A former Michigan pharmacist and his brother were sentenced to eight and five years in federal prisonfor orchestrating a years-long health care and wire fraud scheme that defrauded Medicare, Medicaid and Blue Cross Blue Shield of Michigan of more than $15 million. Prosecutors said Raad Kouza, 59, and Ramis Kouza, 46, systematically billed insurers for…
5 ways insurers will prioritize AI and customer experience in 2026
Insurers will prioritize customer experience in the coming year as declining customer satisfaction reveals the need to focus on retaining clients.
How agentic AI is rewiring insurance for 2026
Agentic AI, which can autonomously plan, make decisions and carry out tasks, is expected to become prominent in the insurance industry by 2026.
The insurance industry is facing a shortage of personnel. Professionals known as underwriters are retiring, fewer and fewer young professionals are joining the business, and companies are trying to fill the gap with workflow management tools. At the same time, the volume of applications is growing. The gap between the industry’s needs and its capacity to…
General Medicine co-founder TJ Parker spoke with Fierce Healthcare about how the startup's approach is different than the first wave of DTC digital health companies and how it's bridging primary care and specialty care.
NAIC regulators to pilot an AI evaluation tool for insurer conduct exams
State insurance regulators are about to receive a new AI evaluation tool to help them better understand how insurance companies are utilizing artificial intelligence.
How AI is lowering the barrier for annuities sales
Annuities, at times, has had a reputation as a complex, difficult product for advisors to sell. Can AI break that barrier down?
The New Playbook: AI-powered prospecting for insurance agents
One of the ways agents use AI is to generate leads. By focusing on pre-qualified, high-intent prospects,, agents can grow their client base.
AI & Algorithms: Reshaping portfolio checkups — and outsmarting risk
Tech-savvy insurance providers are using AI-powered algorithms to automate underwriting needs and moderate risk.
Switching Sides: Advocates say NAIC effort on AI ‘devoid of any guidance’
The Model Bulletin on the Use of Artificial Intelligence Systems by Insurers is acceptable to the industry, but a bitter disappointment for consumer groups.
–Registered investment advisors are growing increasingly concerned about their liabilities for errors and issues caused by artificial intelligence and wire fraud, though vulnerability to cyber breaches or attacks remains the top worry, according to the 2025 RIA Bi-Annual Risk Survey from insurance brokerage Golsan Scruggs. This marked the first year…
Life insurers rush to take advantage of AI’s potential
Artificial intelligence is finding a home in the insurance industry. Insurers are all-in on AI, but there are risks and regulation to be aware of.
–A prominent Democrat lawmaker is questioning major Medicare Advantage insurers about their use of artificial intelligence to make care decisions.– In letters sent to CVS Health, UnitedHealthcare and Humana on Thursday, Sen. Richard Blumenthal, D- Conn., pressed the payers on whether they make coverage decisions based on AI tools or predictive technology, which…
Andy Slavitt’s Town Hall Ventures has been investing in healthcare innovations focused on low-income and vulnerable communities. With new funding from investors that include John Doerr, it now has total assets of $1.4 billion.
The global group health insurance market is estimated to be valued at USD 3.11 Tn in 2025 and is expected to reach USD 5.87 Tn by 2032.. BURLINGAME, CA, UNITED STATES, October 10, 2025/ EINPresswire.com/– The latest report from Coherent Market Insights examines the growth prospects of the Group Health Insurance Market from 2025 to 2032. Key market factors, including…
John Hancock transforms underwriting with Munich Re’s alitheia
John Hancock secret sauce behind a new strategy to boost its underwriting process? Munich Re’s rapid risk assessment platform, alitheia.
Regulators split as NAIC group weighs AI rules for insurers
Regulators are in two camps on whether to move forward with a model law governing the use of artificial intelligence by insurance companies.
Consumer insights reveal how insurers can ‘plant a flag’ with agentic AI
When, how, and at what age are consumers most comfortable using the AI-based tech? A new study helps insurers answer those questions.
Gen Z says insurance’s slow AI adoption fuels talent crisis
A new survey finds the insurance industry’s slower adoption of AI is keeping Gen Z from making insurance a top career choice.