CMS Proposes Removing HRA Medicare Part D Creditable Coverage Reporting
CMS proposes removing creditable coverage reporting requirements for HRAs under Medicare Part D to reduce administrative burdens and beneficiary confusion.
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.
Washington Fines Regence $550K for Mental Health Parity Violations
Washington fines Regence BlueShield $550,000 for failing to comply with state and federal mental health parity laws, highlighting ongoing enforcement challenges.
$17 Million in Genetic Testing Fraud, Reveals Crucial Lessons For An Industry Under Pressure
Two men sentenced for leading a $17M Medicare fraud involving unnecessary genetic testing and falsified clinical laboratory enrollment. DOJ and HHS investigations highlight regulatory compliance risks.
Kyle Busch's $8.6M Loss Highlights Risks of Indexed Universal Life Insurance
NASCAR's Kyle Busch lost $8.6 million in premiums due to fees and performance issues in an Indexed Universal Life insurance policy sold by Pacific Life. This case highlights risks and compliance issues in IUL policies for insurance professionals.
New York Fines Auto Insurers Over $19M for Cybersecurity Violations
New York DFS fines eight auto insurers over $19 million for cybersecurity violations after data breaches exposed driver information in online quoting systems. Enforcement highlights increasing regulatory scrutiny in insurance industry compliance.
ERISA Lawsuit Alleges Major Insurers Wrongfully Denied Disability Benefits
A major ERISA lawsuit alleges wrongful denial of disability benefits by top insurers, raising compliance and fiduciary duty issues under federal law.
IRS Enforcement of ACA Compliance Intensifies for Large Employers in 2024
Explore how IRS enforcement of Affordable Care Act compliance impacts applicable large employers in 2024, including penalty risks, reporting requirements, and recent legislative changes.
FRC Proposes Expanded Enforcement Tools to Enhance Audit Oversight
The Financial Reporting Council (FRC) proposes new enforcement pathways to improve audit oversight and regulatory response times, aligning with its Future of Audit Supervision Strategy.
Non-life Insurance: Emerging AML Risks Demand Updated Compliance Strategies
Non-life insurance poses increasing AML risks due to evolving criminal fraud tactics. Insurers must update compliance frameworks with AI-driven detection and cross-functional collaboration.