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.
The nonprofit said it intends to appeal the U.S. District Court’s decision, though it will comply with the ruling for now. Five Tenet hospitals filed the lawsuit in April 2025, accusing Leapfrog of issuing ratings via a pay-to-play model.
Cynthia Stoffle, 49, sued after a 2019 ER visit to Oneida Health Hospital left her with a debilitating medical condition that her attorneys successfully argued could have been avoided.
The ballot measure was recently sent to the state attorney general’s office for approval. Once cleared, supporters can begin collecting signatures for its inclusion in the 2026 elections. The proposed law has the backing of one of the largest labor unions in the state.
Such contract provisions are illegal in the state. However, doctors at Aspirus Health’s St. Luke’s Hospital said they’re being pressured to sign contract renewals with noncompete clauses under threat of termination.
Tennessee-based Ballad Health said it's tried for years to resolve the issues with the insurer but now has 'no choice' but to take legal action, as denied claims are leading to longer hospital stays and higher expenses.
The patient reported chest pain multiple times and had a family history of heart disease. According to the lawsuit, however, he was never referred to a cardiologist.
The woman has not been officially charged, but her case has been turned over to prosecutors after state regulators allegedly discovered she used someone else's license number to obtain work.