Health plans in Massachsuetts, coming off one of their toughest years financially, are battling state regulators over premium increases, and the battle is hitting insurers' bottom lines. Maine is…
Commercial health insurers in the Indiana-Kentucky-Ohio region have experienced declining enrollment due to the economic effects of employers dropping or cutting workplace-sponsored coverage. But insu…
Now that federal healthcare reform is passed, insurance companies and their regulators are turning their focus to immediate tasks, in particular setting up a high-risk pool for an estimated 5,000 indi…
Stakeholders in the healthcare industry are looking at the health reform law, planning ways to minimize losses and take advantage of opportunities. In North Carolina, federal and state high risk pools…
The early returns from a massive valued-based benefit design initiative in Kansas City have led to five new pilots nationwide. In concert with its PBM, CVS Caremark, the Kansas State Employee Health P…
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…
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…
Unable to reach a compromise between the House and Senate, Florida's state Legislature did not expand Medicaid Reform, which requires beneficiaries in certain counties elect to join an HMO or a Pr…
Thousands of state residents currently receiving care in Wisconsin through the state-subsidized BadgerCare Plus program could be moved into state exchanges as a part of national healthcare reform. How…
Health reform could completely change the landscape of Texas healthcare, bringing new people into the system while challenging smaller plans to meet requirements on their spending on medical care. Med…
Healthcare reform will be less of a game-changer in the TriState, at least for New York and New Jersey, which already ban medical underwriting, exert some controls over insurer rates and benefit plans…
Individual states are on the frontline for implementing the recently passed Patient Protection and Affordable Care Act. A few of the first pieces of that landmark legislation include the implementatio…
Hepatitis C virus (HCV) is the leading cause of end-stage liver disease and hepatocellular carcinoma. Increasing diagnosis and treatment rates, and substantial unmet need combine to make HCV a high-gr…
Value-based insurance designs, medical homes and Medicaid reform, as well as the federal health reform law, are affecting the healthcare landscape in Georgia, Louisiana and Alabama. Large employers in…
The practice known as “academic detailing,” which aims to provide physicians with a more complete, evidence-based, and presumably unbiased education about what specific drugs will do, has sp…