A U.S. government watchdog is raising fresh concerns that health insurers are exaggerating how sick Medicare patients are, receiving billions of dollars in improper payments as a result.

An Obamacare argument is in front of the Supreme Court this week. Health insurance companies in Maine, Alaska, and elsewhere around the country say they are owed a lot of money by the federal government, roughly $12 billion, because of a deal struck under the Affordable Care Act.

Telemedicine has made strides in Indiana since the state passed its first major piece of legislation in 2015, regulating the new technology and requiring private payers and Medicaid to cover telehealth services.

A nudge into the market by carriers offering private flood insurance is becoming more of a shove, which might bring new opportunities for claims adjusters and maybe create a more efficient claims process along the way.

An accountant who gained fame for blowing the whistle on Bernie Madoff’s Ponzi scheme has accused General Electric of hiding nearly $40 billion in losses in its long-term care insurance business.

A father and his son were sentenced on Wednesday to a combined 15 years in federal prison for submitting more than $27 million in fraudulent hearing aid claims through their businesses in Bedford and Arlington.

From fireworks to boating accidents, July 4th brings out some hefty summertime claims. Every year we gather ’round for fireworks and fun, but did you know the 4th of July is considered one of the most dangerous holidays in the United States?

A unit of Insys Therapeutics Inc pleaded guilty on Friday to fraud charges as part of an $225 million deal with the U.S. Justice Department resolving claims that the drugmaker bribed doctors to prescribe an addictive opioid medication.

Substance abuse and mental health insurance claims have spiked over the last decade, more than doubling during that time, said a new report. Moreover, the driving force behind this staggering growth rate is young adults and teens.

The long-term viability of the U.S. property terrorism insurance market is back in the spotlight as Congress looks at renewing the federal reinsurance backstop, the Terrorism Risk Insurance Program Reauthorization Act (TRIPRA), which is set to expire in Dec. 31, 2020.

The landscape for the use of medical marijuana and cannabinoids is changing in workers compensation, and it's likely that more insurers will be required to pay for this in the near future, experts say.

Hospitals with Dayton’s two major health systems charge private insurance plans two to more than four times what Medicare paid for the same outpatient services, according to a new study.

Two U.S. insurance giants have each filed a lawsuit against medical doctors as well as the pain management clinics of those healthcare providers. The doctors and clinics have been accused of submitting bills to the insurers for unnecessary medical procedures conducted on victims of vehicle crashes.

Every once in a while, we come across a creative idea or concept and ponder, why didn’t I think of that? Or maybe we think, why didn’t I ponder of that?

Phoenix, AZ - Despite a new Arizona law, firefighters say their workers' compensation claims are being denied for the cancers they develop as a result of their jobs.

Cities and towns in Arizona, however, say that's not the case.