INSURASALES

Tag: regulatory compliance

UnitedHealth Group Confidential Document Leak Reveals Insurer Strategic Focus

An inadvertent leak of UnitedHealth Group's confidential document sheds light on strategic priorities and communication practices of a leading U.S. health insurer, highlighting market and regulatory dynamics.

UnitedHealth Adjusts Leadership and Strategy Amid Medicare Reimbursement Changes

UnitedHealth Group's leadership transition and strategic review respond to Medicare Advantage reimbursement changes and regulatory scrutiny, affecting stock performance and future growth plans.

AI and Legislative Actions Aim to Address Medicare Advantage Coding Disputes

Explore how AI innovations and the No UPCODE Act seek to resolve Medicare Advantage coding controversies, improving risk adjustment and compliance.

CMS Intensifies Medicare Advantage Audits, LTC Research Highlights, and Nursing Home Compliance Issues

CMS escalates Medicare Advantage audits targeting upcoding and overpayments; research shows benefits of closer heart failure patient monitoring to reduce rehospitalizations; federal probe into nursing home COVID policies; nursing home financial fraud uncovered.

CMS Expands Medicare Advantage Audits Impacting Major Health Insurers

CMS expands Medicare Advantage audits from 2018-2024, intensifying compliance demands and financial scrutiny for major health insurers like UnitedHealth, CVS, and Humana.

UnitedHealth Group's Vertical Integration Drives Managed Care Efficiency

Explore how UnitedHealth Group's vertical integration of insurance, PBM, and provider services enhances managed care efficiency and influences U.S. healthcare costs.

Medicare Phone Scams Target Beneficiaries, Prompt Security Alerts

Medicare phone scams are rising, with fraudsters posing as representatives to steal personal info. Learn how insurance professionals can help protect beneficiaries.

UnitedHealth’s Medicare Advantage Challenges Signal Market Shift

UnitedHealth Group reports higher medical loss ratio and earnings challenges in Medicare Advantage, signaling a strategic shift amid rising care costs and regulatory scrutiny.

Louisiana Proposes Increasing Homestead Exemption to Alleviate Property Tax Burden

Louisiana proposes raising homestead exemption limits statewide, allowing parishes to reduce property tax burdens amid rising insurance and living costs. The constitutional amendment awaits voter approval, with fiscal impacts under review.

HHS OIG Identifies $17 Billion in Potential Savings in Healthcare Programs

The HHS Office of Inspector General identifies $17 billion in potential cost savings by improving program efficiency and compliance in healthcare programs.