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Delaware News



 Pages Tagged With: "Health Insurance"

Highmark Exam Results In Mental Health Parity Penalties

Unfair treatment of mental health conditions and other compliance issues uncovered, must be corrected. The Delaware Department of Insurance today announced the completion of its first follow-up Mental Health Parity and Addiction Equity Act (“Mental Health Parity”) examination, which also included reviews of complaint and grievance handling, policyholder services, claims, utilization review, and pharmacy review. […]




Health Insurance Marketplace Data Released; Rates Finalized

Filings and affordability standard reporting reviewed by Department, consumers continue to benefit from increased competition, Inflation Reduction Act, and 1332 Reinsurance Waiver After welcoming new entrants for two consecutive years, the Delaware Health Insurance Marketplace is experiencing stability in carriers, plans, and rates for the 2025 plan year. Consumers will choose from 45 plans offered […]




Improper Ambulance Service Payments Result in $363K Penalty Against Highmark

Navarro notes consumer reports spurred investigation Following a nearly years-long Market Conduct investigation, Insurance Commissioner Trinidad Navarro announced today penalties against Highmark totaling $363,570 relating to improper volunteer ambulance company claims reimbursement. Investigations began after reports were received that payments were going to residents rather than directly to volunteer ambulance companies for payment of services. […]




Navarro Announces Completion of First Pharmacy Benefit Manager Exams

Efforts to protect consumers and independent pharmacies, and lower pharmaceutical costs continue Following the unanimous passage of legislation in 2021, the Delaware Department of Insurance was given regulatory authority over Pharmacy Benefit Managers (PBMs) and has been building an investigation and enforcement program in order to address the multi-billion-dollar industry that has played a key […]




Major Cybersecurity Event Impacting Health Care, Pharmacy Operations

Delays impacting operations, including payments and insurance transactions Earlier this month, one of the nation’s largest health care companies experienced a cybersecurity attack immobilizing much of the industry. Change Healthcare, a subsidiary of UnitedHealth Group that also operates as Optum Solutions, states that it interacts with 1 in every 3 patient records. Their systems are […]







 Pages Tagged With: "Health Insurance"

Highmark Exam Results In Mental Health Parity Penalties

Unfair treatment of mental health conditions and other compliance issues uncovered, must be corrected. The Delaware Department of Insurance today announced the completion of its first follow-up Mental Health Parity and Addiction Equity Act (“Mental Health Parity”) examination, which also included reviews of complaint and grievance handling, policyholder services, claims, utilization review, and pharmacy review. […]




Health Insurance Marketplace Data Released; Rates Finalized

Filings and affordability standard reporting reviewed by Department, consumers continue to benefit from increased competition, Inflation Reduction Act, and 1332 Reinsurance Waiver After welcoming new entrants for two consecutive years, the Delaware Health Insurance Marketplace is experiencing stability in carriers, plans, and rates for the 2025 plan year. Consumers will choose from 45 plans offered […]




Improper Ambulance Service Payments Result in $363K Penalty Against Highmark

Navarro notes consumer reports spurred investigation Following a nearly years-long Market Conduct investigation, Insurance Commissioner Trinidad Navarro announced today penalties against Highmark totaling $363,570 relating to improper volunteer ambulance company claims reimbursement. Investigations began after reports were received that payments were going to residents rather than directly to volunteer ambulance companies for payment of services. […]




Navarro Announces Completion of First Pharmacy Benefit Manager Exams

Efforts to protect consumers and independent pharmacies, and lower pharmaceutical costs continue Following the unanimous passage of legislation in 2021, the Delaware Department of Insurance was given regulatory authority over Pharmacy Benefit Managers (PBMs) and has been building an investigation and enforcement program in order to address the multi-billion-dollar industry that has played a key […]




Major Cybersecurity Event Impacting Health Care, Pharmacy Operations

Delays impacting operations, including payments and insurance transactions Earlier this month, one of the nation’s largest health care companies experienced a cybersecurity attack immobilizing much of the industry. Change Healthcare, a subsidiary of UnitedHealth Group that also operates as Optum Solutions, states that it interacts with 1 in every 3 patient records. Their systems are […]