Introduction Managed care is the dominant delivery system for people enrolled in Medicaid. The latest national Medicaid managed care enrollment data (from 2024) show 78% of Medicaid beneficiaries were enrolled in comprehensive managed care organizations (MCOs). While managed care is the dominant Medicaid delivery system, states decide which populations and services to include in managed care arrangements, which leads to considerable variation across states. Additionally, while state requirements for Medicaid managed care plans can be tracked, plans have flexibility in certain areas, including in setting provider payment rates, and plans may choose to offer additional benefits beyond those required by…
Author: Awais
The Justice Department sued Harvard University for allegedly violating Jewish students’ civil rights in the Trump administration’s latest attack on the university. In the suit filed Friday in Boston federal court, the government claims Harvard failed to protect Jewish students from antisemitism during protests that followed the Oct. 7, 2023, Hamas terrorist attacks in Israel and the subsequent war in Gaza. The administration has previously tried to freeze federal funding to Harvard and block visas for foreign students. It has justified many of its actions by pointing to alleged antisemitism on campus. President Donald Trump has demanded a $1 billion…
MSIG USA announced the appointment of Matt Thompson as South-Central region distribution leader, responsible for leading MSIG USA’s growth strategy across Texas, Oklahoma, Mississippi, Louisiana, and Arkansas. Thompson will report to Joseph Fitzpatrick, head of distribution for MSIG USA. Thompson brings more than twenty years of experience across the insurance and financial services industries, with a career defined by building and leading high-performing teams to expand broker and client relationships through differentiated programs and services. Most recently, he was regional vice president for the south-central region at Starr, where he led team expansion, strengthened broker engagement, and drove regional growth…
Chubb outlined the structure of the new $20 billion maritime reinsurance facility, created to provide marine war risk insurance for ships sailing through the Strait of Hormuz — which has been effectively closed to shipping since the start of the war with Iran. The maritime insurance facility was created by the U.S. government via the U.S. International Development Finance Corp. (DFC), which on March 11 announced Chubb as lead underwriter for its $20 billion reinsurance plan. Originally, the DFC program was focused on hull & machinery and cargo — but Chubb announced on Friday, March 20 that it has been…
Planned Parenthood of Illinois (Planned Parenthood) violated federal law when they segregated employees by race, subjected white employees to harassment, and engaged in disparate treatment against white employees regarding terms, conditions, and privileges of employment, the U.S. Equal Employment Opportunity Commission (EEOC) alleged as part of a class investigation into charges brought by multiple Planned Parenthood employees. The EEOC said Planned Parenthood will $500,000 to end the investigation. According to the EEOC’s reasonable cause findings, Planned Parenthood had mandatory “affinity caucuses” that were segregated by race, in which employees of other races were not allowed to participate. In addition to…
The year-end 2025 carried loss reserve position for the property/casualty insurance industry is more than $20 billion redundant, according to a loss reserve analysis published this week by Assured Research. In the report titled “P&C Loss Reserves at Year-End 2025: Signs of Improvement…Support for Distinct Pricing Cycles,” Assured Research President William Wilt indicates a big sign of improvement when comparing the overall result of his analysis based on data for year-end 2025 to one he performed a year earlier using year-end 2024 data: The $20.7 billion estimated redundancy as of year-end 2025 is 10-times bigger than the estimated redundancy at…
Wildfires, severe convective storms and floods — also known as secondary perils — accounted for a record 92% of total global natural catastrophe insured losses of US$107 billion in 2025, according to Swiss Re Institute. Wildfires set a new loss record after the Palisades and Eaton fires in Los Angeles in January 2025 created combined insured losses of US$40 billion, while losses from severe convective storms (SCS) — which include hailstorms and damaging winds — were elevated at US$51 billion in 2025, said Swiss Re. Swiss Re noted that 2025 was the third costliest year on record for SCS after…
In 2025, IQUW Group reported gross written premium of $1.88 billion, including business from IQUW’s Syndicate 1856, ERS (Syndicate 218) and IQUW Re Bermuda. As part of the integration, Syndicate 1856 will be rebranded under the Starr name, while ERS – described as a specialist UK motor insurer at Lloyd’s – will continue to operate under its existing brand. Starr’s Syndicate 1919 remains unchanged.
Russell Anthony fue ocho veces al dentista el año pasado. El jubilado de 65 años que vive en Nashville, Tennessee, espera ir con menos frecuencia en 2026, pero ya ha tenido algunas consultas. “La semana pasada me hicieron un tratamiento de conducto (endodoncia) que costó unos $500”, dijo. “Antes me colocaron una corona que me costó varios cientos de dólares. Y ahora mismo tengo un diente roto, así que tengo que ir al dentista pronto”. En total, Anthony calcula que pagará alrededor de $2.000 por esta atención este año, aunque tiene seguro dental. “Tratar de evaluar el costo de cuándo…
The US pension fund of global beverage and food giant the Coca Cola Company saw its investments into insurance-linked securities (ILS) increase in value in the last year to $266 million, reaching their highest level since 2022.The Coca Cola fund ILS allocation is one of the pensions investing in insurance-liked securities (ILS) that we’ve tracked over the years, thanks to its disclosures. At one stage, the US pension fund of Coca Cola had a meaningful $600 million or more allocation to the ILS asset class, largely catastrophe bond focused we understand, although the pension has also had collateralised reinsurance investments…
Insurance Journal’s Risky Future series is hosting the “AI Tools for Better Billing & Payments for Insurance” Demo Day, a series of free AI tool demonstrations designed exclusively for insurance carriers, retail agencies, MGAs, as well as finance and operations leaders. The latest online event highlights modern billing, premium finance, payment processing, and reconciliation platforms built specifically for insurance operations. In partnership with Insurance Journal, Risky Future’s AI Tools for Better Billing & Payments for Insurance Demo Day will be held on Wednesday, March 25. Beginning at 1pm ET, AI technology experts will present and demo their products to attendees.…
The rule standardizes the electronic exchange of medical records and other documents requested by payers to support claims. It should cut out outdated methods like faxes and snail mail, the CMS said.
Editorial Note: Originally published in June 2009, this resource is updated as needed to reflect the latest developments. Key Facts About half of the world’s population is at risk of being infected with malaria. In 2024, there were an estimated 282 million cases of malaria and 610,000 deaths from malaria worldwide. Sub-Saharan Africa is the hardest hit region in the world. While gains have been made over the past two decades in increasing access to malaria prevention and treatment, many challenges (including drug and insecticide resistance and climate change impacts) continue to complicate malaria control efforts in hard-hit areas. In…
When Thomas A. George and Tamika Hampton decided to defraud an auto insurer in 2019, they went big—claiming that George was so severely injured in a crash that he could no longer walk or talk, according to court documents. The Gainesville, Florida, couple’s attorney made a settlement demand to General Star National Insurance Co. for $6.6 million, contending that George would need lifetime care for an incapacitating brain injury from the crash with an oil company truck. A video sent to the insurance carrier showed the man limited to moaning, rocking, and needing assistance to use the restroom and get…