Reimbursement

The groups are worried about anticipated failures resulting in a significant, multibillion dollar disruption for physicians and serious access-to-care issues for Medicare patients.

The nation's fourth largest insurer is calling on the leader of its flagship plan to manage technology and services across its regions, while ushering in a new president at the 7 million member company.

After transitioning from tax-exempt nonprofit to a tax-paying, mutually-owned company, Michigan's largest health insurer is in pretty good financial health.

Middle-age American men have been aggressively marketed treatments for low testosterone, despite risks and skepticism about benefits. Now insurers have another reason to strictly control coverage.

In the state with the highest per-capita healthcare spending, most of the mainstay insurers spent the last year struggling to harvest operating income.

Improving economy helps more low-income patients pay their balances in states that did not expand under Obamacare.

One of the largest Blue Cross insurers in the American South has taken its first loss in 15 years, showing the challenges of the two main growth areas, ACA plans and Medicare Advantage.

Health insurers treading in legacy business processes are turning to contractors for help ply the new waters of reform, fueling an $8 billion market of its own.

In the guessing game and investigations of the attack on Anthem Blue Cross and Blue Shield, one early hypothesis blamed eastern European cyber mafia. Now, new evidence points further east.

Department of Health and Human Services shifted millions of dollars last year from those agencies to help pay the $1.4 billion cost of running the insurance marketplaces in 37 states, according to an HHS spending document.