Managed care plans participating in one of the nation's largest Medicaid managed care programs – in Ohio – are experiencing difficulties in maintaining their profit margins, highlighted by the departure of WellPoint's Anthem Blue Cross and Blue Shield subsidiary from the state's program serving mothers and children. Molina Healthcare is undertaking an unusual program that uses pharmacists inside physicians' offices to help improve the quality of care for its Medicaid enrollees. A new physician-owned health plan is opening this year in the Columbus, Ohio, area. Indiana-based Welborn Health Plans has moved into 10 counties of Kentucky with its commercial product. And Medicare Advantage local PPOs are the fastest-growing Medicare managed care products in both Kentucky and Indiana.