Healthcare Finance Staff

The value-based insurance company SeeChange Health Insurance was recently approved to sell plans in Colorado and is aiming to expand in six other states within the next few years.

As states across the country work to expand Medicaid and build health insurance exchanges, one challenge they will surely face is fraud.

SCAN Health Plan, a California HMO, is paying the state of California and the federal government $323 million in fines for Medicaid and Medicare overpayments, some going back to 1985.

By choosing Wisconsin Rep. Paul Ryan to be his running mate, presumptive GOP presidential nominee Mitt Romney put Medicare on the table as a major 2012 campaign issue.

The proliferation of mobile medical devices means providers, payers and even patients are collecting more data than ever before. But do they know what to do with it?

A notably picky species, American consumers have varying preferences for communicating with their health insurers and receiving their bills, a new study found, which means there's a lot of potential for consumer engagement.

Healthcare insurer Aetna has created Aetna Innovation Labs to focus on ways to improve patient outcomes by leveraging data and best practices.

Now that the Department of Health and Human Services has decided on the new ICD-10 deadline, one reality not to be overlooked is that October 1, 2014 is a mere two years away.

HHS finalized October 1, 2014 as the deadline for ICD-10 compliance on Aug. 24. In so doing, the agency sparked widespread relief across the industry.

They both are and they both aren't. I've never seen a week in health care policy like last week. The media reports have to be in the thousands, all trying to make sense of the furious debate between Obama and Romney over Medicare.