INSURASALES

Tag: Insurance Regulation

Illinois Court Limits State Farm ACV Class Action Claims in Multi-State Dispute

Illinois district court partially limits State Farm ACV class action claims in Alaska, West Virginia, Kentucky, and Mississippi, highlighting complex insurance litigation and regulatory issues.

California Advances Insurance Stability with Governor’s Executive Order

California strengthens homeowners insurance market stability through an executive order advancing the Sustainable Insurance Strategy and insurer commitments.

Minnesota Medicare Advantage Plans See Rising Premiums and Market Exits in 2026

In 2026, Minnesota Medicare Advantage plans face average premium hikes of nearly 18% amid provider exits and market disruptions, challenging seniors' coverage options and enrollment decisions.

AHA Urges HHS and CMS to Enforce Prior Authorization Reforms

The American Hospital Association urges CMS and HHS to enforce prior authorization reforms to reduce hospital staff workload and patient delays, emphasizing implementation of electronic standards and monitoring compliance.

NFIP Faces Operational Strain Amid FEMA Staff Cuts and Reauthorization Deadline

The National Flood Insurance Program faces operational challenges due to FEMA staff cuts and an upcoming reauthorization deadline, affecting flood insurance availability and premiums.

NFIP Expiration Threatens Louisiana Flood Insurance Market Amid Hurricane Season

The National Flood Insurance Program faces expiration at the end of September, risking flood insurance availability in Louisiana during peak hurricane season. Key impacts include halted policy renewals, stalled real estate transactions, and reduced FEMA flood claim payments.

Georgia Secures Federal Extension for Medicaid Work Requirement Program

Georgia obtains a one-year federal extension for its Medicaid Pathways to Coverage work requirement program, with eased reporting rules and expanded eligibility, amid administrative cost scrutiny.

AI-Assisted Prior Authorization Pilot Launches in Washington Medicare

The federal government starts a 6-year AI-assisted prior authorization pilot in Washington and five other states to improve Medicare coverage decisions for costly procedures.

Medicare Part D Coverage Tightens as GLP-1 Drug Costs and Prior Authorizations Rise

Medicare Part D sees near-universal prior authorization and rising out-of-pocket costs for GLP-1 drugs in 2025, reflecting insurer adjustments to new cost and regulatory pressures.

Patients Over Profits Act Targets Vertical Integration in U.S. Healthcare Market

The Patients Over Profits Act aims to prohibit ownership of both health plans and providers to curb vertical integration in Medicare-related markets, impacting major payviders like UnitedHealth Group and influencing U.S. healthcare market competition and regulatory enforcement.