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 years-long scheme involved sending kickbacks to physicians who ordered unnecessary transcranial doppler exams. Two conspirators have now been sentenced to prison and ordered to pay substantial fines.
The money was meant for Minnesota, where criminals were indicted for abusing the Medicaid system to run bogus daycare centers. The Centers for Medicare & Medicaid Services did not specify how the state can rectify the situation to the Trump administration’s satisfaction.
A civil trial in Maine is underway, where a 71-year-old patient alleges that in 2019, her surgeon read the wrong X-ray, leading to a delayed second procedure that would have put her on the road to recovery.
Officials are examining how a radiologist's CT findings may have played a part in the untimely death, as the doctor did not notate "swirling of the mesentery" in his interpretation.
The U.S. Department of Justice and the state attorney general's office allege OhioHealth used its position of market dominance to pressure commercial plans into always keeping its hospitals and clinics in-network, even when competitors offer services for a better rate.
According to the Wall Street Journal, the OIG and FBI are also involved in the DOJ's criminal probe into alleged incidents of upcoding by the Medicare Advantage insurer. UnitedHealth denied any wrongdoing.
Jawad Bhatti, MD, is facing a 26-count indictment from the U.S. Department of Justice after he allegedly advertised the use of ozone gas as a treatment for pain, then billed Medicare and Medicaid for the unapproved procedures.
Multiple professional groups, including the American Academy of Pediatrics and the American College of Physicians, challenge recent policy changes to vaccine recommendations for COVID-19, which end routine inoculations for minors and pregnant women.
Sweeping tax cuts and reduced spending on Medicaid and SNAP were signed into law by President Donald Trump. However, a key provision that would have paused new AI regulations was removed by the Senate.
Jennifer Forbes, 50, allegedly sent a cryptic, threatening letter to a UnitedHealthcare office along with an unknown substance. She has been charged with two counts of terrorism.
The 940-page document passed the House of Representatives in a 218 to 214 vote, and now heads to President Donald Trump’s desk. It contains a 20% cut to federal Medicaid funding, something Trump said he opposes.
The family of Gay Sherman Weintz, 55, said she died as a result of 24-hour physical restraint, combined with staff at Middlesex Hospital ignoring signs of a medical crisis. Her son, Chauncey Smith, has filed a wrongful death lawsuit.