Healthcare Finance Staff

Health insurers treading in legacy business processes are turning to contractors for help ply the new waters of reform, fueling an $8 billion market of its own.

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.

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.

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.

Roberta and Curtis Campbell typically look forward to tax time. Most years, they receive a refund. But this year the California couple got a shock: they owe the IRS more than $6,000.

After an experiment with its employees, Aetna is offering large employers a personalized engagement service to help workers mitigate one of modern life's most pernicious health conditions.