INSURASALES

Tag: Regulatory Compliance

Medicare 2026 Rate Increases, Hospital Efficiency Push, and AI Advances in Healthcare

Explore the 2026 Medicare payment updates for hospice, rehab, and psychiatric care, hospital efficiency initiatives amid rising costs, and growing use of agentic AI in healthcare settings.

Aetna's New Medicare Advantage Policy Alters Two-Midnight Rule Payment Approach

Effective November 2025, Aetna changes Medicare Advantage inpatient admission payments under the Two-Midnight Rule, impacting hospital reimbursements and billing practices.

Increasing Cybersecurity Challenges for Financial Services: Vendor Breaches, Mobile Malware, and VPN Vulnerabilities

Financial sector faces escalating cyber risks from vendor breaches, advanced mobile malware, and critical VPN vulnerabilities, underscoring need for enhanced supply chain oversight and Zero Trust security.

Connecticut Man Charged in Scheme Involving Fake Life Insurance Premiums

Connecticut man faces multiple charges for collecting premiums on fake life insurance policies. Case underscores importance of regulatory oversight in insurance industry.

Modern Agency Management Systems Transform MGA Efficiency in P&C Insurance

Explore how modern Agency Management Systems enhance efficiency, compliance, and scalability for Managing General Agents in the Property & Casualty insurance market.

AHCA Pursues Medicare Advantage Data to Enhance Compliance Monitoring

The AHCA is actively seeking Medicare Advantage data from providers to ensure compliance with prior authorization and regulatory guidelines, while studies reveal key unmet needs pushing seniors with dementia toward nursing homes.

UnitedHealth Faces Federal Investigations Over Medicare Advantage Billing Practices

UnitedHealth Group is under federal criminal and civil investigation for Medicare Advantage billing practices amid financial pressures and leadership changes. The company cooperates fully and maintains confidence in compliance.

Protective and West Coast Life Settle $80M CA Life Insurance Lapse Suit

Protective Life and West Coast Life settled an $80M California class action alleging failure to follow lapse notification laws for nonpayment of life insurance premiums.

UnitedHealth Group Under DOJ Investigation for Medicare Advantage Practices

UnitedHealth Group faces DOJ investigation over Medicare Advantage billing practices, impacting insurer compliance and reimbursement within Medicare programs.

UnitedHealth Cooperates with Federal Investigations into Medicare Advantage Practices

UnitedHealth Group is cooperating with federal criminal and civil investigations into its Medicare Advantage billing practices, amid scrutiny of diagnosis reporting and payments. The insurer faces financial and regulatory challenges influencing the Medicare Advantage market.