The insurance sector has experienced its first year of job losses since the pandemic, according to Bureau of Labor Statistics data released Jan. 9. Four notes:
Author: Jakob Emerson
Washington state has fined Kaiser Foundation Health Plan $300,000 for failing to comply with federal mental health parity requirements, though $100,000 of that amount is suspended. The enforcement action came after Kaiser couldn’t provide adequate documentation on provider admission standards…
Alaska lawmakers passed a sweeping insurance reform bill last year that changes how insurers and pharmacy benefit managers operate in the state, effective Jan. 1. Five notes:
Massachusetts will invest an additional $250 million to help residents pay for premium increases after ACA enhanced subsidies expired at the end of 2025. The investment brings the state’s total commitment to its ConnectorCare program to $600 million, the largest…
A Florida insurance brokerage executive will serve nearly three years in prison for participating in a $133 million ACA fraud scheme, the Palm Beach Post reported Jan. 8. Dafud Iza, 54, of Florida, previously served as executive vice president at…
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Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are expanding their probe into UnitedHealth Group’s nursing home programs after the company provided what they said is an insufficient response to their initial inquiry, along with new allegations of resident deaths.…
House Republicans have asked the leaders of some of the nation’s largest health insurers to testify before Congress at the end of January as scrutiny intensifies over rising healthcare costs and industry profits. On Jan. 22, the CEOs of UnitedHealth…
Highmark now covers all diagnostic breast studies and breast MRIs at 100% without copays or deductibles for members of its Blue Cross Blue Shield plans in Pennsylvania, New York, West Virginia and Delaware. The policy was effective Jan. 1 and…
The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and providers suing over alleged abuse of the arbitration system. The disputes come…
Wisconsin’s Medicaid program is projecting a $213.2 million shortfall through fiscal year 2027, driven largely by higher-than-expected enrollment in long-term managed care programs, according to a Jan. 5 report from the state Department of Health Services. The projected deficit, which…