Q1 earnings reports from major U.S. health insurers reveal volatile market dynamics driven by Medicare Advantage payment changes and diverse strategic challenges. Insight into implications for providers, payers, and policy.
Federal court permits whistleblower FCA claims alleging improper Medicare Part C billing by UnitedHealthcare of Georgia, highlighting compliance scrutiny in Medicare Advantage billing.
The U.S. Supreme Court is evaluating the constitutionality of the ACA's mandate requiring no-cost preventive services coverage by insurers, with potential impacts on over 200 million Americans and health insurance policies nationwide.
The U.S. Supreme Court is expected to uphold the ACA's free preventive care mandate, influencing health insurance coverage and regulatory authority of the HHS Secretary.
Understand Medicare enrollment requirements for self-employed individuals with individual health plans to avoid Part B penalties and coverage gaps. Learn key distinctions from group employer plans and enrollment deadlines.
Pharmaceutical companies increased consumer-directed drug advertising by nearly 30% in early 2025, leveraging tax deductions that affect prescription drug prices, according to AHIP and CSRxP analyses.
The Supreme Court case Kennedy v. Braidwood Management challenges ACA preventive service mandates, risking coverage for critical screenings and treatments like cancer tests and statins. This ruling has major implications for health insurers and public health.
Alabama postpones legislation regulating AI use in health insurance claims, emphasizing human oversight and collaborative stakeholder discussions for transparency and accountability in insurer decision-making.
Explore how InsurTech innovations like dynamic benefit plans, reinsurance advancements, and Health Reimbursement Arrangements (ICHRAs) are transforming the U.S. health insurance industry to improve cost management and patient-centered care.
Medicare does not recognize individual health plans as qualifying employer coverage for delaying Part B enrollment. Self-employed individuals must enroll timely to avoid penalties.
