A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.
Price and utilization are the two basic components of the nation's healthcare tab, and wild differences in prices for common medical procedures appear to be driving it up.
Aetna's total medical membership fell by almost a half million people since the start of the year, but the Hartford, Conn.-based health insurer was still able to build revenue.
UnitedHealth Group CEO Stephen Hemsley earned $14.5 million in 2015, according to a filing Friday, but he wasn't the top-earning health insurance executive.
Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.
Rheumatoid arthritis drug prices have skyrocketed over the past three years, despite little to no change in composition, experts and insurers say.
Health insurers are spending more time and money on their Medicare Advantage products, yet the dominant players maintain an iron grip on the market.
Widespread consumer dissatisfaction with the dominant carriers and the Affordable Care Act's new marketplaces for individual plans has led venture capital firms to take a chance on insurance startups.
Everyone is in favor of value-based reimbursement in healthcare, right? If you're still wearing those rose-colored glasses, take a closer look at last week's reaction to Medicare's proposal to test new ways of paying for drugs administered in physician offices and hospital outpatient departments.
Michigan's 83 acute-care hospitals posted higher total profit margins in 2014 than in 2013, averaging 8.2%, but health plans' profits dipped slightly to 0.9%, according to the 2015 Michigan Health Market Review.
Humana CEO Bruce Broussard is primed for a huge payday. If the federal government approves Humana's $37 billion sale to Aetna, Broussard will receive $40.2 million.
Hospital CIOs meeting in Las Vegas got comps from a former gambling casino executive. But they weren't chips, free rooms or limousine rides. It was something potentially more valuable. They were told how to use data analytics to attract loyal healthcare customers who are increasingly choosing...