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.

Through our consulting research,  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

• Uncertainty over the implementation of national health reform initiatives at the local level. Examples include the readiness of providers to form accountable care organizations and the ability of health insurers to comply with new regulations, refocus on small groups and individuals and sell through exchanges.
  
• 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. See the February 16 issue of Becker's Hospital Review for Leigh Page's interview with me: "15 Key Factors Affecting Hospitals' Longer-Term Outlook"
  
• Profitability for HMOs and hospitals was strong through 2007, but net income is down in many local markets in 2008 and 2009. And that plus changes in Medicare payment may be driving more consolidation for both hospitals and health plans. See my comments in Crain's Detroit Business and the Detroit News on the proposed acquisition by Vanguard of the Detroit Medical Center and in the Houston Business Journal on the closing of an HCA hospital.
  
• Medicaid is now the largest line of business for HMOs in many states and they should enjoy significant and profitable growth under health reform. On the other hand, employer groups find HMO coverage too comprehensive and expensive and have moved into other benefit plans, often administered by the same national carriers.
  

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

• The Big Picture: Private and Public Health Insurance Markets in New York, by Peter Newell and Allan Baumgarten
  
• The Big Picture Update released March 17, 2010
• 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

Colorado Health Market Review 2010 was released on August 25, 2010: "Hospital profits soar in 2009; Medicare HMOs grow and are strongly profitable"

• See Greg Griffin's article in The Denver Post: "Colorado HMO premiums rose with medical costs in 2009"
• Ed Sealover wrote in the Denver Business Journal: "Hospitals Post Record Profits"
  

Michigan Health Market Review 2010, Part One, released June 22, 2010. "HMOs add members and maintain strong profits"

• See Jay Greene's coverage in Crain's Detroit Business: "State's Medicaid, commercial HMOs add members, post lower net income in 2009" and "14 Medicaid HMOs brace for budget hit"
  
• Christina Rogers wrote in the Detroit News: "Report says enrollment in Michigan HMOs on upswing"
• Patricia Anstett wrote in the Detroit Free Press: "Michigan HMOs see rare membership gains"
  

Minnesota Health Market Review 2010, Part One, was released June 4, 2010 and includes a comprehensive analysis of health plan profitability and enrollment growth. Read, hear and view coverage:

• Lorna Benson on Minnesota Public Radio
• Jeremy Olson in the St. Paul Pioneer Press
• Chen May Yee in the Minneapolis StarTribune
• Fox 9 News used Allan's data for a report on Medicaid HMOs
  

An early edition of Florida Health Market Review 2010 was released April 16. Watch for full report release in September.

• See Margie Manning's coverage in the Tampa Bay Business Journal: "Humana Leads in Report Showing Florida HMO Profits Up" and
• "Reform Legislation Opens the Door for Medicaid HMOs"
• Brian Bandell wrote in the South Florida Business Journal: "Florida HMOs increase membership, boost profits in 2009"
• Bob LaMendola wrote in the Ft. Lauderdale Sun-Sentinel: "Florida HMOs gain membership in 2009, reversing a 10-year downward trend"
• Melanie Azam wrote in the Orlando Business Journal: "Florida HMO profits rise in 2009, membership increases"
  

• Cliff Peale wrote in the Cincinnati Enquirer: "Cincinnati, Northern Kentucky hospitals 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 Carrie Ghose's articles in Columbus Business First, including "Fewer Medicaid patients mean higher margins for some area hospitals"
• Allan Baumgarten presented a web seminar on March 26 to members of the Health Action Council of Ohio.  Click here to download his slides
  

• 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.

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.

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