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The $906 million wound care fraud the federal government caught
1+ day, 3+ hour ago (690+ words) Insurance Business The $906 million wound care fraud the federal government caught What about the claims your health plan already paid? The Justice Department's 2026 National Health Care Fraud Takedown charged 455 defendants and identified more than $6. 5 billion in alleged false claims. The…...
Alliant adds two senior hires to Employee Benefits Group
1+ day, 8+ hour ago (338+ words) Alliant Insurance Services has hired two senior consultants into its Employee Benefits Group within the span of two days. The back-to-back appointments are part of a broader staffing build-out at the division. Employer healthcare costs are climbing to levels not…...
Cancer claims and specialty drugs drive stop-loss cost surge, QBE report finds
1+ day, 16+ hour ago (673+ words) Insurance Business Cancer claims and specialty drugs drive stop-loss cost surge, QBE report finds Stop-loss market faces rate pressure as QBE data reveals sharp rise in claim severity and frequency High-cost claims in employer-sponsored health plans are accelerating at a…...
GEICO sues chiropractor over alleged $1. 27 million No-Fault scheme
2+ day, 1+ hour ago (301+ words) GEICO says a New York chiropractor posed as the owner of two practices that were secretly run by unlicensed operators. It wants $1. 27 million back. In a complaint filed June 24, 2026, in federal court in Brooklyn, the insurer accused the chiropractor of…...
Malaysia's insurers and hospitals caught in a cost-shifting cycle
1+ day, 19+ hour ago (772+ words) Insurance Business Malaysia's insurers and hospitals caught in a cost-shifting cycle Parliament pushes for oversight as the cost burden shifts to policyholders Private hospitals and insurers in Malaysia are caught in a cost-shifting cycle that existing regulation has not been…...
Over-65 PHI rebate cut draws unified sector pushback
1+ day, 22+ hour ago (187+ words) The PHI rebate is a government subsidy applied to private health insurance premiums, currently structured so the rebate percentage increases with age and decreases with income. The 2026 Federal Budget proposes to reduce the rebate for those aged 65 and over to…...
Top insurance claims carriers in Australia and New Zealand
2+ day, 9+ hour ago (971+ words) AFCA recorded 34, 231 complaints in 202425. The number one issue was not coverage or price. It was communication. This report examines why the industry still calls that basic and why the insurers that truly master it are pulling away from the rest....
South Korea widens home-based care reach for long-term beneficiaries
2+ day, 15+ hour ago (615+ words) Insurance Business South Korea widens home-based care reach for long-term beneficiaries New staffing and eligibility rules are pulling care into the gaps South Korea is building out a nationwide home-based care network for long-term care insurance beneficiaries at the same…...
AI is making health insurance fraud faster, cheaper and harder to detect
5+ day, 5+ hour ago (364+ words) Pulling off health insurance fraud used to require real skill. Fabricating medical records demanded knowledge of clinical terminology and billing codes. Impersonating a patient or physician over the phone required a human being to make the call. With artificial intelligence,…...
Rhode Island now forces insurers to warn producers before changing pay
5+ day, 4+ hour ago (415+ words) Rhode Island now treats any change to an insurance producer's pay as a contract change, forcing carriers to give 180 days' notice. The shift comes from House Bill 7111, introduced on January 15, 2026, .. . Rhode Island now forces insurers to warn producers before changing…...
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