National health insurer WellCare Health Plans has resolved a federal and state investigation into alleged Medicaid fraud.

The insurer said as part of the agreement with the U.S. Attorney’s Office and …  Read →

Citing earnings deterioration, Fitch Ratings has revised the outlook of Health Insurance Plan of Greater New York to “negative” from “stable,” while also affirming a pair or ratings.

Fitch affirmed the …  Read →

A pair of pharmacists face criminal charges, accused of fabricating insurance claims submitted to companies, including Highmark, for nearly $1 million worth of prescription drugs that never reached their patients.

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A Pennsylvania congresswoman is among several sponsors of a bill to include long-term care insurance in employer-sponsored cafeteria plans and flexible spending accounts that has been introduced in Congress.

Allyson …  Read →

The Pennsylvania Association of Health Underwriters (PAHU), the state chapter of the National Assocaition of Health Underwriters (NAHU) recently sent an email to members outlining the organization’s stance on a …  Read →

Legislation proposed by Gov. Martin O’Malley to give Maryland officials greater power to pursue Medicaid fraud and collect damages has failed following opposition from key stakeholders.

The “Maryland False Health Claims …  Read →

Virginia is one of eight states to receive $1 million in funding and support from the Robert Wood Johnson Foundation to help cover more of the state’s uninsured children.

Tim …  Read →

Optima Health is hoping to make consumers more cost conscious as a means of reducing costs for them and employers.

The Virginia Beach, Va.-based health insurer’s new Educational Initiative is designed …  Read →

Virginia Beach, Va.-based Amerigroup Corp. has finalized a deal to sell the assets of its South Carolina health plan to Centene Corp.

Centene’s South Carolina subsidiary, Absolute Health Care, will add …  Read →

State regulation of insurance works. From a consumer standpoint, Americans can contact their local insurance department, and resolve issues from the “Main Street” level.

But there are some — including the …  Read →