Impact of Medicaid unwinding on Michigan HMOsImpact of Medicaid unwinding on Michigan HMOs September 25, 2024 In Michigan Health Market Review 2024, we showed the decrease in Medicaid enrollment for Michigan HMOs through the first quarter of 2024. We have now added data from the second quarter of 2024, and in this brief show […]
Developments in Convenient Care in New Jersey and the Impact of the COVID-19 Pandemic In our 2015 reports on provider strategies in New Jersey and the impact of the Affordable Care Act, we presented data on the growth of retail and urgent care clinics in New Jersey and discussed the implications for quality and […]
During the current COVID-19 pandemic and budget downturn, many states are facing reduced revenues and increased expenses. Some are targeting Medicaid and their payments to Medicaid managed care organizations (MCOs) as a place for spending reductions. That may be done through reductions to capitation payment rates or it can be done by imposing a risk […]
What Comes After Medicare Cost Plans for Minnesota Seniors-1
June 17, 2003 Copyright ©2003 Allan Baumgarten 11This Trend Note looks at key financial indicators for HMOs: premium revenue trend, medical spending trend, the spread between them and profitability. The analysis is based on our research to prepare annual Managed Care Reviews in eight states: California, Colorado, Florida, Illinois, Michigan, Minnesota, Ohio and Texas. In […]
After peaking in 1998 and 1999, enrollment in HMOs continues to decrease in many states. In this Trend Note, we look at developments in the three major market segments of HMOs – commercial, Medicare and Medicaid – and suggest some reasons for decline. This analysis is based on the research we perform to prepare […]
Copyright © Allan Baumgarten 2002 This Trend Note highlights some of the findings of California Managed Care Review 2002, released this week. It is the second annual edition of the report, sponsored by The California HealthCare Foundation in Oakland. The report is intended to provide a variety of audiences with an objective analysis of market […]
Copyright 2002 © Allan Baumgarten Health plans, employers and hospitals are returning to notions of preferred providers and health plans. Some of these concepts are being tested in states like Minnesota and California. Minnesota Managed Care Review 2002, Part One, was released June 14 and includes an analysis of these issues. For information on the […]
Copyright © 2002 Allan Baumgarten. George Halvorson, CEO of HealthPartners, the second largest HMO in Minnesota, has been named chairman and CEO of Kaiser Permanente, based in Oakland, CA. To give readers a sense of what Halvorson brings to Kaiser, this trend note presents background information on the Minnesota market, HealthPartners and Halvorson’s role there. […]