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New Jersey State Health Plan Data and Analysis
HealthLeaders Interstudy
Information on benefit designs, contracting strategies, financial performance, and enrollment information by state and MSA
Health Plan Data & Analysis identifies key health plan trends, allowing you to create comprehensive strategic plans and sales strategies at state and local levels. Its data on every aspect of HMO, POS, PPO, Medicare, and Medicaid plan enrollment and financial performance, and its detailed analysis of market developments allows you to:
- Understand the complete financial picture of each HMO, from per-member-per-month (PMPM) medical expenses to year-over-year change in medical loss ratio and profit margin.
- Know the competitive environment, on a state-by-state basis, for each health plan of interest.
- Assess competitive vulnerabilities as well as merger and acquisition opportunities.
Who Uses Health Plan Data & Analysis?
These detailed data and analyses allow pharmaceutical companies to assess market and sales opportunities with specific health plans in specific states; managed care organizations to gain understanding of competitors, and make partnership and acquisition decisions; consultants to evaluate health plans for employers and as potential clients, and to gain understanding of the competitive environment; and financial organizations to manage their exposure in the managedcare market. Get enrollment and physician numbers, HMO financial information, hospital participation, and contact information for HMOs and PPOs in your target state
For each state with data you get
- Enrollment numbers for every health plan that operates in the state, including commercial, Medicare, and Medicaid.
- Financial information for each HMO that operates in the state.
- Preferred provider organization (PPO) information.
- Hospitals that participate in HMO and PPO networks, organized by MSA with bed counts.
- Contact and vendor information for HMOs and PPOs active in the state.
For each state with analysis you get information on recent changes in
- Benefit design
- Financials
- Mergers
- State employee benefits
- Uninsured initiatives
- Health plan developments
- Healthcare information technology
- Consumer-driven plans
- Medicare
- Medicaid
- Pharmacy benefit design
- Legislation affecting health plans
as well as plan profiles of each plan licensed to operate in the state.
Product Details
- Provides data and analysis for 35 states and Washington, D.C.
- Provides financial data for 49 states and Washington, D.C., Alaska excepted.
- Each analysis comes as a PDF, also accessible online.
- Each data set is accessible online.
- Enrollment data is updated twice a year, HMO financial data four times a year, contact data twice a year, and hospital data once a year.
Methodology:
The analysts interview 20 to 30 healthcare executives, consultants and policymakers for each quarterly report. They also scrutinize our data on health plan enrollment and financials to write analyses on those areas.
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