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…
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…
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…
Even as health plans struggle to retain members in a state with one of the highest unemployment rates in the country, moves are under way to redesign health benefits both by the private and public sec…
The Illinois insurance market is poised to be hit by rising unemployment that is hitting the factory towns of Peoria, Rockford and Bradley-Kankakee. These markets are typically led by Blue Cross Blue…
Humana Inc. is making a splash in both Ohio and Kentucky with provider relations issues. In Louisville, the insurer's introduction of a narrow network of providers for the Ford Motor Co. has raise…
As a former boom state in the midst of the bust, Arizona's healthcare economy is taking a bigger hit than other areas of the country. One plan is a likely acquisition target. While the biggest ins…
Health insurers in the Midwest are coping with the recession by laying off employees, holding the line on pricing and adjusting benefit design to allow employers to take advantage of additional cost-s…
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…
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…
Hurricane Katrina may have shaken up the hospital and physician supply in New Orleans in 2005, but the disaster has not had a long-term negative effect on health plans in the region. Health plans have…
Healthy Indiana Plan, which was created in 2007, is experiencing one of the fastest launches of any Medicaid-expansion program in the country. By mid-2008, the program had more than 14,000 Hoosiers en…
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…
Health plans operating in the Toledo area largely have deserted a holdover of 1980s managed-care contracts by eliminating “steerage,” which sent patients to a single, large hospital system….