Two Maryland police officers pled guilty to orchestrating an auto insurance fraud scheme involving staged vehicle thefts and falsified police reports, resulting in significant fraudulent insurance payouts. Their sentencing highlights enforcement efforts against insurance fraud in law enforcement.
Explore how strategic pricing, prudent underwriting, and digital innovation are driving growth and profitability in the U.S. insurance industry, with insights on key players and market trends.
CMS is intensifying Medicare Advantage audits to recover $43 billion in overpayments, impacting provider contracts and regulatory compliance across the MA ecosystem.
Longevity Health and Humana extend partnership through 2030 to expand Medicare Institutional Special Needs Plans with value-based care models in skilled nursing and senior living facilities.
UnitedHealth Group will announce its Q2 2025 earnings on July 29, featuring insights into its Optum and UnitedHealthcare business segments during a webcast conference.
More U.S. health insurance plans now cover nutritional counseling to support patients with chronic diseases like diabetes, hypertension, and obesity. This trend enhances holistic care and chronic disease management through personalized dietary guidance.
The US House budget bill proposes Medicaid cuts and ACA work requirements that could cause 140,000 Connecticut residents to lose coverage, raising uninsured rates and healthcare costs.
Vermont hospitals face scrutiny for high outpatient drug markups driving health insurance costs. Lawmakers consider drug price caps amid calls for systemic health care financing reforms.
The temporary expansion of the Health Premium Tax Credit under Obamacare is ending in 2026, potentially causing 3.7 million Americans to lose subsidized health insurance due to higher premiums and reduced eligibility. Key legislative updates and compliance considerations detailed.
North Carolina moves forward with legislative efforts to regulate pharmacy benefit managers, aiming to increase transparency and fair reimbursement for independent pharmacies amid rising drug prices.
