Florida is a diverse market and generally can be put into three primary regions, and even so local dynamics can be somewhat different within those regions. The central part of the state is characteriz…
HealthLeaders-InterStudy will be adding Public Exchange Enrollment figures to your insights reports and database tools starting in June. For more information on which products will contain the inform…
Health insurers in Oregon and Washington are trying to meet demand for more cost-effective products as the economy struggles and healthcare costs rise. In Washington, Blue Cross and Blue Shield of Ill…
Health reform doesn't make its biggest splash until 2014, but health plans are getting their feet wet this year having to comply with numerous new mandates in the next 12 months. Among the most ch…
The Michigan agency that oversees Medicaid has elected to expand the pharmacy carve-out for psychotropic drugs, taking the responsibility away from the state's Medicaid HMOs. The advantage to the…
Ohio has decided to carve out Medicaid pharmacy in anticipation of the passage of a new federal law, the Drug Rebate Equalization Act. The Act will give managed care companies the same rebates – aroun…
Minnesota health plans are facing the specter of rising specialty drug costs and are implementing a variety of strategies to control those costs, including shifting specialty drugs from the medical be…
Beginning in January 2010, Tennessee plans to test a statewide database that will include claims data from claims paid by most of the payors in the state. The database is designed to improve transpare…
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…
In what may be a coming trend among large-scale employers with self-managed pharmacy plans, General Mills has hired its own in-house pharmacists to do medication management with targeted employees….
Texas' Medicaid program is on the verge of considerable change with the potential for expansion of managed care into both adult and children's programs. At the same time, the Texas Legislature…
Maryland has become one of the first states to pass laws regulating the licensing and transparency of pharmacy benefits managers operating in the state. The bills were supported by the Pharmaceutical…