Stakeholders in the healthcare industry are looking at the health reform law, planning ways to minimize losses and take advantage of opportunities. In North Carolina, federal and state high risk pools…
Thousands of state residents currently receiving care in Wisconsin through the state-subsidized BadgerCare Plus program could be moved into state exchanges as a part of national healthcare reform. How…
Health reform could completely change the landscape of Texas healthcare, bringing new people into the system while challenging smaller plans to meet requirements on their spending on medical care. Med…
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…
Individual states are on the frontline for implementing the recently passed Patient Protection and Affordable Care Act. A few of the first pieces of that landmark legislation include the implementatio…
The passage of the Patient Protection and Affordable Care Act has the potential to dramatically increase Medicaid and commercial enrollment in Ohio, Kentucky and Indiana with expansion of Medicaid eli…
Value-based insurance designs, medical homes and Medicaid reform, as well as the federal health reform law, are affecting the healthcare landscape in Georgia, Louisiana and Alabama. Large employers in…
HealthLeaders-InterStudy has prepared an executive brief on Medical Homes.
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…
Tennessee Gov. Phil Bredesen likely will not have to enact draconian cuts to TennCare this year, but is still pursuing two methods to trim the pharmacy program in ways that will cut into pharmaceutica…
HealthLeaders-InterStudy periodically publishes special analyst reports on healthcare topics of interest.
HealthLeaders-InterStudy has prepared an executive brief on healthcare reform outlining how the Medicare, Medicaid and individual insurance markets will be affected, and what these changes mean for th…
Florida's Medicaid program faces a massive reshaping as legislators grapple with a $2 billion budget deficit for the program. The Legislature is considering two options for the $18 billion program…
Brokers predict that enrollment for 2010 will be flat and that insurers will bump up their revenue with premium increases and changes in benefit designs. Health plan enrollment went down only slightly…
In an effort to curtail the growing cost of specialty drugs, Regence has developed a new benefit design with a standard and extended six-tier formulary that combines medical and prescription drug bene…