Enrollment in Medicare Advantage continues to grow in the South though private-fee-for-service plans are leaving the market in anticipation of the Congressional mandate for network-based products in 2011. Louisiana and Alabama are already HMO-dominated markets, but it’s a different story in Georgia. Almost half of MA enrollees are in PFFS. Alabama, Georgia and Louisiana insurers are already feeling the impact of H1N1 flu-related claims, but this is not expected to peak until the fourth quarter. In Georgia, a 25-person steering committee is developing an innovative plan to cover a segment of the working uninsured that uses federally qualified health centers for primary care. In addition to the clinics, hospitals are on board, but negotiations with insurers are still under way. Also in Georgia, Blue Cross and Blue Shield of Georgia has introduced its Blue Essential limited-benefit plan to appeal to employers struggling to afford healthcare benefits.


Related Reports

Iowa | 2019 | Exchange Profile

Exchange Profile offers a concise dashboard of key information and data for each health insurance exchange, as well as expert analysis of trends and the potential opportunities and threats.

View Details

Indiana | 2019 | Exchange Profile

Exchange Profile offers a concise dashboard of key information and data for each health insurance exchange, as well as expert analysis of trends and the potential opportunities and threats.

View Details

Kentucky | 2015 | Health Plan Analysis (Event Driven)

The launch of Kentucky's health insurance exchange, Kynect, went more smoothly than most exchanges in the nation. The exchange has attracted additional participating carriers for 2015 and competit...

View Details

Oregon & Washington | Summer | 2011 | Health Plan Analysis

Health insurers in Oregon and Washington are trying to meet demand for more cost-effective products as the economy struggles and healthcare costs rise. In Washington, Blue Cross and Blue Shield of Ill...

View Details