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.
Sophia Shaklian, 38, of Los Angeles, and accomplices bilked Medicare of millions by submitting false claims for diagnostic imaging and hospice care that was unnecessary or never administered.
A federal grand jury indicted Anar Rustamov, 38, of Azerbaijan on 14 counts of healthcare fraud. The complex conspiracy allegedly involved billing Medicare Advantage for medical equipment that providers never ordered. Rustamov is currently a fugitive from justice.
The incident left John Douglas Cox, a mechanic in Washington’s Clark County, partially paralyzed after physicians failed to promptly diagnose and treat a spinal infection.
Authorities said Shane Daley, 40, began making threatening calls mere hours after Brian Thompson was shot and killed outside a hotel in Manhattan. Daley awaits sentencing and faces up to five years in prison.
The pharmacy chain said it plans to appeal the ruling. The complaint was brought by a former employee turned whistleblower who alleged that Omnicare had billed the government for millions of unnecessary prescriptions.
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.