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…
The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…
The passage of the Patient Protection and Affordable Care Act has the potential to dramatically increase Medicaid and commercial enrollment in Ohio, Kentucky and Indiana with expansion of Medicaid eli…
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…
HealthLeaders-InterStudy has prepared an executive brief on Medical Homes.
Health reform doesn't make its biggest splash until 2014, but health plans are getting their feet wet this year having to comply with numerous new mandates in the next 12 months. Among the most ch…
Tennessee Gov. Phil Bredesen likely will not have to enact draconian cuts to TennCare this year, but is still pursuing two methods to trim the pharmacy program in ways that will cut into pharmaceutica…
Managed Medicaid continues to evolve in South Carolina with the consolidation of plans, peaks in enrollment and proposed cost containment measures. To help keep Medicaid prescription drug costs in lin…
One by one, the Blue Cross and Blue Shield plans in Pennsylvania are changing their underwriting practices to better compete with for-profit insurers they say are cherry picking the best health risks…
Missouri has embarked on an ambitious strategy to better coordinate care for the costliest members of MO HealthNet, its Medicaid program, with the hope of reducing expenses. With managed care in place…
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 HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…
Florida's Medicaid program faces a massive reshaping as legislators grapple with a $2 billion budget deficit for the program. The Legislature is considering two options for the $18 billion program…
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…