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California Health Care Foundation

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Based in Oakland , California , the California Health Care Foundation (CHCF) is an independent, nonprofit philanthropy that focuses on improving the health care system for the people of California, especially low-income Californians. The organization has three main goals: improving access to coverage and care, promoting high-value care, and investing in people, knowledge, and networks that help to make meaningful change possible in California’s health care system.

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77-413: Established in 1996, CHCF operates with an endowment of more than $ 750 million in assets and has paid out more than $ 500 million to support its programmatic work. The California Health Care Foundation was one of two philanthropies created in 1996 as a result of Blue Cross of California’s conversion from a nonprofit health plan to a for-profit corporation, WellPoint (now Anthem ). CHCF’s first responsibility

154-610: A Cerritos, California -based provider of insurance and care centers for elderly patients. In 2012, WellPoint acquired Amerigroup for $ 4.9 billion, anticipating significant growth due to Medicaid expansion under the Patient Protection and Affordable Care Act . In August 2012, CEO Angela Braly resigned due to pressure from investors. On August 13, 2014, WellPoint announced it intended to change its name to Anthem, Inc. , effective in December. In February 2015,

231-584: A Mississippian culture took root in western and central Kentucky and a Fort Ancient culture appeared in eastern Kentucky. While the two had many similarities, the distinctive ceremonial earthwork mounds constructed in the former's centers were not part of the culture of the latter. Fort Ancient settlements depended largely on corn, beans, and squash, and practiced a system of agriculture that prevented ecological degradation by rotating crops, burning sections of forest to create ideal habitat for wild game, relocating villages every 10–30 years, and continually shifting

308-489: A New York City -based Blue Cross Blue Shield provider, for approximately $ 6.5 billion, 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. WellPoint also acquired Chicago-based American Imaging Management (AIM),

385-425: A for-profit corporation , designating WellPoint Health Networks Inc. as the parent organization. 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. In March 1997, WellPoint acquired

462-587: A public company via an initial public offering , which made it the fourth largest public managed health care company in the United States. 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. Blue Cross of California was the predecessor of WellPoint Health Network Inc . In 1982, Blue Cross of California

539-612: A brokerage that sold and serviced insurance and employee benefit programs. In 1993, Acordia acquired American Business Insurance for $ 130 million and the Federal Kemper Insurance Company for $ 100 million. The Associated Group bought Southeastern Mutual Insurance Company, the operator of Blue Cross and Blue Shield of Kentucky . In 1994, it sold Raffensperger, Hughes & Co., Inc., Indiana's largest investment bank, to National City Corp. In 1995, The Associated Group acquired Community Mutual Insurance,

616-425: A fairer English translation "The Land of Those Who Became Our Fathers". In any case, the word aki means "land" in most Algonquian languages. The first archaeological evidence of human occupation of Kentucky is approximately 9500BCE, and it was Clovis culture, primitive hunter-gatherers with stone tools. Around 1800 BCE, a gradual transition began from a hunter-gatherer economy to agriculturalism. Around 900 CE,

693-799: A major slave market and departure port for slaves being transported down the Ohio River. Kentucky was a heavily divided slave state during the American Civil War . Though the state had dueling Union and Confederate state governments, Kentucky was never an official component of the Confederacy. Kentucky was one of the Southern border states during the war, and it remained neutral within the Union . Despite this, representatives from 68 of 110 counties met at Russellville calling themselves

770-495: A military veteran from Virginia, was elected its first Governor. The central Bluegrass region and the western portion of the state were the areas with the most slave owners . Planters cultivated tobacco and hemp on plantations with the use of slave labor, and were noted for their quality livestock . During the 19th century, Kentucky slaveholders began to sell unneeded slaves to the Deep South , with Louisville becoming

847-620: A more efficient, effective, accessible, and high-quality health care system. Resources include: Additionally, CHCF supports health journalism, helping to strengthen the capacity of nonprofits to cover health policy in California and nationally. CHCF commissions and publishes research on a wide variety of topics related to the financing and delivery of health care in California. The CHCF Blog draws on experts from inside and outside CHCF to share their health policy insights. A selection includes: Anthem (company) Elevance Health, Inc.

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924-686: A period known as the Beaver Wars (1640–1680), another Algonquian tribe called the Maumee , or Mascouten was chased out of southern Michigan. The vast majority of them moved to Kentucky, pushing the Kispoko east and war broke out with the Tutelo of North Carolina and Virginia that pushed them further north and east. The Maumee were closely related to the Miami from Indiana. Later, the Kispoko merged with

1001-801: 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 . In 1996, The Associated Group changed its name to Anthem Insurance Company . In August 1997, Anthem acquired Blue Cross and Blue Shield of Connecticut . It also sold Acordia to management. In 1999, Anthem acquired Blue Cross and Blue Shield of New Hampshire and Blue Cross and Blue Shield of Colorado and Nevada . The acquisitions made since 1996 added 850,000 policy holders. Among its customer base were 2.4 million PPO and 964,000 HMO enrollees. In 2000, Anthem acquired Blue Cross Blue Shield of Maine . In 2001, In October, Anthem underwent demutualization and became

1078-600: A record 29,006 birds taken during the 23-day season in spring 2009. In 1991 the Land Between the Lakes partnered with the U.S. Fish and Wildlife Service for the Red Wolf Recovery Program, a captive breeding program. Kentucky is subdivided into 120 counties , the largest being Pike County at 787.6 square miles (2,040 km ), and the most populous being Jefferson County (which coincides with

1155-491: A refusal to sell their crops to the major tobacco companies. An Association meeting occurred in downtown Guthrie , where a vigilante wing of "Night Riders", formed. The riders terrorized farmers who sold their tobacco at the low prices demanded by the tobacco corporations. They burned several tobacco warehouses throughout the area, stretching as far west as Hopkinsville to Princeton . In the later period of their operation, they were known to physically assault farmers who broke

1232-478: Is an American health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc . The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Anthem Blue Cross in California , Wellpoint, and Carelon. It is the largest for-profit managed health care company in

1309-406: Is believed to have once been a lush open woodland environment similar to oak savanna with abundant thickets of river cane , a species of bamboo , was once described by E. Lucy Braun as having the most "anomalous" plant life of the whole Eastern United States. Kentucky's natural environment has suffered greatly from destructive human activities that began after European colonization, particularly

1386-835: Is divided into eastern, central and western sub-regions, the latter known as the Pennyrile); the Western Coal Field ; and the far-western Jackson Purchase , the northernmost extension of the Mississippian Embayment, west and south of the Tennessee River. The Bluegrass region is commonly divided into two regions, the Inner Bluegrass encircling 90 miles (140 km) around Lexington , and the Outer Bluegrass that contains most of

1463-472: Is included in the boundaries of Fulton County . Road access to this small part of Kentucky on the Mississippi River (populated by 18 people as of 2010 ) requires traveling through Tennessee. The epicenter of the 1811–12 New Madrid earthquakes was near this area, causing the Mississippi River to flow backwards in some places. Though the series of quakes changed the area geologically and affected

1540-790: The Big Sandy River and Tug Fork to the east. Its major internal rivers include the Kentucky River , Tennessee River , Cumberland River , Green River , and Licking River . Though it has only three major natural lakes, Kentucky is home to many artificial lakes . It has the largest artificial lakes east of the Mississippi in both water volume ( Lake Cumberland ) and surface area ( Kentucky Lake ). Kentucky Lake's 2,064 miles (3,322 km) of shoreline, 160,300 acres (64,900 hectares) of water surface, and 4,008,000 acre-feet (4.9  billion cubic meters ) of flood storage are

1617-670: The Blue Cross Blue Shield Association . As of 2022, the company had 46.8 million members within its affiliated companies' health plans. Based on its 2021 revenues, the company ranked 20th on the 2022 Fortune 500 . In 2023, the company’s seat in Forbes Global 2000 was 78. In 1946, Anthem began in Indianapolis, Indiana , as Mutual Hospital Insurance Inc. and Mutual Medical Insurance Inc. The companies grew significantly, controlling 80% of

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1694-587: The Colony of Virginia , whose geographical extent was south of the Ohio and Allegheny Rivers beyond the Appalachian Mountains , became known to European Americans as Kentucky (or Kentucke) country . It was named for the Kentucky River , a tributary of the Ohio. The precise etymology of the name is uncertain. One theory sees the word based on an Iroquoian name meaning "(on) the meadow" or "(on)

1771-657: The Commonwealth of Kentucky , is a landlocked state in the Southeastern region of the United States . It borders Illinois , Indiana , and Ohio to the north, West Virginia to the northeast, Virginia to the east, Tennessee to the south, and Missouri to the west. Its northern border is defined by the Ohio River . Its capital is Frankfort and its most populous city is Louisville . As of 2020,

1848-820: The Revolutionary War . The county was subdivided into Jefferson , Lincoln and Fayette Counties in 1780, but continued to be administered as the District of Kentucky even as new counties were split off. On several occasions the region's residents petitioned the General Assembly and the Confederation Congress for separation from Virginia and statehood . Ten constitutional conventions were held in Danville between 1784 and 1792. One petition, which had Virginia's assent, came before

1925-669: The Shawnee , who migrated from the east and the Ohio River valley. A persistent myth, perpetuated in many popular and scholarly works, alleges that Native Americans never lived permanently in Kentucky, but rather used it only as a "hunting ground." According to early Kentucky historians, early European settlers encountered extensive evidence of permanent, advanced settlements, including numerous burial mounds, copper and stone artifacts , and what early historians describe as "fortifications:" large sites consisting of extensive walls enclosing

2002-661: The "Convention of the People of Kentucky" and passed an Ordinance of Secession on November 20, 1861. They established a Confederate government of Kentucky with its capital in Bowling Green , and Kentucky was officially admitted into the Confederacy on December 10, 1861, as the 13th Confederate state with full recognition in Richmond. The Confederate shadow government was never popularly elected statewide, though 116 delegates were sent representing 68 Kentucky counties which at

2079-552: The 14th and youngest-ever Vice President was born in Lexington, Kentucky at Cabell's Dale Farm. Breckenridge was expelled from the U. S. Senate for his support of the Confederacy. Henry W. Grady, editor of the Atlanta Constitution, coined the term New South in 1874, urging transformation from an agrarian economy to a modern industrial one. On January 30, 1900, Governor William Goebel , flanked by two bodyguards,

2156-674: The AIDS clinic from 1984 to 2016. She was appointed by Governor Jerry Brown to the Covered California board of directors in February 2018. She is a graduate of Yale University and the Tufts University School of Medicine . Previously, the foundation had been led for 18 years by founding president and CEO Mark D. Smith. CHCF provides information and resources on a wide range of issues that contribute to achieving

2233-601: The Articles of Confederation" only, but not "under the Constitution", and so declined to take action. On December 18, 1789, Virginia again gave its consent to Kentucky statehood. The United States Congress gave its approval on February 4, 1791. (This occurred two weeks before Congress approved Vermont 's petition for statehood. ) Kentucky officially became the fifteenth state in the Union on June 1, 1792. Isaac Shelby ,

2310-676: The California Health Care Foundation in January 2014. Prior to joining CHCF, Hernández was CEO of The San Francisco Foundation , which she led for 16 years. She previously served as director of public health for the City and County of San Francisco . Hernández is an assistant clinical professor at the University of California, San Francisco , School of Medicine. She practiced at San Francisco General Hospital in

2387-483: The Confederation Congress in early July 1788. Unfortunately, its consideration came up a day after word of New Hampshire 's all-important ninth ratification of the proposed Constitution , thus establishing it as the new framework of governance for the United States. In light of this development, Congress thought that it would be "unadvisable" to admit Kentucky into the Union, as it could do so "under

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2464-514: The Mississippi, there is no evidence French or Spanish explorers set foot in the lands south of the Ohio, notwithstanding speculations about Hernando de Soto and Robert de la Salle. The terrain in those days was not surveyed, so there is some uncertainty whether and to what extent the early English explorers out of Virginia set foot on the land. Confounding the issue is that the region south of the Ohio/Allegheny later known as Kentucky country

2541-767: The New York-based international health insurance company was completed on May 5, 2022. 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". 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. In 2023, Elevance announced that it would rebrand its Amerigroup business as Wellpoint starting in 2024. Kentucky Kentucky ( US : / k ə n ˈ t ʌ k i / , UK : / k ɛ n -/ ), officially

2618-470: The North Carolina border (today Tennessee) extending to the Mississippi River, previously most of what was known as Kentucky (or Kentucke) country , was split off into its own county of Kentucky . Harrod's Town (Oldtown as it was known at the time) was named the county seat. A 1790 U.S. government report states that 1,500   Kentucky settlers had been killed by Native Americans since the end of

2695-446: The Ohio River and continued to maintain only small or transient settlements. This upheaval likely led the settlers to believe that Kentucky was a hunting ground contested by multiple tribes but not permanently inhabited, when in reality it had only recently been abandoned due to social and political turmoil. European explorers arrived in Kentucky possibly as early as 1671. While French explorers surely spied Kentucky during expeditions on

2772-414: The Ohio River, will be in Kentucky for about two miles (3 km). Ellis Park , a thoroughbred racetrack, is located in this small piece of Kentucky. Waterworks Road is part of the only land border between Indiana and Kentucky. Kentucky has a non-contiguous part known as Kentucky Bend , at the far west corner of the state. It exists as an exclave surrounded completely by Missouri and Tennessee , and

2849-612: The PBM process itself through its new IngenioRx unit. Anthem announced that it would enter a 5-year contract with CVS Health . Cigna then announced plans in March 2018 to acquire Express Scripts for $ 58 billion. On November 6, 2017, Gail Koziara Boudreaux was named CEO. In 2018, the company announced a $ 20 million expansion of its headquarters and the signing of a lease in Atlanta for its technology center. In March 2020, Anthem announced

2926-514: The acquisition of Beacon Health Options , and independently held behavioral health organization. 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. In November 2021, Anthem announced the acquisition of Integra Managed Care in New York. The acquisition of

3003-590: The bluegrass heartland of Kentucky. While the Cherokee did not settle in Kentucky, they hunted there. They relinquished their hunting rights there in an extra-legal private contract with speculator Richard Henderson called Treaty of Sycamore Shoals in 1775. On December 31, 1776, by an act of the Virginia General Assembly , the portion of Fincastle County west of the Big Sandy River (including today's Tug Fork tributary) terminating at

3080-662: The boycott. Governor Augustus E. Willson declared martial law and deployed the Kentucky National Guard to end the wars. Kentucky is situated in the Upland South . A significant portion of eastern Kentucky is part of Appalachia . Kentucky borders seven states, from the Midwest and the Southeast . West Virginia lies to the northeast, Virginia to the east, Tennessee to the south, Missouri to

3157-770: The company acquired Simply Healthcare Holdings, a Medicaid and Medicare managed care company based in Florida . In June 2015, Anthem made an offer to acquire Cigna for more than $ 54 billion in cash and stock. In February 2017, United States district court Judge Amy Berman Jackson blocked the Cigna merger on grounds of anti-competitive practices . On February 14, Cigna called off its merger agreement with Anthem. 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

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3234-470: The conversion of natural habitat to farmland and coal mining . Kentucky has an expansive park system, which includes one national park, two National Recreation Areas, two National Historic Parks, two national forests , two National Wildlife Refuges, 45 state parks , 37,896 acres (153 km ) of state forest, and 82 wildlife management areas . Kentucky has been part of two of the most successful wildlife reintroduction projects in United States history. In

3311-548: The eighteenth century, epidemics of disease had destabilized and changed the indigenous groups that inhabited Kentucky, causing some to reassemble into multi-tribal towns, and others to disperse further from the sphere of European influence. Around the end of the French and Indian War, as European settlers began to claim parts of the Bluegrass State, Native Americans abandoned their larger, more permanent villages south of

3388-506: The far north as an average annual temperature and of 60 °F (16 °C) in the extreme southwest. In general, Kentucky has relatively hot, humid , rainy summers, and moderately cold and rainy winters. Mean maximum temperatures in July vary from 83 to 90 °F (28 to 32 °C); the mean minimum July temperatures are 61 to 69 °F (16 to 21 °C). In January the mean maximum temperatures range from 36 to 44 °F (2 to 7 °C);

3465-593: The flat tops of bluffs, cliffs or mountains, constructed from stone that was quarried in the surrounding valleys and brought up to the summit. These sites and artifacts were sometimes explained as being the remnants of a "lost" white race, or some variously identified ethnic group predating and distinct from the Native Americans. More recent scholarship identifies the mound builders as the Mississippian and Fort Ancient peoples, which were distinct from

3542-474: The freezing point vary from about sixty days in the southwest to more than a hundred days in the far-north and far-east. Kentucky has the second-most navigable miles of water among U.S. states, second to Alaska . Kentucky is the only state to have a continuous border of rivers running along three of its sides – the Mississippi River to the west, the Ohio River to the north, and

3619-574: 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. In 2000, WellPoint acquired PrecisionRx, a mail service pharmacy fulfillment center in Texas. In 2001, WellPoint offered to acquire CareFirst BlueCross BlueShield for $ 1.37 billion, including $ 119 million in bonuses to Carefirst executives. In 2003,

3696-511: The indigenous cultures encountered by settlers, although sharing the same origin in Paleoindian groups that inhabited the area for at least 12,000 years. Beginning in the seventeenth century, before indigenous groups in Kentucky made direct contact with Europeans, articles of European origin such as glass beads entered the region via trade routes , and the appearance of mass graves suggests that European diseases were also introduced. By

3773-440: The interior of the state. French explorers in the 17th century documented numerous tribes living in Kentucky until the Beaver Wars in the 1670s; however, by the time that European colonial explorers and settlers began entering Kentucky in greater numbers in the mid-18th century, there were no major Native American settlements in the region. The Chickasaw had territory up to the confluence of Mississippi and Ohio rivers. During

3850-423: The leading radiology benefit management company. In January 2008, Leslie Margolin became the president of California operations. She resigned in July 2010. In 2008, WellPoint acquired Resolution Health, a firm that analyzes patient history for potential medical problems such as adverse drug interactions. In 2009, WellPoint acquired DeCare Dental, a dental insurance firm. In 2011, WellPoint acquired CareMore,

3927-622: The location of fields to maintain plots of land in various stages of ecological succession . In about the 10th century, the Kentucky native people's variety of corn became highly productive, supplanting the Eastern Agricultural Complex and replacing it with maize-based agriculture in the Mississippian era . As of the 16th century, what became Kentucky was home to tribes from diverse linguistic groups. The Kispoko , an Algonquian-speaking tribe, controlled much of

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4004-457: The mean minimum temperatures range from 19 to 26 °F (−7 to −3 °C). Temperature means vary with northern and far-eastern mountain regions averaging five degrees cooler year-round, compared to the relatively warmer areas of the southern and western regions of the state. Precipitation varies north to south with the north averaging of 38 to 40 inches (970 to 1,020 mm), and the south averaging of 50 inches (1,300 mm). Days per year below

4081-702: The medical insurance market in Indiana by the 1970s. In 1972, The two firms, then known as Blue Cross of Indiana and Blue Shield of Indiana, entered into a joint operating agreement. 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. 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. In 1989, The Associated Group founded Acordia,

4158-489: The most of any lake in the Tennessee Valley Authority system. Kentucky's 90,000 miles (140,000 km) of streams provides one of the most expansive and complex stream systems in the nation. Kentucky hosts multiple habitats with a high number of endemic species, including some of the most extensive cave systems in the world. 102 known species are endemic to the state. The Bluegrass region, which

4235-620: The northern portion of the state, above the Knobs . Much of the outer Bluegrass is in the Eden Shale Hills sub-region, made up of short, steep, and very narrow hills. The alluvial plain of the Ohio River is another geological region, as is the area south and east of Pine Mountain, part of the Ridge and Valley Belt of Appalachia. Most of Kentucky has a humid subtropical climate (Köppen: Cfa ), with small Appalachian highland areas of

4312-822: The number of automobiles and trucks assembled. It is one of several states considered part of the Upland South . The state is home to the world's longest known cave system in Mammoth Cave National Park , the greatest length of navigable waterways and streams in the contiguous United States , and the nation's two largest artificial lakes east of the Mississippi River . Cultural aspects of Kentucky include horse racing , bourbon , moonshine , coal mining , My Old Kentucky Home State Park , automobile manufacturing, tobacco, Southern cuisine , barbecue , bluegrass music , college basketball , Louisville Slugger baseball bats, and Kentucky Fried Chicken . Prior to 1769, Botetourt County and successor counties in

4389-468: The offer was rejected by the Maryland insurance commissioner. In March 2001, WellPoint acquired Rush Prudential Health Plans, a Chicago provider, for $ 204 million. In March 2001, WellPoint acquired Cerulean Companies, the parent company of Blue Cross Blue Shield of Georgia . In 2002, WellPoint acquired RightChoice Managed Care, a Missouri-based company that ran Blue Cross and Blue Shield for part of

4466-443: The prairie" (cf. Mohawk kenhtà:ke , Seneca gëdá'geh ( phonemic /kɛ̃taʔkɛh/ ), "at the field"). Another theory suggests a derivation from the term Kenta Aki , which could have come from an Algonquian language , in particular from Shawnee . Folk etymology translates this as "Land of Our Fathers". The closest approximation in another Algonquian language, Ojibwe , translates as "Land of Our In-Laws", thus making

4543-741: The small number of inhabitants of the area at the time, the Kentucky Bend is the result of a surveying error, not the New Madrid earthquake. Kentucky can be divided into five primary regions: the Cumberland Plateau in the east, which is wholly underlain by coal and constitutes the Eastern Coal Field; the north-central Bluegrass region , where the major cities and the capital are located; the south-central and western Pennyroyal Plateau (a Mississippian-age plateau that

4620-410: The southeast of the state having an oceanic climate ( Cfb ). Temperatures in Kentucky usually range from daytime summer highs of 87 °F (31 °C) to the winter low of 23 °F (−5 °C). The average precipitation is 46 inches (1,200 mm) a year. Kentucky has four distinct seasons, with substantial variations in the severity of summer and winter. The state's highest recorded temperature

4697-449: The state capital. After the expulsion of Confederate forces after the Battle of Perryville, this government operated in-exile. Though it existed throughout the war, Kentucky's provisional government only had governing authority in areas of Kentucky under direct Confederate control and had very little effect on the events in the Commonwealth or in the war once they were driven out of the state. Kentucky remained officially "neutral" throughout

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4774-554: The state led to the development of large tobacco plantations similar to those in Virginia and North Carolina , which utilized enslaved labor prior to the passage of the Thirteenth Amendment . Kentucky ranks fifth nationally in goat farming, eighth in beef cattle production, and fourteenth in corn production. While Kentucky has been a long-standing center for the tobacco industry, its economy has diversified into non-agricultural sectors including auto manufacturing, energy production, and medicine. Kentucky ranks fourth among US states in

4851-413: The state's population was approximately 4.5 million. Previously part of Virginia, Kentucky was admitted into the Union as the fifteenth state on June 1, 1792. It is known as the "Bluegrass State" in reference to Kentucky bluegrass , a species of grass introduced by European settlers which has long supported the state's thoroughbred horse industry. The fertile soil in the central and western parts of

4928-465: The state, for $ 1.5 billion. RightChoice also owned provider network company HealthLink. WellPoint also acquired MethodistCare of Houston, Texas 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 . In November 2004, Wellpoint, Inc. was formed by the merger of Anthem Insurance Company and WellPoint Health Networks Inc. The merger

5005-437: The state. The northern parts tend to be about five degrees cooler than those in the western parts of the state. Somerset in the south-central part receives ten more inches of rain per year than Covington to the north. Average temperatures for the entire state range from the low 30s in January to the high 80s in mid-July. The annual average temperature varies from 55 to 60 °F (13 to 16 °C): of 55 °F (13 °C) in

5082-420: The time made up a little over half the territory of the Commonwealth to the Russellville Convention in 1861, and were occupied and governed by the Confederacy at some point in the duration of the war, and Kentucky had full representation within the Confederate Government. Although Confederate forces briefly controlled Frankfort, they were expelled by Union forces before a Confederate government could be installed in

5159-675: The war due to the Southern Unionists sympathies of a majority of the Commonwealth's citizens who were split between the struggle of Kentucky's sister Southern States fully in the Confederate States of America and a continued loyalty to the Unionist cause that was prevalent in other areas of the South such as in East Tennessee, West Virginia, Western North Carolina, and others. Despite this, some 21st-century Kentuckians observe Confederate Memorial Day on Confederate leader Jefferson Davis ' birthday, June 3, and participate in Confederate battle re-enactments. Both Davis and U.S. president Abraham Lincoln were born in Kentucky. John C. Breckinridge ,

5236-483: The west, Illinois to the northwest, and Indiana and Ohio to the north. Only Missouri and Tennessee, both of which border eight states, touch more. Kentucky's northern border is formed by the north shore of the Ohio River and its western border by the Mississippi River ; however, the official border is based on the courses of the rivers as they existed when Kentucky became a state in 1792. For instance, northbound travelers on U.S. 41 from Henderson, after crossing

5313-493: The winter of 1997, the Kentucky Department of Fish and Wildlife Resources began to re-stock elk in the state's eastern counties, which had been extirpated from the area for over 150 years. As of 2009 , the herd had reached the project goal of 10,000 animals, making it the largest herd east of the Mississippi River . The state stocked wild turkeys in the 1950s, after reportedly having fewer than 900. Once nearly extinct, wild turkeys thrive throughout Kentucky. Hunters reported

5390-463: Was 114 °F (46 °C) in Greensburg on July 28, 1930, while its lowest recorded temperature was −37 °F (−38 °C) in Shelbyville on January 19, 1994 . The state seldom experiences the extreme cold of far northern states or the high heat of the states in the Deep South ; temperatures rarely drop below zero degrees Fahrenheit or rise above 100 degrees. Rain and snowfall averages about 45 inches per year. The climate varies markedly within

5467-405: Was abandoned during the conflict period of Dunmore's War, and resettled in March 1775, becoming the first permanent European settlement in Kentucky. It was followed within months by Boone's Station, Logan's Fort and Lexington before Kentucky was organized. This period was the time of Daniel Boone's legendary expeditions starting in 1767 through the Cumberland Gap and down the Kentucky River to reach

5544-518: Was founded with the consolidation of Blue Cross of Northern California (established in 1936) and Blue Cross of Southern California (established in 1937). In 1992, WellPoint was formed to operate Blue Cross of California's managed care business. 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. In 1996, Blue Cross of California restructured to

5621-559: Was indicted as a co-conspirator in Goebel's assassination . Goebel is the only governor of a U.S. state to have been assassinated while in office. The Black Patch Tobacco Wars , a vigilante action, occurred in Western Kentucky in the early 20th century. As a result of the tobacco industry monopoly, tobacco farmers in the area were forced to sell their crops at prices that were too low. Many local farmers and activists united in

5698-528: Was larger than the state of Kentucky today, encompassing most of today's West Virginia and (vaguely) part of southwestern Pennsylvania. Notable expeditions were Batts and Fallam 1671, Needham and Arthur 1673. Dr. Thomas Walker and surveyor Christopher Gist surveyed the area now known as Kentucky in 1750 and 1751. As more settlers entered the area, warfare broke out with the Native Americans over their traditional hunting grounds. June 16, 1774, James Harrod founded Harrod's Town (modern Harrodsburg). The settlement

5775-463: Was managing the sale of WellPoint Health Networks stock. Of the $ 3 billion yielded from this process, four-fifths of the proceeds went to create The California Endowment and the remainder, some $ 600 million at the time, stayed with CHCF. From its inception, CHCF has looked for opportunities to improve health care in California by supporting higher quality, greater efficiency, and broader access to care. Dr. Sandra R. Hernández became president and CEO of

5852-684: Was mortally wounded by an assassin while walking to the State Capitol in downtown Frankfort. Goebel was contesting the Kentucky gubernatorial election of 1899 , which William S. Taylor was initially believed to have won. For several months, J. C. W. Beckham , Goebel's running mate, and Taylor fought over who was the legal governor until the Supreme Court of the United States ruled in May in favor of Beckham. After fleeing to Indiana , Taylor

5929-490: 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. In 2005, WellPoint acquired Alexandria, Virginia –based Lumenos, a provider of consumer-driven health care , for $ 185 million. Lumenos was the pioneer and market leader in consumer-driven health plans. In December, WellPoint acquired WellChoice,

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