Our annual market reports and data are an invaluable source of insight into twelve state health care markets. We assemble data on health plans and provider systems and weave that analysis together with the perspectives of leaders in each market.  By touring our web site, you can see samples of what is in those reports and data sets. You can also learn about our consulting research, where we apply our analysis of local markets to help pharmaceutical companies, health plans, provider organizations, health purchasers, investment firms and governments to address the business competition and strategy issues that they face.

New Market Reports for 2010 and 2009

• Uncertainty over the enactment of health reform, especially transformative proposals to change payment systems for providers while creating business opportunities for health plans
• Risks for hospitals that continue to move forward with ambitious construction projects, seeking to expand their market share and extend their geographic reach. As fewer people have comprehensive insurance coverage, providers are feeling downward pressure on utilization.
• Profitability for HMOs and hospitals was strong through 2007, but net income is down in many local markets in 2008 and 2009.
  
• Medicaid is now the largest line of business for HMOs in many states, as employer groups find HMO coverage too comprehensive and expensive and move into other benefit plans, often administered by the same national carriers.
  

Several reports are available for free PDF download. Follow the links for:

• Arizona Health Care Market Report 2008
• California Health Care Market Report 2006
• Florida Health Market Review 2008 (sampler)
  
• Kentucky Health Care Market Report 2007
• Texas Managed Care Review 2006 
• The Big Picture: Private and Public Health Insurance Markets in New York, by Peter Newell and Allan Baumgarten

• Cliff Peale wote in the Cincinnat Enquirer: "Cincinnati, Northern Kentucky Hospital report lower profits"
• James Ritchie wrote in the Cincinnati Business Courier: Report: Greater Cincinnati hospital profits drop sharply"
• Mary Vanac covered the report in MedCity News, a new on-line newsletter covering health care
  

• See 2007 presentation to Midwest Business Group on Health

• Jason Roberson wrote in the Dallas Morning News:  "Study shows gain for Texas HMO enrollment"

• Dianna Hunt wrote in the Ft. Worth Star-Telegram: "Texas employers continue to abandon HMOs"

• Allison Wollam wrote in the Houston Business Journal:  "Spike in government enrollment puts HMOs back in growth mode"
• Scott Bailey wrote in the San Antonio Business Journal:  "Some San Antonio HMOs record uptick in enrollment"
  

• Allan Baumgarten presented at the annual conference of the Texas Association of Health Plans on October 21, on the topic: "How Does Texas Measure Up? Industry Trends and Predictions." Click here to view his presentation.

The United Hospital Fund of New York contracted with Allan Baumgarten to provide data and analysis for a report on the health insurance markets in New York state. The new report was released on October 1, 2009.

Michigan Health Market Review 2009, Part One, released July 21, 2009:  "HMO Profitability, Especially for Medicaid Plans, Remains Strong."

• Jay Greene wrote in Crain's Detroit Business: "Michigan's commercial HMOs lose members, increase profitability"
• Christina Rogers wrote in the Detroit News: "MIchigan HMOs Post Strong Profits"
  

Minnesota Heath Market Review 2009, Part One, released June 19, 2009: "Investment Losses Hit HMO Profits While Premiums Continue to Outpace Inflation" 

If you missed the 2008 reports for any of our states, you can order both the 2008 and 2009 reports for a special price of $225.00, $95.00 off the regular price for the two reports. Shipping is free on this offer. Click here to order.

Part Two reports for Michigan and Minnesota were released in April and May. Hospitals results were strong for 2007 but serious challenges lie ahead: the decline of employment and thinner benefits leading to lower utilization; decreased investment income (for HMOs as well) and the high cost of borrowing.

The June 1 issue of Modern HealthCare includes the transcript of a roundtable discussion in which Allan Baumgarten participated on the topic "What's Next for Managed Care?" To read the transcript or view the video, click here.   Other participants were Vicki Gregg, CEO of Blue Cross Blue Shield of Tennessee and Larry Boress, CEO of the Midwest Business Group on Health.

Florida Health Market Review 2008 was released March 6, 2009: "HMOs and hospitals continue strong profits in 2007; Economic distress and possible policy changes pose risks

Colorado Health Market Review 2008 was released on February 6, 2009: "Health insurers and hospitals alike enjoy strong profits but face risks; HMO enrollment still dropping"

• Joyzelle Davis wrote in the Rocky Mountain News: "Metro-area hospitals post 9 percent profit in 2007"
• See Jennifer Brown's article in The Denver Post: "Hospital, HMO profits up in '07, analyst finds"
• See Bob Mook's coverage in the Denver Business Journal
• Hear Eric Whitney's report for Colorado Public Radio

Wisconsin Health Market Review 2008 was released during the week of January 19.

• Corrinne Hess wrote in the Business Journal of Milwaukee: "Report Finds Increase in HMO Enrollment"

• Allan Baumgarten was the keynote speaker at the annual conference of the Wisconsin chapter of the Healthcare Financial Management Association in Green Bay on January 22. His topic: "Tackling Health Care Access, Cost and Quality: What Can States and the Federal Government Accomplish?" Click here to see the presentation slides .

St. Luke's Health Initiatives of Phoenix has released Allan Baumgarten's new market analysis for Arizona. The report, Arizona Health Care Market Report 2008, is available for free PDF download at the SLHI web site.   This is the 11th state where he prepares market reports.

The Foundation for a Healthy Kentucky has released Kentucky Health Care Market Report 2007, my new analysis of the health economy in Kentucky, including health benefits and insurance, providers, purchasers and market trends and issues. Later this spring data from the report will be available at the Foundation's web site. Laura Lipkin and Julie Sonier worked with Allan on this project. You can download an interactive PDF of the report at: http://www.healthy-ky.org/presentationsReports.aspx?yr=2007

California Health Care Market Report 2006, sponsored by the California HealthCare Foundation, is available for free download

• Read a report summary here
• Marie-Anne Hogarth wrote in the East Bay Business Times: "Report: Kaiser expansion keeps competitors on toes"
  

Recent Conference Presentations

"Assessing the Impact of Increased Market Penetration of Specialized For-Profit Medicaid Managed Care Plans"
at 12th Annual Medicaid Managed Care Congress in Baltimore, June 28-30, 2004

Industry News

HMO Premiums and Profits Rise in 2001 and 2002

HMO Enrollment Declines in 2001 and 2002

Tiering Approaches for Health Plans: Incentives and Information for Consumers

Please contact us if you have questions or comments. To reach us send E-mail to: Baumg010@tc.umn.edu. or click on Contact Us.
If you prefer, call us at (952) 925-9121 or fax (952) 925-9341.

Our mailing address is:

Allan Baumgarten
4800 West 27th Street
Minneapolis, MN 55416