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.
Commissioner Lara unveils intervenor reform regulations to increase transparency and protect consumers’ money
California's Insurance Commissioner, Ricardo Lara, has announced new regulations to improve the process for reviewing insurance rates. These changes aim to make the process more transparent and efficient, ensuring that consumers' money is protected. The updated rules will allow for better public par...
Commissioner Lara advances first overhaul of intervenor process in 35 years to protect consumer dollars and strengthen transparency
The California Department of Insurance is updating the rules for the intervenor process, which helps protect consumer interests during insurance rate reviews. This is the first major change in 35 years, aimed at making the process more transparent and efficient. The new rules will set clear standard...
CMS Proposes New Transparency Measures to Strengthen Oversight of Hospice Providers
The Centers for Medicare & Medicaid Services (CMS) is introducing a new scoring system for hospice providers to improve oversight and transparency. This system will help identify hospices that may be misusing Medicare funds or providing poor care, while allowing legitimate providers to continue thei...
CMS Proposes Major Reforms to Speed Up Patient Access to Drugs, Increase Transparency, and Reduce Administrative Burden
The Centers for Medicare & Medicaid Services (CMS) is proposing new rules to speed up how quickly patients can get access to medications. This change affects insurance companies and healthcare providers by requiring them to make decisions on prior authorizations for urgent requests within 24 hours a...
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...
OIC report recommends transparency, modernization for WSRB
The Washington state Office of the Insurance Commissioner has released a report recommending improvements for the Washington Survey & Rating Bureau (WSRB), which rates fire protection in communities. This affects insurance agents as they rely on WSRB ratings to determine insurance eligibility and pr...
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Cl
The Medicare program is proposing changes to how hospitals and outpatient surgical centers are paid starting in 2027. This affects healthcare providers who use the Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) payment system. The new rules will update...
Accountability in Higher Education and Access Through Demand- Driven Workforce Pell: Student Tuition and Transparency System (STATS) and Earnings Accountability
The Secretary of Education has updated rules affecting colleges and universities that participate in federal student loan programs. These changes, part of a new law, will set stricter eligibility requirements for Direct Loans based on how much graduates earn after completing their programs. Programs...
Financial Data Transparency Act Joint Data Standards
A new rule has been introduced by several financial regulatory agencies, including the OCC, FDIC, and SEC, to create common data standards. This will help these agencies share financial data more easily. However, this rule won't change any current reporting requirements right away. Insurance agents ...
TDI prioritizes transparency by making home and auto data public
The Texas Department of Insurance (TDI) has made important data about home and auto insurance available to the public. This includes information on claims paid by insurance companies and average premiums in each Texas county. The goal is to improve transparency and help Texans understand their insur...