A handful of states have announced substantial premium increases on individual ACA products.

Oscar Insurance Corp., the health insurer branded as a tech firm that would turn the industry on its head, will exit ACA markets in Dallas and New jersey.

In an exclusive interview, Priority Health Chief Operating Officer Mike Koziara explains why his organization is participating in Comprehensive Primary Care…

Amid ACA exchange turmoil, one Florida carrier is utilizing retail centers and narrow networks to boost enrollment and effectively manage patient care.

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…

Federal investigators and prosecutors are mining CMS's Open Payments data to identify spending outliers and solidify whistleblower fraud claims.

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…