Healthcare Finance Staff

This year's open enrollment may be mostly over. But for 2016 and beyond, insurers should prepare for evolving regulations on everything from premium increases to drug formularies.

In the farming town of Exeter, deep in California's Central Valley, Anne Roberson walks a quarter mile each day to her mailbox. Her walk and housekeeping chores are the 68-year-old's only exercise, and her weight has remained stubbornly over 200 pounds for some time.

When Pavel Poliakov's small clothing shop in a picturesque college town closed last year, he felt lucky to be able to sign up for Medicaid just as Colorado expanded the program under the new healthcare law.

The nation's largest nonprofit health system is quietly getting into the insurance game under the auspices of population health.

Medicare Advantage reimbursement and regulatory changes are coming, along with new probes into risk adjustment practices that could lead to settlements and clawbacks.

The federal government is extending the exchange sign-up deadline, due to concerns about tax season confusion and subsidy mistakes for some 800,000 Americans.

While the new health insurance market is about as profitable as the pre-reform era for some large insurers, that is not the case for those like Assurant.

South Carolina might be an unlikely place from which to run a small healthcare empire, but the state's oldest health insurance company is doing just that.

Corporate wellness skeptics are out early this year, arguing that the data is squarely on their side and that simpler, laissez faire approaches could be more effective.

Once again, insurance practices on cost-sharing and reimbursement for out-of-network providers and PPOs are ending up in dispute, with backlash from providers and customers.