Tag: Regulation

CMS Proposes Draft Regulations for ACA Adjustments in 2027

Explore CMS's draft regulations for the ACA impacting insurance criteria in 2027. Understand insurer feedback and potential changes to Marketplace operations.

New York's Auto Insurance Proposal: Enhancing Affordability and Transparency

Explore Governor Hochul's proposal to reform New York's auto insurance laws for better affordability and transparency amid rising premiums.

Impact of Trump Administration’s Healthcare Policies on Medical Facilities

Discover how Trump administration healthcare policies are reshaping the landscape for U.S. medical facilities, affecting coverage and operational sustainability.

Public Adjuster Charged with Insurance Fraud in Pennsylvania and New Jersey

Michael Breitenbach faces charges for misappropriating $82,000 in insurance claims meant for clients. Learn more about the case and its implications.

Proposed Regulation for PBMs: Enhancing Transparency in Self-Insured Plans

Discover how the new proposed regulation by the U.S. Labor Department aims to enhance transparency for Pharmacy Benefits Managers in self-insured health plans.

Assessing State Insurance Regulators' Enforcement Strength

Explore the varying enforcement strengths of state insurance regulators and their impact on the insurance market. Key insights into regulatory staff and industry shifts.

Centene's Leadership Response to Regulatory and Cost Challenges

Centene strengthens its leadership to tackle regulatory and cost challenges in Medicaid and ACA markets, navigating complex policy changes ahead.

Florida Auto Insurance Market Faces Rate Reductions Amid Reforms

Florida's auto insurance market shows promising changes with potential premium reductions, benefiting consumers and reshaping industry pricing strategies for 2026.

Major Medicare Fraud Scheme Uncovered in Los Angeles

Federal authorities reveal a $60 million Medicare fraud scheme in LA, charging 15 individuals for billing fraudulently and exploiting healthcare provisions.

Fraudulent Hospice Activities Lead to $50 Million Medicare Scheme Arrests

Eight individuals have been arrested for a $50M Medicare fraud scheme. Learn about the crackdown on hospice fraud in California and government efforts to enhance oversight.