Blue Cross and Blue Shield of Alabama is Goliath in that state's insurance arena, but national plans are picking up Alabama members too. The insurance market is widening in Huntsville and Mobile t…
Minnesota is bucking the national trend with growing HMO enrollment while at the same time defying a national movement to significant growth in self-insured products. Market leader Blue Cross and Blue…
Anthem Blue Cross Blue Shield has pulled out of Nevada's Medicaid program, citing low reimbursements and little prospect of improvement given the state's strained budget. AMERIGROUP has jumped…
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…
The list of health plans leaving the Ohio Medicaid managed care program continues to grow with WellPoint Inc. leaving the program entirely and WellCare and Centene Corp. pulling their managed care org…
Humana Inc.'s latest stop on its buying spree was in East Tennessee where the Kentucky-based insurer agreed to purchase Cariten Healthcare, a provider-owned company doing business in commercial, M…
More than 37 percent of Medicaid beneficiaries in South Carolina who could join a managed care plan in the state's Healthy Connections program have done so by August of 2008. Eight health plans ar…
Radiology and imaging costs have begun to climb again, and health plans in Pennsylvania are employing various measures to control that growth. Geisinger Health Plan seems to have found success…
Blue Cross Blue Shield of Michigan has made its own in-house provider portal into the go-to site for Medicare elibibility and benefit information, even for those who are not its customers. In…
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…
Florida insurers are seeing a marked movement toward self-insured health benefit designs, and the worsening economy in the state could keep the momentum toward self insurance under way for some time….
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…
Horizon Blue Cross Blue Shield's planned conversion to for-profit status stands a markedly better chance this time, as it would raise $1 billion or more that New Jersey could use to launch propose…
Hurricane Katrina may have shaken up the hospital and physician supply in New Orleans in 2005, but the disaster has not had a long-term negative effect on health plans in the region. Health plans have…
Tufts Health Plan wants to compete in the Rhode Island market, setting the stage for a showdown with Blue Cross & Blue Shield of Rhode Island, the state's no. 1 insurer, and UnitedHealthcare o…