Explore the 2024 CMS prior authorization rule and the impact of AI on healthcare administrative processes, improving compliance and patient care timelines.

The Supreme Court case Kennedy v. Braidwood Management challenges ACA preventive service mandates, risking coverage for critical screenings and treatments like cancer tests and statins. This ruling has major implications for health insurers and public health.

Alabama postpones legislation regulating AI use in health insurance claims, emphasizing human oversight and collaborative stakeholder discussions for transparency and accountability in insurer decision-making.

Vault Medical Services agrees to pay $8 million to settle false claims related to Covid-19 testing reimbursements under the federal Uninsured Program, highlighting compliance challenges in pandemic healthcare billing.

Explore how InsurTech innovations like dynamic benefit plans, reinsurance advancements, and Health Reimbursement Arrangements (ICHRAs) are transforming the U.S. health insurance industry to improve cost management and patient-centered care.

Vitech introduces V3locity Express, a low-code software platform enabling rapid deployment and enhanced management of supplemental health benefits for group insurers, boosting operational efficiency and cost control.

Federal workforce reductions within CMS are cutting ACA caseworker staff, risking delays in resolving coverage issues amid upcoming ACA regulatory changes. The strain impacts consumer support and marketplace stability.

Washington state enacts law banning medical debt from affecting credit scores, reducing financial barriers and credit reporting related to healthcare debt starting July 2024.

The Anthem and University of Missouri Health Care contract dispute restricts Anthem-insured patients' in-network access and influences Local 955 labor negotiations in Missouri.

U.S. Supreme Court expected to uphold ACA preventive care mandate, reinforcing insurer obligations and expanding HHS secretary's regulatory power affecting health insurance compliance and coverage.