Kaiser Permanente is preparing to make a huge strategic leap beyond its gatekeeper HMO roots by rolling out an administrative services only (ASO) product offering to large employers. The Department of Managed Care in California is completing new regulations to set parameters on the growing discount health-card industry. Worries are mounting in California over the effect of 10 percent cuts in reimbursement for providers serving Medi-Cal enrollees. Meanwhile, Molina Healthcare is encouraged by a recent test over whether its Medicaid enrollees stayed in the health plan long enough for members and the plan to benefit from predictive modeling. The research disproved the hypotheses that Medicaid members' length of enrollment was too brief to justify predictive modeling.


Related Reports

Idaho | 2020 | Health Plan Analysis (Event Driven)

Commercial enrollment outside of the public health insurance exchange has stagnated in Idaho, but some carriers are still finding room for growth. Employers in the state continue to move, albeit sl...

View Details

Indiana | 2020 | Health Plan Analysis (Event Driven)

Commercial enrollment has decreased in Indiana, and only two managed care organizations remain on the health insurance exchange following the exits of four insurers, although enrollment did not suf...

View Details

Delaware | 2020 | Health Plan Analysis (Event Driven)

Delaware is one of the smallest states in the Union both in terms of geography and population, but it is one of the most densely populated states and has been a ready adopter of healthcare reform....

View Details

Vermont | 2020 | Health Plan Analysis (Event Driven)

Blue Cross and Blue Shield of Vermont continues to dominate commercial enrollment in the state, with No. 2 player Cigna battling for market share in a state with a low uninsured rate. Although the...

View Details