HHS Targets $14 Billion in Savings by Addressing Duplicate Medicaid and ACA Enrollments
HHS and CMS are tackling duplicate enrollments in Medicaid, CHIP, and ACA plans to save $14 billion annually by improving program integrity and reducing waste.
Avoiding Lifetime Penalties in Medicare Part D Enrollment
Learn how to avoid lifetime Medicare Part D penalties by timely enrollment, understanding creditable coverage, and utilizing Extra Help financial assistance programs.
Broome and Tioga Counties Face $25M-$30M Storm Damage, Insurance Claims Surge
Severe July storms in Broome and Tioga Counties, NY cause $25M-$30M in property damage, prompting a rise in home and auto insurance claims and highlighting flood insurance importance.
IMA Financial Group Names Adam-Ross Branch Oregon Market President
IMA Financial Group appoints Adam-Ross Branch as Oregon market president, succeeding retiring Ken Price. Branch brings expertise in commercial property and casualty insurance.
W.R. Berkley Appoints Shadi Albert as President of Vela Insurance Services
W.R. Berkley Corporation appoints Shadi Albert as president of Vela Insurance Services, signaling strategic leadership transition in excess and surplus lines insurance.
AJ Gallagher Acquires Equinox Agency, Expanding Market Presence
AJ Gallagher acquires Equinox Agency in an undisclosed deal, marking notable activity in insurance agency M&A and market consolidation.
UnitedHealth Medicare Advantage Faces Lawsuits over AI Claims Denials
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.
DOJ-HHS Relaunches False Claims Act Working Group to Intensify Healthcare Fraud Enforcement
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 Medicaid Work Requirement Program Highlights Administrative and Cost Challenges
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.
America's Physician Groups Advocate Accountable Care Relationships for Medicare Beneficiaries
Susan Dentzer of America's Physician Groups emphasizes accountable care relationships for Medicare beneficiaries to improve coordination, reduce hospitalizations, and support smaller practices.