Insurance News
Regulatory updates in plain English
Stay current with the latest from CMS, state departments of insurance, NAIC, the Federal Register, and Congress — rewritten so you can actually understand what it means for your practice.
CMS Proposes Updates to Strengthen Medicare Program Integrity, Combat Fraud, and Expand Access to Home Health Care
The Centers for Medicare & Medicaid Services (CMS) is making changes to strengthen the Medicare program and reduce fraud. These updates will help ensure that only compliant providers can participate in Medicare, which is expected to save taxpayers about $82 million each year. The new rules will also...
Trump Administration Prioritizes Affordability by Announcing Major Crackdown on Health Care Fraud
The Trump Administration has announced a new initiative aimed at reducing health care fraud, which will impact health insurance providers and agents. This crackdown is part of a broader effort to make health care more affordable by ensuring that fraud is minimized. Agents should stay informed about ...
CMS Proposes Regulations to Lower Health Care Costs, Expand Consumer Choice, and Protect Taxpayers
The Centers for Medicare & Medicaid Services (CMS) has proposed new rules aimed at lowering health care costs and improving choices for consumers. These changes will affect health insurance agents and brokers by increasing accountability and reducing fraud in the industry. The goal is to make health...
Trump Administration Prioritizes Affordability by Announcing Major Crackdown on Health Care Fraud
The Trump Administration has announced new measures to combat fraud in Medicare and Medicaid, which will affect healthcare providers and suppliers. Key actions include delaying $259.5 million in federal Medicaid funding for Minnesota due to questionable claims and a nationwide pause on new Medicare ...
CMS Proposes Regulations to Lower Health Care Costs, Expand Consumer Choice, and Protect Taxpayers
The Centers for Medicare & Medicaid Services (CMS) has proposed new rules aimed at lowering health care costs and improving choices for consumers. These changes will affect health insurance agents and brokers by tightening regulations to prevent fraud and ensure that taxpayer-funded subsidies are us...
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures Final Rule CMS-0053-F
The Centers for Medicare & Medicaid Services (CMS) has introduced new rules that set standards for electronically sharing health care claims attachments, like medical records and lab results. This means that health care providers can now send important documents securely and quickly without using fa...
Federal Rule Takes Aim at Saving Taxpayer Dollars, Health Care Bureaucracy Reducing Dispute Fees, and Boosting Transparency
A new federal rule has been introduced to improve the process for resolving payment disputes between healthcare providers and insurers. This change affects both providers and payers by making the dispute resolution process more efficient and transparent, which will help save money for many Americans...
Federal Rule Takes Aim at Health Care Bureaucracy, Reducing Dispute Fees, and Boosting Transparency
A new federal rule has been finalized to improve the process for resolving payment disputes between healthcare providers and insurers, which affects both providers and payers. The changes aim to make the process more efficient and transparent, significantly reducing the administrative fees from $115...
Medicare and State Health Care Programs: Fraud and Abuse; Request for Information Regarding the Federal Anti-Kickback Statute and Beneficiary Inducements CMP
The government is asking for public feedback on potential changes to rules that protect against fraud in Medicare and state health care programs. Specifically, they want to know if the current regulations that allow certain payments to be made without penalty (known as safe harbors) should be update...
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures
New rules have been established to simplify health care claims processes. These changes affect health insurance providers and healthcare professionals by introducing new standards for how claims attachments are handled and requiring the use of electronic signatures for these transactions. Insurance ...