Medicare Blog

how is magellan rx rated with medicare?

by Curtis Schamberger Published 2 years ago Updated 1 year ago
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Magellan Rx received a perfect audit score from the Centers for Medicare & Medicaid Services (CMS) for its Granite Alliance Insurance Company Employer Group Waiver Plan (EGWP), a type of Medicare Prescription Drug (Part D) plan.

Full Answer

Who owns Magellan Rx?

Magellan Rx Management is a division of Magellan Health, Inc.

Who owns Magellan PBM?

Centene Corporation– Pharmacy benefit manager Prime Therapeutics LLC (Prime) on May 3 entered into a definitive agreement with Centene Corporation to acquire Magellan Health, Inc.'s pharmacy business, Magellan Rx Management, (Magellan Rx) for approximately $1.35 billion.

Who owns Magellan healthcare?

Centene CorporationMagellan Health / Parent organizationCentene Corporation is a publicly traded managed care company based in St. Louis, Missouri. It serves as an intermediary for government-sponsored and privately insured health care programs. Centene ranked No. 24 on the 2021 Fortune 500. Wikipedia

What kind of company is Magellan Health?

profit managed health care companyMagellan Health Inc. (formerly Magellan Health Services Inc.), is an American for-profit managed health care company and subsidiary of Centene that's focused on special populations, complete pharmacy benefits and other specialty areas of healthcare.

Has Magellan Health been sold?

Centene Corporation has completed its acquisition of Magellan Health, the insurer announced Tuesday. The $2.2 billion deal closes exactly one year after its announcement on Jan. 4, 2021. The combination will create one of the country's largest behavioral health platforms, including 41 million unique members.

Is Magellan being sold?

Less than six months after closing the Magellan Health acquisition, the insurer will sell its Magellan Rx pharmacy services arm to Prime Therapeutics, a pharmacy benefit manager. The company will sell PANTHERx Rare to private equity firms Vistria Group, General Atlantic and Nautic Partners.

Who are Magellan Health competitors?

Magellan Health competitors include Centene Corporation, AETEA, eviCore healthcare, Molina Healthcare and Aetna.

Why is Magellan changing its name?

“Our new brand visually illustrates our complete person-to-person perspective, and to emphasize that approach, we are changing our company's name to Magellan Health.

Did Molina buy Magellan?

Molina Healthcare announced it will purchase Magellan Complete Care, a managed care organization, in a deal worth about $820 million. MCC is a business line of Magellan Health, which also offers care management solutions and operates a pharmacy benefit manager.

What is Blue Shield Magellan?

Magellan Behavioral Health (Magellan) is the mental health services administrator (MHSA) for Blue Shield of California and Blue Shield Life & Health Insurance Company as of January 1, 2012, replacing U.S. Behavioral Health Plan, California (USBHPC).

Where is Magellan Health headquartered?

Phoenix, AZMagellan Health / Headquarters

What is Magellan new name?

On July 1, 2021, Magellan Complete Care of Virginia is changing its name to Molina Complete Care. Magellan Complete Care of Virginia is one of six health plans that is available to Medicaid members for their health care services.

The collaboration of the future is here

At Magellan Rx, we are collaborating with Zipline to be the first national pharmacy benefits manager (PBM) to use drone technology to deliver prescription medications directly to patients’ homes, including specialty medications that treat chronic, complex conditions.

Partner with the best in the business

As pioneers in specialty drug management, industry leaders in Medicaid pharmacy programs and disruptors in pharmacy benefit management, we partner with our customers and members to deliver a best-in-class healthcare experience.

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Important to note

This online portal is for non-urgent requests only. Call Magellan Rx directly for urgent requests at 1-800-424-8231.

How to get started

Initial setup requires both an Independent Health Provider Portal account and a Magellan Rx account. Magellan Rx is located on the Portal’s Authorization Hub. You will need either a Practice Admin Full Access or Authorization role to access this Hub.

Questions?

Please contact the Independent Health’s Provider Relations Department by phone at (716) 631-3282 or 1-800-736-5771 Monday through Friday from 8 a.m. to 6 p.m. or email providerservice@servicing.independenthealth.com.

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