Two collaborative efforts involving multiple health insurers in Pennsylvania have the potential to improve the quality of healthcare in the state. The first is a transparency effort involving how care…
Blue Cross Blue Shield of Michigan got only a portion of the insurance reforms it sought in the Michigan legislature, at least in part because of opposition from its competitor health plans. But the c…
Summary Healthcare reform fizzled out in both Kansas and Missouri in the past legislative sessions. A legislative revolt from his own party forced Missouri Gov. Matt Blunt to back off his Insure Misso…
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…
Texas' health plans have long benefitted from the Lone Star State's mandatory generic dispensing law, but have gone beyond that to achieve significant generic utilization and subsequent saving…
Massachusetts is at a crossroads with its Commonwealth Care and Choice programs with enrollment exceeding expectations but costs coming in over earlier estimates. The Massachusetts Legislature is cons…
Kaiser Permanente is preparing to make a huge strategic leap beyond its gatekeeper HMO roots by rolling out an administrative services only (ASO) product offering to large employers. The Department of…
Blue Cross and Blue Shield of North Carolina is upping the ante on transparency with its new Health Cost Estimator by offering contracted prices instead of provider charges, and by estimating the cost…
Washington's individual health insurance market is growing, but medical cost trends have resulted in double-digit premium increases. As a result, the state's insurance commissioner is backing…