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Claims

Esg Claims
July 19, 2023

ESG claims – TPLF’s next frontier?

This is a continuing study of emerging Third-Party Litigation Funding (TPLF) issues.

E Bike Teaser
July 10, 2023

The E-bike Coverage Question: Far from Resolved

As e-bikes become more popular, there are increasing concerns insurers must consider.

Mid Year Legal Review Teaser
June 28, 2023

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 Section Teaser
June 27, 2023

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 Teaser
June 27, 2023

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 Teaser
June 7, 2023

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 Risk Teaser
May 30, 2023

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 Rise Teaser
May 18, 2023

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 Nghp Webinar Teaser
May 16, 2023

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 Teaser
May 16, 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 Teaser
May 3, 2023

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).

Marketstance Teaser
April 27, 2023

Can insurers make finding growth opportunities easy? Absolutely

Here's one way to stay ahead of the competition.

11th Circuit Teaser
April 26, 2023

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.

Weather Teaser
April 6, 2023

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 Teaser 1
April 4, 2023

Emerging Issues Bracket Recap: Your Top Topic Picks in 2023

Your top concern? PFAS “forever chemicals.”

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