Scammers Are Stealing Agents’ Credentials To Commit ACA Fraud

An international crime ring helps Americans get licensed as insurance agents or brokers, then uses the new producers’ credentials to bilk health insurers and the federal government. Officials at the Iowa Division of Insurance put out a warning about the new enrollment fraud strategy Tuesday. The criminals start by contacting job hunters or other would-be insurance producers. ...

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$50B Rural Health Transformation Program Needs More Transparency, Groups Say

One year into its creation, a $50 billion federal program aimed at improving rural healthcare lacks transparency, which could make it difficult to protect against fraud, identify successful projects, and ensure the program delivers on its promise to transform the system. Transparency “is really important to help protect the integrity of the program, ensure funds ...

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CBO Prepares Congress For New Small Employer Health Fight

Analysts at the Congressional Budget Office think members of Congress will need to know a lot about small employers’ health benefits this fall. The CBO posted a comprehensive guide to the small-employer health benefit market Tuesday. The agency’s analysts looked at options such as traditional self-insured health plans; association health plans; and ICHRA plans. High ...

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Centene’s Health Net To Exit Commercial Group Market In California, Oregon

Centene subsidiary Health Net is pulling out of the commercial employer group market in California and Oregon, the company confirmed to Becker’s. “Health Net has made the decision to exit the traditional commercial group business in California and Oregon in order to focus on government sponsored healthcare,” a spokesperson for the insurer said in a statement. ...

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Health Insurers Report $10.4B In Underwriting Losses

Mark Farrah Associates (MFA) — a leading data aggregator of health plan market data and analysis tools for the healthcare industry — has compared year-over-year profitability for the Individual, Employer-Group, Medicare Advantage, and managed Medicaid health insurance segments. “For 2025, the Individual and Group segments experienced declines in both membership and profitability, with the Individual ...

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7 Ways Dolly Parton Left Her Mark On Healthcare

Dolly Parton, the country music icon known for hits like “9 to 5” and “I Will Always Love You,” died Aug. 25 in Nashville, Tenn., at the age of 80, after a brief battle with cancer. Beyond her music and film career, Ms. Parton spent decades directing philanthropic dollars toward hospitals and medical research, much ...

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