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…
Anthem Blue Cross Blue Shield has pulled out of Nevada's Medicaid program, citing low reimbursements and little prospect of improvement given the state's strained budget. AMERIGROUP has jumped…
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…
The managed care market in Oregon will be shaken up with the awarding of contracts for the Oregon Educators Benefit Board. Winning three-year contracts for medical and pharmacy coverage were Providenc…
Tufts Health Plan wants to compete in the Rhode Island market, setting the stage for a showdown with Blue Cross & Blue Shield of Rhode Island, the state's no. 1 insurer, and UnitedHealthcare o…
Health plans in the Carolinas are managing specialty pharmacy costs at virtually every step of the process, from negotiating prices with manufacturers to creating special convenient networks. Blue Cro…
TennCare, the large Medicaid managed care program, recently awarded two new contracts to health plans to manage the care for enrollees in west and east portions of the state. The contracts went to Ame…
Summary Healthcare reform fizzled out in both Kansas and Missouri in the past legislative sessions. A legislative revolt from his own party forced Missouri Gov. Matt Blunt to back off his Insure Misso…
Passage of the state's new Cover Florida program is likely to put some of the 3.8 million uninsured residents into health insurance, but critics question how much help the low-premium/limited bene…
Pennsylvania health plans have seen great success in managing their pharmacy costs – through encouraging the use of generics, aggressive formulary management, and copay structures. But the conundrum p…