In a pivotal decision, the Commonwealth Court of Pennsylvania rules in favor of reimbursing CBD oil under the Workers’ Compensation Act, challenging traditional views.
A lawsuit claims UnitedHealth used an AI model with a high error rate to deny necessary medical coverage to elderly patients, sparking debates on AI’s role in health insurance.
Patients and doctors challenge a major insurer’s reliance on technology for processing health claims, highlighting a loss of personal touch and rising legal concerns.
Rising health insurance costs are driving employers to rethink benefits, paving the way for a more personalized approach to employee insurance and wellness.
A narrow focus on the opioid epidemic may overlook the risks of non-opioid prescriptions and draw crucial resources away from proactive monitoring and interventions.
With pet insurance awareness low, Spot Pet Insurance has quickly become one of North America’s fastest-growing pet insurers, recently exceeding $100 million in gross written premiums.
Nebraska insurance regulators reported thousands of problems with claims processing, including improper denials and late payments to medical providers.
The state has fined Blue Cross Blue Shield of Illinois more than $200,000 over claims the insurance provider failed to provide updated and complete information about providers in its network.
When trying to improve workers’ compensation outcomes, there is a mental health aspect that must be considered. According to a large epidemiological study, 50% of the U.S. population will struggle with a mental health issue at some point in their lives.
While on-field activities get the attention, an army of professionals works behind the scenes to conduct the business of sports. Whether the sport is football, soccer, basketball or even eSports, all have one thing in common — they require insurance.
The increasing number of U.S. Department of Treasury actions regarding delinquent Medicare Part A and B conditional payment claims is a growing challenge facing non-group health plans (NGHPs).