Expert analysis of the nation's largest and most influential integrated delivery networks (IDNs)
Exchange Profile offers a concise dashboard of key information and data for each health insurance exchange, as well as expert analysis of trends and the potential opportunities and threats.
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. Sections most rec…
Exchange Profile offers a concise dashboard of key information and data for each health insurance exchange, as well as expert analysis of trends and the potential opportunities and threats.
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…
Medicaid programs in the District of Columbia and Virginia are looking at ways to save money and adapt to changes mandated in the federal health reform law. The District is planning to shift the costs…
Brokers predict that enrollment for 2010 will be flat and that insurers will bump up their revenue with premium increases and changes in benefit designs. Health plan enrollment went down only slightly…
In what could end up as a budget buster for the state, Maryland's Medicaid rolls went up by more than 90,000 from July 2008 to October 2009. The recession accounted for some of that rise just as…
Big contracts were renewed or awarded for the first time in the Mid-Atlantic this summer. Anthem Blue Cross and Blue Shield (the largest health insurance carrier in Virginia) and Kaiser Permanente wil…
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…
Maryland lawmakers are considering ways to extend health insurance coverage despite a budget deficit and national efforts to extend health benefits. In Virginia, lawmakers turned back an attempt to le…
The District of Columbia is targeting CareFirst BlueCross BlueShield in an effort to capture a portion of the large nonprofit's reserves for a new program serving the uninsured. The District has h…
Maryland regulators cited and fined Coventry Health Care after finding the carrier failed to comply with state laws regarding prompt payment of claims, appeals, greivances, and more. Meanwhile, AMERIG…
Maryland has become one of the first states to pass laws regulating the licensing and transparency of pharmacy benefits managers operating in the state. The bills were supported by the Pharmaceutical…