Reimbursement

Will the 2014 mandate to buy health insurance be enforced come tax time? It sure doesn't look like it.

Trying to help new members prevent serious events or chronic conditions, one insurer is offering a reward system that may make health risk assessments more palatable, while also creating a window into the health of a new population.

The Obama Administration may be cheering the landmark enrollment number of 7.1 million, but insurers selling public exchange plans and operating Medicaid organizations should be prepared for a fair amount of turnover.

With the delay in ICD-10, many insurers now have to slow down a mammoth IT project and, potentially more disruptive, make adjustments to a whole slew of programs and contracts.

The recent IPO of Castlight Health shows a huge need for solutions to healthcare's shopping conundrum, especially among employers. But why is consumer buy-in still limited?

A long-time investment banker will be Humana's next CFO, the second recent executive hire from outside the health insurance industry brought in to help with an integration and retail strategy.

Just like that, the massive code set conversion won't happen before Oct. 1, 2015 unless President Obama derails the legislation.

New York is poised to solve one of the most pernicious consumer healthcare billing problems, and regulators think it could be a model. But for insurers, the new process may or may not be the ideal solution, especially when paired with new network requirements.

A group of chiropractors went to war with the Blues and it seems they've won, successfully using a novel legal theory that now has lawyers setting their sights on other large insurers.

Kaiser Permanente is hiring an integrated care specialist but organizational outsider as its new chief medical officer, as the focus on innovation comes to the fore.