A significant medical home pilot program has begun in the Phoenix and Tucson areas in which UnitedHealthcare is offering additional payments for primary-care providers involved in the treatment of pat…
Colorado has kicked off a broad medical home project in 17 primary care practices around the state. Those physicians will receive standard fee-for-service, a monthly care management fee and bonuses fo…
Fallon Community Health Plan, based in Worcester, Mass., is reacting to local market dynamics in announcing its intention to expand into neighboring New Hampshire. The Massachusetts market is dominate…
As many as seven patient-centered medical home projects have cropped up throughout Ohio with CareSource working with providers on a Medicaid-focused PCMH. A medical-home initiative in Cincinnati inclu…
Recent moves to better control pharmaceutical expenses at the large TennCare program for Medicaid beneficiaries have resulted in compliance to preferred drugs by about 98 percent of the program's…
Two collaborative efforts involving multiple health insurers in Pennsylvania have the potential to improve the quality of healthcare in the state. The first is a transparency effort involving how care…
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…
Both Virginia and Maryland lawmakers took steps to make insurance for small businesses more affordable in their 2009 sessions. In Virginia, lawmakers passed legislation allowing health plan designs to…
Despite a $6.6 billion two-year budget deficit, Wisconsin is going ahead with plans to expand its BadgerCare Plus program to childless adults. And, because the budget calls for state health officials…
Missouri's Medicaid program is preparing to centralize management of pharmaceutical benefits for some 850,000 beneficiaries across the state. Previously, managed care plans managed the pharmacy an…
BlueCross BlueShield of South Carolina is more than just the 800-pound gorilla in the Palmetto State's healthcare market – it is parent to a family of successful subsidiary companies that provide…
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 delivers managed care services to Medicaid beneficiaries in many ways, and now it's looking at adding yet another delivery system. In the summer of 2010, the state plans to test a medical…
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 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…