Aetna Settles DOJ Allegations Over Medicare Advantage Diagnosis Codes
Aetna settles a $117.7M DOJ case over Medicare Advantage diagnosis codes. Learn about compliance and implications for health management.
Aetna settles a $117.7M DOJ case over Medicare Advantage diagnosis codes. Learn about compliance and implications for health management.
Discover how new legislation on prior authorization is transforming health insurance by reducing delays and regulatory burdens for providers.
Discover DPL's Annuity Review tool, aiding advisors in switching to fee-based models with compliance support and comprehensive portfolio management.
Explore the updated OIG compliance guidance for Medicare Advantage, addressing risk adjustment, prior authorization, and essential regulatory needs for stakeholders.
Explore increasing regulatory challenges for insurers in Asia, including AML compliance and the rising demand for specialized insurance products.
Explore the OMIG 2026 Work Plan focused on enhancing Medicaid compliance and oversight, using data analytics for fraud detection and provider engagement.
Explore the implications of the Kaiser Permanente settlement on Medicare Advantage compliance and oversight. Learn about innovative solutions to enhance accuracy.
Discover the NAIC's recent updates on insurance regulation and compliance, influencing capital allocation and operational strategies in the insurance industry.
Explore how trucking carriers adapt to the Affordable Care Act, enhance operational efficiency, and address new healthcare regulations amid dynamic market conditions.
Elevance Health faces Medicare sanctions affecting new enrollments in Advantage plans due to compliance failures. Learn the implications for the healthcare insurance sector.