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Pharmacist brothers sentenced in $15M fraud scheme; noninvasive treatment for brain tumors; AI spots chronic stress in routine CT scans – Morning Medical Update

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A former Michigan pharmacist and his brother were sentenced to eight and five years in federal prisonfor orchestrating a years-long health care and wire fraud scheme that defrauded Medicare, Medicaid and Blue Cross Blue Shield of Michigan of more than $15 million. Prosecutors said Raad Kouza, 59, and Ramis Kouza, 46, systematically billed insurers for…

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The insurance industry is facing a shortage of personnel. Professionals known as underwriters are retiring, fewer and fewer young professionals are joining the business, and companies are trying to fill the gap with workflow management tools. At the same time, the volume of applications is growing. The gap between the industry’s needs and its capacity to…

The rapid integration of AI systems into everyday business operations has left many insurers wondering: Who pays when an AI makes a mistake? The post Insurers Scale Back AI Coverage Amid Fears of Billion-Dollar Claims appeared first on TechRepublic.
AI robot removes a barrier in front of a speeding train labeled "Annuities".
Annuities, at times, has had a reputation as a complex, difficult product for advisors to sell. Can AI break remove that barrier? (AI-generated image)

Annuities, at times, has had a reputation as a complex, difficult product for advisors to sell. Can AI break that barrier down?
Illustration of two AI robots generating leads.
One of the ways agents use AI is to generate leads. By focusing on pre-qualified, high-intent prospects,, agents can grow their client base. (AI-generated image)

One of the ways agents use AI is to generate leads. By focusing on pre-qualified, high-intent prospects,, agents can grow their client base.

–Registered investment advisors are growing increasingly concerned about their liabilities for errors and issues caused by artificial intelligence and wire fraud, though vulnerability to cyber breaches or attacks remains the top worry, according to the 2025 RIA Bi-Annual Risk Survey from insurance brokerage Golsan Scruggs. This marked the first year…
Image shows an AI scene.
Life insurers are all in on artificial intelligence. (AI-generated image)

Artificial intelligence is finding a home in the insurance industry. Insurers are all-in on AI, but there are risks and regulation to be aware of.

–A prominent Democrat lawmaker is questioning major Medicare Advantage insurers about their use of artificial intelligence to make care decisions.– In letters sent to CVS Health, UnitedHealthcare and Humana on Thursday, Sen. Richard Blumenthal, D- Conn., pressed the payers on whether they make coverage decisions based on AI tools or predictive technology, which…
Image shows an artificial intelligence scene
Regulators are pondering whether to further define the use of AI in the insurance world. (AI-generated photo)

Regulators are in two camps on whether to move forward with a model law governing the use of artificial intelligence by insurance companies.
Illustration of an AI robot planting a flag. Consumer-insights-reveal-how-insurers-can-plant-a-flag-with-agentic-AI.
Insurers have an opportunity to make strides in AI adoption thanks to new research that shows when, how, and at what age consumers are most comfortable using the technology. (AI-generated image)

When, how, and at what age are consumers most comfortable using the AI-based tech? A new study helps insurers answer those questions.