After serving the inland region for 43 years, Inter Valley Health Plan will cease operations at the end of the year due to declining enrollment.
Nonprofit health insurance provider Medicare Advantage has found it “difficult to compete in the current environment with companies with benefits and marketing budgets backed by millions of members,” CEO Michael Nelson said in a statement.
With registrations declining, the plan has become “a minnow in a sea of whales,” Nelson continued.
Nelson did not discuss current enrollment numbers, but noted in his statement that IVHP had 50,000 commercial members and 25,000 senior members in the late 1980s.
The decision to halt operations, announced in October, was not easy, health plan officials said. The IVHP Board, with the help of a national consultancy, examined all viable options to move forward.
“Ultimately, the company decided that an orderly winding-up of operations was necessary and prudent,” said Nelson.
In a separate message to members, when it came time for IVHP to renew his contract with Medicare, Nelson said, “It became clear that in today’s highly competitive Medicare environment, we would not be able to continue to deliver the high To provide services that exist. You, our members, deserve it.”
Current members will be asked during Medicare’s annual open enrollment period to select a new plan for 2023.
However, services will continue as usual until December. IVHP-insured patients who seek treatment at Pomona Valley Hospital Medical Center can continue to do so by enrolling with SCAN or United Healthcare, Nelson said.
IVHP’s service area includes Los Angeles, San Bernardino, Riverside and Orange counties. However, IVHP has long been a recognizable organization in the Inland Valley, particularly in Pomona where its headquarters are located at 300 S. Park Ave.
About 25 IVHP staff will transition to PVHMC, primarily focused on patient services, scheduling and clinical integration, Nelson said in an email on Friday, November 4. About 115 people work at the Pomona headquarters, according to the IVHP website.
IVHP was founded in 1979 by a small group of physicians and administrators at Pomona Valley Hospital who, according to the company’s website, saw a “need for a strong community health plan in the Inland Empire.”
“In our 43-year history, this is undoubtedly the most difficult and heartbreaking news we have had to share,” Nelson said. “Thank you for entrusting your healthcare to us.”
https://www.ocregister.com/2022/11/07/inter-valley-health-plan-ends-operations-after-43-years-in-pomona/ The Inter Valley Health Plan is ending operations at the Pomona – Orange County Register after 43 years