Healthcare Finance Staff

Consumer advocacy groups are taking on California's medical establishment, trying to expand the power of rate review in a ballot initiative that's already drawing a lot of political money.

Cigna's 2013 report ended a week full of news about slipping Medicare Advantage profits, but the company is still betting on U.S. seniors while also looking abroad.

Federal regulators are trying to set expectations and a tentative schedule for public exchange plans in 2015; they're also proposing a new approach to network adequacy and essential community providers, after complaints from consumers and providers in a few markets.

Kaiser Permanente and the Veterans Health Administration, which are providers and health plans, are partnering to study and share best practices in connected health and virtual care.

Aetna reported higher fourth-quarter profits propelled by revenue from its Coventry Health Care acquisition and is looking to its Medicare and managed care business for growth in 2014.

If Massachusetts' beleaguered health insurance exchange is going to be saved, the governor thinks a Blue Cross executive and a UnitedHealth tech company are the ones who can do it.

Lawmakers took another step toward repealing the reviled sustainable growth rate formula that sets physician payment in the Medicare program, but they still haven't figured out how to pay for it.

Colorado insurance regulators are launching a probe of state healthcare costs, after residents in three mountain counties brought attention to their dubious distinction in the new healthcare economy.

Florida Blue and the nation's second largest public healthcare system are launching a clinical integration program in South Florida with a bold bet on the evolving frontier of paying for value.

Liberty Mutual has won a reprieve from complying with Vermont's mandated health insurance claims reporting, a victory that may extend self-funded plan preemption to a range of state regulations.