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Healthcare

Breaking News Current Issue

MCO MEMBERSHIP RISES 0.9% TO 127.2 MILLION IN 1Q09
Combined fully funded and self-funded health plan enrollment increased 0.9% to 127.202 million at 21 leading managed care organizations as of March 31, 2009.

COMMERCIAL PPO ENROLLMENT DECLINES 5.6% IN 1Q09
Fully funded commercial PPO enrollment among 17 leading managed care organizations dropped 5.6% to 39.289 million as of March 31, 2009, compared to the same period a year earlier.

TOP MCOs HAVE 10.4 MILLION HSA, HRA LIVES
Twenty managed care organizations increased enrollment in HSA and HRA plans 23.7% to 10.441 million as of March 31, 2009, according to an MHMR tally.

COVENTRY, WELLCARE RETREAT FROM PFFS
Two of the nation’s top managed care organizations—Coventry Health Care (Bethesda, MD) and WellCare Health Plans (Tampa, FL) announced major retreats from the 2010 Medicare Advantage private-fee-for-service market in light of proposed reimbursement cutbacks.

NC STATE HEALTH PLAN HAS $79.7 MM LOSS
North Carolina’s State Health Plan, which provides coverage to 667,000 state employees, retirees and dependents, lost $79.7 million in the fiscal year ended Aug. 31, 2008, according to an audit released this month by the Office of the State Auditor.

1Q09 MCO PROFITS RISE 7%
First-quarter 2009 net income for the healthcare operations of 10 top managed care organizations rose 7% to $2.299 billion on revenues of $64.471 billion, up 6.7%.

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