HealthLeaders-InterStudy, a leading provider of managed care industry intelligence, finds that CIGNA HealthCare of Tennessee stands to capture more than 120,000 more self-insured members in the state. According to Tennessee Health Plan Analysis from HealthLeaders-InterStudy, CIGNA submitted the lowest and winning bids to administer health insurance for state and local government and education employees.
"CIGNA is back in the business of capturing market share," said Jane DuBose, HealthLeaders-InterStudy analyst. "This is the first time in a long time that Aetna isn't a participant, and it also cuts Blue Cross out of its current contract for middle and west Tennessee."
CIGNA's proposal included lower administrative fees, and met criteria ranging from network access to claims payment adequacy. The lower fees make state government a big winner in the deal.
Other health plan news in Tennessee: -- With the exception of Blue Cross Blue Shield of Tennessee, insurers do not plan to offer low-cost products aimed at the 191,000 being cut from TennCare's rolls this summer and fall -- Tennessee HMO profit margins rose in the first quarter of 2004 -- Cariten Healthcare is joining the ranks of health plans offering consumer-driven options with its FlexAppeal product About HealthLeaders-InterStudy
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SOURCE: Decision Resources, Inc.
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