New Mexico Health Connections Recent Announcement
Here’s the full text of the news release that NMHC and Evolent issued Wednesday, September 27, 2017:
ALBUQUERQUE, NM—New Mexico Health Connections (NMHC) announced today that it has signed an expanded partnership agreement with Evolent Health, a company providing an integrated, value-based care platform to the nation’s leading health systems and physician
organizations. NMHC currently deploys Evolent’s Aldera platform for certain aspects of health plan administration.
The agreement between NMHC and Evolent is the result of a thorough search for a strategic
partnership that benefits both organizations. Evolent expects to strengthen and expand its footprint in New Mexico, bringing together Evolent’s integrated operational, clinical and technology platform with NMHC’s physician network to support a value-based model of care throughout the state of New Mexico.
Under the terms of the agreement, Evolent will acquire assets from NMHC related to the small group, large group and ASO commercial business and establish a new entity, True
Health New Mexico, Inc., a wholly-owned subsidiary of Evolent Health. The organizations anticipate that NMHC’s approximately 22,000 commercial members, provider network contracts, executive leadership team, and all NMHC employees will transition to True Health New Mexico as of December 31, 2017.
“This partnership with Evolent Health significantly positions our organization for growth,” said
Martin Hickey, MD, CEO of NMHC. “NMHC was established to bring innovation to the healthcare marketplace and to challenge the status quo. While our structure will change, we will be able to expand our focus on providing high-quality medical management, caring customer service, and accessible, competitively-priced health plans for New Mexicans.”
“The ability to combine Evolent’s industry leading platform with a statewide organization that
has a reputation for an integrated provider and consumer-centric approach represents an exciting opportunity,” said Evolent Health CEO, Frank Williams. “Building upon the success of our aligned partnerships in other states, we have the ability to leverage relationships with community providers and a world-class clinical and administrative infrastructure to deliver lower cost, higher quality health care for the residents of New Mexico.”
As an independent non-profit organization going forward, NMHC will solely focus on serving
individual health plan members. NMHC will substantially strengthen its capital structure, ensuring that approximately 18,000 New Mexicans will continue to have access to individual healthcare coverage in the future. As part of this expanded relationship, True Health New Mexico expects to enter into an administrative services agreement with NMHC to support the NMHC ongoing individual business.
“Providers, employers and members will all benefit from the scale and infrastructure of a
national partnership, while ensuring leadership and clinical decision-making are still driven locally,” said Hickey. “Evolent’s investment and expansion of services ensures the sustainability of a statewide, provider-led model. This translates into more choice and lower costs by empowering the local physician community.”
“We are particularly excited to have the current NMHC physician organization and
leadership team remain at the helm in New Mexico,” said Williams. “They bring deep experience and a great track record of working collaboratively with physicians and hospitals to deliver high-quality care at an affordable price. This alignment provides us a unique opportunity to further enhance our capabilities while developing clear evidence of results.”
The transaction is subject to customary closing conditions which includes certain regulatory
approvals, including approval by the New Mexico Office of Superintendent of Insurance (OSI).
About New Mexico Health Connections
New Mexico Health Connections is a physician-led health plan committed to keeping New Mexicans healthy. Started in 2012 as one of the original 24 CO-OPs created by the
Affordable Care Act, NMHC is available on both the individual and small business health insurance exchanges through the commercial market. For more information, visit mynmhc.org.
About Evolent Health
Evolent Health partners with leading provider organizations to achieve superior clinical and
financial results in value-based care. With a provider heritage and over 20 years of health plan administration experience, Evolent operates in more than 30 U.S. healthcare markets, actively managing care across Medicare, Medicaid, commercial, and self-funded adult and pediatric populations. With the experience to drive change, Evolent confidently stands by a commitment to achieve results. For more information, visit evolenthealth.com.