Claims
ESG claims – TPLF’s next frontier?
This is a continuing study of emerging Third-Party Litigation Funding (TPLF) issues.
The E-bike Coverage Question: Far from Resolved
As e-bikes become more popular, there are increasing concerns insurers must consider.
Mid-Year “Round-Up” 2023 – keeping track of Medicare and other claims updates (ICYMI)
We are at the mid-point for 2023! It has been a busy year in so many claims areas. Time to regroup on the key claims updates over the past months – ICYMI style!
CMS’s Section 111 NGHP Unsolicited Response File “opt-in” process – Nutshell Summary Resource
CMS’s Section 111 NGHP Unsolicited Response File “opt-in” process – Nutshell Summary Resource. The following “Nutshell Summary” is a general summary of this process.
Understanding CMS’s Section 111 NGHP Unsolicited Response File “opt-in” process (starts July 2023) – Q&A resource (updated)
Understanding CMS’s Section 111 NGHP Unsolicited Response File “opt-in” process (starts July 2023) – Q&A resource (updated)
CMS releases Section 111 NGHP User Guide (Version 7.2, June 5, 2023) – new changes include: NGHP Unsolicited Response File, ORM reporting trigger, ORM termination, and HEW software
(CMS) has released an updated Section 111 NGHP User Guide regarding Section 111 reporting related to non-group health plans.
Wildfire: Insurers and communities adapt to an ever-growing threat
Wildfires have moved rapidly to the fore as an exposure for insurers to understand and manage in states at high risk for this peril.
Car theft is on the rise. Here’s what Verisk data told us about it.
How we analyzed a TikTok challenge that encouraged car theft.
CMS to hold a Section 111 Non-Group Health Plan (NGHP) Unsolicited Response File Webinar on Tuesday June 6, 2023
CMS to hold a Section 111 Non-Group Health Plan (NGHP) Unsolicited Response File Webinar on Tuesday June 6, 2023
Harnessing AI and ML through Discovery Navigator to save time and money on medical records review
Harnessing AI and ML through Discovery Navigator to save time and money on medical records review
CMS releases Non-Group Health Plan (NGHP) Applicable Plan Appeals Reference Guide (Version 1.0)
The Centers for Medicare and Medicaid Services (CMS) has released a Non-Group Health Plan (NGHP) Applicable Appeals Reference Guide (Version 1.0, April 27, 2023).
Can insurers make finding growth opportunities easy? Absolutely
Here's one way to stay ahead of the competition.
The Eleventh Circuit dismisses a Medicare Advantage “double damages” lawsuit – court rules the MSP statute does not preempt insurer's claims-filing deadline or Florida’s no-fault pre-suit demand
In a recent Medicare Advantage recovery action, the United States Eleventh Circuit Court of Appeals in MSP Recovery Claims.
Severe thunderstorms and hail: Concentrated events that pack a punch
Severe thunderstorms are a common natural phenomenon in the US, causing more than half of annual reported insured losses since 1985.
Emerging Issues Bracket Recap: Your Top Topic Picks in 2023
Your top concern? PFAS “forever chemicals.”