Each OCGN PowerProfile explores the degree to which an organization bears financial risk for clinical quality and patient outcomes, displays the characteristics of integ…
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…
Outside of changes related to healthcare reform, most insurers avoided major changes to benefit design for 2011. UnitedHealth Group launched a pilot in Phoenix and other markets which reimburses the Y…
Commercial markets in Colorado and Nevada have been shaken up by expansion of HMOs and, in the case of Las Vegas, new market entrants. At the same time, local brokers say employers are not likely to s…
Arizona has one of the hardest hit economies in the nation, according to various indicators. As a result, commercial healthcare enrollment is down and enrollment in the state’s CHIP program has been c…
A significant medical home pilot program has begun in the Phoenix and Tucson areas in which UnitedHealthcare is offering additional payments for primary-care providers involved in the treatment of pat…
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…
While all the major insurers in California now have electronic personal health records in place, only about 5 percent of health plan members are taking advantage of them and the industry is struggling…
The state agency that manages the Medicaid managed care program is keeping seven of its current managed care plans in its latest procurement, and it will add a subsidiary of Centene Corp. to its line-…
Arizona's mid-sized health plans grew substantially last year, with enrollment up 24 to 30 percent for several players. The state is also becoming a popular proving ground for insurers piloting Me…