Georgia Man Sentenced for $7.2M Medicare Genetic Testing Kickback Scheme
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 Expands IRF Review Choice Demonstration to Texas and California
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 Enhanced MA Plan Enrollment Flexibility for Seniors
CMS proposes new measures to allow Medicare Advantage enrollees to switch plans mid-year following provider network changes, improving continuity of care for seniors.
2026 Outlook: U.S. Insurance Agency M&A Trends and Market Dynamics
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.
CMS Introduces ACCESS Model to Enhance Technology-Based Chronic Care in Medicare
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.
State Farm Faces Multi-Billion Dollar Lawsuit Over Oklahoma Homeowners Insurance Claims
State Farm is involved in ongoing lawsuits alleging a multi-billion dollar scheme in Oklahoma homeowners insurance claims, raising regulatory and compliance issues.
CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care in Medicare
CMS introduces ACCESS model to enhance technology-supported care and outcome-based payments for Medicare patients with chronic conditions starting in 2026.
Congress Faces ACA Subsidy Expiration and Appropriations Challenges in Final 2025 Session
Congress confronts expiring ACA subsidies and critical appropriations deadlines in the final legislative days of 2025, shaping U.S. health insurance and government funding landscapes.
Susan B. Anthony Pro-Life America Opposes Obamacare Subsidy Extension Without Hyde Protections
Susan B. Anthony Pro-Life America will negatively score Democratic discharge petitions extending Obamacare subsidies without Hyde Amendment protections, highlighting legislative accountability and healthcare funding debates.
ACA Subsidy Extension Uncertain as Enrollment Deadline Nears
As the ACA open enrollment deadline approaches, uncertainty looms over the extension of enhanced health insurance subsidies, impacting millions of marketplace enrollees and premium costs.