Update your scorecards: Indiana-based Anthem is buying Blue Cross-Blue Shield of Maine, Altius took Intergroup of Utah off of Foundation's hands, and ConnectiCare is buying that state's chunk of Kaiser Permanente's Northeast empire.... Health Plan of Nevada wants to cut costs for two antidepressants and a cholesterol reducer by cutting pills. HPN asked members to buy high-dose tablets and divide them in half, and mailed them pill splitters. It told physicians to prescribe double-strength meds.... HMO penetration in large markets advanced an average of 2 percentage points from 1997 to 1998. The average penetration rate for smaller markets dropped, according to InterStudy Publications.... Don't think employers will take rate increases lying down. Several members of the Pacific Business Group on Health say they will freeze enrollment in plans asking for double-digit rate hikes without proof of better service.... The Robert Wood Johnson Foundation extended the Partnerships for Quality Education, which brings together medical schools and HMOs, with an $8.9 million, four-year grant.... A long way from Ellwood's vision: A new Florida law prevents providers from signing exclusive arrangements with HMOs.