Aetna's proposed $37 billion offer for Humana is about building strength and scale in the government insurance business, but some investors are nervous about whether the parties can deliver on expectations.
The CMS has made a concession in the transition to ICD-10. For one year past the Oct. 1 deadline, the CMS will reimburse for wrongly coded claims as long as that erroneous code is in the same broad family as the right one. That may be why the AMA had a change of heart recently in getting providers...
A number of states still do not report required quarterly data about services provided to Medicaid beneficiaries enrolled in managed care—information that's crucial to running Medicaid and protecting it from fraudsters, according to a study HHS' Office of Inspector General released Monday.
Revenue-cycle management and claims clearinghouse services provider Emdeon has inked a deal to acquire Altegra, a purveyor of healthcare consumer engagement technology for payers and self-insured employers.
Stephen Zieniewicz has been named president and CEO of St. Barnabas Medical Center in Livingston, N.J., a part of West Orange, N.J.-based Barnabas Health.
Two out of three healthcare information technology leaders in a recent survey said they experienced a “significant” data security incident in the past year and cited medical identify theft as the biggest motivating factor.