Healthcare Finance Staff

Humana is starting the year posting a fourth-quarter loss, preparing for Medicare Advantage reductions and worrying a bit about commercial risk pools. But with revenue growing, the company is banking on an integrated insurance and care model.

Just 10 months out from the ICD-10 compliance date, fewer than 10 percent of physician practices say they've made significant progress in their readiness for implementation, according to the Medical Group Management Association.

In a settlement for alleged violations of an extended version of the "stay on your parents' plan" policy, New York's attorney general is hoping to "send a message to insurance companies."

Not content to just sell on other private exchanges or see clients flock to them, Cigna is launching its own online benefits marketplace for employers and their workers.

Once notorious for widespread and brazen Medicaid fraud schemes, New York is making history these days by recovering more ill-gotten Medicaid dollars than ever before.

One year after barely breaking even, new Medicaid contracts help propel Centene's revenue and earnings in 2013, leaving the St. Louis-based company optimistic about the year ahead.

Amid all of the chaos of the first open enrollment period for the first year of a reformed individual health insurance market, many insurance exchanges have been focused on just making the experience work from start to finish.

Healthcare costs for state and local governments are growing faster than the national average, threatening to crowd out other services and sending public officials looking for solutions.

These are the 10 regions of the country with the highest premiums for people buying insurance on the health law's new marketplaces.

Shifting doctors to pay-for-value models will not be easy because their compensation is based on different methods that may not encourage incentive rewards.