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…
Massachusetts, continuing to look for answers to its escalating heatlhcare costs, has passed legislation requring insurers to offer a limited network option for small employers–apparantly modeled off…
Health plans in Massachsuetts, coming off one of their toughest years financially, are battling state regulators over premium increases, and the battle is hitting insurers' bottom lines. Maine is…
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…
While lawmakers in Washington, D.C., fight over a problematic national healthcare reform bill that includes an individual mandate, the only state in the nation with such a law in placeÑMass…
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…
Blue Cross Blue Shield of Massachusetts is reacting to market conditions in a number of ways, through talks with Excellus BlueCross BlueShield of New York about a potential collaboration in the ancill…
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…
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…