Federal court permits whistleblower's False Claims Act allegations against UnitedHealthcare for improper Medicare Advantage billing to move forward, highlighting legal risks in healthcare billing compliance.
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.
CMS's 2026 Final Rule implements the Medicare Drug Price Negotiation Program with the Medicare Transaction Facilitator, affecting Part D drug pricing and pharmacy reimbursement processes.
Safeco Insurance reverses a homeowner's policy cancellation after an investigation found timing and communication issues post-Hurricane Helene in South Carolina. Insight into insurer practices and market impact.
The U.S. Supreme Court hears a key case challenging the ACA's HIV-preventive drug coverage mandate, with implications for healthcare insurance compliance and federal regulatory authority.
Supreme Court likely to uphold Affordable Care Act provision requiring no-cost coverage for key preventive health services, affecting insurance compliance and healthcare regulation.
Explore the payroll tax implications and IRS rules governing employer-provided employee life insurance, including group-term coverage, split-dollar plans, and key employee policies.
Learn about WVU's Open Enrollment for 2026, covering essential updates on tobacco status, dependents, spousal surcharges, and claims processing to ensure optimal benefits.
Insurance experts urge companies to prioritize state-level AI regulations as federal guidelines remain unclear and uncertain in the insurance industry.
