The strength of a company’s compliance program carries tremendous weight during a fraud investigation, particularly as prosecutors consider whether to pursue…

Health Net gets his with a $340,000 SEC fine for a severance policy that prohibited employees from collecting whistleblower awards.

Open enrollment creates a cybersecurity threat for insurers taking in large amounts of new information.

Last week’s decision by a federal appeals court to revive a whistleblower's claims against five insurers offers new insight into how the courts view…

Last Friday Aetna and Humana responsed to the DOJ’s antitrust suit launched July 21, alleging the DOJ’s concerns stem from “fundamental misconceptions about…

Harken Health co-founder Krista Nelson tells FierceHealthPayer how it turns the typical payer-provider relationship on its head.

The health and life insurance sectors could see a jump in new hires over the next 12 months, thanks to expanding markets and a surge in business volume.

From Kaiser Health News: A year after paying nearly $1.5 billion to more than a third of U.S. hospitals to resolve longstanding Medicare billing disputes, the…

FierceHealthFinance Editor Ron Shinkman says the U.S. should consider Medicaid coverage as a way to stabilize the state insurance exchanges and as a…