Market Access Insights

HealthLeaders-InterStudy periodically publishes special analyst reports on healthcare topics of interest.

HealthLeaders-InterStudy has prepared an executive brief on healthcare reform outlining how the Medicare, Medicaid and individual insurance markets will be affected, and what these changes mean for th…

Florida's Medicaid program faces a massive reshaping as legislators grapple with a $2 billion budget deficit for the program. The Legislature is considering two options for the $18 billion program…

Brokers predict that enrollment for 2010 will be flat and that insurers will bump up their revenue with premium increases and changes in benefit designs. Health plan enrollment went down only slightly…

In an effort to curtail the growing cost of specialty drugs, Regence has developed a new benefit design with a standard and extended six-tier formulary that combines medical and prescription drug bene…

The economy has inspired fewer bold moves and more fiscal caution in the TriState health insurance market, both in government and the private sector. Connecticut is experiencing a seismic shift in its…

While lawmakers in Washington, D.C., fight over a problematic national healthcare reform bill that includes an individual mandate, the only state in the nation with such a law in placeÑMass…

The Illinois and Iowa commercial health insurance markets took hits through much of 2009 as rising unemployment resulted in fewer insured residents. The issue was more severe in Illinois where the man…

In Georgia and Louisiana, state government is the largest employer and insures the largest group of people. In both states, cost saving changes are under way. Louisiana is looking at privatizing its s…

Arizona has one of the hardest hit economies in the nation, according to various indicators. As a result, commercial healthcare enrollment is down and enrollment in the state’s CHIP program has been c…

Ohio has decided to carve out Medicaid pharmacy in anticipation of the passage of a new federal law, the Drug Rebate Equalization Act. The Act will give managed care companies the same rebates – aroun…

UnitedHealthcare's Connected Care program, an effort to create a national telehealth network, has taken root in a partnership with Centura Health and rural health facilities. Diabetes management h…