INDIANAPOLIS–(BUSINESS WIRE)–Anthem, Inc. (NYSE:ANTM) today announced that the company has entered
into an agreement to acquire Aspire Health, the nation’s largest
non-hospice, community-based palliative care provider.
“Anthem is focused on enhancing our ability to offer innovative,
integrated clinical care models that can improve the quality of
healthcare and deliver better outcomes,” said Gail K. Boudreaux,
President and CEO, Anthem. “Aspire Health shares our perspective on the
increasingly important role of integrated care and has built a unique
model that provides palliative care and support services for patients
and their families. With the addition of Aspire Health to Anthem’s other
clinical care assets such as CareMore Health and AIM, we will be able to
offer our consumers, customers, and other health plan and provider
partners a broader array of programs and services that meet their
diverse needs and drive future growth opportunities for our company.”
Aspire currently provides services under contracts with more than 20
health plans to consumers in 25 states. The company uses proprietary
predictive clinical and claims-based patient algorithms to identify
patients with a serious illness who may benefit from an extra layer of
support. Once patients are identified, Aspire assigns a comprehensive
care team that includes physicians, nurse practitioners, nurses, social
workers and chaplains. The team works in an integrated approach to
address symptom management, patient-family communication, advance care
planning and to coordinate care with other medical professionals
including primary care, specialty care and in-home care providers. The
company also offers 24-7 support to patients, including nurse
practitioner home visits any time if necessary.
Aspire was founded in 2013 by former U.S. Senator and physician William
Frist and Brad Smith, who serves as Chief Executive Officer of the
company.
“Several studies have repeatedly demonstrated how advanced illness
programs can provide high patient and family satisfaction, reduce
hospitalization, and decrease costs,” said Smith. “As part of Anthem, we
believe we will be able to further scale our model and positively impact
the lives of even more consumers and families, making home-based
advanced illness care available to patients who need it.”
Financial terms of the transaction were not disclosed. The acquisition
is expected to close in the third quarter of 2018 and is subject to
standard closing conditions and customary approvals required under the
Hart-Scott-Rodino Antitrust Improvements Act. The transaction is
expected to be neutral to earnings in 2018 and accretive to earnings in
2019.
About Anthem, Inc.
Anthem is working to transform health care with trusted and caring
solutions. Our health plan companies deliver quality products and
services that give their members access to the care they need. With over
74 million people served by its affiliated companies, including nearly
40 million within its family of health plans, Anthem is one of the
nation’s leading health benefits companies. For more information about
Anthem’s family of companies, please visit www.antheminc.com/companies.
Forward-Looking Statements
This document contains “forward-looking statements” within the
meaning of the Private Securities Litigation Reform Act of 1995.
Forward-looking statements reflect our views about future events and
financial performance and are generally not historical facts. Words such
as “expect,” “feel,” “believe,” “will,” “may,” “should,” “anticipate,”
“intend,” “estimate,” “project,” “forecast,” “plan” and similar
expressions are intended to identify forward-looking statements. These
statements include, but are not limited to: financial projections and
estimates and their underlying assumptions; statements regarding plans,
objectives and expectations with respect to future operations, products
and services; and statements regarding future performance. Such
statements are subject to certain risks and uncertainties, many of which
are difficult to predict and generally beyond our control, that could
cause actual results to differ materially from those expressed in, or
implied or projected by, the forward-looking statements. You are
cautioned not to place undue reliance on these forward-looking
statements that speak only as of the date hereof. You are also urged to
carefully review and consider the various risks and other disclosures
discussed in our reports filed with the U.S. Securities and Exchange
Commission from time to time, which attempt to advise interested parties
of the factors that affect our business. Except to the extent otherwise
required by federal securities laws, we do not undertake any obligation
to republish revised forward-looking statements to reflect events or
circumstances after the date hereof. These risks and uncertainties
include, but are not limited to: the impact of federal and state
regulation, including ongoing changes in the Patient Protection and
Affordable Care Act and the Health Care and Education Reconciliation Act
of 2010, as amended, or collectively the ACA; trends in healthcare costs
and utilization rates; our ability to contract with providers on
cost-effective and competitive terms; our ability to secure sufficient
premium rates including regulatory approval for and implementation of
such rates; reduced enrollment; risks and uncertainties regarding
Medicare and Medicaid programs, including those related to
non-compliance with the complex regulations imposed thereon, our ability
to maintain and achieve improvement in Centers for Medicare and Medicaid
Services, or CMS, Star ratings and other quality scores and funding
risks with respect to revenue received from participation therein;
competitive pressures, including competitor pricing, which could affect
our ability to maintain or increase our market share; a negative change
in our healthcare product mix; our ability to adapt to changes in the
industry and develop and implement strategic growth opportunities; costs
and other liabilities associated with litigation, government
investigations, audits or reviews; the ultimate outcome of litigation
between Cigna Corporation, or Cigna, and us related to the merger
agreement between the parties, including our claim for damages against
Cigna, Cigna’s claim for payment of a termination fee and other damages
against us, and the potential for such litigation to cause us to incur
substantial costs, materially distract management and negatively impact
our reputation and financial positions; medical malpractice or
professional liability claims or other risks related to healthcare
services provided by our subsidiaries; possible restrictions in the
payment of dividends by our subsidiaries and increases in required
minimum levels of capital; the potential negative effect from our
substantial amount of outstanding indebtedness; a downgrade in our
financial strength ratings; the effects of any negative publicity
related to the health benefits industry in general or us in particular;
unauthorized disclosure of member or employee sensitive or confidential
information, including the impact and outcome of any investigations,
inquiries, claims and litigation related thereto; failure to effectively
maintain and modernize our information systems; non-compliance by any
party with the Express Scripts, Inc. pharmacy benefit management
services agreement, which could result in financial penalties, our
inability to meet customer demands, and sanctions imposed by
governmental entities, including CMS; state guaranty fund assessments
for insolvent insurers; events that may negatively affect our licenses
with the Blue Cross and Blue Shield Association; regional concentrations
of our business and future public health epidemics and catastrophes;
general risks associated with mergers, acquisitions and strategic
alliances; our ability to repurchase shares of our common stock and pay
dividends on our common stock due to the adequacy of our cash flow and
earnings and other considerations; possible impairment of the value of
our intangible assets if future results do not adequately support
goodwill and other intangible assets; changes in economic and market
conditions, as well as regulations that may negatively affect our
liquidity and investment portfolios; changes in U.S. tax laws; intense
competition to attract and retain employees; various laws and provisions
in our governing documents that may prevent or discourage takeovers and
business combinations; and general economic downturns.
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