Healthcare Finance Staff

Despite failing to win rate rejection authority from voters in November, one insurance commissioner is trying to protect the market by other means, calling out carriers for what are deemed to be "unreasonable" rate increases.

To move beyond the marketing buzz of "population health" and, in some places, to avoid being usurped by provider-sponsored plans, insurers need to see provider contracting more as a partnership for a community's healthcare and wellness.

Another health insurer is investing in a digital differentiator, offering members access to telehealth and choices in using it.

Yes, Medicare Advantage is finally catching up to the rest of the health care industry, and we are now permitted to offer enrollees Rewards and Incentives.

There is little doubt that the perfect storm is here. A combination of regulatory requirements, changing employer attitudes and consumer buying habits has hit hard, and health insurers are taking the appropriate steps to ensure that they don't become the next Andrea Gail. For many health plans, 2015 will be the year of technology.

One Blue insurer will find out just how much employer appetite there is for health plans with limited but transparent networks branded as both accountable and affordable.

The land of the Green Mountains, dairy farms and maple syrup is no longer pursuing the progressive dream of a single payer healthcare system, although it may still be on the vanguard trying to regulate affordability and access.

One Medicare Advantage company offers a parable for what can go wrong in the business of managed healthcare.

A fractious and potentially costly family of provider-led class action lawsuits are moving through courts, pitting accusations of illegal clawbacks againsts the likes of Aetna and UnitedHealth Group.

Private physician practices may soon be a thing of the past, according to a new survey that shows them dwindling year over year as more doctors opt to become part of a hospital or health system.