Key Insights on U.S. Insurance Claims Handling and Regulatory Updates
Explore critical updates on U.S. insurance claims handling, regulatory compliance, and market trends enhancing provider and payer operations.
Lawmakers Address Surge in Fraudulent Health Insurance Claims
Wyoming confronts a spike in fraudulent health insurance claims involving Native American enrollments under Blue Cross Blue Shield, prompting legislative and regulatory discussions on oversight and fraud prevention.
North Carolina House Approves Health and Medicaid Budget with Service Cuts and Subsidy Increases
North Carolina’s House budget plan for fiscal years 2026-2027 includes Medicaid funding changes, child care subsidy increases, mental health service cuts, and controversy over funding for the UNC-Duke children’s hospital. Key stakeholders weigh in on implications.
House GOP Medicaid Cuts Threaten Home Health Funding, Impact Millions
House Republican legislation to expand Trump-era tax cuts includes major Medicaid reductions that threaten funding for home health services and could affect over 10 million Americans, sparking concerns among healthcare workers and advocacy groups.
Rural Medicaid Growth Spurs Debate Over Cuts and Compliance Measures
Medicaid enrollment has surged in rural areas like Arizona's Gila County, driving debate over proposed cuts, work requirements, and program compliance amid concerns about health access and government spending.
Medicaid Cuts in One Big Beautiful Bill Could Impact 7.7 Million Coverage Losses
Analysis of the One Big Beautiful Bill's proposed Medicaid cuts shows potential coverage losses for 7.7 million Americans, with concerns over work requirements and eligibility changes.
Medicaid's Critical Role in Conservative Arizona Amid Proposed Federal Cuts
Explore the impact of proposed federal Medicaid cuts on Arizona's Gila County, highlighting local reliance on the program despite conservative political views.
Mary Lou Retton DUI Arrest Highlights Health Insurance Gaps for Former Athletes
Mary Lou Retton's DUI arrest and prior uninsured medical crisis underline challenges in health insurance coverage and transparency among former athletes in the U.S.
Analysis Reveals Medicaid Spending Waste from Eligibility Verification Lapses
A new analysis reveals extensive Medicaid spending waste tied to weakened eligibility verification rules since 2012 and estimates future improper payments could total $2 trillion. Legislative reforms aim to restore verification and reduce fraud without cutting care for eligible recipients.
Washington Medicaid Could Lose 274,000 Insured Under Proposed Federal Cuts
Proposed federal tax and spending bill could cut Medicaid and ACA subsidies in Washington, potentially affecting over 274,000 insured residents and threatening healthcare access in rural areas.