Tag: Regulation

Missouri Enhances Medicaid Integrity with Expedited Revalidation Process

Missouri enhances Medicaid integrity with an expedited revalidation process for high-risk providers, ensuring resources go to those in need. See the details!

California Department of Insurance Action Against State Farm

CDI investigates State Farm over wildfire claims. Allegations include delays and underpayments. Read on for key actions and industry implications.

Regulatory Compliance Challenges in Variable Annuities

Explore the challenges of regulatory compliance for variable annuities, highlighting recent FINRA investigations and the importance of supervisory systems in the industry.

Impact of the Budget Reconciliation Act of 2025 on Medicare and Medicaid

Explore the potential impacts of the Budget Reconciliation Act of 2025 on Medicare and Medicaid, focusing on dually eligible individuals and healthcare costs.

Proposed Reforms Aimed at Reducing Auto Insurance Rates in New York

Explore Governor Hochul's proposed auto insurance reforms in New York designed to lower rates and enhance accountability for fraudulent practices.

Sixth Circuit Upholds ERISA Preemption on Tennessee PBM Laws

Discover how the Sixth Circuit's ruling on ERISA preemption affects Tennessee PBM laws and self-funded employer health plans. Get insights for stakeholders.

Cigna Withdraws from ACA Exchanges in 2027: Impacts and Insights

Cigna's exit from ACA exchanges due to subsidy cuts will impact 369,000 members. Explore the implications for the health insurance market and future enrollment trends.

Understanding HIPAA Compliance for Employer-Sponsored Health Plans

Explore HIPAA compliance obligations for employer-sponsored health plans to safeguard ePHI and meet regulatory requirements effectively.

OIG Audit Reveals Medicare Compliance Issues with PAP Devices

Explore the latest OIG audit findings on Medicare billing for PAP devices and CMS recommendations to enhance compliance and documentation practices.

Rising Hospital Costs and Consolidation: Key Insights from Recent Hearing

Discover key insights from the recent congressional hearing on rising hospital costs, healthcare consolidation, and regulatory reforms impacting patient care.