Expert analysis of the nation's largest and most influential integrated delivery networks (IDNs)
Expert analysis of the nation's largest and most influential integrated delivery networks (IDNs)
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…
If all goes as planned, Medicaid manged care organization Amerigroup will cease to exist as a stand-alone company in late 2012 when it is acquired by WellPoint, the second-largest health insurer in th…
Regional Intelligence Briefings are semi-annual Webinar-based presentations from HealthLeaders-InterStudy analysts. The presentations focus on commercial, provider, care management and healthcare refo…
New York health plans are under more pressure than ever to keep a lid on rates, but their requests for premium increases have been curtailed under the new prior approval law. As one alternative, carri…
Still reeling from a weak job market, the insurance industry in the Tristate is looking under every stone for cost controls and efficiencies. Carriers still challenged in growing their commercial busi…
Healthcare reform will be less of a game-changer in the TriState, at least for New York and New Jersey, which already ban medical underwriting, exert some controls over insurer rates and benefit plans…
The economy has inspired fewer bold moves and more fiscal caution in the TriState health insurance market, both in government and the private sector. Connecticut is experiencing a seismic shift in its…
The individual health insurance markets in New York and New Jersey are a study in contrasts, despite the fact both are highly regulated to guarantee residents a certain level of coverage. New Jersey&#…
The winds of change are about to reshape the TriState health insurance market, starting with the announcement that UnitedHealth Group is planning to buy Health Net of the Northeast within 12 months. I…
Faced with hundreds of millions of dollars in tax increases from the state, New York health plans are hunkering down for a lean 2009. Four of the 10 major carriers in the state posted net losses in 20…
Excellus BlueCross BlueShield will have to change part of its formulary strategy as CMS prepares to ban the practice of reference-based drug pricing, used to boost generic utilization. Th…