UnitedHealth Under DOJ Investigation for Medicare Advantage Fraud
UnitedHealth Group faces DOJ investigation over Medicare Advantage fraud, impacting regulatory compliance and financial outlook for one of the largest U.S. health insurers.
UnitedHealth Group Faces DOJ Probe into Medicare Advantage Coding Practices
UnitedHealth Group is under DOJ investigation for Medicare Advantage billing practices. The company cooperates with probes on risk adjustment and compliance in health insurance.
Insurance Agents Face Personal Liability in TCPA Class Action: Matthews v. Senior Life Insurance Co.
Matthews v. Senior Life Insurance Co. case highlights personal liability risks for insurance agents in TCPA telemarketing lawsuits. Insurance professionals should understand compliance and risk management amid increasing TCPA scrutiny.
Progressive Leads in Growth and Loss Ratios but Trails on Auto Insurance Customer Satisfaction
Explore how Progressive outperforms in growth and loss ratios but lags behind peers like State Farm and GEICO in customer satisfaction according to J.D. Power's 2025 U.S. Auto Insurance Study, highlighting key trust and service factors driving satisfaction scores.
Data Breach at Covenant Health Affects Over 2,200 in New Hampshire
Covenant Health reports a May 18 data breach impacting over 2,200 in New Hampshire, exposing medical and insurance data. Fraud monitoring and IT security upgrades underway.
Massachusetts Initiatives Reflect Policy and Community Trends in 2025
Explore Massachusetts 2025 updates on Medicaid management, college enrollment challenges, urban safety initiatives, and academic achievements shaping regional insurance and policy landscapes.
HHS Targets $14 Billion in Savings by Addressing Duplicate Medicaid and ACA Enrollments
HHS and CMS are tackling duplicate enrollments in Medicaid, CHIP, and ACA plans to save $14 billion annually by improving program integrity and reducing waste.
UnitedHealth Medicare Advantage Faces Lawsuits over AI Claims Denials
UnitedHealth Group faces lawsuits and federal probes over AI-driven claims denials in Medicare Advantage, highlighting regulatory risks and the need for ethical plan advisory.
Judge Dismisses Humana's Medicare Advantage Star Rating Lawsuit Pending Appeals
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.
ACA Marketplace Premiums Expected to Rise Sharply in 2026 as Subsidies Expire
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.