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Auditors office takes action against "misleading" healthcare plans
1+ hour, 18+ min ago (531+ words) The Montana Commissioner of Securities and Insurance building is pictured on Monday, March 9, 2026, in Helena, MT. James Brown is currently the state auditor. (Jordan Hansen / Daily Montanan) by Jordan Hansen, Daily Montanan May 4, 2026 The State Auditor's office is clamping down…...
Home Health Care Fraud Is Alive and Well in Ohio Just Like in Maine
3+ hour, 31+ min ago (460+ words) Maine isn't the only state where Somali immigrants have used the home health care system to draw millions in taxpayer funding. Daily Wire reporter Luke Rosiak revealed a similar scheme enriching immigrants in Ohio at the expense of taxpayers. [RELATED:…...
Why Most Businesses Don't Realize They're Underinsured Until It's Too Late | Post News Group
4+ day, 4+ hour ago (1417+ words) It's often the businesses that don't realize they're underinsured until it's too late. Rather than putting yourself at risk, it's better to reassess your policy and make sure that there are no glaring gaps that can result in major losses....
Hong Kong insurer complaints rise for fourth straight year
1+ hour, 35+ min ago (25+ words) Hong Kong insurers are facing rising pressure over the handling of claims and sales conduct as complaints increased for a fourth straight year in 2025....
Blue Cross settlement checks are coming. What to know in Rhode Island
2+ hour, 31+ min ago (53+ words) The Providence Journal Blue Cross settlement checks are coming. What to know in Rhode Island Blue Cross Blue Shield will begin distributing settlement payments this month as part of a $2. 67 billion class-action lawsuit that alleged the insurer violated antitrust laws....
Weak Federal Fines Fail to Deter Medicare Violations
1+ hour, 28+ min ago (508+ words) A new study from health policy researchers at the Brown University School of Public Health suggests that while regulators have several tools at their disposal to penalize insurance plans that break the rules, they rely mostly on relatively small financial…...
In Hello Nation, Independent Insurance Expert Kellie Cummins of Zanesville, OH Discusses How to Evaluate Your Insurance Coverage
7+ hour, 13+ min ago (527+ words) May 04, 2026, 11: 22 ET According to the article, many people don't discover problems with their insurance coverage until a claim is filed. By then, it's often too late to adjust the policy or recover from uncovered losses. Being properly insured requires more…...
JCHC Board Approves Amie Holt CC Rate Increase
4+ hour, 1+ min ago (139+ words) The Hospital Board of Trustees for the Johnson County Healthcare Center, during their regular meeting Wednesday evening, considered a rate increase for the Amie Holt Care Center, brought to them by Chief Fina3ncial Officer Shelli Shelton. Shelton Discussed the proposed increase…...
Accepting Downcoded Medicare Advantage Payments: A Growing False Claims Act Risk for Hospitals " Med Learn Publishing
4+ hour, 49+ min ago (694+ words) Hospitals across the country are facing mounting financial pressure from Medicare Advantage (MA) plans. One increasingly common tactic used by MA payers is systematic downcoding: paying hospitals at a lower level of care or service than was billed. While many…...
Proposed Medicare Payment Policy Changes for Hospitals and Long-Term Care Hospitals
5+ hour, 3+ min ago (120+ words) The Centers for Medicare & Medicaid Services (CMS) recently published its proposed payment rules for general acute care hospital inpatient services and long-term care hospital (LTACH) inpatient services for federal fiscal year (FY 2027) (the Proposed Rule). Comments must be submitted by…...