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28 Oct, 2026 Dennis Sponer Three developments this month deserve every workers' compensation pharmacy professional's attention. Washington is poised to finalize the most consequential federal PBM transparency proposal in decades – and although it is an ERISA rule, comp payers will feel it.
Fraud prevention company XTND identified fraud in one in every five insurance claims investigated through its Veritas platform over the past year, helping insurers prevent more than R100 million in payouts, it says. Developed in 2011 as a web-based solution, the Veritas…
An employee was injured while working. As a general affairs staff member, where do you start? I will give you the answer first. For injuries during work, you should use workers' compensation, not health insurance. And there are only two…
CHATSWORTH, Ga., Oct. 20, 2026 (GLOBE NEWSWIRE) -- What common mistakes delay workers’ compensation claims in Georgia? HelloNation has published a HelloNation article that provides the answer, outlining preventable errors that can slow medical care and wage replacement for injured employees in a…
Chicago-area shop owners say early education helps customers navigate insurer denials. A number of committees presenting at this summer’s Collision Industry Conference (CIC) in Chicago focused on the consumer’s perspective relative to the subject on which they were presenting. But…
Panelists discuss how insurance challenges impact spinal muscular atrophy (SMA) care, with prior authorizations becoming more streamlined over time but limitations on physical therapy sessions and inequitable access to treatments remain significant barriers. Clinical Brief: Insurance Challenges in SMA Treatment…
New claims handling rules in Washington require insurers to follow updated rules that establish deadlines for responding to policyholders, conducting investigations, issuing denials and making payments. The rules, which took effect Oct. 18, require insurers to notify policyholders within 30 days whether…
The A.I. conversation has matured. As anticipated, many sessions, demos, and discussions at the recent ITC Vegas conference focused on A.I. But instead of simply calling out the use of A.I. tools, conversations shifted to use cases, deployments, and outcomes. The industry has…
General insurance complaints reached 36,022 during the 2025-26 financial year, according to the Australian Financial Complaints Authority’s (AFCA) latest Annual Review, marking a fifth consecutive year of growth for the sector. The figure represents a 5% increase on the previous year and sits…
Complaints and Disputes in Property Insurance: the news, the names and what changed.
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