Reimbursement

Aetna reported higher fourth-quarter profits propelled by revenue from its Coventry Health Care acquisition and is looking to its Medicare and managed care business for growth in 2014.

If Massachusetts' beleaguered health insurance exchange is going to be saved, the governor thinks a Blue Cross executive and a UnitedHealth tech company are the ones who can do it.

Lawmakers took another step toward repealing the reviled sustainable growth rate formula that sets physician payment in the Medicare program, but they still haven't figured out how to pay for it.

Colorado insurance regulators are launching a probe of state healthcare costs, after residents in three mountain counties brought attention to their dubious distinction in the new healthcare economy.

Florida Blue and the nation's second largest public healthcare system are launching a clinical integration program in South Florida with a bold bet on the evolving frontier of paying for value.

Liberty Mutual has won a reprieve from complying with Vermont's mandated health insurance claims reporting, a victory that may extend self-funded plan preemption to a range of state regulations.

Humana is starting the year posting a fourth-quarter loss, preparing for Medicare Advantage reductions and worrying a bit about commercial risk pools. But with revenue growing, the company is banking on an integrated insurance and care model.

Just 10 months out from the ICD-10 compliance date, fewer than 10 percent of physician practices say they've made significant progress in their readiness for implementation, according to the Medical Group Management Association.

In a settlement for alleged violations of an extended version of the "stay on your parents' plan" policy, New York's attorney general is hoping to "send a message to insurance companies."

Not content to just sell on other private exchanges or see clients flock to them, Cigna is launching its own online benefits marketplace for employers and their workers.