Value-based insurance designs, medical homes and Medicaid reform, as well as the federal health reform law, are affecting the healthcare landscape in Georgia, Louisiana and Alabama. Large employers in…
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…
The practice known as “academic detailing,” which aims to provide physicians with a more complete, evidence-based, and presumably unbiased education about what specific drugs will do, has sp…
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…
Colorado Medicaid has seen a reduction in emergency room use and a drop in per-member spending among children due to a medical home initiative. Health plans in Colorado and Nevada have taken highly in…
Health reform doesn't make its biggest splash until 2014, but health plans are getting their feet wet this year having to comply with numerous new mandates in the next 12 months. Among the most ch…
Tennessee Gov. Phil Bredesen likely will not have to enact draconian cuts to TennCare this year, but is still pursuing two methods to trim the pharmacy program in ways that will cut into pharmaceutica…
Managed Medicaid continues to evolve in South Carolina with the consolidation of plans, peaks in enrollment and proposed cost containment measures. To help keep Medicaid prescription drug costs in lin…
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…
Health plans nationwide have been struggling to retain membership amid the ongoing economic crisis. Minnesota state health plans have responded by rolling out new plan designs targeting the growing in…
Missouri has embarked on an ambitious strategy to better coordinate care for the costliest members of MO HealthNet, its Medicaid program, with the hope of reducing expenses. With managed care in place…
The Michigan agency that oversees Medicaid has elected to expand the pharmacy carve-out for psychotropic drugs, taking the responsibility away from the state's Medicaid HMOs. The advantage to the…
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…
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…