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.
Formulary Insights provides detailed analysis of factors that drive prescription drug benefit coverage trends and how payers, providers and pharma are reacting to those trends.
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…
Outside of changes related to healthcare reform, most insurers avoided major changes to benefit design for 2011. UnitedHealth Group launched a pilot in Phoenix and other markets which reimburses the Y…
Commercial markets in Colorado and Nevada have been shaken up by expansion of HMOs and, in the case of Las Vegas, new market entrants. At the same time, local brokers say employers are not likely to s…
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…
UnitedHealthcare's Connected Care program, an effort to create a national telehealth network, has taken root in a partnership with Centura Health and rural health facilities. Diabetes management h…
A stagnant economy and record unemployment have prompted health insurers to alter their plan designs and drug formularies in the Nevada market. HMO market share has eroded by 8 percentage points betwe…
UnitedHealth's recently-competed purchase and integration of Sierra Health Services has made it the undisputed leader in Nevada's healthcare market, but new competition from Coventry and a new…
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…