Health Plan Facts, Trends and Data

Changing market conditions and new government initiatives are creating huge opportunities and even bigger risks for health plans. To succeed in today's health care business, you must have an effective way to track and forecast the big-dollar issues.

Health Plan Facts, Trends and Data is full of strategic intelligence that will help you stay ahead of your competition in this constantly changing arena. It's a well-organized resource packed with:

Health plan cost trends
Market-specific enrollment trends
Pharmacy benefit data and strategies
M&A activity and conversions
Health plan executive compensation
Health plan financial results and growth strategies
Provider payment innovations
Lawsuits and consumer initiatives
New product offerings and marketing strategies
Product diversification and development
... and much more

In this all-new 2007-2008 edition, you'll receive valuable information on:

State-level actions and legislation, particularly on universal health care coverage.
Educational Web sites and other tools consumers can use to make better decisions about their health care, plus technological advances in health monitoring and electronic data.
The impact of rising medical costs on health plans’ bottom lines.
Health savings accounts (HSAs), health reimbursement accounts (HRAs) and consumer-directed care plan developments, including benefit design strategies and industry players.
Pay-for-performance measures and tiered networks.
Federal health insurance reform.
Retail health clinics.
Blue Cross/Blue Shield plan trends — including a section on enrollment trends and a directory of BC/BS plans.
Disease management and other medical management issues such as imaging and obesity.
Medicare Rx and e-prescribing.

Make sure you're addressing the tough challenges ahead with the best information available. Order your copy of Health Plan Facts, Trends and Data today.

Also Available on CD: For an additional $150, you can order the convenient CD edition of Health Plan Facts, Trends and Data along with the printed book. The CD contains all of the information in the print edition and you’ll find what you need instantly with the user-friendly, searchable PDF format.

Table of Contents

Chapter 1: Health Plan Industry Trends

Mergers and Acquisitions
Health Plan Enrollment Trends
Costs, Premiums and Profitability
Marketing Strategies and Partnerships
Executive Compensation Trends

Chapter 2: Health Plan Company News and Events

Health Plan Market Share and Market Expansions
Company-Specific Growth Strategies
Health Plan Financial Performance
MCO Organizational Structure and Leadership

Chapter 3: Blue Cross Blue Shield Plan Trends and Data

Blues Plans Trends and Strategies
Blue Cross Blue Shield Enrollment
Market Share and Competition
Conversion and Nonprofit Issues
Directory of Blue Cross Blue Shield Plans

Chapter 4: Benefit Design and Consumer-Directed Health Trends

Limited Benefit Plans
Health Plan Benefit Design Trends
Specialty Benefit Design Trends and Coverage Issues
Product Launches and Coverage Expansions
Stop-Loss Insurance
Consumer-Directed Health Plans
Employer Strategies
Financial Institution Market Impact

Chapter 5: Provider Contracting and Pay-for-Performance

Network Administration and Contracting Issues
Overseas Medical Tourism
Pay-for-Performance Initiatives
Quality Data Initiatives
Tiered Networks

Chapter 6: Health Plan Tools and Technology

Online and Educational Tools and Consumer Web Sites
Electronic Records and Data Innovations
Medical Technology Initiatives and Coverage
Information Technology for Health Plans

Chapter 7: Health Promotion and Disease Management

Health Plan DM Strategies
Utilization Management
Strategies for Specific Disease States
Wellness Programs

Chapter 8: Pharmacy Benefit Management News and Strategies

Pharmacy Benefit Strategies
PBM Contracting
Pharmacy Costs and Trends
E-Prescribing Initiatives, Trends and Results
Specialty Pharmacy Trends

Chapter 9: Medicare Advantage and Part D Business Strategies

MA Participation and Enrollment
Government Initiatives, Regulation and Funding
Marketing Issues and Partnerships
Product Development, Launches and Service Areas
Special Needs Plans
Medicare Part D Drug Benefit News and Events
Regional Managed Medicare Marketplace Data

Chapter 10: State Health Reform Initiatives

State Initiatives
State-Level Universal Health Care Initiatives
Coverage Expansions

Chapter 11: State Managed Medicaid Markets

Managed Medicaid News and Events
Medicaid Cost and Funding
Medicaid Contract Awards and Strategies
Managed Medicaid Enrollment Data

Chapter 12: Federal Regulations, Litigation and Legal Issues

Federal Health Care Reform and Legislative Efforts
Data Protection and Security
Provider Issues
Antitrust and Fraud and Abuse Issues
Health Plan Liability and Legal Action

Chapter 13: Health Plan Directories

Directory of Federal and Regional Medicare Regulators
Directory of Health Plan Trade Associations
Directory of Health Plan Accrediting Bodies
Directory of State Health Plan Associations
State Insurance Commissioners
State Medicaid Directors
Directory of State Medicaid Pharmacy Directors

Master Table of Contents
Index of Charts