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In an effort to boost its integration and retail strategy, Humana is bringing on a veteran investment banker who has worked on some of healthcare's largest merger and acquisition deals in recent history.

The decision by lawmakers to delay implementation of ICD-10 by a year will give hospitals extra time to get ready for the transition, but will have a negative financial impact.

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.