Reimbursement
Cigna's 2013 report ended a week full of news about slipping Medicare Advantage profits, but the company is still betting on U.S. seniors while also looking abroad.
Federal regulators are trying to set expectations and a tentative schedule for public exchange plans in 2015; they're also proposing a new approach to network adequacy and essential community providers, after complaints from consumers and providers in a few markets.
Kaiser Permanente and the Veterans Health Administration, which are providers and health plans, are partnering to study and share best practices in connected health and virtual care.
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.
Much has been written (and will continue to be written) about the spectacular failure of health insurance exchanges in Minnesota, Massachusetts, Oregon and Maryland -- all blue states that support the Affordable Care Act.
As a healthcare consumer, am I most interested in short-term complications and readmission rates or am I interested in getting cured of whatever I have? The recent hullabaloo over narrow networks and whether a more expensive hospital is worth it or not seems to miss the bigger point.
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.