Accessed Oct 14, 2022.View all sources: Medication adherence for diabetes medications, (a higher star rating means fewer members choose to leave), Call center foreign language interpreter and TTY availability, (a higher star rating means fewer complaints), Medication Therapy Management program completion rate for comprehensive medication review. For example, if your plan pays 80% of Medicare covered costs with preferred providers, it might only pay 50% for out-of-network providers. The Value Plus plan has a higher monthly premium but no annual deductible. . This list of important factors is not intended to be exhaustive. Get plan recommendations that match your needs. Monthly premium prices vary depending on where you live and which . Wellcare Medicare Part D prescription drug plans, Third-party ratings for Wellcare Medicare Part D plans, Wellcare is part of Centene Corp., which is the second-largest company offering Medicare Part D plans. Select your plan type below to locate Providers and Pharmacies near you. After we receive your request, we will mail our decision (coverage determination) with a reimbursement check (if applicable) within 14 days. Here is a list of our partners. May include some generic drugs. Medicare information is everywhere. Students also viewed. ALL RIGHTS RESERVED. You may also call CVS Caremark Member Services at 1-866-808-7471 (TTY: 711) 24 hours a day, 7 days a week. These ratings use a 5-point scale where 5 is the best and 1 is the worst. We are proud to have lived up to our motto: "The Care You Can Trust". Members can complete this form to order prescriptions from CVS Caremark Mail Service Pharmacy, WellCare's preferred mail-order pharmacy. Also, compare prices for using mail order. His research has supported lawmakers in the Wisconsin State Legislature as well as health systems and national health authorities in the U.S. and more than 10 other countries. 2023 Medicare Plans. Pharmacy Care for Chronic or Complex Conditions. Wellcare prescription drug plans use a five-tier or six-tier formulary, Average Part D star rating, weighted by enrollment: 3 stars, The Centers for Medicare & Medicaid Services rates Medicare Part D plans on 12 quality measures. Environmental, Social and Governance (ESG), HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American, https://www.myplan.healthy.la.gov/myaccount/choose/find-provider, Health Maintenance Organization (HMO) plans offering access to a network of quality providers, Local Preferred Provider Organization (LPPO) plans available for members seeking network flexibility, Giveback plans that reduce some or all of the Part B premium available, Low-Income Subsidy (LIS) plans give an option to members who qualify for extra help, Wellcare Patriot plans are available for Veteran members, No or low copays for primary care physician (PCP) services, Preferred pharmacy network expansion and innovation to increase member access and cost savings, New in 2023, Amazon is now a preferred retail pharmacy provider, Many plans will now offer a national network of providers that accept Medicare; options vary by plan and region, Smoking cessation, nutritional counseling, and other counseling services offered on many plans, Flex cards available on many plans for dental, hearing, and vision benefits, All dental allowances now fall under one singular package for comprehensive dental services, SSBCI (Special Supplemental Benefits for the Chronically Ill) benefits to include expanded in-home fitness services, Healthy Food Cards with monthly allowances and, Wellcare will offer a total of 102 PDPs nationwide, Three plans will be offered in all 34 regions across all 50 U.S. states and the, Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on Value Script and Value Plus products, A new formulary design will be offered on the Value Script and Value Plus plans; it will contain medications commonly used to treat diabetes and will cost only, Plans offer competitive formularies that are 89% aligned or favorable in coverage and tier placement for the top 400 drugs (96% of Medicare utilization) compared to plans nationwide. Pre-qualified offers are not binding. You can use one of the redetermination forms to complete a request for redetermination of Medicare prescription drug denial: Electronic Request for Redetermination of Medicare Prescription Drug Denial Formcomplete this electronic form via our website. on Medicare.gov can help you find a Medicare Part D plan that covers your prescriptions. A formulary is a list of the prescription drugs covered by an insurance plan. He has written about health, tech, and public policy for over 10 years. Here is a list of our partners and here's how we make money. As a result, its important to check where your medications and pharmacies fall on each plans formulary. Wellcare underperformed on quality measures related to online pricing accuracy, the call center and member complaints. Arizona D-SNP plans: Contract services are funded in part under contract with the State of Arizona. Centenes business includes Medicare, Medicaid, health insurance marketplace plans, federal health insurance programs and health care programs for correctional institutions. Tell your patients about this convenient way to have maintenance medications delivered to their doorstep. For this option, WellCare has partnered with CVS Caremark Mail Service Pharmacy. or hemophilia. "Wellcare" is issued by Wellcare of Washington, Inc. "Wellcare" is issued by WellCare Health Insurance Company of Washington, Inc. "Wellcare" is issued by WellCare Prescription Insurance, Inc. Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. CenterWell Pharmacy Call 800-379-0092 (TTY: 711) Monday - Friday, 8 a.m. - 11 p.m., Saturday, 8 a.m. - 6:30 p.m., Eastern time * Find additional information on network pharmacies, including mail order and specialty pharmacies, using our Find a Pharmacy tool. Among the top five largest Medicare Plan D insurance companies, Wellcare has the lowest average summary star rating, weighted by enrollment. Coinsurance is a percentage of the price for your medications, so coinsurance requirements can be more unpredictable and more expensive. Additionally, Wellcare will continue to expand Preferred Provider Organization (PPO) offerings, including newly launched PPO-D-SNP plans in Connecticut, Indiana, Kansas, Kentucky, Mississippi, Ohio, Oklahoma, Pennsylvania, and South Carolina. Prescribers may continue to write prescriptions for drugs not on the PDL. Read more to learn about our Compliance Program. Stand-alone Medicare prescription drug plans from Wellcare are available in all 50 states and Washington, D.C.[0]Centers for Medicare & Medicaid Services. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Register Now. For comparison, the highest score was 75 and the health insurance industry average was 73. For Indiana D-SNP prospective enrollees: For detailed information about Indiana Medicaid benefits, please visit the Medicaid website at https://www.in.gov/medicaid/. Wellcare is accepted at over 60,000 network pharmacies nationwide. 30 terms. Please select your state Need help? Having your prescriptions sent to your home is easy and may cost less than getting them from a retail pharmacy. About 4.2 million Medicare beneficiaries have Wellcare Part D plans as of October 2022. Quick WellCare Medicare Prescription Drug Plans review: WellCare offers Medicare Part D prescription drug coverage through standalone Part D plans and Medicare Advantage Plans. Any benefits above and beyond traditional Medicare benefits are applicable to Wellcare Medicare Advantage only and do not indicate increased Medicaid benefits. Hydroxyprogesterone caproate (Makena/compound) is a progestin. Golodirsen (Vyondys 53TM) is an antisense oligonucleotide. Accessed Oct 14, 2022.View all sources: If you have concerns about affording Medicare Part D, look into Medicare Extra Help. She is based in Virginia Beach, Virginia. Mail the completed form and receipt to the address on the form. For comparison, the highest score was 75 and the health insurance industry average was 73. Wellcare offers all three of its Medicare Part D plan options in all of its markets. How Is the Wellcare Pharmacy Different From an In-Network Pharmacy? Talk to your health care providers about what brand-name and generic medicines to look for and any alternatives that may also work in case you cant find your current medicines on the plans available in your area. Pre-qualified offers are not binding. Our D-SNP plans have a contract with the state Medicaid program. Health (9 days ago) WebThe Wellcare preferred pharmacy list for 2022 is relatively short it includes the CVS Caremark mail-service pharmacy. Read more. You can find Centers for Medicare and Medicaid Services (CMS) quality rating information for each plan by searching Medicare.gov. Wellcare's Medicare Parts D plans have an average rating of 3.5 stars, while the industry average is 3.7 stars. 2023 Medicare Star Ratings Fact Sheet. T All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. You will be responsible for any necessary out-of-pocket expense according to your Part D benefit. See ratings and learn what WellCare covers. Appeal a coverage determination decision. How Is the We're here for you. The company also offers whole health services, including specialty pharmacy, dental, vision and call-in nurse support. Also, compare prices for using mail order. Here are the 2023 premiums and deductibles for Wellcares stand-alone Medicare prescription drug plans[0]Centers for Medicare & Medicaid Services. For Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid. Youll want to check whether youll pay a copay or coinsurance for your medications. Sign up and well send you Nerdy articles about the money topics that matter most to you along with other ways to help you get more from your money. For more details about Wellcare's Medicare Advantage and Medicare Prescription Drug Plans, visit www.WellcareNow.com. Sixteen plans are being offered in all 34 regions, for a total of 544 PDPs (=16*34). For those with chronic or complex medical conditions, WellCare offers Exactus Pharmacy Solutions. Because eHealths Medicare related content is compliant with CMS regulations, you can rest assured youre getting accurate information so you can make the right decisions for your coverage. With its knowledge of the insurance process and plan benefits, the team can speedily help the patient receive his or her medication. You. By their nature, forward-looking statements involve known and unknown risks and uncertainties and are subject to change because they relate to events and depend on circumstances that will occur in the future, including economic, regulatory, competitive and other factors that may cause our or our industry's actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. TAMPA, Fla., Oct. 3, 2022 /PRNewswire/ -- Wellcare, a wholly owned subsidiary of Centene Corporation (NYSE: CNC), announced today it will expand its wide range of Medicare Advantage (MA) and Medicare Prescription Drug Plan (PDP) offerings during the 2023 Medicare Annual Enrollment Period (AEP) beginning Oct. 15, 2022. Mogamulizumab-kpkc (Poteligeo) is a CC chemokine receptor type 4 (CCR4)-directed monoclonal antibody. Members should fax form to 1-866-388-1767. The difference among the plan options lies in the amount you pay for the monthly premium. You can view our full list of preferred plans above. Pharmacy Select 2021 WellCare plans will participate in the Senior Savings Model (SSM) capping insulin medication costs at $35 per 30-day supply throughout the plan year. Most self-injectable and infusion medications require prior authorization. Plans include a coverage gap that begins when you and your plan have spent a certain amount ($4,660 in 2023) on prescription drugs and ends when youve spent $7,400 and enter the catastrophic coverage period. If you have aWellCare MedicareAdvantage HMO plan, you may be required to get all your medical care from network providers (except for medically necessary emergency treatment, which is covered even if you are out of your plans network). WellCare Medicare Prescription Drug Plans (Part D) Reviews, Eight Ways to Avoid the Medicare Part D Coverage Gap Donut Hole, Medicare Part D Donut Hole Prescription Drug Coverage Gap, Blue Cross Blue Shield Medicare Advantage Plans Review, Kaiser Foundation Medicare Advantage Plans Review, UnitedHealthCare Medicare Advantage Plans, Providence Medicare Advantage Plans Review, Bankers Fidelity Medicare Supplement Review, Blue Cross Blue Shield Medicare Supplement Review, ManhattanLife Medicare Supplement Reviews, Mutual of Omaha Medicare Supplement Review, Physicians Mutual Medicare Supplement Plans Review, State Farm Medicare Supplement Plans Review, Transamerica Medicare Supplement Plans Review, Avoid and Report Medicare Fraud and Abuse, CMS.gov and How to Get Information About Medicare. Call the Customer Service number on the back of your Blue Cross Blue Shield of Michigan ID card and we'll help. Call the Medicare Support Center at CVS * to speak with a licensed insurance agent, Monday - Friday 9AM to 6PM ET. Prescribers are encouraged to write prescriptions for preferred products. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the "Learn about Medicaid Services" link. Consolidation and Preferred Pharmacy Networks in 2022's Medicare Part D Plans: Cigna, CVS Health, Humana, UnitedHealthcare, WellCare, and More CVS, Walgreens, Walmart, and Supermarkets Keep Position in 2022 Part D Preferred NetworksWith a Little Help from 340B Enter your ZIP Code and in a flash see your plan options. All of Wellcares Medicare Part D plans have copays for Tier 1-3 drugs and coinsurance for Tier 4-5 drugs. Shes passionate about engaging with, educating, and empowering seniors as they navigate the health care system. 2023 Centene Cert Review. Please check back for updates, as PDLs are periodically amended. "Preferred" pharmacies are included in many Medicare plans providing Medicare Part D prescription drug coverage. While WellCare has over 68,000 pharmacies in its network, it also offers a convenient mail-order option for patients who prefer having medications delivered right to their door. You receive your Medicare health care and prescription drug coverage through WellCare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Exactus pharmacy services are available to patients experiencing long-term, life-threatening or rare conditions at no additional cost. Patisiran (Onpattro) is a double-stranded small interfering ribonucleic acid, formulated as a lipid complex for delivery to hepatocytes. 2023 PDP Landscape Source File (v 09 06 2022): Monthly Drug Premium. True. Get access to your member portal. In 2023, Wellcare will continue to expand its geographic footprint offering plans in 209 new counties. And while our site doesnt feature every company or financial product available on the market, were proud that the guidance we offer, the information we provide and the tools we create are objective, independent, straightforward and free. Look for plan changes: Formularies change frequently. The purpose of this site is the solicitation of insurance. This influences which products we write about and where and how the product appears on a page. Check the pharmacy network: Most Medicare Part D plans negotiate with a network of pharmacies for the lowest cost. Use theFind My Plantool to find the most up-to-date complete formulary. Use the Find My Plan tool to access your patient's plan. Convenience with a 90-Day Supply Save time and avoid travel costs to visit a local pharmacy. However, we cannot pay for any prescriptions filled by pharmacies outside of the United States and territories, even for medical emergency. The 2023 Medicare AEP begins on October 15 and continues through December 7, 2022. Wellcare offers the following stand-alone Medicare Part D prescription drug plans for 2023, Wellcare describes this plan as having a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost share pharmacy., Wellcare describes this plan as best suited to those who take only a few medications and seek a low monthly premium., Wellcare describes this plan as best suited to those who take several medications regularly and desire low copays and no deductibles.. Wellcare Part D plans have low prices, but they fall behind on most quality measures from the Centers for Medicare & Medicaid Services. Use the Find My Plan tool to access your patient's plan. Factor VIIa, recombinant (NovoSeven RT) and coagulation factor VIIa (recombinant)-jncw (SevenFact) are coagulation factors. Wellcare uses cookies. Compare Medicare plans PDP | Wellcare Corporate Information Company Overview Find a Provider/Pharmacy Select type Select your state Select your plan Welcome, Member! The WellCare Classic plan includes a moderate monthly premium, but you still pay an annual deductible before your plan starts paying. The plans often organize different kinds of drugs into tiers according to the cost of the drugs. Copyright 2023 Wellcare Health Plans, Inc. For specific information about drug coverage, please refer to your. Accessed Oct 14, 2022.View all sources. Crizanlizumab-tmca (Adakveo) is a selectin blocker. It also helps you compare costs among Medicare Part D and Medicare Advantage plans available to you. Wellcare plans are priced lower than plans from most major competitors, on average. Notice: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. When evaluating offers, please review the financial institutions Terms and Conditions. Disclaimer: NerdWallet strives to keep its information accurate and up to date. A.M. Best sets credit ratings for insurers. Understanding that these patients have a critical need for their medications, Exactus offers injectable, oral and infused specialty medications and has a staff of skilled pharmacists on hand 24/7. As a member, you may fill your prescriptions at any network pharmacy. "Wellcare by Health Net" is issued by Health Net Life Insurance Company. Medicare Part D Prescription Drug Plan Changes in 2023, Medicare Covered Medical Marijuana Survey, Seniors will face difficulty affording healthcare in 2022, Pros and Cons of WellCare Medicare Part D Plans. Members can call 1-866-808-7471 to sign up for this convenient service. This is called step-wise therapy. Students also viewed 30 terms Teacher 30 terms 2023 wellcare - Mastery Test 62 terms Centene Welcare 2023 30 terms DJ_SEANJAY Teacher Recent flashcard sets biologi Medication Appeals When you fill a prescription through this service, you may be able to gain access to preferred cost-sharing prices. Prior authorizations may apply. WellCare of North Carolina is committed to working with providers to improve members' health and well-being. Lead Writer | Medicare, health care, legislation. The American Customer Satisfaction Index, or ACSI, rates consumer satisfaction with products and services based on a scientific model developed at the University of Michigan. This means we offer prescriptions to plan members at discounted prices, so your co-payment could be as low as $0* when you fill your prescription at one of our Pharmacies. These six plans account for a further 181 regional PDPs. Read that document carefully. This information may be different than what you see when you visit a financial institution, service provider or specific products site. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. Express Scripts Pharmacy is the third largest pharmacy in the US and Cigna's preferred for home delivery. Providers may appeal a coverage determination decision by contacting our Pharmacy Appeals department via fax, mail, in person or phone. This policy provides a list of drugs that require step therapy. Renewed Preferred Networks. How do I find health-care providers who accept myWellCare Medicareplan? Centene (the Company, our, or we) intends such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995, and we are including this statement for purposes of complying with these safe-harbor provisions. (All specialty pharmacies:TTY 711). AcariaHealth Specialty Pharmacy Consumer Affairs rating: 2.9 stars. Low prices. If a prescriber deems that the patients clinical status necessitates therapy with a non-preferred drug, the prescriber will be responsible for initiating a prior authorization request. Beginning Jan. 1, 2022, Centene's Medicare brands, including Allwell, Health Net, Fidelis Care, Trillium Advantage, 'Ohana Health Plan, and TexanPlus transitioned to the Wellcare brand. Out-of-Network Pharmacies We have thousands of pharmacies in our nationwide network to make it easy to get your drugs. All financial products, shopping products and services are presented without warranty. *Out-of-network/non-contracted providers are under no obligation to treat Preferred Provider Organization (PPO) plan members, except in emergency situations. Heres what you should know about Wellcare Medicare Part D prescription drug plans. Wellcares Medicare Part D Plans have an overall average quality rating of 4 stars from the Centers for Medicare & Medicaid Services (CMS). The Preferred Drug List contains information about drugs covered by the plan. Preferred pharmacies include: Walgreens, CVS, Amazon, and most grocers. "As Medicare Advantage enrollment continues to grow across the country, Wellcare is proud to offer more plans, enhanced benefits, and greater choices to help our members and those eligible for Medicare live better, healthier lives," said Rich Fisher, Chief Executive Officer of Medicare for Centene, Wellcare's parent company. Discounts for preferred retail pharmacies (CVS and Caremark) and three-month prescriptions. +974 4462 0901. info@wellcarepharmacies.com. He has more than 10 years of experience researching and writing about health care, insurance, technology, data privacy and public policy. The PDL was authorized by the NC General Assembly Session Law 2009-451, Sections 10.66(a)-(d). If you want to save money on prescriptions, go to a preferred pharmacy. The cheapest Wellcare prescription drug plans cost $12 or $31, and both have a high prescription drug deductible of $480. Its the only Wellcare plan for which the deductible depends on the formulary tier. If your plan does change, and the change affects the prescription drugs you need, you can switch plans during Medicare's open enrollment period, Oct. 15 to Dec. 7. The Wellcare Classic plan uses only the first five tiers. Contact Us. AcariaHealth Specialty Pharmacy Pharmacy Forms Request for Drug Coverage Request to Review Drug Coverage Denial Corporate Corporate Information Company Overview Careers Investor Relations Broker Resources Media Relations Find a Provider / Pharmacy redirects Quality What's prior authorization and how does it work? New Mexico (NM) Dual Eligible Special Needs Plan (D-SNP) Members: As a Wellcare by Allwell D-SNP member, you have coverage from both Medicare and Medicaid. Our exclusive analysis of Center for Medicare & Medicaid Services' (CMS) data reveals that preferred cost sharing pharmacy networks will maintain their . WellCare will offer the same six plans in 2021 that it offered in 2020. Find a Provider | Wellcare Select type Select your state Select your plan Welcome, Member! 2023 PDP Landscape Source File (v 09 06 2022): State; Organization Name; Plan Name. Cision Distribution 888-776-0942 Step therapy is when we require the trial of a preferred therapeutic alternative prior to coverage of a non-preferred drug for a specific indication. Contact may be made by an insurance agent/producer or insurance company. SilverScript is a Medicare Part D carrier owned by CVS Health. Shes equipped to lend an experienced, compassionate voice to beneficiaries seeking information about Medicare Advantage Plans. In order to find a pharmacy that accepts your WellCare plan, visit the WellCare website and search its Pharmacy Directory. Tier 6 drugs also have relatively low copays. Premiums for the Wellcare Classic and Wellcare Medicare Rx Value Plus plans have both risen by a couple of dollars per month, on average. If you find discrepancies with your credit score or information from your credit report, please contact TransUnion directly. In order to search, youll need to input your current plan and the state where you reside. For example, Wellcare plans generally have the lowest copays for prescriptions you fill through preferred pharmacies, whether in-person or through the mail, while non-preferred pharmacies have higher costs. Non-preferred brand-name drugs and certain non-preferred generic drugs. According to federal regulations, preferred pharmacies in Part D must offer "covered Part D drugs at negotiated prices to Part D enrollees at lower levels of cost sharing than apply at a non-preferred pharmacy under its pharmacy network contract." . NerdWallet Compare, Inc. NMLS ID# 1617539, NMLS Consumer Access|Licenses and Disclosures, California: California Finance Lender loans arranged pursuant to Department of Financial Protection and Innovation Finance Lenders License #60DBO-74812, Property and Casualty insurance services offered through NerdWallet Insurance Services, Inc. (CA resident license no. Cerliponase alfa (Brineura) is a hydrolytic lysosomal N-terminal tripeptidyl peptidase. $0-deductible options. A preferred pharmacy offers a lower copay for covered drugs than a standard pharmacy. For more information, please visit our Mail Order Servicepage located on this website. If you get care out-of-network, you may have to pay the full cost of your treatment. About 4.2 million Medicare beneficiaries have Wellcare Part D plans as of October 2022.. (You can find definitions for each of these factors in the CMS Star Ratings Technical Notes.). Accessed Oct 14, 2022.View all sources: Preferred generic drugs. The fees charged by a non-network provider for a particular service may be higher than the fee charged by a preferred provider. Other pharmacies are available in our network. You should not place undue reliance on any forward-looking statements, as actual results may differ materially from projections, estimates, or other forward-looking statements due to a variety of important factors, variables and events including, but not limited to: our ability to accurately predict and effectively manage health benefits and other operating expenses and reserves, including fluctuations in medical utilization rates due to the ongoing impact of COVID-19; the risk that the election of new directors, changes in senior management, and any inability to retain key personnel may create uncertainty or negatively impact our ability to execute quickly and effectively; uncertainty as to the expected financial performance of the combined company following the recent completion of the Magellan Acquisition; the possibility that the expected synergies and value creation from the Magellan Acquisition or the acquisition of WellCare Health Plans, Inc. (the WellCare Acquisition) or other acquired businesses will not be realized, or will not be realized within the respective expected time periods; disruption from the integration of the Magellan Acquisition or the WellCare Acquisition, unexpected costs, or similar risks from other acquisitions or dispositions we may announce or complete from time to time, including potential adverse reactions or changes to business relationships with customers, employees, suppliers or regulators, making it more difficult to maintain business and operational relationships; the risk that the closing conditions, including applicable regulatory approvals, for the pending dispositions of Magellan Rx and our Spanish and Central European businesses, may be delayed or not obtained; impairments to real estate, investments, goodwill and intangible assets; a downgrade of the credit rating of our indebtedness; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies, and advances in medicine; increased healthcare costs; changes in economic, political or market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act (collectively referred to as the ACA) and any regulations enacted thereunder that may result from changing political conditions, the new administration or judicial actions; rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting our government businesses; our ability to adequately price products; tax matters; disasters or major epidemics; changes in expected contract start dates; provider, state, federal, foreign and other contract changes and timing of regulatory approval of contracts; the expiration, suspension, or termination of our contracts with federal or state governments (including, but not limited to, Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of legal or regulatory proceedings or matters, including, but not limited to, our ability to resolve claims and/or allegations made by states with regard to past practices, including at Envolve Pharmacy Solutions, Inc. (Envolve), as our pharmacy benefits manager (PBM) subsidiary, within the reserve estimate we recorded in 2021 and on other acceptable terms, or at all, or whether additional claims, reviews or investigations relating to our PBM business will be brought by states, the federal government or shareholder litigants, or government investigations; the timing and extent of benefits from strategic value creation initiatives, including the possibility that these initiatives will not be successful, or will not be realized within the expected time periods; challenges to our contract awards; cyber-attacks or other privacy or data security incidents; the exertion of management's time and our resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for acquisitions or dispositions; any changes in expected closing dates, estimated purchase price and accretion for acquisitions or dispositions; restrictions and limitations in connection with our indebtedness; our ability to maintain or achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other quality scores in each case that can impact revenue and future growth; the availability of debt and equity financing on terms that are favorable to us; inflation; foreign currency fluctuations; and risks and uncertainties discussed in the reports that Centene has filed with the Securities and Exchange Commission.