Analyst calls are available exclusively to clients who subscribe to the service being featured in the online presentation. Recordings of the presentations are also available for playback following each session.
-
February 23, 2011
The first annual enrollment period since the passage of the historic healthcare reform bill saw substantial change in enrollment in Medicare Advantage products and in stand-alone Part D drug plans. Membership within individual plans at UnitedHealth Group and Humana, among others, shifted dramatically. Reimbursement issues, regulation and additional funding for branded drugs in the Part D doughnut hole drove millions of Medicare beneficiaries to switch their plans. As a result, some plans experienced enrollment gains while others lost members to better-positioned rivals in both Medicare Advantage and Part D.
-
November 17, 2010
As health systems and health plans navigate the changes being wrought by healthcare reform, there has been increased focus on developing reimbursement structures and coordinated care programs designed to reduce expense. Advocate Health Care, the largest health system in the Chicago market, has recently reached an agreement with Blue Cross and Blue Shield of Illinois that shifts more risk to the health system.
-
October 28, 2010
The Medicare landscape will be changing substantially as open enrollment begins November 1 and health plans launch their new plan designs. The challenge for pharma is to know who the big players will be in 2011 and how benefit designs will change.
-
July 15, 2010
Healthcare reform provisions require that beginning in 2011, health plans are mandated to have a medical loss ratio of at least 80 percent of premiums collected in the small-group and individual markets and at least 85 percent of premiums collected from large groups.
-
June 10, 2010
Profits rose—in some cases dramatically—for the top publicly held insurers in the first quarter of 2010, as membership stabilized and the economy showed signs of recovery. This analyst call reviews key trends from the Q1 2010 earnings calls from the country’s leading publicly held health plans, including UnitedHealth Group, Aetna and WellPoint, and discusses how insurers are preparing for healthcare reform and their reactions to employers’ demands for lower-cost coverage.
-
May 18, 2010
The largest single expansion of the Medicaid program ever will be phased in over the next few years, opening up billions in Medicaid drug spending. The challenge for pharma is to know where the greatest opportunities lie, how current state trends will affect their future spend and what kind of utilization to expect in this new, unknown population of people who are low-income but not poor enough for current Medicaid.
-
March 11, 2010
Despite sharp declines in commercial enrollment, the health insurance industry has been holding steady and even improving profits in a difficult economy. Declines in commercial enrollment were fueled mainly by employers trimming their work forces, rather than dropping coverage universally. Most insurers believe they will begin adding to their rolls by the middle of 2010.