Modernization Strategies for Mutual Property and Casualty Insurers
Explore effective modernization strategies for mutual property and casualty insurers focusing on technology, AI, security, and member-centric outcomes to stay competitive.
Illinois Proposes Legislation to Ban Cost Shifting in Insurance Rates
Illinois Senator Michael E. Hastings proposes legislation to prohibit insurance cost shifting and ensure premiums reflect local risks, enhancing fairness and transparency in insurance rates.
AM Best Affirms Strong Ratings for American Family Mutual Insurance and Affiliates
AM Best affirms A (Excellent) Financial Strength Ratings and stable outlooks for American Family Mutual Insurance Company and affiliates, citing strong capitalization and operational performance.
Family Members Convicted in Elder Financial Exploitation Case in Ulster County
Stephenie Melton and Travis Pettit convicted for elder financial exploitation involving insurance policy forgery and bank account fraud in Ulster County, highlighting insurance fraud risks.
AM Best Affirms Excellent Ratings for American Family Insurance Group with Stable Outlook
AM Best reaffirms strong financial strength and credit ratings for American Family Insurance and affiliates, highlighting solid capitalization, underwriting improvements, and a stable outlook for 2025.
Kansas City Life $45M Settlement Highlights Legal and Regulatory Challenges in Insurance
Kansas City Life Insurance settles $45M lawsuit over overpriced insurance claims amid broader U.S. industry legal developments involving Medicare contracts and liability claims.
Medicare Changes to Orphan Drug Price Negotiation Increase Costs
Recent legislative changes to Medicare’s drug price negotiation program expand orphan drug exclusions, delaying price negotiation for expensive specialty drugs and increasing costs for Medicare beneficiaries.
Medicare Part D Coverage Tightens as GLP-1 Drug Costs and Prior Authorizations Rise
Medicare Part D sees near-universal prior authorization and rising out-of-pocket costs for GLP-1 drugs in 2025, reflecting insurer adjustments to new cost and regulatory pressures.
Medicare Advantage Challenges and Opportunities for Skilled Nursing Providers
Trilogy Health Services CMO discusses Medicare Advantage's impact on skilled nursing, focusing on administrative challenges, appeals, and value-based care opportunities. Insights on I-SNP partnerships and payment simplification for providers.
Medicare Advantage Growth Spurs Skilled Nursing Care Delays, Calls for Provider Adaptation
Medicare Advantage expansion is linked to care delays in skilled nursing facilities, urging providers to better understand MA protocols for improved patient outcomes.