Tag: Compliance

DOJ and HHS Launch Joint Working Group to Boost False Claims Act Enforcement in Healthcare

In July 2025, DOJ and HHS formed a joint Working Group to intensify False Claims Act enforcement, focusing on data-driven investigations and payment suspensions in healthcare fraud cases.

Three States Strengthen Distracted Driving Laws, Impacting Auto Insurance

Iowa, Louisiana, and Pennsylvania enforce new distracted driving laws banning handheld cell phone use, aiming to improve road safety and influence auto insurance costs in affected states.

Rhode Island Bans Auto Insurance Rate Hikes for Policy Inquiries

Rhode Island law prohibits auto insurers from raising premiums simply because policyholders ask about their coverage, effective 2026. This enhances consumer protections and guides insurer compliance.

National Insurance Awareness Day Promotes Coverage Review and Industry Education

National Insurance Awareness Day on June 28 highlights the importance of reviewing insurance policies, understanding coverage, and staying compliant with evolving regulations for individuals and insurance professionals.

Security Threat Incident at American Equity Life Insurance Building in West Des Moines

Ohio man charged with terrorism threat after Instagram video at American Equity Life Insurance building in West Des Moines raises security concerns. Incident underscores social media risks for insurance company security and compliance.

Aflac Reports Cybersecurity Breach Potentially Exposing Customer Data

Aflac reveals a cybersecurity breach on its U.S. network affecting customer personal data, highlighting rising cyber threats in the insurance industry.

Jackson Health System Terminates Employee Over Unauthorized Patient Data Access

Jackson Health System terminates employee for unauthorized access to over 2,000 patient records used for personal business promotion, highlighting healthcare data security and compliance challenges.

Humana Supports Medicare Advantage Billing Reforms Targeting Nurse Practitioner Home Visits

Humana backs legislative efforts to reform Medicare Advantage billing practices, focusing on diagnoses from nurse practitioner home visits to improve Medicare payment accuracy and reduce overpayments.

Maryland Police Officers Plead Guilty in Multi-Vehicle Auto Insurance Fraud Scheme

Two Maryland police officers pled guilty to orchestrating an auto insurance fraud scheme involving staged vehicle thefts and falsified police reports, resulting in significant fraudulent insurance payouts. Their sentencing highlights enforcement efforts against insurance fraud in law enforcement.

CMS Expands Medicare Advantage Audits to Address $43B Overpayments

CMS is intensifying Medicare Advantage audits to recover $43 billion in overpayments, impacting provider contracts and regulatory compliance across the MA ecosystem.