Tag: Regulatory Compliance

The Humana world headquarters building in downtown Louisville, Kentucky. Photo: Katherine Welles/Shutterstock.com

CMS Star Ratings Upheld in Humana Medicare Advantage Lawsuit; Class Actions Impact Insurer Litigation

Court upholds CMS decision on Humana Medicare Advantage star ratings amid rising class-action insurance lawsuits involving provider network inaccuracies and insurer duties.

State Farm Rolls Out Advanced Accident Detection in Illinois and Florida

State Farm Rolls Out Advanced Accident Detection in Illinois and Florida

State Farm introduces advanced accident detection technology in Illinois and Florida, enhancing emergency response and claims efficiency while addressing telematics data privacy and regulatory compliance.

Aetna Medicare Advantage’s New Inpatient Payment Policy: Implications and Regulatory Concerns

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 Missing Flood Insurance Savings Due to Non-Participation in FEMA Program

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 for All P&C Lines, Enhancing Regulatory Intelligence

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 Lisa L. Daniels to Board to Strengthen Governance

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 Expiry Triggers Health Premium Surges Amid Government Shutdown

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.

No UPCODE Act Targets $124 Billion Medicare Overbilling to Save Taxpayers

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.

Meanwhile Raises $82M to Expand Bitcoin-Denominated Life Insurance Products

Meanwhile secures $82M funding to scale Bitcoin-denominated life insurance and retirement products, highlighting expansion of crypto-linked financial services in regulated insurance markets.

UnitedHealth to Exit Medicare Advantage Plans in 16 Counties Amid Cost and Reimbursement Challenges

UnitedHealth will stop offering Medicare Advantage plans in 16 U.S. counties by 2026 due to CMS funding cuts and rising healthcare costs, impacting 180,000 members and shifting focus to sustainable care models.