How Much Money Are North Texas Health Plans Making?

The latest version of Allan Baumgarten’s Texas Health Market Review came out this year, revealing enrollment, profit, and marketshare for Texas’ Health Plans for 2017. Some plans appear to be raking in the cash, while others are losing millions of dollars. First, let’s look at what the review says about insured rates in Texas, which has the greatest percentage of uninsured people in the nation. According to the report, Texas’ uninsured rate decreased from 21.9 percent in 2013 to 17.3 percent in 2017, though it ticked up from 16.9 percent since 2015. Texas is one of 14 states that hasn’t adopted… Full Story

Tenet and Humana Reach Agreement as Tenet Plans to Offshore More Than 1,000 Jobs

Dallas-based Tenet Healthcare Corporation and Humana Inc. signed a multi-year agreement to ensure Humana members will have in-network access to Tenet providers. The contract runs through May 2023. The deal follows a similar agreement between Tenet and Cigna signed shortly after the new year that followed months of negotiations. Founded in 1961 as a nursing home facility, Humana now has over 16 million medical plan members nationwide and had over $53 billion in revenue in 2017. The company also has 3.5 million Medicare Advantage members, 5 million Medicare prescription drug members. Tenet Healthcare operates 68 hospitals with 20,000 licensed beds, 21… Full Story

Humana Expands Relationship with Baylor and its New ACO

Humana’s Medicare Advantage health plan members will have broad in-network access to services provided by Baylor Health Care System beginning Dec. 15, 2012, in a new deal struck between the two parties. The agreement covers inpatient, outpatient, and emergency services provided by Baylor in Dallas, Tarrant, Denton, and Ellis counties. Seniors and other eligible Medicare beneficiaries who enroll in a Humana Medicare Advantage HMO or PPO plan during the annual election period ending Dec. 7, 2012, will have in-network benefits during the 2013 plan year. Enrollees in Humana’s other commercial and individual plans already have such access. According to a… Full Story

Why People Make Unhealthy Choices

Americans are constantly bombarded by health information. Television, magazines, the internet, and other media sources are full of information about the critical role that healthy behaviors play in preventing disease, improving quality of life, and reducing long-term healthcare costs. As a result, most people understand the crucial importance of regular exercise and healthy eating to long-term health. One would think that this abundance of data would yield a nation full of people who are in excellent shape and run little risk of developing conditions like diabetes, hypertension, or heart disease, says Laura Ten Eyck, Ph.D., a clinical outcomes expert with… Full Story