News

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.

As out-of-pocket medical costs grow for many Americans, the insurance industry is offering a way to help and, at the same time, expand its business: by selling supplemental policies that may fill the gaps for consumers.

Predictive analytics is becoming an important part of the revenue cycle in hospitals in the effort to deliver higher quality care at lower cost.

Humana reported a fourth-quarter loss, but, remaining positive about 2014, reaffirmed its financial outlook for the upcoming year.

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.