4+ min ago   (88+ words) The UK Financial Ombudsman Service (FOS) has published its Q3 2025/26 complaints data, revealing a notable decline in case volumes to 47,300 complaints, down from 68,400 cases in the same period in 2024/25. This includes a significant reduction in motor finance commission cases (400 compared to…...

26+ min ago   (246+ words) The MA ICPG identifies seven compliance risk areas and provides recommendations to mitigate these risks. OIG continues to recognize, however, that compliance programs should be tailored to an MA Party's size, structure, and operations, rather than following a one'size'fits'all model....

34+ min ago   (451+ words) The Centers for Medicare & Medicaid Services (CMS) published its "Advance Notice of Methodological Changes for Calendar Year (CY) 2027 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies" on January 26, 2026, which included proposed changes related to…...

37+ min ago   (748+ words) Renewed Openness to Merger Settlements Creates Greater Deal Certainty. Unlike the Biden Administration, both the DOJ and FTC leadership under Trump have indicated a clear willingness to negotiate merger remedies to resolve antitrust concerns. The change is reflected in the…...

4+ hour, 10+ min ago   (303+ words) On February 3, 2026, the U.S. Department of Health & Human Services, Office of Inspector General (OIG), published the long-awaited Medicare Advantage Industry Segment-Specific Compliance Program Guidance (Medicare Advantage ICPG)." The Medicare Advantage ICPG is meant to identify risk areas for those engaging with…...

4+ hour, 11+ min ago   (945+ words) The reforms center on rebate pass'through, increased transparency, standardized reporting, and expanded federal oversight. Stakeholders should begin preparing for material operational and contractual changes well ahead of the effective dates. This post summarizes the key changes below. Commercial Market " Group…...

4+ hour, 11+ min ago   (308+ words) Congress voted to pass the package, and President Trump signed. While some policies take effect soon after enactment, much of 2026 will focus on CMS issuing regulatory guidance and rulemaking to ensure smooth implementation of both near-term extenders and phased-in provisions,…...

2+ day, 23+ hour ago   (236+ words) A summary of the year's important insurance coverage and extra-contractual cases within FMG's footprint across the country. State Farm Automobile Ins. Co., v. Orlando - In vacating the Court of Appeals' opinion, the Arizona Supreme Court affirmed the Superior Court's entry of…...

3+ day, 4+ hour ago   (261+ words) On January 26, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) capitation rates and Medicare Part D payment policies. CMS projects a net average year'over'year MA payment change of…...

3+ day, 5+ hour ago   (379+ words) Who Is Covered by the HTA? The NYSDOL guidance explains that the HTA applies to any worker who works at least 50% of their time during any workweek at: All employers with covered workers, regardless of size and industry, must comply…...