Following prior announcements, Carle Health shared today they have concluded their comprehensive strategic and financial analysis and that Health Alliance and FirstCarolinaCare will exit all lines of business—including Medicare Advantage—by Dec. 31, 2025. This decision reflects the challenges facing provider-owned health plans in the current insurance and economic environment.
Coverage for current Medicare Advantage members remains unchanged through the end of the year, and Health Alliance/FirstCarolinaCare are focused on ensuring that member support and services continue uninterrupted.
“Our decision to exit the insurance market comes at a time when market dynamics and plan designs have made it increasingly difficult for provider-owned health plans to remain sustainable,” said James C. Leonard, MD, Carle Health president and chief executive officer. “We’re proud of the service our health plans have delivered for decades, and especially proud to have connected people to the care they’ve trusted through every stage of life. That legacy continues as Carle Health focuses our efforts on delivering exceptional care and positioning Carle Health for long-term strength and impact.”
Carle Health maintains relationships with various other Medicare Advantage plans. When it’s time to explore new coverage options, ChooseCarleHealth.org is available as a resource to help patients stay connected to their trusted care teams.
Categories: Community
Tags: Advantage, Alliance, Carle, Health, Medicare, news, organizational