Healthcare Finance Staff

The Blues have been accused of running health insurance like a mafia for years, but now lawsuits could stick and compromise the family's future.

Despite looming consolidation, health plans and insurers broadly need to attract more younger workers as Baby Boomers retire and markets evolve.

There will soon be one less member company of America's health insurance trade group, a sign of the industry's evolutionary turmoil.

The country's largest state insurance exchange wants to be an active purchaser negotiating on behalf of consumer, and a data-driven convener of affordability and quality.

Oregon's top health insurance regulator is taking the unusual step of encouraging higher premiums in a competitive individual market, where the lowest-cost plan may also be the most disruptive.

Taking a cue from Aetna, Ascension Health and companies beyond the healthcare industry, Tufts Health Plan is raising its minimum base wage.

Anthem is scrambling to save a $53 billion takeover of Cigna, while encountering some deep criticisms of its own future potential.

California health officials failed to ensure that more than 9 million residents enrolled in Medicaid managed care plans had access to doctors when they needed them, the state auditor said in a stinging report.

Fallon Health is departing from Massachusetts' Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve.

While pent-up demand and new individual customers have contributed to higher-than-hoped-for premium increases, extraordinary claims have been less than feared, leaving some more money to spread around.