Broker Regulation

Looking ahead to next year, many insurers expect broader economic inflation to flow through to the health system and put upward pressure on premiums.

A U.S. court of appeals has ruled against an employer that sued the IRS over $1.1 million in penalties for not adequately providing insurance coverage for employees.

In the complaint filed last week, Labor Secretary Julie Su asked the court to order UMR to bring its procedures for handling claims in line with the law and re-adjudicate claims denied since 2015.

Private equity's role in health care provider markets is an ongoing and evolving challenge, and there are no signs that PE's interest in health care markets is waning, the study found.

While evolving AI models are likely to bring their own set of changes to the insurance industry, such as the creation of new, AI-bespoke policies, until then, companies will have to rely on a portfolio of insurance products for coverage.

From carriers to in-force premium to group platforms, if they were big before, they're getting even bigger now.

Given the various proposed legislation for PBM reform, benefits brokers would be well served to be fully aware of the changes, be able to explain how they might affect their clients, and in the best-case scenario, be prepared to offer recommendations for plan changes and employee communication.

The FTC rolled out new merger-review hurdles that it says are partly aimed at addressing congressional concerns that subsidies by foreign powers such as China "can distort the competitive process."