California's health insurance exchange, Covered California, has the largest enrollment of all exchanges with Kaiser Foundation Health Plan, Blue Shield of California, and Centene as enrollment leaders. In the private commercial marketplace, Kaiser Foundation Health Plans remains dominant. The Affordable Care Act continues to be a stabilizing force in the commercial sector, but carriers doing business in the heavily regulated state struggle to find ways to contain member drug costs. The state has opted to carve out the Medicaid pharmacy benefit, taking control of the preferred drug list from managed Medicaid MCOs. Medicare Advantage members continue to see more zero-premium plans. The state is taking measures to battle the COVID-19 pandemic that has swept the nation.

Related Reports

Oklahoma | 2021 | Health Plan Analysis (Event Driven)

The Oklahoma managed care landscape is dominated by Tulsa-headquartered Blue Cross and Blue Shield of Oklahoma and national players UnitedHealth Group and Aetna. Local HMO CommunityCare is also a s...

View Details

Virginia | 2021 | Health Plan Analysis (Event Driven)

Virginia officially expanded Medicaid as it reached a resolution on its state budget in summer 2018. Anthem Blue Cross and Blue Shield, Cigna, and Aetna are the top three commercial carriers in Vir...

View Details

Kentucky | 2021 | Health Plan Analysis (Event Driven)

Anthem and CareSource are again the two carriers offering individual health insurance plans on Kentucky's federally run health insurance exchange for 2021. Both have requested rate increases f...

View Details

Georgia | 2021 | Health Plan Analysis (Event Driven)

Commercial enrollment in Georgia has dipped as hundreds of thousands of residents turn to subsidies on the federally facilitated health insurance exchange, which has two new participants for 2020....

View Details