Healthcare Finance Staff

Trying to help transition the American healthcare system beyond fee-for-service, Blue Cross and Blue Shield companies are starting to reach new reimbursement milestones.

UnitedHealthcare's bid to change financial incentives for oncologists has led to some promising, though somewhat mixed results.

Joining its peers in touting accountable care, Cigna has met a fairly ambitious goal set two years ago, but more time is needed to test the strategy's sustainability.

One regional insurer is using a new approach in provider network management, as it aims to tackle a laborious administrative process.

One of the country's largest health insurers is being accused of having misleading information on doctor and hospital network participation for EPO and PPO plans sold in the state exchange.

With spending on diagnostics alone for cardiovascular disease likely to be a major challenge for insurers amid the baby boom wave, Aetna is turning to an emerging option as part of a strategy to avoid invasive tests and treatments.

The insurer-owned Allegheny Health Network is partnering with a national cancer center to offer new therapies and trials in western Pennsylvania, a sign of heightening regional competition and the emergence of new models for pursuing innovative treatments.

The growth of total U.S. medical costs is slowing down, but one segment is expanding fast enough to catch insurers by surprise.

The Office for Civil Rights, the HHS division responsible for enforcing HIPAA, is slated to get a new director after the official departure of Leon Rodriguez.

As the final chapter of WellCare's fraud saga closes, the company is lining up new executives and trying to grow.