CMS launches WISeR model applying AI-driven prior authorization to Traditional Medicare, targeting fraud and waste with clinician oversight. Providers face operational and financial impacts.
The DOJ is investigating UnitedHealth Group for Medicare Advantage billing practices amid nationwide scrutiny on upcoding, prompting CMS to increase audits of plans and intensify fraud prevention efforts.
Operation Gold Rush exposes a $10.6 billion Medicare fraud scheme involving international crime rings and highlights the shift towards AI-driven proactive fraud prevention and enhanced Medicare data analytics.
Progressive partners with DC Studios to promote its Accident Response feature through the Superman film release, blending pop culture and insurance technology for enhanced consumer engagement and growth.
U.S. consumers spent $90.6 billion on social media shopping last year, with high rates of buyer regret and reports of scams prompting calls for financial awareness and fraud prevention measures.
North Carolina updated auto insurance laws in 2025, increasing minimum liability limits, expanding underinsured motorist coverage, and extending surcharge periods, impacting premiums and underwriting.
Rhode Island enacts new auto insurance appraisal law enhancing inspection timelines, dispute resolution, and cost responsibilities. Key updates for insurers and repair shops.
Inshur has raised $35 million from Trinity Capital to develop AI-powered embedded auto insurance solutions for autonomous vehicles, targeting U.S. expansion and on-demand service platforms like Uber and Amazon Flex.
IMPROVLearning's DMV-approved defensive driving course offers New York drivers a guaranteed 10% auto insurance premium reduction amid significant rate hikes since 2023. Learn how this online program supports compliance and cost savings for policyholders and insurers.
The Third Circuit reversed a class action certification against Progressive over total loss valuation methods involving Projected Sold Adjustments, emphasizing individualized claim analysis.
