Iowa lawmakers debate extending ACA enhanced premium tax credits amid fraud concerns and rising insurance premiums, highlighting challenges in healthcare affordability and regulatory compliance.

A federal court ruling invalidates HHS audits of Medicare Advantage plans, complicating efforts to curb upcoding and fraud. Legislative reform is critical to protect taxpayer funds and improve oversight in Medicare Advantage.

The 2025 GAO report exposes fraud and inefficiencies in the expanded ACA premium subsidies, highlighting regulatory challenges and inflated government expenditures.

GAO report reveals fraud vulnerabilities in ACA marketplaces with fake enrollments approved in 2024-25, urging stronger fraud controls and verification in federal marketplaces.

Iowa Insurance Division warns Medicare beneficiaries of fraudulent calls requesting Social Security numbers, emphasizing legitimate plans do not require this for premium withholdings.

The GAO's new report reveals ongoing fraud risks in the ACA's Advance Premium Tax Credit program, highlighting vulnerabilities in enrollment verification and CMS fraud management.

Explore how agentic AI is poised to revolutionize the U.S. insurance industry in 2026, reshaping workflows, customer engagement, fraud detection, and workforce dynamics while driving sustained AI investment despite economic challenges.

Protect Medicare beneficiaries from scams during the Open Enrollment Period with key prevention and reporting guidelines including contact info for fraud reporting.

Georgia lawmakers probe high insurance premiums driven by fraud, profits, and claims processing amid impacts from Hurricane Helene.

A phone scam in Central Georgia targets grieving families by impersonating funeral home staff to demand immediate payments, raising concerns about payment security during vulnerable times.