Comprehensive update on critical U.S. healthcare and insurance issues including Medicaid policy, rural hospital challenges, Medicare Advantage scrutiny, FDA drug approvals, and public health dynamics.

Bene Market LLC and Seguro Medico LLC operated deceptive health and dental discount plan sales via a call center, raising compliance issues in insurance marketing.

The DOJ is investigating UnitedHealth Group for alleged criminal Medicare fraud focused on its Medicare Advantage business, highlighting regulatory and compliance risks for health insurers.

ReliaStar Life Insurance Company of New York reports Q1 2025 financials highlighting strong capital positions, asset allocations, and operational income amid regulatory compliance.

Texas insurers are increasingly using AI-analyzed aerial imagery to evaluate home insurance risks, impacting policy renewals and risk management strategies.

California Supreme Court reviews if life insurance lapse laws apply to policies issued outside California but renewed within the state, impacting insurer obligations and consumer protections.

Explore how U.S. insurers are leveraging AI-driven, proactive customer engagement strategies with human oversight to enhance service, manage risk, and comply with regulations.

In 2025, major U.S. health insurers face financial and operational setbacks while smaller, focused payers achieve significant growth by leveraging market-specific strategies and managing costs effectively, reshaping the Medicare Advantage and ACA markets.

CCC Intelligent Solutions joins the AI Governance Alliance to advance responsible AI development in the P&C insurance industry, enhancing transparency, accountability, and regulatory alignment.

Explore Humana's detailed prior authorization requirements for medical services and medications, including timelines, appeal rights, and Medicare member guidance for coverage approvals.