As many as seven patient-centered medical home projects have cropped up throughout Ohio with CareSource working with providers on a Medicaid-focused PCMH. A medical-home initiative in Cincinnati inclu…
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…
UnitedHealth's recently-competed purchase and integration of Sierra Health Services has made it the undisputed leader in Nevada's healthcare market, but new competition from Coventry and a new…
Both Virginia and Maryland lawmakers took steps to make insurance for small businesses more affordable in their 2009 sessions. In Virginia, lawmakers passed legislation allowing health plan designs to…
Missouri's Medicaid program is preparing to centralize management of pharmaceutical benefits for some 850,000 beneficiaries across the state. Previously, managed care plans managed the pharmacy an…
BlueCross BlueShield of South Carolina is more than just the 800-pound gorilla in the Palmetto State's healthcare market – it is parent to a family of successful subsidiary companies that provide…
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…
In what may be a coming trend among large-scale employers with self-managed pharmacy plans, General Mills has hired its own in-house pharmacists to do medication management with targeted employees….
Health insurers in Oregon and Washington are paying special attention to pricing in 2009 in order to maintain their customer base, but are also casting a wary eye to any blip in medical costs as the i…
The over-arching theme of the healthcare marketplace in New England continues to be the regionalization of the well-established plans like Harvard Pilgrim, Tufts, MVP and others across the New England…
Even as health plans struggle to retain members in a state with one of the highest unemployment rates in the country, moves are under way to redesign health benefits both by the private and public sec…
Iowa lawmakers are considering major mandates for state-regulated health plans, including requirements that health plans cover autism, prosthetics, osteoporosis, and cancer treatment in approved clini…
Against a backdrop of rising unemployment and businesses trying to cut healthcare costs, health plans in Pennsylvania are increasing their offerings of individual products and fielding group plans wit…
The struggling economy in Florida, burdened by the bust of the real estate and construction boom, resulted in enrollment losses in 2008 and is all but sure to continue into 2009. Insurers are reacting…
At a time when many states are looking to pare back healthcare programs as a way to close budget deficits, Wisconsin is taking the opposite route. Despite facing a gloomy nationwide economic forecast…