Join us for The Hertel Report's Winter State of the State on Friday, February 13, 2026, featuring our bi-annual Arizona healthcare market update hosted and moderated by Publisher Jim Hammond.
The Hertel Report’s 2026 Winter State of the State Conference features a morning of networking, a full breakfast, and timely insights on...
Aetna, Blue Cross Blue Shield of Arizona, Centene, Cigna, and UnitedHealthcare dominate Arizona’s commercial health insurance market, covering hundreds of thousands of residents across individual and employer-based plans, according to new data from AHIP (America’s Health Insurance Plans).
Overall, more than 3.2 million Arizonans...Arizona News
The Arizona Health Care Cost Containment System (AHCCCS) last week terminated its December 2023 ALTCS-EPD contract awards, resetting a procurement process that has been contested for nearly two years.
AHCCCS said it will issue a new request for proposals for the ALTCS-EPD program, with submissions expected in fall 2026.
Mercy Care,...Arizona News
The waiver application aligns with Arizona legislation passed in 2015 that requires AHCCCS to request (annually) the federal agency's approval to institute a work requirement for all “able-bodied adults” receiving Medicaid services, place a lifetime limit of five years of Medicaid benefits on “able-bodied adults” and develop and...Arizona News
On Monday, the Arizona Chamber Foundation released a new analysis that found proposed reductions to Medicaid funding could have severe impacts on Arizona's economy, including its healthcare system and workforce.
The Chamber report was prepared by Rounds Consulting Group, and found that the ripple effects of the funding cuts would...
On October 1, the Arizona Health Care Cost Containment System (AHCCCS) officially launched the Housing and Health Opportunities (H2O) program, which aims to provide housing services for AHCCCS members experiencing homelessness.
The innovative program targets AHCCCS members with a serious mental illness (SMI) who also face housing...
On September 15 the National Committee for Quality Assurance (NCQA) published its 2024 ratings based on plans' combined HEDIS and CAHPS scores and NCQA Accreditation status. In Arizona's commercial market, Aetna (PPO/EPO), Banner|Aetna (PPO), Cigna (HMO/POS) and UnitedHealthcare (PPO/POS) all received 3.5 stars - or a tad better than...
In this annual data edition, The Hertel Report delivers the latest insights on plan enrollment, including detailed membership by county. But this year’s data goes beyond the numbers, revealing alarmingly poor performance among plans serving AHCCCS members across the state. This edition also covers the latest on the ALTCS contract award...
Arizona's Medicaid agency added four new positions to its leadership circle including two new positions in clinical operations, two in business operations and a new chief of population health. AHCCCS also announced the Division of Health Care Services is now split into two divisions: Division of Managed Care Services and the Division of...Arizona News
The Arizona Department of Health Services (ADHS) published the annual Maternal Mortality in Arizona report for 2018-2019 which showed a concerning increase in overall maternal mortality and disproportionate rates of maternal mortality among Black and Indigenous mothers.
According to the AZ DHS Report, national rates of maternal...
Our annual data edition focusing on the Arizona Health Care Cost Containment System (AHCCCS) covers a lot of territory and 15 pages to help readers keep tabs on the agency charged with overseeing the managed care plans contracted with the state to deliver care to about 2.2 million Arizona Medicaid members.
Correction: On Page 4 the...
Arizona's Medicaid agency announced it had filled five leadership positions rounding out the agency's executive management team and completing the new structure that combines the Division of Fee for Service Management (DFSM), the Division of Community Advocacy and Intergovernmental Relations (DCAIR), Communications, and Legislative...
Arizona lawmakers made progress on several bills related to healthcare and COVID-19 this week.
Last Tuesday, the Arizona Senate Health and Human Services Committee approved HB 2474, which would prohibit schools from requiring immunizations issued by the U.S. Food and Drug Administration (FDA) under emergency use authorization for...
The Hertel Report's annual data edition focusing on Arizona Medicaid includes everything you need to know about AHCCCS and the contracted managed care organizations (MCOs) providing integrated healthcare to 2.5 million in Arizona.
AHCCCS 2022 DATA EDITION
What's Inside:
Pandemic Population Growth
AHCCCS Complete Care MCOs
...
Snyder oversees Arizona’s Medicaid and CHIP program, including its $18 billion annual budget to provide acute, behavioral health, and long-term care services and supports to more than 2.3 million Arizona residents. She began her work at AHCCCS in 2017 as the agency's deputy director and was appointed by Governor Doug Ducey in 2019...Arizona News
The insurer has a strong presence in Arizona, insuring about 400,000 Medicaid and 47,000 MA lives, and also competes under the Ambetter brand on the Health Insurance Marketplace.
According to reporting from the Phoenix Business Journal, Centene's notice to terminate its Medicaid contract with Tenet Healthcare's Abrazo Health...News
Gains were concentrated in Medicaid and enrollment increased in every state, but Arizona's enrollment grew faster than the average at 28.5% from February 2020 to April 2022. National enrollment in Medicaid & the Children's Health Insurance Program grew to 88.3 million enrollees in April 2022. Enrollment was declining in the two years...Arizona News
On Dec. 14, 2021, the Arizona Health Care Cost Containment System (AHCCCS) announced a new three-year contract with incumbent Public Consulting Group (PCG) to administer the Medicaid School-Based Claiming (MSBC) Program; PCG is an experienced TPA for the program after nearly a dozen years of continuous service.
The new contract...Arizona News
As the Affordable Care Act looks to go before a decidedly different Supreme Court, people across the country are grappling with the ripple effects of the law's potential demise.
While the elimination of the ACA would likely impact the vast majority of Americans in some way, it would hurt some more than others.
According to an...
This month's newsletter covers how Arizona hospitals and healthcare providers are faring financially during the public health emergency, AHCCCS enrollment trends, the status of the individual market and our popular Arizona Comings & Goings section.
The Hertel Report newsletters and data editions are only available to members...
