The consumer-driven health plan movement is undergoing a shakeup in California with health plans passing along double-digit rate increases for renewing customers to make up for losses on the high-dedu…
Enrollment in Illinois HMOs continues to decline with the most recent data from HealthLeaders-InterStudy showing a 14 percent decrease from the year before. HMOs now comprise about 18 percent of the c…
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…
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…
When Congress passed the Medicare Improvements for Patients and Providers Act this summer, health plans operating in the Medicare arena began to brace for the changes. Wisconsin health plans operating…
The managed care market in Oregon will be shaken up with the awarding of contracts for the Oregon Educators Benefit Board. Winning three-year contracts for medical and pharmacy coverage were Providenc…
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 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…
Kaiser Permanente of Colorado has agreed to provide $155 million in premium credits to Colorado consumers, translating to a $287 credit to individual and family plan members in 2009 and 2010. The agre…
TennCare, the large Medicaid managed care program, recently awarded two new contracts to health plans to manage the care for enrollees in west and east portions of the state. The contracts went to Ame…
Wisconsin is joining the ranks of states who are carving out the pharmacy benefits in their Medicaid and other health programs in an attempt to maximize rebates from drug manufacturers. And though the…
Blue Cross Blue Shield of Michigan got only a portion of the insurance reforms it sought in the Michigan legislature, at least in part because of opposition from its competitor health plans. But the c…
New York's proposal to curb “fourth tier” drug pricing has health plans alarmed that lawmakers might curb their ability to structure health benefits, particularly in cost-sharing for exp…
Aetna is among national insurers working to chip away at the market dominance of the Regence Group and Premera Blue Cross in Oregon and Washington. Oregon's Medicaid expansion program, called Oreg…
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…