Healthcare Finance Staff

Federal officials are preparing the first major regulatory update to Medicaid managed care in a decade, promising to challenge insurers but also fix long-standing issues and offer routes to business standardization.

Health insurers in the nation's largest market are breathing a collective sigh of relief after escaping a new rate review system, but they may have to fight the battle again.

How will a long-time insurance manager fix the crisis in a state with some of the most expensive and advanced healthcare on the planet?

A federal court is letting a wellness program's financial penalties take effect, but is considering the question of how much is too much, leaving corporate America and insurers waiting.

In the quest for population health, lifestyle interventions for diabetes may pose the biggest rewards and most vexing challenges. Some are making progress, however.

Already big and still growing, the U.S. healthcare system in 2015 will be scrutinized inside and out for signs of financial problems, the federal government's health investigator promises.

Open enrollment is right around the corner, but where are the shoppers?

Looking out at the transition to retail insurance and inward to its own efforts to develop consumer-focused services and technology, Aetna is investing in its own private benefits exchange. 

What happens when the WGU, "World's Greatest University," as Harvard is affectionately known around Boston, decides to redesign its faculty and employee health benefits plan?

All HIPAA-covered health organizations, and especially insurers, have been handed a small victory in the war of administrative simplification, as federal regulators once again back off a policy change long in the making.