AM Best maintains a stable outlook for U.S. commercial lines insurance in 2025 despite challenges from litigation, inflation, and evolving risks. Specialized risk control and AI-driven underwriting are key trends.
CMS announces increases in Medicare Parts A and B premiums and deductibles for 2026, reflecting rising medical costs and usage. Explore implications for senior care, Medicaid, and insurance professionals.
The potential expiration of ACA premium tax credits threatens health insurance coverage for 267,000 U.S. veterans and their families, heightening premiums and financial strain without Congressional renewal.
Indian national sentenced to two years for Medicare fraud involving fake COVID-19 testing claims totaling over $1.17 million. The case highlights ongoing challenges in health care fraud detection and regulatory compliance.
Conducting a year-end business checkup is vital for U.S. companies to reduce risk and improve efficiency. Focus on finances, insurance, technology, operations, and workforce strategy for a robust start to the new year.
Patrick C. Moore Jr. sentenced to 46 months and $7.2M restitution for Medicare genetic testing kickback fraud. DOJ and HHS-OIG enforcement highlights healthcare fraud risks.
CMS extends its Medicare Inpatient Rehabilitation Facility Review Choice Demonstration to include Texas and California IRFs, increasing claims oversight and regulatory compliance requirements.
CMS proposes new measures to allow Medicare Advantage enrollees to switch plans mid-year following provider network changes, improving continuity of care for seniors.
Explore the latest trends in U.S. insurance agency mergers and acquisitions for 2026, including market activity, valuation multiples, buyer strategies, deal structures, and internal perpetuation challenges affecting insurance brokers and agencies.
The CMS ACCESS Model launches in 2026 to pilot outcome-focused payments in Original Medicare, expanding technology-supported chronic care and integrating with primary providers for improved patient outcomes.
