Kansas City is the new home of a major pilot initiative for value-based insurance design, with major employers pulling together to gather and evaluate data needed to calculate results of VBID moves.
Ground zero for job losses is the financial sector in New York, and insurers are bracing for membership declines. The jobless may have a difficult time finding low-cost individual policies in New York…
The consumer-driven health plan movement is undergoing a shakeup in California with health plans passing along double-digit rate increases for renewing customers to make up for losses on the high-dedu…
Enrollment in Illinois HMOs continues to decline with the most recent data from HealthLeaders-InterStudy showing a 14 percent decrease from the year before. HMOs now comprise about 18 percent of the c…
Iowa's dominant insurer, Wellmark Blue Cross Blue Shield of Iowa, has unveiled its new Blue Transitions product aimed at drawing more of Iowa's farmers into high-deductible health plans.
Blue Cross Blue Shield of Texas is the immovable behemoth of the Texas market with more than 4.2 million members, but the race for second place is hotly contested, and Aetna has earned silver by leapi…
Blue Cross and Blue Shield of Alabama is Goliath in that state's insurance arena, but national plans are picking up Alabama members too. The insurance market is widening in Huntsville and Mobile t…
Minnesota is bucking the national trend with growing HMO enrollment while at the same time defying a national movement to significant growth in self-insured products. Market leader Blue Cross and 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…
Massachusetts' health reform is running on all cylinders with 439,000 previously uninsured now covered in state or private plans. However, 2009 brings new challenges as the state mandates prescrip…
The list of health plans leaving the Ohio Medicaid managed care program continues to grow with WellPoint Inc. leaving the program entirely and WellCare and Centene Corp. pulling their managed care org…
Humana Inc.'s latest stop on its buying spree was in East Tennessee where the Kentucky-based insurer agreed to purchase Cariten Healthcare, a provider-owned company doing business in commercial, M…
More than 37 percent of Medicaid beneficiaries in South Carolina who could join a managed care plan in the state's Healthy Connections program have done so by August of 2008. Eight health plans ar…
Radiology and imaging costs have begun to climb again, and health plans in Pennsylvania are employing various measures to control that growth. Geisinger Health Plan seems to have found success…
Blue Cross Blue Shield of Michigan has made its own in-house provider portal into the go-to site for Medicare elibibility and benefit information, even for those who are not its customers. In…