Court upholds CMS decision on Humana Medicare Advantage star ratings amid rising class-action insurance lawsuits involving provider network inaccuracies and insurer duties.
Pharmaceutical companies agree to significant Medicare drug price cuts under Trump administration, projecting billions in savings with impacts on Medicare Part D and drug affordability.
CMS proposes to revamp Medicare Advantage Star Ratings, affecting insurer compliance and operations. Legal appeals and health system updates also impact the US market.
Explore key trends affecting U.S. healthcare insurance including capacity changes, pricing dynamics, claims severity, and regulatory challenges across home healthcare, allied health, senior care, and life sciences sectors.
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.
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.
ACA federal tax credits supporting over 20 million Americans face expiration amid 2025 government shutdown, causing health insurance premium spikes, notably in New York counties. Understand the regulatory and market impacts for insurers and insureds.
The No UPCODE Act aims to save taxpayers $124 billion by curbing Medicare overbilling practices by insurers like UnitedHealthcare, promoting fiscal responsibility and enhancing Medicare program sustainability.
