National MCO Analyzer provides a clear view of the shifting opportunities and barriers MCOs face in today’s commercial marketplace and offers detailed analysis of the fast-changing Medicare and
Humana won contracts to cover Ohio and South Carolina Medicaid beneficiaries in 2021, with coverage beginning in 2022. With the insurer pursuing care management of Medicaid beneficiaries and dual
The National MCO Analyzer Briefs provide high-level insights into trends affecting enrollment and MCO strategy.
The National MCO Analyzer Briefs provide high-level insights into trends affecting enrollment and MCO strategy.
National MCO Analyzer provides a clear view of the shifting opportunities and barriers MCOs face in today’s commercial marketplace and offers detailed analysis of the fast-changing Medicare and
State Medicaid Profiles offer a dashboard of key MCO players and enrollment, recent policy actions, and pharmacy trends for all 50 states, the District of Columbia, and Puerto Rico. Sections most
The COVID pandemic and economic downturn pushed millions from the commercial group health insurance market, which by January 2021 had begun to recover as more businesses reopen and hire. But federal
The national antitrust settlement of a long-running antitrust suit against the Blue Cross Blue Shield Association and the nationos Blue plans is forcing significant strategic changes for the Blues,
The National MCO Analyzer Briefs provide high-level insights into trends affecting enrollment and MCO strategy.
Enrollment in the Federal Employee Health Benefits Program is most heavily concentrated in the Washington, D.C., market and California, driving enrollment to program carriers including CareFirst,
Nonprofit Tufts Health is a major player in the Northeast region of the United States. In its home state of Massachusetts, the carrier is the second-largest insurer, second to BlueCross BlueShield of
Cambia markets Blue Cross Blue Shield-branded commercial and Medicare Advantage plans in the seven-county Seattle, Washington area plus Oregon, Utah, and parts of Idaho. Its Asuris subsidiary markets
As the COVID-19 pandemic emergency slowly resolves, watch for Premera Blue Cross to return its attention to behavioral health to improve health outcomes for patients. For example, in April 2021, the
Roughly 70 percent of CareSource members are enrolled in Ohio's Medicaid program. But CareSource has been building its business as a regional Medicaid MCO, branching into Medicare Advantage plans
National MCO Analyzer provides a clear view of the shifting opportunities and barriers MCOs face in today’s commercial marketplace and offers detailed analysis of the fast-changing Medicare and