Reimbursement

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.

Once notorious for widespread and brazen Medicaid fraud schemes, New York is making history these days by recovering more ill-gotten Medicaid dollars than ever before.

The Republicans have an alternative to Obamacare and they may have given the Democrats a big political gift. The proposal was unveiled last Monday by Republican Senators Richard Burr, (NC), Tom Coburn (OK), and Orrin Hatch (UT).

One year after barely breaking even, new Medicaid contracts help propel Centene's revenue and earnings in 2013, leaving the St. Louis-based company optimistic about the year ahead.

Hospitals can take a deep breath, and rest easier for at least six months. CMS is delaying enforcement of its "two-midnight" policy until after Sept. 30.

Amid all of the chaos of the first open enrollment period for the first year of a reformed individual health insurance market, many insurance exchanges have been focused on just making the experience work from start to finish.