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Self-insurance is the most cost-effective way for employers to provide health benefits, according to a new white paper from the Healthcare Performance Management (HPM) Institute.

A poll shows that almost half of small-business employers are optimistic about economic improvement this year. This is a cautious optimism, however, as the majority also expressed concern about revenue and hiring plans for the next six months.

Caremark, the pharmacy benefits management business of CVS Caremark Corp., has struggled and reported lower profits in recent years.

MetLife Inc., the nation's largest life insurer, said Wednesday that its first-quarter profit rose 3 percent, helped by the acquisition of AIG's Alico unit and a jump in investment income.

Cigna Corp.'s first-quarter net income jumped 52 percent as medical claims fell, the international business grew again, and it raised its 2011 profit forecast like other big health insurers that also beat expectations for the quarter.

A U.S. Treasury Department advisory committee is wondering whether the department could come up with new types of financial instruments that could help pension managers do a better job of handling plan obligations.

The Internal Revenue Service and Treasury Department want to know how they can effectively work with employers on a provision under the Affordable Care Act that requires employers with 50 or more full-time employees to make a “shared responsibility payment” if they don’t offer affordable health coverage.

Four people have been convicted in Houston of conspiring to defraud the Medicare program out of $5.2 million over a three-year period.