Federal report exposes inflated mental health provider directories in Medicare Advantage and Medicaid managed care plans, highlighting access challenges and regulatory compliance issues.

Examining Aetna's new inpatient payment policy for Medicare Advantage plans, its conflicts with Medicare's Two-Midnight Rule, and implications for hospital reimbursement and compliance.

Explore Medicare Advantage plans' network restrictions and the CFPB's federal rule preempting state laws banning medical debt credit reporting. Key insights for healthcare insurers and providers.

Fake health insurance marketplaces exploiting open enrollment, highlighting risks of data theft and fraud.

The Medicare open enrollment period and recent federal shutdown are driving increased scams targeting Medicare beneficiaries. Learn how confusion around Medicare cards heightens fraud risks.

Massachusetts municipalities, including Boston, miss FEMA flood insurance discounts by not participating in the Community Rating System, increasing costs for flood-prone residents.

ZestyAI expands ZORRO Discover to all P&C insurance lines, boosting regulatory approvals by 50% and enhancing market intelligence with AI-driven analytics.

Cavco Industries appoints former KPMG executive Lisa L. Daniels to its board, enhancing governance and audit capabilities in the manufactured housing market.

Kyle Busch and Pacific Life confront lawsuits alleging deceptive marketing of Indexed Universal Life policies, raising critical issues in life insurance compliance and consumer protection.

Minnesota state programs reveal significant fraud due to failures in executive oversight and legislative resistance. Federal investigations highlight ongoing challenges in public program compliance and accountability.