HealthLeaders-InterStudy, a leading provider of managed care industry intelligence, finds that open-access benefit designs are chipping away at HMO enrollment in the TriState region.
According to the latest issue of the TriState Health Plan Analysis, both HMO enrollment and market share declined between July 2003 and July 2004 in the HMO stronghold of Connecticut. Additionally, during the same time frame, seven of New Jersey's eight HMOs lost membership and only the four smallest of New York's 20 HMOs gained members.
"Five out of six Connecticut HMOs lost members in the 12 months leading up to July 2004," said Micaela Brown, HealthLeaders-InterStudy analyst. "Only Anthem Blue Cross and Blue Shield grew membership, and benefits consultants say they are seeing POS plans being pushed more often."
Other health plan news in the TriState region: * New York and New Jersey lawmakers are eyeballing the conversion of nonprofit health plans HIP Health Plan of New York and Horizon Blue Cross Blue Shield of New Jersey. * The new Medicare Part D drug benefit is proving more popular among insurers than the regional Medicare PPOs. * Buffalo's Independent Health is now marketing its pharmacy benefit services to large employers and other health plans. About HealthLeaders-InterStudy
HealthLeaders-InterStudy, a newly formed company of Decision Resources, Inc. (http://www.decisionresources.com/), is the authoritative source for managed care data, analysis, and news. For more information, please visit both Web sites at http://www.healthleaders.com/ and http://www.interstudypublications.com/.
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SOURCE: Decision Resources, Inc.
CONTACT: Elizabeth Marshall of Decision Resources, +1-781-296-2563,