News
Health insurers offering Medicare Advantage plans may soon be feeling the effects of a court case in Connecticut.
A long-time investment banker will be Humana's next CFO, the second recent executive hire from outside the health insurance industry brought in to help with an integration and retail strategy.
Monday evening, the U.S. Senate managed to create an uproar in the healthcare community by passing a bill patching Medicare's pay rate for doctors instead of repealing it and delaying the ICD-10 compliance deadline.
Healthcare providers are good at collecting data, but are they using it to make good clinical and financial decisions?
With Medicare's "two midnight rule" set to take effect later this year and audit appeals facing lengthy backlogs, the Recovery Audit Contractor program may be headed in some new directions.
Just like that, the massive code set conversion won't happen before Oct. 1, 2015 unless President Obama derails the legislation.
New York is poised to solve one of the most pernicious consumer healthcare billing problems, and regulators think it could be a model. But for insurers, the new process may or may not be the ideal solution, especially when paired with new network requirements.
A group of chiropractors went to war with the Blues and it seems they've won, successfully using a novel legal theory that now has lawyers setting their sights on other large insurers.
Last week, Consumer Reports released new safety scores for 2,591 U.S. hospitals. The magazine is just one of a number of organizations that rates hospitals on safety. Should hospitals care about all these rankings?
Kaiser Permanente is hiring an integrated care specialist but organizational outsider as its new chief medical officer, as the focus on innovation comes to the fore.