Summary Judgment Recommended in UnitedHealth Medicare Reimbursement Case
A case involving UnitedHealth Group and allegations of improper Medicare reimbursements highlights compliance and regulatory challenges in U.S. health insurance.
President Trump's Executive Order Aims to Lower Drug Prices by Aligning Small Molecule Drug Policy with Biologics
President Trump's latest executive order modifies the Medicare Drug Price Negotiation Program, aligning the treatment of small molecule drugs with biologics and aiming to reduce drug prices.
Congress Calls for GAO Probe into Medicare Advantage Plan Acquisitions
U.S. Representatives urge a probe into Medicare Advantage plans acquiring health businesses, potentially affecting compliance with medical loss ratio standards.
Texas Committee Calls for Audit and Sanctions Against Medicaid Contractor
The Texas DOGE committee has demanded an audit and sanctions against Superior HealthPlan for alleged spying, highlighting broader concerns over ethics and compliance in Medicaid contracting.
Lawsuit Challenges California Insurers' Right to Recoup Wildfire Costs from Policyholders
A lawsuit in California could impact how insurers recoup costs from policyholders for wildfire-related claims. Learn how this affects consumer protection and market stability.
Governors Oppose CMS Rule Over Health Insurance Marketplace Standards
Governors from five U.S. states have challenged a new CMS rule that could alter health insurance marketplace regulations, emphasizing potential risks to coverage and state authority.
Louisiana Advances Bills to Reform Car Insurance Litigation in Legislative Effort to Curb Rising Costs
Louisiana's House Civil Law and Procedure Committee has advanced legislative measures aimed at reforming the legal system to curb the state's car insurance crisis. The bills propose changes to how damages are awarded and aim to reduce litigation-fueled costs in car insurance.
Consumer Advocates Sue Over California Insurance Plan Funding Amid Wildfire Claims
Consumer advocates sue California insurance department over unauthorized emergency payments by the FAIR Plan to cover wildfire claims, arguing it unfairly burdens homeowners.
SSA Advances on GPO-WEP Benefit Recalculations, Aiding Millions
Learn how the SSA's repeal of GPO and WEP is enhancing benefits for millions, with significant progress noted in automation-led recalculations.
Minnesota Health Department Reevaluates Layoffs Amid Funding Cuts and Staffing Errors
Minnesota faces public health funding challenges, prompting a reevaluation of layoffs that initially targeted crucial roles for disease surveillance.