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TennCare: Anthem Data Breach May Have Impacted Amerigroup Members

Press release from the Bureau of TennCare; March 6, 2015:

Members to be notified and offered identity theft protection services

NASHVILLE – TennCare members potentially impacted by the recent data breach of Anthem’s information technology system will begin receiving notification letters from Amerigroup on March 25, 2015.  Anthem owns Amerigroup which is one of the health plans operating within the TennCare Managed Care Organization network.

As soon as Anthem officials became aware of the breach they began taking steps to determine the scope of the breach, notify members of the issue and offering all members with 24 months of free identity theft protection services.  Anthem estimates more than 246,000 TennCare Amerigroup members have been impacted by the data breach discovered on Jan. 29, 2015.The information affected may include names, dates of birth, social security numbers, healthcare identification numbers, addresses and employment information.   No credit card or banking information or medical information such as claims, diagnostics or test results are believed to have been affected.

TennCare and the Tennessee Department of Commerce and Insurance encourage Amerigroup members to enroll in free identity theft repair and credit protection services to protect themselves from potential fraud and identity theft. Anthem is offering 24 months of free identity theft repair and credit monitoring services to current or former Tennessee members of an affected Anthem plan, dating back to 2004. Members do not have to wait to receive a notification letter to sign up for the services.  Members can sign up or obtain more information by visiting www.anthemfacts.com  or calling 1-877-263-7995.

While Anthem is coordinating with the FBI and taking other measures to investigate the breach, the Bureau of TennCare is working with Amerigroup to ensure all members’ personal information, including protected health information, is secure.  If members have questions regarding their Amerigroup membership status they can contact Amerigroup customer service at 1-877-263-7995.

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TennCare Awards New Managed Care Contracts

Press Release from the State of Tennessee; Dec. 27, 2013:

Nashville, Tenn. – The Bureau of TennCare awarded managed care contracts to AmeriGroup, BlueCare Tennessee and UnitedHealthcare. The apparent winners of the three-year contracts with possible one-year extensions were announced on December 16, 2013. Following a 10-day inspection period the contracts were officially awarded and signed on December 27, 2013, beginning a one-year transition period.

“We are pleased to continue our relationship with these organizations,” said Health Care Finance and Administration Deputy Commissioner Darin Gordon. “All three managed care organizations (MCOs) have proven their ability to efficiently administer our integrated benefit package of physical, behavioral and long term care services and have shown each is willing to take additional steps to further improve quality and better align incentives for members and providers.”

Each MCO will accept full financial risk to participate in the TennCare program and will be paid set monthly capitated payments to manage and deliver care to members. Additional requirements of these new contracts are each MCO must have the network capacity to operate statewide. Previously, the Bureau of TennCare awarded regional contracts by selecting two companies to operate in each of the three grand regions – West, Middle and East. The new contracts will take effect January 1, 2015 with full statewide implementation completed by the end of the calendar year 2015.
“TennCare is currently working with the health plans to ensure the transition will go as smoothly as possible for our members,” Gordon said. “Continuity of care is the utmost concern as we plan for implementation in 2015.”

AmeriGroup currently serves approximately 2.8 million members in 12 states and is dedicated to offering real solutions that improve health care access and quality for members, while proactively working to reduce the overall cost of care to taxpayers. BlueCare Tennessee and BlueCare are independent licensees of the BlueCross BlueShield Association. The Chattanooga-based company focuses on managing care and providing quality health care products, services and information for government programs. UnitedHealthcare is an operating division of UnitedHealth Group, the largest single health carrier in the United States delivering innovative products and services to approximately 70 million Americans.

TennCare is the state’s Medicaid program that provides health care for 1.2 million Tennesseans.