Humana's lawsuit challenging its Medicare Advantage star ratings was dismissed due to incomplete administrative appeals. The insurer faces a major downgrade impacting 2026 earnings and plans further legal action.

KFF analysis projects a 75% average increase in ACA marketplace premiums in 2026 due to the expiration of enhanced premium tax credits, impacting millions of enrollees and market stability.

Verisk Analytics leads vertical integration in life and annuity insurance technology with data-driven platforms enhancing underwriting, payment processing, and healthcare analytics.

The DOJ is probing UnitedHealth Group's Medicare Advantage payment practices, with focus on diagnosis coding and compliance. The investigation involves FBI and HHS and impacts stock value amid healthcare sector scrutiny.

The DOJ is investigating UnitedHealth Group for Medicare Advantage billing practices amid nationwide scrutiny on upcoding, prompting CMS to increase audits of plans and intensify fraud prevention efforts.

UnitedHealth Group faces multiple shareholder derivative lawsuits linked to DOJ investigations of Medicare billing practices, highlighting regulatory and corporate governance issues.

UnitedHealth Group emphasizes strict regulatory compliance and audit accuracy in Medicare Advantage operations following scrutiny by The Wall Street Journal. CMS audits confirm coding integrity and adherence to federal guidelines.

Explore the implications of enrolling in Medicare Advantage plans and later switching to original Medicare with Medigap, focusing on medical underwriting and enrollment restrictions that impact U.S. beneficiaries.

Federal court ruling increases Alignment Healthcare's Arizona Medicare Advantage HMO star rating from 3.5 to 4 stars, enhancing plan quality recognition and CMS bonus eligibility.

Federal court ruling raises Alignment Healthcare's Arizona Medicare Advantage star rating to 4 stars, impacting quality ratings and bonus payments in 2025.