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
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