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Latest Articles
The economics of group health distribution
2+ hour, 6+ min ago (613+ words) Over the past few weeks, there has been considerable discussion around the Irdai consultation paper on distribution reforms. A central premise of the paper is that insurance commissions are too high and contribute to the difficulties policyholders face. Insurance is…...
FSSA estimates that over 58,000 HIP members are currently not in compliance with pending HIP Work Requirements.
16+ hour, 32+ min ago (217+ words) WASHINGTON, D.C. — The Family and Social Services Administration (FSSA) estimates that more than 58,000 Healthy Indiana Plan (HIP) members may not currently be in compliance with, or exempt from, the HIP Work Requirements that will begin January 1, 2027. This figure reflects the most…...
Listed corporate hospitals levy inflated costs on hapless patients: Study
3+ hour, 46+ min ago (338+ words) MUMBAI: The citizen-led Jan Swasthya Abhiyan (JSA) is demanding an investigation into alleged anti-competitive practices and violations of competition law by private corporate hospitals, leading to highly inflated costs being levied on their patients. A study by the JSA has…...
Senators Probe Insurers Over No-Payout Claims
2+ hour, 17+ min ago (1205+ words) Briefs Finance Warren and Hawley press six insurers on surge in claims closed with no payout - US Senators Elizabeth Warren and Josh Hawley asked six major insurers for data on claims that are closed without paying policyholders. - They want counts…...
Surplus extraction: Lessons from insurers
6+ hour, 5+ min ago (51+ words) Pensions Expert Surplus extraction: Lessons from insurers By Robyn Smith 2026-10-06T00:01:00+01:00 As DB schemes gain greater flexibility to extract surplus, the ABI’s Robyn Smith argues that lessons from insurance regulation could help ensure greater freedom is matched by robust safeguards for…...
PRA Praises Transparency in Coverage Rule, Including Requirement for Executive Attestation
9+ hour, 47+ min ago (196+ words) PatientRightsAdvocate.org PRA Praises Transparency in Coverage Rule, Including Requirement for Executive Attestation Today, Cynthia Fisher, Founder and Chairman of PatientRightsAdvocate.org, released the following statement in support of the Department of Health and Human Services' Transparency in Coverage Final…...
58,000 Hoosiers not in compliance with new HIP work rules
7+ hour, 15+ min ago (303+ words) (Indiana Capital Chronicle) - The Indiana Family and Social Services Administration shared internal estimates Monday showing 58,000 Hoosiers insured through the Healthy Indiana Plan are not in compliance with federal Medicaid work rules set to take effect next year. Estimates suggest as…...
UnitedHealth Group Reports Second Quarter 2026 Results
9+ hour, 16+ min ago (323+ words) Healthcare should work better than it does today. Too often, it's complicated, expensive and difficult to navigate. At UnitedHealth Group, we're working to change that. Through UnitedHealthcare and Optum, we're helping make care more affordable, accessible and connected — so more…...
Health Insurance Claim Denied? Internal Appeals and External Review Explained
11+ hour, 18+ min ago (727+ words) A detailed 2026 guide to appealing a U.S. health insurance denial, including internal appeal deadlines, evidence, urgent appeals, independent external review, EOB documentation and how the state/federal process can differ. A denied health insurance claim is not always the final word....
UNH Exits Select Medicare Advantage Plans for 2027 Amid Cost Pressure
2+ hour, 2+ min ago (291+ words) The retrenchment is part of a broader industry reset, with insurers placing greater emphasis on plan-level profitability rather than maximizing enrollment. Reuters reported that UnitedHealthcare plans to exit locations where it has a higher concentration of preferred provider organization (PPO)…...