The Integrated Payer Platform combines data about health plans, PBMs and employer health benefits into one streamlined view, enabling users to fully assess market opportunities and obstacles and minim…
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…
Chronic pain is a multi-billion dollar market saturated with well-established branded and generic analgesics that are only partially effective. While drugs with novel mechanisms of action that offer g…
The individual health insurance markets in New York and New Jersey are a study in contrasts, despite the fact both are highly regulated to guarantee residents a certain level of coverage. New Jersey&#…
The winds of change are about to reshape the TriState health insurance market, starting with the announcement that UnitedHealth Group is planning to buy Health Net of the Northeast within 12 months. I…
Faced with hundreds of millions of dollars in tax increases from the state, New York health plans are hunkering down for a lean 2009. Four of the 10 major carriers in the state posted net losses in 20…
Excellus BlueCross BlueShield will have to change part of its formulary strategy as CMS prepares to ban the practice of reference-based drug pricing, used to boost generic utilization. Th…
Ground zero for job losses is the financial sector in New York, and insurers are bracing for membership declines. The jobless may have a difficult time finding low-cost individual policies in New York…
Horizon Blue Cross Blue Shield's planned conversion to for-profit status stands a markedly better chance this time, as it would raise $1 billion or more that New Jersey could use to launch propose…
New York's proposal to curb “fourth tier” drug pricing has health plans alarmed that lawmakers might curb their ability to structure health benefits, particularly in cost-sharing for exp…
Anthem Blue Cross and Blue Shield in Connecticut, Aetna, AmeriHealth Mercy and UnitedHealth Group plan to submit bids for the care management contracts for residents eligible for Medicaid and the Chil…
