Texas Sees a Big Increase in HMO Enrollment

HMO’s in Texas are experiencing somewhat of a comeback with enrollment hitting four million members.  Interestingly enough, the dominant drivers are Medicaid and Medicare Advantage plans; HMOs have been broadening their markets and setting up networks so that they can gain a larger membership share of the federal programs.  Enrollment is increasing for Medicaid plans, which are the largest HMOs in the Texas.

According to experts, Texas has been transitioning its elderly and disabled Medicaid recipients into managed care arrangements for the past few years.  In addition, baby boomers in Texas are enrolling in Medicare where Medicare Advantage HMO enrollment has increased significantly.  However, Medicaid HMO plans in Texas have lost millions of dollars on their operations in 2012, perhaps due to expansion costs.  Experts say expanding provider networks and operations into new markets is costly.

In the near future, this expansion could boost profitability and jump start commercial HMO enrollment.

Click here to read more


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s