Stories about physicians and other healthcare professionals involved in lawsuits—as either a plaintiff or a defendant—or accused of breaking the law. Various legal updates or unusual stories in the news may land here.
The U.S. Department of Justice said the insurer upcoded patient diagnoses to boost risk-adjusted payments it received from the Centers for Medicare & Medicaid Services. The company did not admit to wrongdoing, despite agreeing to the payout.
The company confirmed the number of victims in filings with the federal government and the state of Maine. The data breach was discovered in October 2025, but it began in November 2024. Hackers were siphoning protected health information for roughly a year.
A team of legal and medical experts conducted a mock trial that entailed a series of hypothetical cases involving AI, sharing their findings in Nature Health.
Teflyon Cameron’s sentence was announced on Monday. She pleaded guilty for her role in a scheme that sent kickbacks to doctors for medically unnecessary orders. The U.S. Department of Justice said the conspiracy went on for “several years.
Paxton says the “woke” EHR giant is intentionally making it harder for patients and families to access historical medical data, violating state law. Epic denies the allegation.
Every time an ambient AI vendor boasts about how many providers use its tool, a hungry lawyer gets a plum lead for a class-action lawsuit. And a lot of such lawyers are now on high alert for just such an opportunity to pounce.
The managed care company does not admit to doing anything wrong. The data breach constituted its use of third-party tracking technology on its website, which shared data with Google, Microsoft, Twitter, Meta and others.
Gregory R. Ball, MD, of Orchard Park, New York, and his attorneys first filed the complaint against Southtowns Radiology Associates in February, seeking some $2 million in damages.
HHS’s 340B drug discount program is set to shift to a rebate model on New Year’s Day. But a lawsuit and temporary restraining order filed by the AHA and others may block the change from going live on time.
Eric Cordes, MD, 63, of Simi Valley, California, was a highly respected diagnostic specialist with Adventist Health Simi Valley and Focus Medical Imaging.
Authorities allege the pharmacy chain gave patients more insulin than prescribed and then billed Medicare and Medicaid for the full amounts. This allegedly occurred for more than a decade.