One in three consumers would consider digitally altering an insurance claim image or document to strengthen their case – and that number rises to ...

A groundbreaking CLARA Analytics study on fraud detection in property and casualty insurance claims has revealed that advanced analytical methods can accurately identify potential fraud indicators ...

At HIMSS26, leaders from the agency's Fraud Defense Operations Center discussed how the initiative is helping detect fraud in real time.

The U.S. health insurance system is facing a trust crisis. Satisfaction with coverage and care quality has dropped sharply in recent years, weighed down by rising costs, quality and coverage.

With the April 2026 deadline approaching, insurers are expected to accelerate investments in digital fraud detection systems and cross-industry data sharing platforms as the sector transitions towards ...

Fraud is one reason Republicans in Congress say they don't want to extend enhanced subsidies for Affordable Care Act health insurance premiums. The Government Accountability Office recently issued a ...