DRG Fingertip insights

New York health plans are under more pressure than ever to keep a lid on rates, but their requests for premium increases have been curtailed under the new prior approval law. As one alternative, carri…

In the face of reimbursement pressures and uncertainty, Florida's Medicare and Medicaid insurers have tweaked their offerings as part of strategies to continue enrollment growth while the state&#3…

Chronic pain syndromes of neuropathic, nociceptive and mixed origins cause substantial human suffering and disability. Despite the number of pain therapies marketed in the U.S., there remains an unfil…

BC/BS of Michigan, the heavyweight among Michigan carriers, is reacting to both the downed economy and strides made by its nearest competitor, Priority Health, by launching in 2011 a new slimmed-down…

Outside of changes related to healthcare reform, most insurers avoided major changes to benefit design for 2011. UnitedHealth Group launched a pilot in Phoenix and other markets which reimburses the Y…

HealthLeaders-InterStudy has prepared an executive brief on healthcare reform after the 2010 election.

The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…

The insurance market in Ohio, Kentucky and Indiana reacted to new reform rules that began this fall. Employers with group plans were forced to decide whether or not to pursue grandfather status with t…

The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…

The only plans in the South seeing significant enrollment growth are Medicaid and Medicare plans. Congress' approval of another FMAP extension is enabling states to avoid deep Medicaid cuts for no…

The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…

The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…