Discover how CMS's proposed changes to the Medicare Advantage risk adjustment model could reshape the insurance market for small insurers and improve care management.

UnitedHealth Group's internal audit reveals transparency challenges and regulatory compliance concerns affecting market stability and financial performance.

Explore how UnitedHealth Group's audits reveal the need for stronger compliance in Medicare Advantage and pharmacy benefit services.

Jackson Hospital sues Blue Cross Blue Shield over reimbursement disputes, risking jobs and care quality in Alabama, seeking $250M+ in damages.

Explore strategies for optimizing healthcare delivery and cost-effectiveness, addressing insurance models, regulatory compliance, and market competition insights.

Discover how Amalgamated Life enhances employee benefits with AI-driven solutions, improving compliance and operational efficiency in health and pension management.

Explore key trends and predictions for the healthcare industry in 2026, focusing on AI integration, regulatory changes, and new benefit designs for insurers.

Explore 2023's fraudulent activities in ACA marketplaces. Understand compliance needs to uphold the integrity of healthcare insurance for stakeholders.

Congress faces a critical deadline on ACA health insurance tax credits, affecting millions of Americans. Learn about key legislative developments and impacts.

UnityPoint Health's acquisition of MercyOne raises concerns over insurance plan changes. Stay informed about your options for continued patient access and care.