RICHMOND- Premiums for Affordable Care Act coverage are on track for sharp increases next year, according to the current rate increase requests health insurers are seeking from the State Corporation Commission's Bureau of Insurance. HealthKeepers, the largest Obamacare insurer in the state covering 115,000 Virginians, is seeking an average increase of…
The latest news, regulation and trends in health and employee benefits.
More Stories
As part of William Hickman's 27- month sentence for his part in a health insurance fraud scheme, he has been ordered to pay $51.7 million in restitution. $45.1 million- New Jersey Division of Pension& Benefits $1.9 million- New Jersey Employer Group Waiver Plan $1.1 million- MSD LLC $598,813- County of Bergen $494,051- AmeriHealth $477,485- Armstrong Group of…
The department's Consumer Assistance Division helped Kansas consumers recover nearly $29 million in 2025, a 147% increase from the amount recovered in 2024.. The Department of Insurance uses complaints to help identify insurance companies or agents that may need to be investigated for possible violations of Kansas insurance laws or regulations.
Premiums for Affordable Care Act coverage are on track for sharp increases next year, according to the current rate increase requests health insurers are seeking from the State Corporation Commission's Bureau of Insurance. HealthKeepers, the largest Obamacare insurer in the state, covering 115,000 Virginians, is seeking an average increase of 12.6%, for an…
Nathan Betz, a probation officer for the adult treatment court in Helena, was blindsided Tuesday afternoon when he learned through an email that an additional $100 every month would soon be docked from his paycheck to cover the costs of his family’ s health insurance. Betz is one of the 13,000 active state government employees who receives health insurance…
Wolters Kluwer Health has incorporated new enhancements to its Health Language Data Quality Workbench that help U.S. health insurers meet challenging 2026 federal deadlines while reducing high appeal overturn rates. The Centers for Medicare& Medicaid Services Interoperability and Prior Authorization Final Rule requires payers to meet new prior…
OKLAHOMA CITY— State Insurance Commissioner Glen Mulready announced Wednesday he placed Mending Health Insurance in Oklahoma Inc., under the supervision of the Oklahoma Insurance Department. Formerly known as Taro Health, Mending was founded in 2021 and began offering plans on the Affordable Care Act Marketplace in 2023. It offered individual…
State economists this past month again projected that the trust fund used to cover the costs of health insurance will run a deficit over the next several years, growing from $62.2 million by June 30 of next year to $2 billion four years later. The deficit is projected despite the decision by the Legislature to infuse $375 million into the trust fund during budget…
Mending Health lands under Oklahoma supervision following ACA exit
Regulators said the action is intended to protect policyholders and ensure claims continue to be paid during the supervision process.
Wisconsin's decline comes after seeing increases in ACA marketplace participation every year, reaching a high point in January 2025 of 306,000 enrollees. Democrats had refused to help Republicans end the longest federal government shutdown in history as they pressured Republicans to extend the subsidies. Republicans argued the expanded subsidies had…
Is financial security possible in the longevity economy?
The industry has the tools it needs. What’s missing is the roadmap for how to use them.
The Villages Health System LLC, a healthcare provider group headquartered in The Villages, Florida, has agreed to a $541.5 million settlement to resolve self-disclosed allegations that it violated the False Claims Act by causing the submission of false diagnosis codes in order to increase payments that they received from the Medicare Advantage program.
For stories on the science of healthy living, subscribe to NPR's Health newsletter. Every year Jim Evans faces the challenge of keeping health care costs reasonable for the more than 400 teachers, custodians and bus drivers at Concord Community Schools. The federal health insurance program for Americans 65 and older publishes standardized prices, and that…
2026 AUG 26– By a News Reporter-Staff News Editor at Insurance Daily News– Current study results on Health and Medicine- Public Health have been published. Our news editors obtained a quote from the research from the University of Minnesota,“ In our model, each MCO can spend money to make SDH investments that improve patient health and reduce costs to the MCO, but…
According to news reporting out of Seongnam, South Korea, by NewsRx editors, research stated,“ Although macrolide-resistant Mycoplasma pneumoniae pneumonia prevalence exceeds 90% in the Republic of Korea, health insurance reimbursement policies historically restrict guideline-recommended tetracycline use in children aged. For more information on…
2026 AUG 26– By a News Reporter-Staff News Editor at Insurance Daily News– New research on Drugs and Therapies- Personalized Medicine is the subject of a report. According to news originating from New York City, New York, by NewsRx correspondents, research stated,“ In 2025, the Academy of Managed Care Pharmacy held a 2- day partnership forum on the topic of advancing…
The New Jersey commission that oversees health benefits for school employees hit an impasse on a proposed 34% insurance rate increase for 2027, shelving the matter until next month. Almost a dozen union educators urged the School Employees' Health Benefits Commission at its meeting on Aug. 19 to postpone or reject the proposal. "Behind every additional dollar…
Franklin County is accepting applications for a Compliance and Quality Director with Tuscarora Managed Care Alliance. Franklin County also offers full-time employee benefits that include a pension plan, 11 paid holidays, 24 paid time off days, Highmark Blue Cross Blue Shield health coverage, health and flexible spending accounts, vision and dental plans,…
When Democrats talk about healthcare, they can sound eerily like Luigi Mangione, who on Friday confessed to murdering UnitedHealthcare CEO Brian Thompson in cold blood in 2024 and pleaded guilty to two federal charges of stalking. Prosecutors say Mr. Mangione wrote in a notebook that he was rebelling against "the deadly, greed fueled health insurance cartel."
Health insurance is expensive— even for the state of New Mexico. “Moving forward, New Mexico may need to consider cost containment measures to ensure the long-term sustainability of the fund,” said Legislative Finance Committee Program Evaluator Elizabeth Dodson. New Mexico uses money from the state Health Care Affordability Fund to subsidize the cost of…
