HealthLeaders-InterStudy, a leading provider of managed care industry intelligence, finds that health plans are continuing the trend of shaving HMO membership in Texas. According to the new Texas Health Plan Analysis, while some of that lost membership is because of gravitation to PPOs, some of it appears due to the rising ranks of the uninsured.

"Although Texas HMO membership declined from 16.2% of the commercial market to 13.5% between January 2004 and July 2004, membership for single insurer and provider-sponsored PPOs across the state increased over the same time period," said Paula DeWitt, analyst at HealthLeaders-InterStudy. "However, the increase in PPO membership was not as much as HMO membership declined."

  Other Health Plan News in Texas    * Proposals to remove health insurance mandates and to restore cuts made      in the state's health programs for poor people are among the healthcare      issues coming before the current Texas Legislature.    * Scott & White Health Plan is offering a new product for children aimed      at the working poor who can't afford or don't have access to family      coverage. Premiums are $85 a month and can be paid by an aunt, uncle or      grandparent, as well as the parents.    * PacifiCare is targeting the Hispanic market with its SignatureFreedom      consumer-driven product, which couples a high-deductible PPO with a      "self-directed account" that is meant to cover routine and preventive      care.    * Texas Medicare HMOs continue to enhance their benefits for 2005, and      Medicare PPOs are on their way to the state.    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/.

All company, brand, or product names contained in this document may be trademarks or registered trademarks of their respective holders.

  For more information, contact:    Elizabeth Marshall    Decision Resources    781-296-2563    emarshall@dresources.com 

SOURCE: HealthLeaders-InterStudy

CONTACT: Elizabeth Marshall of Decision Resources, +1-781-296-2563, or
emarshall@dresources.com

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