Healthcare Finance Staff

WellCare has been trying to shake off its past transgressions and grow amid speculation of being a target for acquisition, and now its executive suite is ready for business.

The pressure is growing on Republican Governors to expand Medicaid in some way, and more state executives are turning to managed care and market-based approaches to bring in federal dollars.

The nation's largest insurer is starting a new bundled payment pilot in oncology with one of the most prestigious providers in the field, in an experiment they hope will be yield beneficial evidence and grounds for expansion.

One of the nation's largest health systems is struggling with its new health insurance business, leading to the first loss in 15 years.

Once in a while, a key voice in the reform movement turns out to be a skeptic, arguing that the changes being implemented are too prone to producing more of the same.

Many payers face profitability declines while also taking in a huge influx of newly insured members whose risk profiles are unknown. Payers continue to see billions of dollars in error rates on claims each year, and fraud and other abuse further erode the bottom line.

The latest salvo in the pharmaceutical price wars is being launched from an unlikely outpost, but one that represents the struggle to pay for the year's most successful drug.

A young adult generation with college debt, limited assets and an uncertain job market who rarely need to use the healthcare system should be prime customers for low-premium, high-deductible health plans. Not so, some data suggests.

A large handful of cooperative insurers created through the Affordable Care Act have lowered 2015 premiums in a bid to boost membership in their second year of operation, upsetting traditional insurers.

A startup health insurer trying to capitalize on digital services and simplicity is now offering members wearable devices and incentives for activity, another step in its bid to disrupt health insurance.