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Kentucky State Health Plan Data and Analysis
HealthLeaders Interstudy
Data Table of :
HMO & PPO Enrollment (January data-point)
Year-end HMO Financials
Health Plan Contacts (most recent available)
Hospital Affiliations (most recent available)
Analysis Table of :
HMO and PPO Enrollment Analysis
This section looks at health plan enrollment trends, including whether HMOs and PPOs are losing or gaining market share, what kinds of products are doing the best and how health plans see the enrollment shifts.
HMO Financial Analysis
This section takes a look at the latest quarterly HMO financial filings within the region, examining which plans are making/losing money, what kind of medical-loss ratio they are reporting, and how their income and premiums break down per member, per month.
Regional Medicare Update
This section provides detailed information on the major Medicare players in the region, what new products they’re offering, their marketing strategy, enrollment and product details.
State Medicaid Update
This section provides updates on the state’s (or states’) Medicaid program, including reimbursements, level of managed care, Medicaid HMOs, reimbursements to providers, eligibility, federal waivers and enrollment.
Health Plan News on New Products, Benefit Design, Contracting, Pay for Performance, Disease Management
This section details health plans’ benefit designs, marketing strategies, leadership changes and product launches. It also discusses whether plans are offering disease management programs or pay-for-performance programs for providers.
State Legislative Initiatives Affecting Health Plans
The HPAs’ state legislative coverage includes information on all healthcare legislation affecting the health insurance industry, including benefit mandates, Medicaid reform, Children’s Health Insurance Program (CHIP) developments and eligibility changes, health plan regulations, malpractice tort reform, certificate-of-need measures and initiatives to cover the uninsured.
Uninsured
This section discusses what products health plans are offering to try to enroll the uninsured, what strategies the plans are taking, and how the state is handling this issue.
Consumer-driven plans
This section provides updates on the development and enrollment of consumer-driven plans, including information on what types of employers are using CDHPs and what kind of reception they are getting. It also discusses which banks health plans are partnering with and how they are structuring their consumer-driven plans.
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