Broker Regulation

Physicians warn rapid adoption is outpacing oversight, urging transparency, crisis protections and clearer rules as demand grows amid persistent gaps in care.

Successive stays since early 2026 have delayed proceedings in the case, pointing to a potential consent agreement in the works.

"Anthem has acknowledged that claims were not handled correctly, yet the problem remains unresolved," CEO Brenda Reetz said.

During my session "Compliance Knowledge as a Competitive Market Differentiator" on April 29th at the BenefitsPro Expo, we will focus on highlighting how a working knowledge of plan compliance obligations.

Democratic Gov. Abigail Spanberger signed a bill this week that sets new rules for how insurance carriers must handle prior authorizations for both drugs and certain health care services.

This is only the latest disagreement involving the independent dispute resolution process since it took effect more than three years ago.