July 24, 2014 4:09 AM ET

Healthcare Providers and Services

Company Overview of RightCHOICE Managed Care, Inc.

Company Overview

RightCHOICE Managed Care, Inc., doing business as Anthem Blue Cross and Blue Shield, provides managed health care services. The company offers managed health care products and services, including preferred provider organizations, point of service, health maintenance organizations, medicare supplement, specialty managed care, short-term medical and managed indemnity benefit plans, third-party administrator services, administrative services only, network rental services, and life insurance agency services. The company was incorporated in 2000 and is based in St Louis, Missouri. RightCHOICE Managed Care, Inc. operates as a subsidiary of Anthem Holding Corp.

1831 Chestnut Street

St Louis, MO 63103

United States

Founded in 2000

2,155 Employees

Phone:

314-923-4444

Fax:

573-876-8686

Key Executives for RightCHOICE Managed Care, Inc.

President
Chief Executive Officer of HealthLink and President of HealthLink
Age: 59
President of Anthem Blue Cross and Blue Shield - Wisconsin
Age: 51
Chief Marketing Executive and Senior Vice President
Age: 66
Senior Vice President and Corporate Medical Officer
Age: 67
Compensation as of Fiscal Year 2014.

RightCHOICE Managed Care, Inc. Key Developments

Esse Health and Anthem Blue Cross and Blue Shield Join in Agreement to Improve Quality and Decrease the Cost of Care

Anthem Blue Cross and Blue Shield in Missouri (RightCHOICE Managed Care, Inc.) announced that Esse Health is entering into a patient-centered care agreement with Anthem that will create an accountable care model to help ensure Anthem members access to quality health care focused on improved outcomes and lower costs. Anthem continues to expand its work to support patient-centered care, a model that will help drive improvements in both the quality of care and cost of care. Under this new model, Anthem will support the important clinical care coordination work Esse Health does between traditional office visits, as well as support the adoption and expansion of patient-centered care principles within Esse Health. Esse Health will be eligible to share in savings that are made possible from improved care coordination, such as reduced duplication of services and more timely intervention of care. Under the patient-centered care model, Esse Health will coordinate care for its patients, work to improve their overall health, and work to reduce avoidable hospital readmissions and emergency room visits by helping patients manage chronic disease and prevent illness.

Anthem Blue Cross and Blue Shield in Missouri Appoints Dr. Katherine Lichtenberg as Physician Director of New Patient Centered Primary Care Initiative

Dr. Katherine "Kate" Lichtenberg has been named the physician director of the new Patient Centered Primary Care initiative at Anthem Blue Cross and Blue Shield in Missouri. In this role, Lichtenberg will be responsible for leading patient-centered care strategies in Missouri and will work directly with network primary care physicians to assist them in their transition to patient-centered medical home practices. She is board certified by both the American Board of Family Practice and the American Board of Preventive Medicine.

The U.S. District Court for the Southern District of Illinois Dismisses Lawsuit Against WellPoint Inc., UniCare Life and Health Insurance Company, Inc., RightCHOICE Insurance Company and RightChoice Managed Care, Inc

The U.S. District Court for the Southern District of Illinois granted in part and denied in part dismissal of policyholders' lawsuit alleging that the company which acquired their insurer wrongfully cancelled their policies and forced them to re-apply for health insurance coverage at increased rates. While the policyholders could not pursue a claim under the Illinois HIPAA statute, the complaint adequately alleged breach of contract. In 2002, WellPoint Inc. acquired RightChoice Managed Care, Inc. and RightCHOICE Insurance Company. The Illinois Department of Insurance (IDOI) approved the merger. After the merger, WellPoint informed RightCHOICE Insurance policyholders that they would have three options: 1. Reapply for a policy with UniCare Life and Health Insurance Company, Inc. 2. Automatically convert to a Unicare policy with a premium increase and lesser coverage; or 3. Seek coverage elsewhere. As a result of higher premium costs, many policyholders had to withdraw their insurance policies, forego insurance or seek support from the state. Two policyholders sued Unicare, RightChoice Managed Care and RightCHOICE Insurance and WellPoint. The complaint alleged in part that WellPoint intended to re-price or get rid of Illinois policies but misrepresented its intentions to the IDOI to obtain approval of the merger. WellPoint and RightCHOICE moved to dismiss the complaint for failure to state a claim. The policyholders alleged that WellPoint and RightCHOICE violated Illinois HIPAA by discontinuing their coverage but continuing to market policies as automatic conversions when in fact the reapplication process actually called for consideration of health-status related factors. The district court dismissed the claim. There was no private right of action under Illinois HIPAA. The district court denied the motion to dismiss the breach of contract claim. The complaint adequately pleaded that WellPoint and RightCHOICE were contractually obligated to renew and not discontinue the policyholders' policies except as allowed under the express terms of the policies. WellPoint and RightCHOICE allegedly breached the policies by cancelling existing coverage and forcing renewal of health insurance coverage under a new Unicare policy. The district court dismissed the claim of deceptive conduct and practices under the Illinois Consumer Fraud Act. The policyholders did not state with particularity the alleged misrepresentations WellPoint made regarding the process of withdrawing RightCHOICE Insurance Co. from the market and converting policies.

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