{"id":89781,"date":"2010-03-18T00:00:00","date_gmt":"2010-03-18T00:00:00","guid":{"rendered":"http:\/\/clarivate.com\/report\/hpdaprpawi10-marketaccess-pennsylvania-winter-2010-health-plan\/"},"modified":"2010-03-18T00:00:00","modified_gmt":"2010-03-18T00:00:00","slug":"hpdaprpawi10-marketaccess-pennsylvania-winter-2010-health-plan","status":"publish","type":"report","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/report\/hpdaprpawi10-marketaccess-pennsylvania-winter-2010-health-plan\/","title":{"rendered":"Pennsylvania | Winter | 2010 | Health Plan Analysis"},"content":{"rendered":"<p>One by one, the Blue Cross and Blue Shield plans in Pennsylvania are changing their underwriting practices to better compete with for-profit insurers they say are cherry picking the best health risks in their markets. The latest move comes from Pittsburgh-based Highmark Inc., which is moving non-HMO products to a for-profit subsidiary so it can start medically underwriting small-groups. Blue Cross of Northeastern Pennsylvania took the same step about a year ago. As a result, older groups with health risks are bracing for higher rate quotes and state insurance regulators are renewing their call to end Pennsylvania&#039;s lonely distinction as one of two states, including Hawaii, that have not imposed small-group rate controls on health insurers. In Medicaid, two health plans new to the HealthChoices managed care program-Aetna Better Health and Coventry Cares-will be vying for the business of new enrollees, getting some initial help from auto-assignments. In another Medicaid development, an e-prescribing project is under way for all the state&#039;s providers. Medicare Advantage enrollment has dropped sharply in Philadelphia. Enactment of Pennsylvania&#039;s new dependent coverage law of adults up to age 30 is causing a rift in interpretations. And Medicare-eligible state retirees have a new choice of HMO and PPO plans.<\/p>\n","protected":false},"template":"","class_list":["post-89781","report","type-report","status-publish","hentry","report-gateway-marketaccess","marketaccess-product-health-plan-data-analysis","marketaccess-state-pennsylvania","marketaccess-date-566"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/89781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report"}],"about":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/report"}],"version-history":[{"count":0,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/89781\/revisions"}],"wp:attachment":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=89781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}