UnitedHealth Group faces lawsuits and federal probes over AI-driven claims denials in Medicare Advantage, highlighting regulatory risks and the need for ethical plan advisory.

The DOJ and HHS have reestablished the False Claims Act Working Group to heighten enforcement of healthcare fraud, focusing on Medicare, Medicaid, pricing, and EHR compliance risks.

Georgia's Medicaid work requirement program reveals significant administrative burdens and high costs, with low enrollment and challenges in verifying work compliance under recent federal legislation.

Susan Dentzer of America's Physician Groups emphasizes accountable care relationships for Medicare beneficiaries to improve coordination, reduce hospitalizations, and support smaller practices.

Explore liability and claims challenges in retail parking lot vehicle damage cases as highlighted by a Walmart incident involving a $2,000 repair claim. Insights into insurer and third-party claims administrator roles.

Applied Home National Underwriters announces CEO Bob Courtemanche's departure after two years, signaling leadership transition in the P&C insurance sector.

Pennsylvania faces increasing inland flood risks prompting legislative efforts to improve flood risk disclosures, insurance affordability, and flood mitigation amid rising flood insurance claims and recovery challenges.

Orion180 debuts FLEX Home Insurance in nine Massachusetts counties, offering customizable coverage without coastal restrictions amid rising premiums and non-renewals.

House Bill 48 in Utah mandates new wildfire risk fees and updated mapping to guide insurance premiums and promote risk mitigation in high-risk wildland urban interface zones, impacting Wasatch and Summit counties starting 2026.

Health insurance premiums in the Affordable Care Act marketplace are projected to increase by 15% in 2025, driven by rising medical costs, new drug expenses, tariffs, and uncertain subsidy extensions.