Health Plan Profiles provide enrollment data and analysis of major developments for key health plans. Topics include commercial plan design, Medicare, Medicaid, provider contracting, and pharmacy
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
PowerProfiles leverage proprietary data drawn from value-based contracts to provide insight into the shared-risk strategies of provider organizations, including integrated delivery networks and
Blue Cross and Blue Shield of Vermont continues to dominate commercial enrollment in the state, followed by Cigna and MVP Health, battling for market share in a state with a low uninsured rate. Blue
PowerProfiles leverage proprietary data drawn from value-based contracts to provide insight into the shared-risk strategies of provider organizations, including integrated delivery networks and
PowerProfiles leverage proprietary data drawn from value-based contracts to provide insight into the shared-risk strategies of provider organizations, including integrated delivery networks and
PowerProfiles leverage proprietary data drawn from value-based contracts to provide insight into the shared-risk strategies of provider organizations, including integrated delivery networks and
PowerProfiles leverage proprietary data drawn from value-based contracts to provide insight into the shared-risk strategies of provider organizations, including integrated delivery networks and
PowerProfiles leverage proprietary data drawn from value-based contracts to provide insight into the shared-risk strategies of provider organizations, including integrated delivery networks and
Maryland is considered one of the more progressive states when it comes to testing and implementing innovative models of care and healthcare reform. The state has passed many payer and provider
The Biden administration has begun pulling back Medicaid changes advanced by Trump officials that would restrict eligibility, add wellness requirements, allow block grants, or increase recipient cost-
New Orleans is consolidating around Ochsner Health System and LCMC Health, edging out rival HCA Healthcare, which has not embraced the market's steady shift to value-based care. LCMC's
Blue Cross Blue Shield of Michigan continues to dominate commercial enrollment outside of the exchange. Although COVID-19 did impact the payer mix in the state, no consequential shifts in market share
The most distinctive feature of Minnesota's health insurance market was scrapped with the signing of a law that allows for-profit and out-of-state health insurers to obtain HMO licenses for the
The large and dynamic San Francisco market features a mostly unconsolidated health system sector, with eight systems claiming at least 5 percent of inpatient market share. This somewhat masks the