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…
A decision by Gov. Pat Quinn to bid out two contracts to serve the aged, blind and disabled population in Illinois' Medicaid program represents a return to the HMO model in a state that had essent…
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…
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…
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…
Colorado Medicaid has seen a reduction in emergency room use and a drop in per-member spending among children due to a medical home initiative. Health plans in Colorado and Nevada have taken highly in…
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…
Parkinson's disease (PD) is one of the most common neurodegenerative diseases in the elderly. The launch of several new therapies and new formulations of key brands will drive market growth, but g…
HealthLeaders-InterStudy periodically publishes special analyst reports on healthcare topics of interest.
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…