Tennessee health plans continued to show declining enrollment as the “jobless recovery” began in early 2010, and health plans are anticipating a renewal season that will see increasing numbe…
The passage of the Patient Protection and Affordable Care Act will, in the short run, expand coverage for young people, create new high-risk pools, shift incentives for Medicaid drug rebates and make…
Medicaid programs in the District of Columbia and Virginia are looking at ways to save money and adapt to changes mandated in the federal health reform law. The District is planning to shift the costs…
Unable to reach a compromise between the House and Senate, Florida's state Legislature did not expand Medicaid Reform, which requires beneficiaries in certain counties elect to join an HMO or a Pr…
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…
A decision by Gov. Pat Quinn to bid out two contracts to serve the aged, blind and disabled population in Illinois' Medicaid program represents a return to the HMO model in a state that had essent…
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…
Hepatitis C virus (HCV) is the leading cause of end-stage liver disease and hepatocellular carcinoma. Increasing diagnosis and treatment rates, and substantial unmet need combine to make HCV a high-gr…
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…
Colorado Medicaid has seen a reduction in emergency room use and a drop in per-member spending among children due to a medical home initiative. Health plans in Colorado and Nevada have taken highly in…
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…