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largest for profit managed health care company in the blue cross blue shield association as of 2022 the company had 46 8 million members within its affiliated companies health plans 7 based on its 2021 revenues the company ranked 20th on the 2022 fortune 500 8 in 2023 the company s seat in forbes global 2000 rankings was 78 9 carelon global solutions elevance health s business process outsourcing bpo shared services subsidiary serves the group s offshore and customer service management it operates sites in india puerto rico philippines and the united states history edit anthem edit in 1946 anthem began in indianapolis indiana as mutual hospital insurance inc and mutual medical insurance inc the companies grew significantly controlling 80 of the medical insurance market in indiana by the 1970s 10 in 1972 the two firms then known as blue cross of indiana and blue shield of indiana entered into a joint operating agreement 11 in 1985 the two companies merged into associated insurance companies inc later called the associated group a holding company but usage of the name anthem persisted 12 in 1989 the company purchased american general insurance co for 150 million and in 1991 it acquired the shelby insurance co based in shelby ohio for 125 million 13 in 1989 the associated group founded acordia a brokerage that sold and serviced insurance and employee benefit programs 10 in 1993 acordia acquired american business insurance for 130 million 14 and the federal kemper insurance company for 100 million 15 the associated group merged with southeastern mutual insurance company the operator of blue cross and blue shield of kentucky 16 in 1994 it sold raffensperger hughes co inc indiana s largest investment bank to national city corp 17 in 1995 the associated group acquired community mutual insurance a provider of blue cross and blue shield insurance plans in ohio with over 1 9 million policy holders then set up anthem blue cross and blue shield 18 19 in 1996 the associated group changed its name to anthem insurance company 19 in august 1997 anthem acquired blue cross and blue shield of connecticut 20 it also sold acordia to management 21 in 1999 anthem acquired blue cross and blue shield of new hampshire and blue cross and blue shield of colorado and nevada using debt financing the acquisitions made since 1996 added 850 000 policy holders among its customer base were 2 4 million ppo and 964 000 hmo enrollees 22 in 2000 anthem acquired blue cross blue shield of maine 23 the gramm leach bliley act of 1999 made it possible for anthem to undergo demutualization and become a public company via an initial public offering which made it the fourth largest public managed health care company in the united states 24 in 2002 anthem acquired trigon healthcare of virginia a blue cross and blue shield plan the largest insurer in virginia for 4 04 billion anthem insurance company reached 11 9 million members 25 blue cross of california edit blue cross of california was the predecessor of wellpoint health network inc in 1982 blue cross of california was founded with the consolidation of blue cross of northern california established in 1936 and blue cross of southern california established in 1937 26 in 1992 wellpoint was formed to operate blue cross of california s managed care business 27 in january 1993 blue cross of california spun off its managed care business into a publicly traded entity wellpoint health networks inc blue cross of california retained an 80 interest and voting control 28 29 in 1996 blue cross of california restructured to a for profit corporation designating wellpoint health networks inc as the parent organization 30 in april 1996 wellpoint completed its acquisition of massachusetts mutual life insurance company s group life and health insurance subsidiaries for approximately 380 million making it the second largest publicly held managed health company in the u s with 4 million policyholders 31 in march 1997 wellpoint acquired the group health and life businesses of john hancock financial for 86 7 million with this acquisition wellpoint expanded its presence into michigan texas and the mid atlantic and gained a unit that concentrated on serving the needs of large employers 32 in 2000 wellpoint acquired precisionrx a mail service pharmacy fulfillment center in texas 33 in march 2000 wellpoint acquired rush prudential health plans a chicago provider for 204 million 34 in march 2001 wellpoint acquired cerulean companies the parent company of blue cross blue shield of georgia 35 in 2001 wellpoint offered to acquire carefirst bluecross blueshield for 1 37 billion including 119 million in bonuses to carefirst executives 36 in 2003 the offer was rejected by the maryland insurance commissioner 37 in 2002 wellpoint acquired rightchoice managed care a missouri based company that ran blue cross and blue shield for part of the state for 1 5 billion 38 39 rightchoice also owned provider network company healthlink 40 wellpoint also acquired methodistcare of houston texas 41 and healthlink in 2003 wellpoint acquired golden west dental and vision of camarillo california and cobalt including blue cross and blue shield united of wisconsin 42 43 in november 2004 wellpoint inc was formed by the merger of anthem insurance company and wellpoint health networks inc the merger was structured as anthem acquiring wellpoint health networks and renaming itself wellpoint inc wellpoint continued to use anthem as the brand name under which it operated it sold its blue cross and blue shield products in 11 states 44 45 in 2005 wellpoint acquired alexandria virginia based lumenos a provider of consumer driven health care for 185 million 46 lumenos was the pioneer and market leader in consumer driven health plans in december wellpoint acquired wellchoice a new york city based blue cross blue shield provider for approximately 6 5 billion 47 making new york the 14th state in which wellpoint is a blue cross blue shield licensee in 2007 wellpoint acquired chicago based american imaging management a radiology benefit management company that creates software to help physicians choose cost effective locations for their patients to receive medical imaging tests 48 wellpoint also acquired chicago based american imaging management aim the leading radiology benefit management company in january 2008 leslie margolin became the president of california operations she resigned in july 2010 49 in 2008 wellpoint acquired resolution health a firm that analyzes patient history for potential medical problems such as adverse drug interactions 50 in 2009 wellpoint acquired decare dental a dental insurance firm 51 in 2011 wellpoint acquired caremore a cerritos california based provider of insurance and care centers for elderly patients 52 in 2012 wellpoint acquired amerigroup for 4 9 billion anticipating significant growth due to medicaid expansion under the patient protection and affordable care act 53 54 55 in august 2012 ceo angela braly resigned due to pressure from investors 56 57 on august 13 2014 wellpoint announced it intended to change its name to anthem inc effective in december 58 anthem inc edit in february 2015 the company acquired simply healthcare holdings a medicaid and medicare managed care company based in florida 59 in june 2015 anthem made an offer to acquire cigna for more than 54 billion in cash and stock 60 61 in february 2017 united states district court judge amy berman jackson blocked the cigna merger on grounds of anti competitive practices 62 on february 14 cigna called off its merger agreement with anthem 63 in october 2017 anthem announced that it would not renew its pharmacy benefit management pbm relationship with express scripts saying it had been overcharged 3 billion and that instead anthem would eventually handle the pbm process itself through its new ingeniorx unit anthem announced that it would enter a 5 year contract with cvs health 64 cigna then announced plans in march 2018 to acquire express scripts for 58 billion 65 on november 6 2017 gail koziara boudreaux was named ceo 66 67 in 2018 the company announced a 20 million expansion of its headquarters and the signing of a lease in atlanta for its technology center 68 in march 2020 anthem announced the acquisition of beacon health options and independently held behavioral health organization 69 on february 2 2021 anthem announced the acquisition of innovacare health s puerto rico subsidiaries including mmm holdings llc mmm and its medicare advantage ma plan mmm healthcare llc as well as affiliated companies and medicaid plan 70 in november 2021 anthem announced the acquisition of integra managed care in new york 71 the acquisition of the new york based international health insurance company was completed on may 5 2022 72 on june 28 2022 anthem announced a change of its corporate name to elevance health inc and also changed its stock ticker symbol from antm to elv 73 elevance health edit on january 23 2023 elevance announced that it entered a definitive agreement to acquire blue cross and blue shield of louisiana increasing elevance s footprint to 15 states and adding 1 9 million new members 74 in 2023 elevance announced that it would rebrand its amerigroup business as wellpoint starting in 2024 75 as of 2025 elevance subsidiaries carelon behavioral health and anthem blue cross and blue shield are the subject of three lawsuits in new york and connecticut alleging that they operate ghost networks 76 77 subsidiaries edit elevance health includes the following subsidiaries 78 79 amerigroup district of columbia medicaid georgia medicaid new mexico medicare advantage anthem blue cross california blue cross of california partnership plan medicaid new york upstate anthem blue cross blue shield colorado connecticut georgia indiana includes medicaid kentucky anthem blue cross and blue shield medicaid maine missouri excluding 30 counties in the kansas city area nevada anthem blue cross and blue shield healthcare solutions medicaid new hampshire new york downstate healthplus medicaid ohio virginia excluding alexandria city arlington county falls church city and parts of fairfax county healthkeepers medicaid wisconsin carelon behavioral health carelon behavioral health of california carelon behavioral health of kansas carelon health of pennsylvania carelon global solutions business process outsourcing shared services freedom health florida golden west dental vision california healthsun florida mmm puerto rico optimum healthcare florida simply healthcare florida unicare west virginia wellpoint arizona medicare advantage iowa medicaid and medicare advantage maryland medicaid massachusetts government employees new jersey medicaid and medicare advantage tennessee medicaid and medicare advantage texas medicaid and medicare advantage washington medicaid and medicare advantage joint ventures edit elevance health operates joint ventures including 78 anthem mainehealth with mainehealth maine blue medicare advantage with independence blue cross pennsylvania colorado community health alliance with centura health physician health partners and primary physician partners colorado healthy blue kansas with blue cross and blue shield of kansas and blue cross and blue shield of kansas city kansas healthy blue louisiana with blue cross blue shield of louisiana louisiana summit community care arkansas centers plan for healthy living new york florida quality of care edit in 2011 in the category of meeting national standards of care california s state patient advocacy office gave anthem a rating of 2 out of 4 stars 80 in 2014 it received 3 out of 4 stars in the same category 81 in 2022 twenty one of elevance health s affiliated medicaid plans earned accreditation for health equity from the national committee for quality assurance ncqa 82 controversies edit this criticism or controversy section may compromise the article s neutrality please help integrate negative information into other sections or remove undue focus on minor criticisms and controversies june 2025 charitable donations edit in 2007 wellpoint pledged to spend 30 million over three years through the company s charitable foundation to help the uninsured in march 2010 the los angeles times reported that wellpoint s tax records and website showed that the company had given only 6 2 million by 2009 the company said that the foundation had indeed fulfilled its 30 million commitment by mid 2009 but refused to provide any financial details to support its claim 83 2007 dmhc investigation edit in 2007 the california department of managed health care dmhc investigated anthem s policies for revoking rescinding health care insurance policies the dmhc randomly selected 90 instances where anthem canceled the insurance of policy holders who had been diagnosed with costly or life threatening illnesses to find how many of these cancellations were legal the agency concluded that all these cancellations were illegal 84 85 in july 2008 anthem blue cross agreed to a settlement with the california department of managed health care however in doing so wellpoint did not officially admit liability to resolve allegations of improper policy rescissions cancellations wellpoint paid 10 million and reinstated plans for 1 770 policy holders who were affected by cancelled policies the company also agreed to provide compensation for any medical debts incurred by these policy holders 86 2010 reuters exposé edit in april 2010 reuters alleged that wellpoint using a computer algorithm identified women recently diagnosed with breast cancer and then singled them out for cancellation of their policies 87 88 the software used immediately triggered fraud investigation for those recently diagnosed with the disease as the company searched for some pretext to drop their policies 89 wellpoint argued that its algorithm was scanning for diagnostic codes for conditions that patients might have known about during the insurance application 90 the story not only caused considerable public outrage but it also led secretary of health and human services kathleen sebelius and president barack obama to call on wellpoint to end the practice 91 92 in 2011 anthem began cancelling policies of members who had been paying premiums with credit cards sometimes without calling or emailing the member ahead of time 93 opposition to healthcare reform edit in august 2009 anthem the largest for profit insurer in california contacted its employees and urged them to get involved to oppose healthcare reforms proposed during the obama administration consumer watchdog a nonprofit watchdog organization in santa monica asked california attorney general jerry brown to investigate its claim that wellpoint had illegally pushed workers to write to their elected officials attend town hall meetings and enlist family and friends to ensure an overhaul that would match the firm s interests according to consumer watchdog california s labor cod...
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