Reimbursement

In the guessing game and investigations of the attack on Anthem Blue Cross and Blue Shield, one early hypothesis blamed eastern European cyber mafia. Now, new evidence points further east.

Department of Health and Human Services shifted millions of dollars last year from those agencies to help pay the $1.4 billion cost of running the insurance marketplaces in 37 states, according to an HHS spending document.

Denham allegedly solicited and accepted monthly payments from CareFusion Corp., maker of the antiseptic ChloraPrep, while serving as co-chairman of a National Quality Forum committee in 2009 and 2010.

For the state that pioneered the public insurance exchange only to see dysfunction during the first ACA open enrollment, there are still many miles to go.

Trying to recover $120 million, the nation's third largest insurer is fighting back against an alleged scheme of kickbacks, out-of-network billing and the marketing of supposedly luxurious healthcare.

The Internal Revenue has released temporary regulations and proposals for the health "9010" insurance fees required by the Affordable Care Act.

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.

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.

Result of King vs. Burwell will not end the health law, says Anil Joseph, managing director for the Investment Research Group at GE Capital, Healthcare Financial Services.

This was the most anticipated Advance Notice of Medicare Advantage Payments in years, and the industry unexpectedly ducks bullets, in risk adjustment, Star Ratings and elsewhere. It's got a few unicorn farts in it, and a couple puffs of Chanel No. 5 as well.