INSURASALES

Tag: Regulatory Compliance

Federal Court Upholds CMS Medicare Advantage Star Ratings, Denies Elevance Health Lawsuit

Texas federal judge rules against Elevance Health in lawsuit over Medicare Advantage star ratings, impacting $375 million in bonus revenue. CMS methodologies upheld.

Private Equity Firm to Acquire Sapiens for $2.5 Billion

Private equity firm to acquire Nasdaq-listed insurance tech firm Sapiens for $2.5 billion, signaling consolidation and growth in the U.S. insurance software market.

New York State Medicaid Loses $500M from Inadequate Medicare Enrollment Oversight

New York State's failure to enforce Medicare enrollment for eligible seniors costs Medicaid $500 million amidst federal funding cuts, raising concerns over state health spending and oversight.

Liberty HealthShare Provides Non-Profit Healthcare Sharing as Alternative to Rising U.S. Insurance Costs

Liberty HealthShare offers a non-profit, faith-based healthcare sharing alternative to traditional U.S. health insurance amidst rising premiums and claim denials, emphasizing transparency and member-centric care.

Michigan Financial Advisor Faces Trial for Insurance Fraud with Annuities

Michigan financial advisor Todd Bernstein charged with insurance fraud for submitting false annuity applications involving early annuity surrenders, under investigation by Michigan DIFS and Attorney General.

Trump Administration Proposes Medicare Pilot for GLP-1 Weight Loss Drug Coverage

Trump administration proposes a Medicare and Medicaid pilot to cover GLP-1 weight loss drugs, highlighting access benefits alongside fraud and regulatory oversight challenges.

DOJ Warns of Economic Risks if 1977 IEEPA Tariffs Overturned

The U.S. Department of Justice warns the courts that overturning tariffs imposed under the 1977 IEEPA could trigger a severe economic crisis, impacting Social Security, Medicare, and international trade agreements under review by the Federal Circuit.

Incremental ACA Rollbacks, Federal Policing Expansion, and Economic Policy Shifts Shape U.S. Insurance Landscape

Explore recent incremental Affordable Care Act changes, federal law enforcement expansions in D.C., and ongoing economic policy conflicts impacting U.S. insurance industry stability and compliance.

Atlantic American Posts Profit Growth in H1 2025 Driven by Premium Revenue Gains

Atlantic American Corporation reports H1 2025 net income growth driven by increased premium revenue and operating income gains in specialty insurance lines.

Louisiana Deputy Arrested for Post-Accident Automobile Insurance Fraud

A Caddo Parish sheriff's deputy was arrested for automobile insurance fraud for obtaining coverage after a crash and falsely reporting the claim. The case highlights insurance compliance enforcement and ongoing investigative efforts in Louisiana.