Claims

How Is a $3.3 Million Bill for 18 Minutes Even Possible?
Risk Management How Is a $3.3 Million Bill for 18 Minutes Even Possible?

Introduction The realization that a brief eighteen-minute medical procedure could result in a staggering three-point-three million dollar invoice challenges the very foundations of healthcare economics and insurance integrity. This investigation stems from a massive 192-page federal RICO lawsuit

How Does Medicaid Extension Improve Postpartum Health?
Risk Management How Does Medicaid Extension Improve Postpartum Health?

The implementation of the American Rescue Plan Act provided a streamlined path for forty-nine states to address the high rates of severe maternal morbidity. This legislative shift marked a significant departure from a long-standing policy that saw many new mothers lose their healthcare coverage

Can Broker-Drafted Policy Language Limit Your Coverage?
Insurance Can Broker-Drafted Policy Language Limit Your Coverage?

Sophisticated business firms using manuscript policies are often treated as equal bargainers, meaning any lack of clarity in the text could be held against them. This legal reality was recently highlighted in the case of Teijin Automotive Technologies NA Holding Corp. v. Sompo America Insurance

GAO Report Warns of Growing U.S. Flood Insurance Crisis
Risk Management GAO Report Warns of Growing U.S. Flood Insurance Crisis

The expansion of the private flood insurance market to 14% of policies by 2025 has been insufficient to offset the overall decline in national coverage rates. This sobering reality sits at the heart of a 2026 report from the Government Accountability Office (GAO), which paints a picture of a nation

How Is The Hartford Realigning for an AI-Driven Future?
Technology & Trends How Is The Hartford Realigning for an AI-Driven Future?

The Hartford is merging its Data and Artificial Intelligence function into the core Technology division to accelerate the adoption of emerging technical capabilities. This strategic movement reflects a broader industry trend where insurance carriers no longer view digital intelligence as a

How Do Insurance Claims Work for Storm-Damaged Properties?
Risk Management How Do Insurance Claims Work for Storm-Damaged Properties?

State-mandated statutory deadlines govern how quickly an insurance provider must acknowledge a claim and issue a coverage determination. This regulatory framework ensures that property owners are not left in a state of perpetual uncertainty following a catastrophic weather event. In the current

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