Payer

Anthem is joining other health insurers in the shift from traditional fee-for-service medicine to value-based pay, according to a Forbes report.

Although Pittsburgh-based Highmark reports far fewer of its members are seeking care at Pittsburgh-based UPMC facilities so far in 2015 due to the system's decision not to contract with the insurer, UPMC said it is just business as usual, according…

Health insurer Anthem reported a net income of $506.7 million for the fourth quarter of 2014, up from $148.2 million in the same period of 2013.

As the multiyear contract between Charlotte, (N.C.)-based Carolinas HealthCare System and UnitedHealthcare nears its end, the two sides have yet to reach a deal, according to The Charlotte Observer.

St. Vincent Healthcare in Billings, Mont., received $267,000 in overpayments from Medicare for calendar years 2010, 2011 and 2012, according to a recent OIG audit report.

As the second open enrollment period under the Patient Protection and Affordable Care Act continues, California Sen. Ed Hernandez (D-West Covina) has introduced state legislation that outlines tougher rules for health plans in regard to PPACA physician lists, according to…

Insurance giant UnitedHealth Group posted a 5.8 percent for the quarter ended Dec. 31, 2014, which was better than analysts expected, according to a report from The Wall Street Journal.

As the second enrollment period continues for the Patient Protection and Affordable Care Act, Colorado's health plan price differences underscore the health law's limits and intentions, according to The New York Times.

Pittsburgh-based UPMC and health insurer Highmark Health continue to battle, this time in regard to delivering babies at UPMC Magee, according to a Pittsburgh Post-Gazette report.

The nation's largest insurer, UnitedHealth Group, has lost a bid to begin selling coverage across California next year, according to a Los Angeles Times report.