Pharmaceutical companies increased consumer-directed drug advertising by nearly 30% in early 2025, leveraging tax deductions that affect prescription drug prices, according to AHIP and CSRxP analyses.

CMS fines three PACE organizations totaling $142,788 for failure to meet essential service and documentation requirements, highlighting compliance challenges in managed care programs.

Vitech launches V3locity Express: Supplemental Health, a cloud-native platform enhancing group supplemental health insurance management with AI-driven efficiency and rapid deployment for insurers.

Recent polls reveal strong public opposition to Medicaid cuts and work requirements, especially among rural voters and Medicaid beneficiaries. Medicaid funding debates continue amid budget concerns at federal and state levels.

The Supreme Court reviews a case challenging ACA-required insurance coverage of preventive care services by the U.S. Preventive Services Task Force, impacting millions of Americans.

Explore the 2024 CMS prior authorization rule and the impact of AI on healthcare administrative processes, improving compliance and patient care timelines.

The Supreme Court case Kennedy v. Braidwood Management challenges ACA preventive service mandates, risking coverage for critical screenings and treatments like cancer tests and statins. This ruling has major implications for health insurers and public health.

Explore the impact of Medicare Administrative Contractors on coverage decisions for advanced wound care therapies and the potential of AI-driven reforms to improve patient access and reduce costs.

Alabama postpones legislation regulating AI use in health insurance claims, emphasizing human oversight and collaborative stakeholder discussions for transparency and accountability in insurer decision-making.

Vault Medical Services agrees to pay $8 million to settle false claims related to Covid-19 testing reimbursements under the federal Uninsured Program, highlighting compliance challenges in pandemic healthcare billing.