Oklahoma enacts SB 546, influencing consumer data privacy, enhancing compliance, and establishing clear rights for individuals with actionable business obligations.

Aetna agrees to $117.7 million settlements over Medicare Advantage claims, highlighting the need for compliance in healthcare risk adjustment practices.

Explore how recent regulatory actions are shaping insurance compliance, transparency, and innovation in response to emerging consumer needs and technological advancements.

CMS has paused new Medicare supplier enrollments for 6 months to combat healthcare fraud. Learn its implications for the industry and compliance challenges.

Discover how Datavant's innovations in risk adjustment and AI can optimize healthcare data management and enhance Medicare Advantage outcomes.

Discover the latest OIG compliance program guidelines for Medicare Advantage ensuring network adequacy, ethical practices, and quality of care for better patient outcomes.

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.