Arizona mandates independent medical director reviews for health insurer claims denials and prior authorizations based on medical necessity, effective June 2026.

The Bridge to Medicaid Act proposes temporary premium subsidies to close the Medicaid coverage gap for over 100,000 Alabamians in non-expansion states, enhancing access to affordable healthcare starting in 2026.

Conservative think tank PUP Research recommends extending ACA premium tax credits to maintain affordable health insurance coverage amid proposed Medicaid cuts, emphasizing market stability and bipartisan support.

Mark Farrah Associates upgrades County Health Coverage™ with enhanced county-level health insurance market share data and a user-friendly interface for improved market analysis.

Beyond Risk Topco unifies its healthcare benefits insurance businesses under Beyond Health, enhancing underwriting and operational scalability in medical stop loss insurance.

The FBI warns about nationwide scams offering fake low-cost health insurance plans, resulting in millions lost to fraudulent schemes. Learn key prevention tips.

Republican plans to tax employer-based health insurance as part of tax reform risk disrupting the U.S. insurance market and face political backlash ahead of midterms.

Medicare Advantage overpayments have increased sharply, funding non-medical perks like golf fees and ski passes, leading to projected taxpayer costs of $1.2 trillion over the next decade.

FBI issues nationwide warning on discounted medical insurance scams that defraud consumers with fake coverage, causing costly out-of-pocket expenses. Learn how to identify and report these fraudulent schemes.

An Illinois patient faced unexpected medical bills due to insurance coverage distinctions between preventive and diagnostic services under the Affordable Care Act, highlighting industry and regulatory challenges in patient cost-sharing and billing transparency.