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…
Massachusetts' largest health insurer, Blue Cross Blue Shield, is embracing one of the latest trends in pharmacy benefit management, that of value-based benefit design. The Boston-based health pla…
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…
The over-arching theme of the healthcare marketplace in New England continues to be the regionalization of the well-established plans like Harvard Pilgrim, Tufts, MVP and others across the New England…
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…
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…
The Oregon Legislature will have a big task ahead as it considers how to implement a broad plan by Oregon's Health Fund Board to insure every resident of the state. The proposal is as ambitious in…
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…
Massachusetts is at a crossroads with its Commonwealth Care and Choice programs with enrollment exceeding expectations but costs coming in over earlier estimates. The Massachusetts Legislature is cons…
Massachusetts' health reform program got off to an encouraging start in 2007 with more than 300,000 previously uninsured residents receiving health benefits; however, problems loom with higher-tha…