Transforming Skilled Nursing Data Submission: Medicare's New Cost Report Impact
Explore how new Medicare cost report forms are transforming skilled nursing data submission, promoting transparency and compliance for providers in the industry.
Enhancing Health Insurance Efficiency: Tackling Prior Authorizations
Discover how Evry Health is revolutionizing prior authorizations in health insurance, reducing denials and improving efficiency through technology and collaboration.
House Committee Probes Major Obamacare Brokers Over Fraud Concerns
House Judiciary Committee investigates major Obamacare insurers and brokers over potential fraud inflating program costs, focusing on enrollment practices and subsidy misuse.
U.S. Commercial Insurance Rates Moderate as Specialized Risk Control Gains Traction
U.S. commercial insurance rates steady in Q3 2025; specialized risk control strategies emerge as key to reducing claims and enhancing client retention in complex industries.
CMS and FDA Launch ACCESS and TEMPO Programs to Promote Outcome-Based Chronic Care
CMS and FDA introduce ACCESS and TEMPO programs to foster value-based reimbursement and regulatory flexibility for digital health technologies targeting chronic conditions starting 2026.
Robocalls Persist in Marketing Insurance and Financial Services
Analysis of ongoing robocall campaigns marketing insurance and financial services, highlighting compliance and regulatory challenges in the U.S. insurance industry.
Legislation Targets AI-Based Medicare Prior Authorization Pilot in Washington
U.S. Senators propose legislation to halt CMS AI-powered Medicare prior authorization pilot in six states including Washington due to care delay concerns.
Key Medicare Enrollment Periods and Special Election Windows for 2026
Explore key Medicare enrollment periods for 2026 including the Annual Enrollment Period, Open Enrollment for Advantage Plans, Special Election Periods for new and transitioning beneficiaries, and Medicare Supplement enrollment guidelines.
Florida Bill Targets AI-Only Denials in Insurance Claims
Florida legislation proposed to ban insurance claim denials based solely on AI outputs, addressing accountability and policyholder confidence amid AI integration in claims processing.
NSI Insurance Group Strengthens Florida Market Position with Mutual Insurance Group Acquisition
NSI Insurance Group expands in Florida's property and casualty sector by acquiring Mutual Insurance Group, enhancing risk management and market reach amid industry challenges.