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Congress Probes Alleged Exploitative Practices by Health Insurers and MultiPlan

Congress Probes Alleged Exploitative Practices by Health Insurers and MultiPlan

Lawmakers are questioning health insurance regulators and MultiPlan’s role in reducing payments to medical providers, which may lead to higher costs for patients and employers, raising concerns about transparency and potential conflicts of interest.
August 21, 2024 Insurance Industry Legislation & Regulation Life & Health Litigation California Massachusetts Minnesota Oregon Virginia

AMAG Pharmaceuticals Denied Insurance Claim for $30M Loss Linked to 2017 Manufacturing Incident at Pfizer Plant

AMAG Pharmaceuticals Denied Insurance Claim for $30M Loss Linked to 2017 Manufacturing Incident at Pfizer Plant

After years of litigation, a Massachusetts court ruled against AMAG Pharmaceuticals, rejecting its claim for insurance coverage related to a 2017 manufacturing issue at Pfizer’s Kansas facility that led to significant business losses.
August 21, 2024 Insurance Industry Liability Litigation Property Kansas Massachusetts

Rite Aid Data Breach Impacts 2.2 Million Customers

Rite Aid Data Breach Impacts 2.2 Million Customers

Rite Aid, the third-largest US drug store chain, revealed that a data breach exposed sensitive information of over 2.2 million customers, including names, addresses, birth dates, and driver’s license numbers.
July 16, 2024 Insurance Industry Litigation Risk Management Technology Maine Massachusetts Oregon Vermont

Insurers Gained $50 Billion From Medicare for Untreated Diseases

Insurers Gained $50 Billion From Medicare for Untreated Diseases

Medicare Advantage insurers received $50 billion from questionable diagnoses, including diseases like diabetic cataracts and HIV, for conditions that were not treated or didn’t exist.
July 8, 2024 Fraud Insurance Industry Legislation & Regulation Technology Alabama Arizona Florida Georgia Massachusetts

AI Helps Cut Workers Comp Costs by Identifying Fraud and Difficult Claims

AI Helps Cut Workers Comp Costs by Identifying Fraud and Difficult Claims

Artificial intelligence is aiding insurers and employers in reducing workers comp costs by identifying difficult and fraudulent claims, but it remains a tool for claims handlers rather than a replacement.
July 8, 2024 Fraud Insurance Industry Technology Workers' Compensation California Georgia Massachusetts Missouri

Rhode Island Domestic Workers Now Entitled to State Minimum Wage

Rhode Island Domestic Workers Now Entitled to State Minimum Wage

Democratic Gov. Daniel McKee signed a bill ensuring Rhode Island domestic workers receive the state minimum wage. Previously excluded, these workers will now earn at least $14 per hour, with an increase to $15 on January 1st.
July 2, 2024 Legislation & Regulation Life & Health Workers' Compensation Hawaii Massachusetts New York Rhode Island

Zyn Halts Online Sales Amidst Regulatory Scrutiny

Zyn Halts Online Sales Amidst Regulatory Scrutiny

Zyn, the popular nicotine pouch brand, has stopped online sales after receiving a subpoena from the District of Columbia’s attorney general regarding sales of flavored products.
June 19, 2024 Legislation & Regulation Liability Life & Health Technology California District Of Columbia Massachusetts New York

Delivery Drivers File Wage Claims Against Amazon

Delivery Drivers File Wage Claims Against Amazon

Thousands of Amazon Flex drivers have filed claims alleging misclassification as independent contractors, seeking unpaid wages and other financial compensation.
June 13, 2024 Insurance Industry Legislation & Regulation Litigation Workers' Compensation California Illinois Massachusetts Wisconsin

Massachusetts Psychiatrist Sentenced to Prison for $19 Million Insurance Fraud Scheme

Massachusetts Psychiatrist Sentenced to Prison for $19 Million Insurance Fraud Scheme

Gustavo Kinrys, a psychiatrist from Wellesley, Massachusetts, sentenced to 99 months in prison for a $19 million insurance fraud scheme used to finance luxury homes and purchase over $600,000 in high-end jewelry.
June 10, 2024 Fraud Insurance Industry Life & Health Litigation Massachusetts

General Contractor Wins $4.8 Million Verdict in Contract Dispute

General Contractor Wins $4.8 Million Verdict in Contract Dispute

In a significant legal victory, CTA Construction Co. has been awarded $4.8 million in a contract dispute involving the renovation of the new Dedham Town Hall and Senior Center.
May 29, 2024 Insurance Industry Litigation Massachusetts

Massachusetts Doctor Sentenced for Health Care Fraud and Opioid Overprescription

Massachusetts Doctor Sentenced for Health Care Fraud and Opioid Overprescription

Dr. Olarewaju James Oladipo receives 16 months in prison for defrauding health care programs and overprescribing opioids.
May 23, 2024 Fraud Legislation & Regulation Life & Health Litigation Massachusetts

Turf Fields and PFAS Chemicals: A Growing Concern for Colleges

Turf Fields and PFAS Chemicals: A Growing Concern for Colleges

Higher education institutions with turf fields for student athletes may encounter PFAS-related litigation due to potential health risks from "forever chemicals."
May 23, 2024 Education & Training Liability Litigation Risk Management Massachusetts

Massachusetts Man and Boston Clinic Indicted for Unlicensed Dentistry and Insurance Fraud

Massachusetts Man and Boston Clinic Indicted for Unlicensed Dentistry and Insurance Fraud

A Massachusetts man and a Boston dental clinic face charges of defrauding Medicaid of $245,000 and performing unlicensed dental procedures, following an indictment by a Suffolk County Grand Jury.
May 22, 2024 Fraud Insurance Industry Life & Health Litigation Massachusetts

Rapid Melting of Glacier Linked to Seawater Intrusion

Rapid Melting of Glacier Linked to Seawater Intrusion

New research reveals seawater intrusion beneath Greenland’s Petermann Glacier as a key factor in its rapid melting, potentially leading to greater sea level rise than previously estimated.
May 22, 2024 Catastrophe Property Risk Management Massachusetts

North American Pet Health Insurance Market Sees Robust Growth, According to NAPHIA 2024 Report

North American Pet Health Insurance Market Sees Robust Growth, According to NAPHIA 2024 Report

The North American Pet Health Insurance Association’s 2024 report reveals significant increases in gross written premiums and insured pets, underscoring strong industry expansion.
May 13, 2024 California Florida Illinois Massachusetts New Jersey
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