Legal investigation examines CVS/Aetna's use of AI in denying prior authorizations for post-acute care under Medicare Advantage plans, highlighting regulatory and compliance challenges in insurance claims processing.
Farmers Insurance requests a 6.99% home insurance rate increase as California removes caps on new policies, responding to wildfire risk and regulatory reforms.
A former Michigan pharmacist sentenced to prison for submitting fraudulent Medicare claims totaling $4 million for prescription medications never dispensed, highlighting ongoing challenges in Medicare fraud enforcement.
Recent AAA Foundation data highlights increased aggressive driving behaviors including speeding and cutting off other drivers, affecting auto insurance risk and claims.
The Apples-to-Apples Comparison Act promotes transparency in Medicare by requiring standardized data comparing Medicare Advantage and traditional Medicare, helping seniors make informed choices.
Medicare delays $7.8B hospital drug cost clawback, appeals MA audit ruling, and adds cardiac ablations to ambulatory surgery coverage for 2026.
Demand for insurtech in the U.S. is projected to grow from $9.3B in 2025 to $84.9B by 2035 at 24.8% CAGR, driven by health insurance digitalization, AI adoption, and embedded insurance models. Regional market leaders and technology trends shape future growth.
Plymouth Rock Assurance implemented a targeted non-renewal strategy to improve homeowners insurance profitability, enhancing loss ratios by 14.5 points across key states during volatile market conditions.
The White House delays announcement to extend ACA premium subsidies as Republican opposition intensifies, risking higher health insurance costs for millions in 2025.
Allstate initially denied a property damage claim involving a fallen tree from a neighbor but issued payment after third-party intervention, underscoring challenges in liability claims for property damage.
