UPMC and Highmark Allegheny Health Network, the dominant healthcare players in Pittsburgh, will likely continue predetermined growth strategies in 2020 and beyond, focusing on finishing facilities and
Much of the enrollment in TRICARE is concentrated in the areas surrounding major military installations and their military treatment facilities. But the program serves military, family members, and
Health Plan Analysis reports feature a comprehensive look at the managed care market within each state, plus the District of Columbia and Puerto Rico. The product assesses payer/provider influence
Birmingham, a statewide hub for specialty care, has historically been a slow-moving market from the perspective of value-based contracting. BCBS of Alabama is the power player and key driver of
Birmingham, a statewide hub for specialty care, has historically been a slow-moving market from the perspective of value-based contracting. BCBS of Alabama is the power player and key driver of
Much of the enrollment in TRICARE is concentrated in the areas surrounding major military installations and their military treatment facilities. But the program serves military, family members, and
Much of the enrollment in TRICARE is concentrated in the areas surrounding major military installations and their military treatment facilities. But the program serves military, family members, and
The Organized Customer Group Navigator includes PowerProfiles and the Macro Trends Deck. Each provides a unique window into the accountable care strategies of organized customer groups, including inte…
Fee-for-service healthcare is giving way to fee-for-value, a seismic shift that is reshaping how healthcare is delivered and paid for in all corners of the country.
An introduction to PowerGroups, DRG’s proprietary approach to segment the rapidly expanding field of ACO contracting that is based on the number of patients attributed to an ACO contract and the reimb…
If all goes as planned, Medicaid manged care organization Amerigroup will cease to exist as a stand-alone company in late 2012 when it is acquired by WellPoint, the second-largest health insurer in th…
Michigan's economy has begun to recover from its bottom, but health plan purchasers are only coming back into the market cautiously. Demand is up for products that will yield better medical outcom…
Uncertainty about the economy and the effects of health reform put a damper on the South's health insurance market. Commercial enrollment is essentially flat in Alabama, Georgia, Louisiana and Ten…
Now that federal healthcare reform is passed, insurance companies and their regulators are turning their focus to immediate tasks, in particular setting up a high-risk pool for an estimated 5,000 indi…
Tennessee health plans continued to show declining enrollment as the “jobless recovery” began in early 2010, and health plans are anticipating a renewal season that will see increasing numbe…