Private and Medicare plans will continue their receptiveness to oral oncology therapies over the next five years, but anticipated increases in coinsurance rates and copays will shift more of the cost…
A still-struggling economy has done nothing to improve commercial enrollment trends in the Pennsylvania-Mid-Atlantic region. Consumers and employers are increasingly turning to consumer-directed healt…
The recent renewal cycle was especially challenging for employers in the Carolinas, owing to the poor economy and new requirements under federal healthcare reform. Carriers continued to increase copay…
The commercial market in Oregon and Washington is seeing an increase in cost sharing with high-deductible plans and higher premiums. Employers are trying to control rising costs by implementing innova…
Texas employers are making only minor benefit changes to retain grandfathered status, including small increases to drug copays. The next state budget includes a major expansion of managed Medicaid and…
Health plans in Wisconsin and Minnesota are rolling out new suites of wellness products that offer premium discounts, among other perks, for hitting specified wellness targets. Minnesota's State E…
Type 2 diabetes is a leading cause of cardiovascular disease, blindness, renal failure and neurologic dysfunction in the United States. Current epidemiologic studies estimate that nearly 24 million Am…
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…
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…