0y 23 th\u00e1ng 3, r\u1eb1ng c\u00f4ng ty con c\u1ee7a m\u00ecnh, Sendero Health Plans, s\u1ebd r\u00fat kh\u1ecfi th\u1ecb tr\u01b0\u1eddng b\u1ea3o hi\u1ec3m STAR Medicaid v\u00e0 CHIP c\u00f3 hi\u1ec7u l\u1ef1c t\u1eeb ng\u00e0y 1 th\u00e1ng 5.<\/p>\n<p>Sendero l\u00e0 t\u1ed5 ch\u1ee9c b\u1ea3o tr\u00ec s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng (HMO) phi l\u1ee3i nhu\u1eadn c\u1ee7a Central Health, cung c\u1ea5p d\u1ecbch v\u1ee5 b\u1ea3o hi\u1ec3m y t\u1ebf ch\u1ea5t l\u01b0\u1ee3ng cho c\u01b0 d\u00e2n Qu\u1eadn Travis k\u1ec3 t\u1eeb n\u0103m 2012. B\u1eaft \u0111\u1ea7u t\u1eeb tu\u1ea7n n\u00e0y, Sendero s\u1ebd li\u00ean h\u1ec7 v\u1edbi c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 g\u1eedi th\u01b0 cho kho\u1ea3ng 18.000 th\u00e0nh vi\u00ean Sendero \u0111\u00e3 \u0111\u0103ng k\u00fd ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m STAR Medicaid v\u00e0 CHIP, th\u00f4ng b\u00e1o cho h\u1ecd v\u1ec1 s\u1ef1 thay \u0111\u1ed5i n\u00e0y.<\/p>\n<p>\u201cSendero s\u1ebd h\u1ee3p t\u00e1c v\u1edbi Ti\u1ec3u bang Texas \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u00e1c th\u00e0nh vi\u00ean \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c chu \u0111\u00e1o v\u00e0 b\u1ea3o hi\u1ec3m y t\u1ebf c\u1ee7a h\u1ecd kh\u00f4ng b\u1ecb m\u1ea5t hi\u1ec7u l\u1ef1c,\u201d Ch\u1ee7 t\u1ecbch ki\u00eam T\u1ed5ng Gi\u00e1m \u0111\u1ed1c \u0110i\u1ec1u h\u00e0nh Central Health, Mike Geeslin, cho bi\u1ebft. \u201cC\u00e1c th\u00e0nh vi\u00ean STAR Medicaid v\u00e0 CHIP c\u1ee7a Sendero s\u1ebd c\u00f3 quy\u1ec1n l\u1ef1a ch\u1ecdn m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m y t\u1ebf m\u1edbi. N\u1ebfu h\u1ecd kh\u00f4ng ch\u1ecdn ch\u01b0\u01a1ng tr\u00ecnh tr\u01b0\u1edbc ng\u00e0y 13 th\u00e1ng 4, h\u1ecd s\u1ebd t\u1ef1 \u0111\u1ed9ng \u0111\u01b0\u1ee3c chuy\u1ec3n sang m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh m\u1edbi \u0111\u1ec3 kh\u00f4ng b\u1ecb m\u1ea5t b\u1ea3o hi\u1ec3m y t\u1ebf.\u201d<\/p>\n<p>N\u1ebfu kh\u00f4ng c\u00f3 Sendero, c\u01b0 d\u00e2n Qu\u1eadn Travis s\u1ebd ch\u1ec9 c\u00f2n ba g\u00f3i b\u1ea3o hi\u1ec3m: BlueCross-BlueShield, Dell Children&#039;s Health Plan v\u00e0 Superior. Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh, h\u1ed9i vi\u00ean Sendero n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem m\u00ecnh c\u00f3 tham gia g\u00f3i b\u1ea3o hi\u1ec3m \u0111ang \u0111\u01b0\u1ee3c xem x\u00e9t hay kh\u00f4ng.<br \/>\nSendero r\u00fat kh\u1ecfi th\u1ecb tr\u01b0\u1eddng b\u1ea3o hi\u1ec3m STAR Medicaid v\u00e0 CHIP ch\u1ee7 y\u1ebfu v\u00ec ph\u00ed b\u1ea3o hi\u1ec3m kh\u00f4ng chi tr\u1ea3 cho chi ph\u00ed ch\u0103m s\u00f3c. \u1ee6y ban Y t\u1ebf v\u00e0 D\u1ecbch v\u1ee5 Nh\u00e2n sinh Texas (HHSC) thi\u1ebft l\u1eadp v\u00e0 \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c ph\u00ed b\u1ea3o hi\u1ec3m cho c\u00e1c t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd (MCO) thu\u1ed9c Medicaid, ch\u1eb3ng h\u1ea1n nh\u01b0 Sendero. Theo m\u1ee9c ph\u00ed b\u1ea3o hi\u1ec3m n\u0103m 2018 c\u1ee7a Sendero, HMO n\u00e0y d\u1ef1 ki\u1ebfn s\u1ebd l\u1ed7 \u0111\u00e1ng k\u1ec3, v\u01b0\u1ee3t qu\u00e1 $800.000 m\u1ed7i th\u00e1ng cho c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m STAR Medicaid v\u00e0 CHIP c\u1ee7a m\u00ecnh.<\/p>\n<p>&quot;Ph\u00ed b\u1ea3o hi\u1ec3m tr\u1ea3 cho Sendero kh\u00f4ng \u0111\u1ee7 trang tr\u1ea3i chi ph\u00ed ch\u0103m s\u00f3c d\u1ef1 ki\u1ebfn cho c\u00e1c th\u00e0nh vi\u00ean&quot;, Geeslin n\u00f3i. &quot;Sendero s\u1ebd ph\u1ea3i c\u1eaft gi\u1ea3m \u0111\u00e1ng k\u1ec3 m\u1ee9c ph\u00ed tr\u1ea3 cho c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 \u0111\u1ecba ph\u01b0\u01a1ng, ho\u1eb7c ti\u1ebfp t\u1ee5c thua l\u1ed7 trong c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh STAR Medicaid v\u00e0 CHIP. C\u1ea3 hai l\u1ef1a ch\u1ecdn \u0111\u1ec1u kh\u00f4ng b\u1ec1n v\u1eefng v\u00e0 kh\u00f4ng t\u1ed1t cho b\u1ec7nh nh\u00e2n.&quot;<\/p>\n<p>H\u1ed9i vi\u00ean Sendero n\u00ean g\u1ecdi cho \u0111\u1ea1i l\u00fd \u0111\u0103ng k\u00fd STAR CHIP theo s\u1ed1 800-964-2777 \u0111\u1ec3 th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ecdn m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh m\u1edbi, ho\u1eb7c li\u00ean h\u1ec7 v\u1edbi Sendero theo s\u1ed1 844-872-0537 n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 th\u1eafc m\u1eafc n\u00e0o v\u1ec1 ph\u1ea1m vi b\u1ea3o hi\u1ec3m v\u00e0 d\u1ecbch v\u1ee5 hi\u1ec7n t\u1ea1i. H\u1ed7 tr\u1ee3 c\u00f3 s\u1eb5n b\u1eb1ng ti\u1ebfng Anh v\u00e0 ti\u1ebfng T\u00e2y Ban Nha, v\u00e0 h\u1ed7 tr\u1ee3 b\u1eb1ng c\u00e1c ng\u00f4n ng\u1eef kh\u00e1c khi c\u1ea7n thi\u1ebft.<\/p>\n<p><strong>T\u00e1c \u0111\u1ed9ng c\u1ed9ng \u0111\u1ed3ng c\u1ee7a Sendero<\/strong><br \/>\nN\u0103m 2017, Sendero \u0111\u00e3 cung c\u1ea5p b\u1ea3o hi\u1ec3m y t\u1ebf cho h\u01a1n 53.000 c\u00e1 nh\u00e2n m\u1ed7i th\u00e1ng, t\u0103ng t\u1eeb 35.000 c\u00e1 nh\u00e2n c\u1ee7a n\u0103m tr\u01b0\u1edbc. Central Health th\u00e0nh l\u1eadp Sendero nh\u1eb1m cung c\u1ea5p b\u1ea3o hi\u1ec3m y t\u1ebf ch\u1ea5t l\u01b0\u1ee3ng, gi\u00e1 c\u1ea3 ph\u1ea3i ch\u0103ng cho ng\u01b0\u1eddi d\u00e2n c\u00f3 thu nh\u1eadp th\u1ea5p t\u1ea1i Qu\u1eadn Travis. Sendero s\u1ebd ti\u1ebfp t\u1ee5c tham gia v\u00e0o th\u1ecb tr\u01b0\u1eddng b\u1ea3o hi\u1ec3m y t\u1ebf, \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi \u0110\u1ea1o lu\u1eadt Ch\u0103m s\u00f3c S\u1ee9c kh\u1ecfe H\u1ee3p t\u00fai ti\u1ec1n (ACA). K\u1ec3 t\u1eeb n\u0103m 2012, Sendero \u0111\u00e3 cung c\u1ea5p h\u01a1n $470 tri\u1ec7u b\u1ea3o hi\u1ec3m y t\u1ebf cho 135.000 c\u00e1 nh\u00e2n t\u1ea1i Qu\u1eadn Travis.<\/p>","protected":false},"excerpt":{"rendered":"<p>(Austin) \u2013 Central Health announced Friday, March 23, that its subsidiary, Sendero Health Plans, is withdrawing from the STAR Medicaid and CHIP insurance market effective May 1. Sendero is Central [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":6698,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[160,4,70],"tags":[],"class_list":["post-149351","post","type-post","status-publish","format-standard","has-post-thumbnail","category-aca","category-news","category-press-releases","entry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/posts\/149351","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/comments?post=149351"}],"version-history":[{"count":0,"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/posts\/149351\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/media\/6698"}],"wp:attachment":[{"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/media?parent=149351"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/categories?post=149351"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centralhealth.net\/vi\/wp-json\/wp\/v2\/tags?post=149351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}