Medicare Adjusts Policies on Hospital Clawbacks, MA Audits, and Cardiac Procedures
Medicare delays $7.8B hospital drug cost clawback, appeals MA audit ruling, and adds cardiac ablations to ambulatory surgery coverage for 2026.
U.S. Insurtech Demand Set to Soar to $84.9B by 2035 with Health Insurance Leading
Demand for insurtech in the U.S. is projected to grow from $9.3B in 2025 to $84.9B by 2035 at 24.8% CAGR, driven by health insurance digitalization, AI adoption, and embedded insurance models. Regional market leaders and technology trends shape future growth.
Plymouth Rock Assurance Enhances Homeowners Insurance Profitability with Targeted Non-Renewal Strategy
Plymouth Rock Assurance implemented a targeted non-renewal strategy to improve homeowners insurance profitability, enhancing loss ratios by 14.5 points across key states during volatile market conditions.
White House Delays ACA Subsidy Extension Amid GOP Opposition
The White House delays announcement to extend ACA premium subsidies as Republican opposition intensifies, risking higher health insurance costs for millions in 2025.
Allstate Reverses Denial to Settle Tree Damage Claim After Intervention
Allstate initially denied a property damage claim involving a fallen tree from a neighbor but issued payment after third-party intervention, underscoring challenges in liability claims for property damage.
CMS Finalizes 2026 Medicare OPPS and ASC Payment Rates with 2.6% Increase
CMS finalizes the 2026 Medicare OPPS and ASC payment rates with a 2.6% increase, including quality reporting penalties and maintained 340B payment adjustments.
AI Advances Reshape U.S. Insurance Operations with Human Oversight
Explore how AI innovations are enhancing underwriting, claims, and customer service in U.S. insurance while maintaining regulatory compliance and human oversight.
SCAN Health Plan Addresses Medicare Patient Challenges with Strategic Initiatives
SCAN Health Plan strategic response to Medicare patient challenges highlights healthcare system inefficiencies and innovation in Medicare managed care.
New York Homeowners Face Rising Insurance Premiums Amid Multifaceted Cost Pressures
Rising homeowners insurance costs in New York driven by inflation, climate risk, litigation, and regulatory challenges are prompting calls for legislative reforms and risk management innovations.
Trump's Obamacare Subsidy Extension Faces GOP Opposition Amid Negotiations
President Trump's plan to extend expiring Obamacare subsidies encounters GOP opposition and sparks bipartisan talks to prevent premium hikes and reform healthcare funding.