Explore critical updates on U.S. insurance claims handling, regulatory compliance, and market trends enhancing provider and payer operations.

Fernando Valenzuela Ayub pleaded guilty to a $51 million Medicare fraud scheme involving durable medical equipment. The case highlights key issues in Medicare billing and compliance.

Optum is creating AI-driven risk coding to improve Medicare patient assessments, coinciding with DOJ investigations into Medicare Advantage practices by UnitedHealth Group.

Washington state issues guidelines emphasizing financial, tax, and investment considerations for insurance professionals recommending annuities. Resources support locating existing contracts and understanding annuity benefits and risks.

The NY Department of Financial Services reiterates rigorous, consistent standards for licensing financial institutions, emphasizing compliance and consumer protection for insurers and financial firms.

Starting May 2025, Louisiana property and casualty insurers must disclose all available premium discounts to policyholders, enhancing transparency and compliance.

The DOJ has sued top Medicare Advantage insurers and brokers alleging illegal kickbacks to steer enrollments, raising regulatory and compliance issues in the Medicare insurance market.

ATRI's 2025 research priorities focus on rising insurance costs, driver training impacts, safety tech, telematics, and cabotage violations in U.S. trucking.

CMS intensifies efforts to detect and prevent healthcare fraud, waste, and abuse in Medicare and Medicaid programs, encouraging stakeholder reporting to safeguard taxpayer funds.

Explore how proposed Medicaid cuts and new legislative measures in Iowa impact healthcare, insurance claims, and regulatory compliance amid recent severe weather events.