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Boosts in Managed Care Enrollment Seen Across The Board
Date:12/19/2007

percent in membership in the six-month period. The company has signed dozens of new provider agreements and put more focus on pricing and product development in order to register gains.

Health Net of California also appeared to be making a play in the PPO market with a 47 percent increase in PPO members. Health Net has aligned its company around segments, such as the individual and small group segment, to bring more focus to those product lines and improve the focus on profitability and growth of the products. Health Net has substantially grown its provider network, particularly in California, doubling the number of contracted providers.

On a local health plan level, Massachusetts' Fallon Community Health Plan's membership recovery continued into 2007 with a gain of some 18.5 percent in HMO covered lives. Fallon has made significant strides to expand its reach from outside its stronghold of Worcester County and is reaping the benefits of a wider provider network. In addition, membership has come from the plan's participation in Massachusetts' near-universal healthcare reform efforts.

"For anyone in the healthcare industry, it's the specifics of enrollment numbers that are most important," states Russell Workman, Principal Director of Data Operations for HealthLeaders-InterStudy. "Managed Market Surveyor allows users to dive down into a geographic area, move across to a specific health plan that is dominant in that area, and then pull back to a larger scale, to see how that health plan plays nationally. This kind of exploration can reveal trends and developments that are hard to detect otherwise."

Managed Market Surveyor is currently available with enrollment information from July 2007.

About Managed Market Surveyor

Managed Market Surveyor offers the most comprehensive description of how managed care lives in a geographical region are insured: HMO, PPO, managed Medicare, managed Medicaid, uninsured, or privately insured. This
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SOURCE HealthLeaders-InterStudy
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