Michael LaPick

2025 D-SNP Changes: CMS replaces quarterly SEP with monthly SEPs for full-benefit dual-eligible individuals.
2026 Marketplace Rule Updates: CMS enhances oversight, transparency, health equity, and cost-sharing rules, and requires standardized plans.

FCC’s One-to-One Consent Rule Delayed, Then Overturned by Eleventh Circuit Court, AHIP Report Predicts Medicare Advantage Challenges with Insufficient Funding, Texas Sen. Schwertner Files Bill to Curb AI Use in Health Insurance Claim Decisions

Part two of our series explores how AI is reshaping health insurance. Its integration into utilization management (UM) offers efficiency but sparks concerns over transparency, accountability, and equity.

Trump Administration Issues Executive Order, Revoking Previous ACA Policy, Second Round of Medicare Price Negotiations from the Biden Administration, ACA Enrollment Periods and Drug Pricing Pilots Repealed by Trump

Explore how AI is transforming Utilization Management in health insurance, improving efficiency, accuracy, and decision-making in this first installment of our series.

Special Enrollment Period for wildfire victims, HHS’s AI strategy for advancing public health, proposed cybersecurity rules to protect healthcare data, and insights from AARP’s report on rising Medicare drug costs and price negotiations.

The Biden Administration’s achievements in ACA enrollment, the proposed updates to HIPAA security rules from HHS, and the expansion of Medicare Telehealth services.