About Sendero Health Plans
What is Sendero Health Plans?
Sendero Health Plans, Inc. (“Sendero”) was formed in 2011 as a new, non-profit organization in Central Texas to improve access to care for those covered by publicly-funded health insurance programs. Sendero was granted an HMO Certificate of Authority from the Texas Department of Insurance (TDI). In mid-2011, Sendero submitted a proposal to the Texas Health and Human Services Commission (HHSC) to contract for the management of the STAR and CHIP programs in the 8-county Travis Service Delivery Area (Burnet, Bastrop, Travis, Fayette, Hays, Williamson, Lee, and Caldwell). That contract was granted by HHSC in September 2011, and Sendero was authorized to begin services on March 1, 2012.
Sponsored by the Travis County Healthcare District (d.b.a. Central Health), Sendero draws on Central Health’s extensive experience in providing health care to low income residents through the Medical Access Program (MAP). MAP now serves nearly 24,000 residents. Under a contract with Central Health, Sendero began administration of the MAP in October, 2011. Administrative functions include provider network maintenance, medical management, quality of care oversight, and claims processing and payment.
In addition to providing expertise to Sendero, Central Health has dedicated funding for HMO startup and risk based capital. Central Health has appointed two members of its own Board of Managers to the Sendero Board. Additional board members are community and business representatives with deep relevant experience and a dedication to the mission of Sendero to serve the health needs of the medically underserved population of the Travis SDA. Members include a former Commissioner of TDI, and executives of the Texas Department of Health.
As a new organization that has deep roots in the local health care community, Sendero has assembled a team of executives with extensive managed care experience and specific knowledge of the Texas STAR (Texas Medicaid managed care) and CHIP (Children’s Health Insurance Program) programs, and the requirements imposed by HHSC on its contractors that administer these programs on behalf of the State of Texas.
What is Obamacare/The Affordable Care Act?
Obamacare, officially known as The Affordable Care Act, was signed into law on March 23, 2010. The law significantly reforms our health care system and aims to ensure affordable health coverage is available to those who don't receive it through an employer. The law mandates that Americans must purchase health insurance, but some people will qualify to get help paying for it if they meet certain criteria. The majority of the reforms begin in 2014, though it won't be completely rolled out until 2022.