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Insurers

All articles tagged with #insurers

FBI Seizes Guggenheim Exec Phone in Probe Linked to Mark Walter
business15 days ago

FBI Seizes Guggenheim Exec Phone in Probe Linked to Mark Walter

Federal prosecutors are widening scrutiny of Mark Walter’s business empire after the FBI seized the phone of Guggenheim Investments president Dina DiLorenzo in September, the same day Walter’s own devices were seized, as part of a probe into whether Guggenheim Investments properly records revenue. Authorities also issued subpoenas to insurers controlled by Walter, signaling a broader review of related-party investments across his asset-management and securities holdings. The investigation’s exact stage remains unclear.

via Financial Times|
#asset-management#business#fbi
health-policy27 days ago

No Surprises Act Under Fire Over Arbitration Woes

The No Surprises Act has protected patients from surprise bills, but arbitration payouts have ballooned—2.5 million claims last year and about $15 billion in awards—fueling a stalemate between doctors and insurers over fixes. Lawmakers across the aisle say action is needed, but consensus remains elusive: Rep. Greg Murphy seeks harsher penalties on insurers who don’t pay arbitration judgments, insurers push back against overreach, and CMS has issued rules to streamline the process while advocates argue broader reform is still required.

via Politico|
#arbitration#health-policy#insurers
Medicare pauses BALANCE GLP-1 pilot as transitional coverage extends through 2027
health4 months ago

Medicare pauses BALANCE GLP-1 pilot as transitional coverage extends through 2027

The Trump administration indefinitely delays the BALANCE pilot that would have let private Medicare drug plans cover GLP-1 weight-loss medicines, after insurers voiced concerns, while a transitional program will cover the drugs through 2027 with Medicare bearing the cost and no requirement for plans to take on financial risk. This means $50 co-pays won’t count toward deductibles or out-of-pocket max for the time being. The Medicaid portion of the initiative continues, with states able to apply by July 31, and analysts see the move as buying time to reassess BALANCE while keeping access available for beneficiaries.

via Axios|
#balance#glp-1#health
Capitol Hill to grill five health-insurance CEOs over soaring premiums
politics7 months ago

Capitol Hill to grill five health-insurance CEOs over soaring premiums

Five major health insurers’ CEOs (UnitedHealth Group, CVS Health, Cigna Health, Elevance Health, and Ascension) are set to testify before House Energy and Commerce and Ways and Means committees as Republicans blame rising premiums on the system and the expiration of enhanced ACA subsidies; with no quick fix in sight and Congress stalled on extending subsidies, the hearings will probe root causes of higher costs, including the ACA’s impact, while insurers argue premiums reflect overall care costs and provider prices rather than their pricing alone, and Trump’s plan is not the focus of this round.

via NBC News|
#aca-subsidies#congress#healthcare
Medicare Advantage 2026 Ratings: Winners, Losers, and Industry Insights
healthcare10 months ago

Medicare Advantage 2026 Ratings: Winners, Losers, and Industry Insights

The 2026 Medicare Advantage star ratings remained stable overall, with some insurers like Elevance and Centene improving, while others like Humana and Aetna saw declines. Clover Health experienced a significant drop below 4 stars, potentially impacting its earnings. The ratings influence insurer revenues and strategies, with some plans adjusting their offerings to maintain or improve their scores amid regulatory and market pressures.

via Healthcare Dive|
#2026#healthcare#healthcare-quality
Insurers' Stance on Kids' Vaccine Coverage Without Government Recommendations
health1 year ago

Insurers' Stance on Kids' Vaccine Coverage Without Government Recommendations

Major insurers are uncertain about whether they will continue to cover childhood vaccines if the CDC's Advisory Committee on Immunization Practices (ACIP) stops recommending certain vaccines, following a recent review of the vaccination schedule and changes in committee membership led by Robert F. Kennedy Jr. Only Blue Shield of California confirmed it would maintain coverage, while others are monitoring the situation. The review and political shifts have raised concerns about the future of vaccine coverage and public health policy.

via WIRED|
#acip#child-immunizations#health
"Harvard Study Reveals Troubling Truth About Florida's Insurance Market"
insurance-market2 years ago

"Harvard Study Reveals Troubling Truth About Florida's Insurance Market"

A recent study led by researchers at Harvard University, Columbia University, and the Federal Reserve Board warns that smaller, lower-quality insurers are replacing major private home insurers that have left Florida, leading to a crisis in the state's home insurance sector. These new insurers are found to be less financially stable and may not meet the minimum requirements set by government guidelines. The exodus of bigger private companies from high-risk areas in Florida has led to a reliance on approximately 50 small insurers, all rated by a single company, Demotech Inc., whose ratings differ significantly from those of other rating agencies. The situation has been exacerbated by factors such as excessive litigation, widespread fraud, and the increased risk of severe weather events due to climate change.

via Newsweek|
#financial-stability#florida#insurance