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Kansas Gov. Sam Brownback's efforts to overhaul Medicaid hit a rough spot Thursday after the state's largest health insurance company decided not to bid on a contract to help manage the program, leaving some lawmakers and advocates increasingly uneasy.

Accountable care organizations aim to directly address the problems plaguing health care, including cost, quality and satisfaction. Theyre also an integral component to health care reform. But are ACOs the way to go?

Health insurer Aetna Inc.'s fourth-quarter net income jumped 73 percent, as it continued to benefit from low use of health care and some key expenses fell.

Health insurer Aetna Inc. plans to give some primary care doctors an extra monthly payment to help them manage care better under a concept that aims to improve patient health and cut down on expensive hospital stays or emergency room visits.

Aetna Inc. will become the latest insurer to tell investors whether health care use is picking up when it reports fourth-quarter results on Wednesday.

Health insurer WellPoint Inc. plans to improve primary care doctor payments and start reimbursing for care management it doesn't cover as a way boost treatment and save money.

WellPoint Inc.'s fourth-quarter net income sank 39 percent as medical claims increased, mostly because of a $50 million hit from the health insurer's Medicare Advantage business. But the company forecast earnings growth in 2012.

Republican Gov. Sam Brownback won't delay an overhaul of Medicaid in Kansas, officials said Thursday, despite bipartisan concern among legislators that his administration is moving too quickly to turn the entire program over to private health insurance companies.