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The Internal Revenue has released temporary regulations and proposals for the health "9010" insurance fees required by the Affordable Care Act. MORE
In an effort to hone another tool to treat obesity, Humana is partnering with a struggling but well-regarded brand that helped define American weight loss. MORE
The retiring leader of Louisiana's largest insurer leaves a legacy of growth and action on issues like obesity. But the next CEO will face the legacy uninsurance problem and a population beset with chronic disease. MORE
Roberta and Curtis Campbell typically look forward to tax time. Most years, they receive a refund. But this year the California couple got a shock: they owe the IRS more than $6,000. MORE
After an experiment with its employees, Aetna is offering large employers a personalized engagement service to help workers mitigate one of modern life's most pernicious health conditions. MORE
Adding to the list of healthcare price comparison tools is a consumer website with one of the largest databases yet, although it is perhaps not enough to end the Dark Ages of healthcare transparency. MORE
One the nation's smaller but more influential integrated health systems has a new chief executive, in time for both fine-tuning and new ventures. MORE
This year's open enrollment may be mostly over. But for 2016 and beyond, insurers should prepare for evolving regulations on everything from premium increases to drug formularies. MORE
In the farming town of Exeter, deep in California's Central Valley, Anne Roberson walks a quarter mile each day to her mailbox. Her walk and housekeeping chores are the 68-year-old's only exercise, and her weight has remained stubbornly over 200 pounds for some time. MORE
When Pavel Poliakov's small clothing shop in a picturesque college town closed last year, he felt lucky to be able to sign up for Medicaid just as Colorado expanded the program under the new healthcare law. MORE
The nation's largest nonprofit health system is quietly getting into the insurance game under the auspices of population health. MORE
Medicare Advantage reimbursement and regulatory changes are coming, along with new probes into risk adjustment practices that could lead to settlements and clawbacks. MORE
The federal government is extending the exchange sign-up deadline, due to concerns about tax season confusion and subsidy mistakes for some 800,000 Americans. MORE
While the new health insurance market is about as profitable as the pre-reform era for some large insurers, that is not the case for those like Assurant. MORE
South Carolina might be an unlikely place from which to run a small healthcare empire, but the state's oldest health insurance company is doing just that. MORE
Corporate wellness skeptics are out early this year, arguing that the data is squarely on their side and that simpler, laissez faire approaches could be more effective. MORE
Once again, insurance practices on cost-sharing and reimbursement for out-of-network providers and PPOs are ending up in dispute, with backlash from providers and customers. MORE
Workers at Seattle's largest employer are signing up in droves for new ACO health plans led by regional health systems, who see the model as ripe for growth. MORE
The U.S. Department of Defense can look like a benefits company "that occasionally kills a terrorist." The agency has to overhaul its healthcare contracting, especially TRICARE, according to advocates. MORE
The nation's largest insurer is making leaps in the journey of consumer-driven healthcare, improving its digital offerings and investing in new member incentives. MORE
"Is this doctor in my insurance network?" is part of the litany of questions asked when considering whether to see a particular doctor. Unfortunately, the answer may not be a simple yes or no. MORE
After decades of research showing at best mixed benefits, certificate of need programs are starting to look antiquated and deleterious in the age of consumer-driven healthcare. MORE
Whether or not more co-ops falter, many insurers could learn from some of their goals and experiments, including in primary care. MORE
After a weekend of Merlot, brie, oysters and chocolate (and maybe more snow), a sampling of the most prolific prose from an annual healthcare tradition: health policy valentines. MORE
Medicare is looking for commercial insurance partners to join a multi-payer, physician-led effort aimed at "transforming" oncology and helping financing become more sustainable. MORE
The predicted demise of health insurance brokers may have been premature. Industry veterans and entrepreneurs are carving out niches and expanding their roles in the new market. MORE
Changes in open enrollments to come and evolving state and federal policies promise new uncertainties for insurers trying to soundly price their plans and retain membership. MORE
In the wake of Anthem's massive data breach, a storm of class action lawsuits are raising concerns about information protection, liability and regulation. MORE
The country's fourth largest drugstore chain is making a $2 billion bet on the business of pharmaceutical benefits management, amid rising drug prices and demand for retail consumer healthcare. MORE
One of the most ambitious startup insurers, a self-described "better kind of insurance company," may soon start selling in some of the nation's largest markets, including the world's technology capital. MORE
How many more ACA cooperative insurers will go out of business? At least some are going to be hard pressed. MORE
As the ACA's second open enrollment period closes, many health plans are likely to find themselves in the midst of a lot of data analysis and submission work, to ensure a good consumer experience and fair deals from the 3Rs. MORE
The southwest's largest Blue Cross insurer is hoping to find value by working with independent physicians and the state medical association, as powerful health systems loom in the field of ACOs. MORE
Medical homes are a simple, compelling idea: Give primary-care doctors resources to reduce preventable medical crises, to reduce hospital visits, improve lives and save money. But it's not so easy in practice. MORE
Despite some membership losses, the country's fourth largest Blue Cross insurer is boasting fairly strong customer retention as a sign of viability for its integrated network strategy. MORE
An ambitious primary care company co-owned by Philadelphia's dominant insurer is growing, recruiting new provider partners and getting scale for more patients. MORE
The nation's largest Blue Cross Blue Shield insurer has to find its way out of what may be the largest healthcare data breach ever, casting a dark cloud on the outlook for a prosperous, transformative year. MORE
Government budget forecasters are predicting some potentially disruptive consequences from the Affordable Care Act's pending Cadillac Tax. MORE
With the surging costs of specialty drugs, what was once unthinkable in American healthcare is starting to look like a viable idea that the President is pushing. MORE
A regional Blue Cross insurer in the southern Midwest is turning to a long-time marketing executive to guide it into the next generation of health insurance. MORE
New Jersey's largest insurer is expanding its medical home program in an effort to boost primary care access and member satisfaction, as new competitive threats loom from non-traditional insurers. MORE
Aetna is positioning itself to ride out the early storms of health reform and end up plying the new waters sustainably. MORE
Pennsylvania's largest insurer has agreed to a broader interpretation of continuity of care provisions in a long-term accord with its main rival, while also touting what it sees as positive membership choice trends. MORE
Not everyone who could benefit from colon cancer screening is enthusiastic about receiving the invasive "gold standard" diagnostic. It can also be expensive for insurers, unlike other options for patients. MORE
The nation's largest laboratory company and two big insurers stand accused of creating a diagnostic monopoly that hasn't passed on savings to consumers. MORE
A short-lived network dispute has come to a resolution. But that doesn't mean the points of contention are going away. MORE
One of the most fractious hospital acquisition disputes in the country has come back to square one, in a potential win for payers and antitrust advocates. MORE
The ambitious new value-based healthcare coalition, including Aetna and HCSC, is wasting no time dispersing ideas. Consensus on reform may be difficult, and the work ahead even more so. MORE
When Ken Fasola was working at Humana and UnitedHealth Group in the 1990s and 2000s, the industry saw individual insurance products as "the bottom end of the food chain." MORE
Insurers have to improve consumer education about drug formularies in exchanges, at the least, and some may even have to change their practices to meet new health reform standards. MORE

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