Tag: Regulatory Compliance

Identity Theft: What You Need to Know

NICB Projects 49% Surge in Identity Crime Fraud Impacting U.S. Insurance in 2025

The National Insurance Crime Bureau forecasts a 49% rise in identity crime fraud in 2025, emphasizing synthetic identity fraud's impact on insurance claims and industry risk management.

Global Commercial Insurance Market to Reach $1.89B by 2030, Driven by Regulatory and Tech Adoption

Global Commercial Insurance Market to Reach $1.89B by 2030, Driven by Regulatory and Tech Adoption

The global commercial insurance market is set to expand at a 7.9% CAGR, reaching $1.89 billion by 2030, driven by regulatory reforms, insurtech adoption, and rising risk exposures in North America, Asia-Pacific, and other regions.

CMS Launches AI-Driven Prior Authorization Pilot for Traditional Medicare in Washington

CMS to start AI-driven prior authorization pilot for traditional Medicare in Washington and five other states in 2026, targeting low-value procedures to reduce waste and improve compliance while maintaining clinician oversight.

New Insights on Respiratory Health Impact Insurance Strategies

Explore how new respiratory health data influences insurance coverage, risk assessment, and regulatory compliance for U.S. insurers.

Maxus v. Travelers Fire Insurance Dispute Sets Precedent on Soot Damage Coverage

The Maxus v. Travelers case clarifies soot damage as covered direct physical loss, emphasizing the importance of precise policy wording and timely claims handling in commercial fire insurance disputes.

CMS Launches Prior Authorization Pilot in Traditional Medicare to Control Costs

CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.

St. Augustine Achieves CRS Class 4, Cutting Flood Insurance Premiums by 30%

St. Augustine, Fla., advances to CRS Class 4 under NFIP, enabling 30% flood insurance premium discounts through enhanced floodplain management and FEMA-approved mitigation measures.

Livingston Parish Flood Insurance Rates to Drop After CRS Rating Upgrade

Livingston Parish's flood insurance rates will drop by 15% following an upgrade from Class 10 to Class 7 under the FEMA Community Rating System, improving floodplain management and insurer risk profiles.

CMS Launches New Verification Process to Enhance Medicaid and CHIP Integrity

CMS introduces a new verification process for Medicaid and CHIP to ensure enrollee eligibility, safeguard taxpayer funds, and enhance program integrity with state-level review and enforcement.

Federal Judge Blocks ACA Rule Changes Affecting 1.8 Million Insured

A federal judge blocks key ACA regulatory changes that could affect 1.8 million Americans' health insurance, pausing new income verification and premium rules. Legal challenges continue.