Each OCGN PowerProfile explores the degree to which an organization bears financial risk for clinical quality and patient outcomes, displays the characteristics of integrated healthcare deliv…
State Medicaid Profiles offer a dashboard of key MCO players and enrollment, recent policy actions, and pharmacy trends for all 50 states, the District of Columbia, and Puerto Rico. This profile is ba…
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…
Michigan's economy has begun to recover from its bottom, but health plan purchasers are only coming back into the market cautiously. Demand is up for products that will yield better medical outcom…
The passage of the Patient Protection and Affordable Care Act will, in the short run, expand coverage for young people, create new high-risk pools, shift incentives for Medicaid drug rebates and make…
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 HMO subsidiary of Michigan's largest health insurer, Blue Cross Blue Shield of Michigan has begun the process to purchase an independent, Lansing-based HMO, Physicians Health Plan of Mid-Michi…
Michigan has awarded its bids to health plans administering Medicaid throughout the state, granting additional territory and clout to two regional players and rebuffing another major plan's attemp…
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….
Economic turmoil is nothing new in Michigan, where the auto industry's woes continue to get worse, and job losses and layoffs continue to shrink the healthcare market. Against that backdrop, Blue…
The shift in employers' attitudes toward wellness and healthcare cost management has brought workplace health clinics back into vogue, mostly among large self-insured businesses, but also among so…
Blue Cross Blue Shield of Michigan has made its own in-house provider portal into the go-to site for Medicare elibibility and benefit information, even for those who are not its customers. In…
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…
The Michigan health insurance industry has been preoccupied with a legislative battle over the individual health insurance market that pits Blue Cross Blue Shield of Michigan against other health plan…