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Questions loom for insurers bulking up on government business

By Beth Kutscher  |  July 06, 2015

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.

CMS will reimburse ICD-10 mistakes for one year after transition deadline

By Virgil Dickson  |  July 06, 2015

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...

Not all states reporting required Medicaid data, OIG says

By Lisa Schencker  |  July 06, 2015

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.

Emdeon to buy Altegra in $910 million health IT acquisition

By Joseph Conn  |  July 06, 2015

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.

St. Barnabas Medical Center gets new CEO

By Adam Rubenfire  |  July 06, 2015

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.

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