The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…
Commercial health insurers in the Indiana-Kentucky-Ohio region have experienced declining enrollment due to the economic effects of employers dropping or cutting workplace-sponsored coverage. But insu…
Now that federal healthcare reform is passed, insurance companies and their regulators are turning their focus to immediate tasks, in particular setting up a high-risk pool for an estimated 5,000 indi…
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…
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…
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 HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…
Managed Medicaid continues to evolve in South Carolina with the consolidation of plans, peaks in enrollment and proposed cost containment measures. To help keep Medicaid prescription drug costs in lin…
One by one, the Blue Cross and Blue Shield plans in Pennsylvania are changing their underwriting practices to better compete with for-profit insurers they say are cherry picking the best health risks…
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…
The Illinois and Iowa commercial health insurance markets took hits through much of 2009 as rising unemployment resulted in fewer insured residents. The issue was more severe in Illinois where the man…
In Georgia and Louisiana, state government is the largest employer and insures the largest group of people. In both states, cost saving changes are under way. Louisiana is looking at privatizing its s…
The HealthLeaders-InterStudy Market Analyst team analyzes major developments at the nation’s publicly held health plans each quarter through their financial releases and conference call transcripts. T…