Pennsylvania health plans have seen great success in managing their pharmacy costs – through encouraging the use of generics, aggressive formulary management, and copay structures. But the conundrum p…
Blue Cross and Blue Shield of North Carolina is upping the ante on transparency with its new Health Cost Estimator by offering contracted prices instead of provider charges, and by estimating the cost…
The rapid growth of Florida's population is creating opportunities for the state's health insurers, who are targeting second-tier metropolitan regions such as Naples and Marco Island for new p…
Anthem Blue Cross and Blue Shield in Connecticut, Aetna, AmeriHealth Mercy and UnitedHealth Group plan to submit bids for the care management contracts for residents eligible for Medicaid and the Chil…
Illinois' healthcare industry may see CIGNA HealthCare emerge as a more formidable player in the ASO and small group sectors thanks to its purchase of Great-West Healthcare. While Great-West was n…
Massachusetts' health reform program got off to an encouraging start in 2007 with more than 300,000 previously uninsured residents receiving health benefits; however, problems loom with higher-tha…
Health plans operating in the Toledo area largely have deserted a holdover of 1980s managed-care contracts by eliminating “steerage,” which sent patients to a single, large hospital system….
