Kansas & Missouri | Winter | 2008 | Health Plan Analysis

Consumer-driven health plans are beginning to make inroads in the small-group market of Kansas-Missouri. The largest plan in Missouri, Anthem Blue Cross and Blue Shield, has a significant portion of its small-group business booked on high deductible health plan platforms while national insurers such as Aetna are seeing CDHP enrollment gains in major markets such as St. Louis. Both Kansas and Missouri continue to search for ways to insure more residents as a once-promising program called Insure Missouri may be in jeopardy with the state's governor agreeing to delay implementation. Meanwhile, Blue Cross and Blue Shield of Kansas plans to shut down its HMO after the state of Kansas switched its employees to a PPO – that account had been one of the major foundations of the HMO business.