Montana Fall 2013 Health Plan Analysis

Analyst: Jacqueline Cavnar

Report Summary

Three carriers are offering plans on Montana's federally facilitated health insurance exchange. Commercial enrollment is growing. Blue Cross and Blue Shield of Montana continues to dominate the commercial segment despite losing a huge state contract to Cigna. PPO plans remain the plan of choice in Montana.

Questions:
The federal government is running the Montana health insurance exchange. Which plans are offered on the exchange? What is the benchmark plan for essential benefits? How many drugs does it cover? How restrictive is the formulary?

A stable and conservative market, commercial enrollment increased by 7 percent in Montana. What types of plans are growing in Montana? Who are the players? Are regional plans better aligned with Montana residents than national carriers?

Medicare Advantage enrollment dropped slightly. Which plans are working? Who is poised for competition? Which plans expanded drug tiers?

Market covered: Montana
Primary research: Interviews with health benefit consultants, key thought leaders in managed care and others, plus research from HealthLeaders-InterStudy, Medicare and Medicaid statistics, legislation, and relevant research.

Companies mentioned in report:
  • Aetna Inc.
  • Blue Cross Blue Shield Northern Plains
  • Blue Cross and Blue Shield of Montana
  • Cigna Corporation
  • First Health Life and Health Insurance
  • Humana
  • Montana Health Cooperative
  • New West Health Services
  • PacificSource Health Plans
  • Premera Blue Cross
  • UnitedHealthcare
  • Universal American


Industry-Related Topics Mentioned:
Accountable care organization
Health insurance exchange
Health plan enrollment
Medicaid
Medicare Advantage
Patient-centered medical home

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