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.
A coroner's report suggested that the missed finding, which played a critical role in the girl’s deterioration, was because the radiologist who read the exam did not have experience in pediatric imaging.
The policy shift by Aetna to reimburse hospital stays of fewer than five days as outpatient observation encounters went into effect in January. The insurer implemented the policy to reduce friction with hospitals that previously had to seek approval for inpatient reimbursement, which was often denied. Jefferson Health is challenging the changes in court.
Employees at a 130-bed hospital whose home state lacks right-to-work protections are now free to work without having to join a powerful union that had sought to represent them.
The insurer is challenging three phone calls made by the Centers for Medicare & Medicaid Services that led to a docked rating for some of Humana’s plans. A previous challenge, which broadly contested the agency’s star rating criteria, was dismissed.
Ritesh Kalra, MD, allegedly wrote 31,000 opioid prescriptions between 2019 and 2025, many of which were illegitimate. He is accused of inappropriately touching patients in exchange for oxycodone scripts as part of a five-count criminal indictment.
Former Steward Health Care CEO Ralph de la Torre, MD, and other executives are accused in a $1.4 billion legal filing of paying themselves hundreds of millions of dollars in bonuses, despite the health system being insolvent.
AdventHealth Shawnee Mission is suing Blue Cross and Blue Shield of Kansas City over its AI claims audits, which have rejected some 350 incidents of patient care. The hospital claims the insurer is violating state and federal laws.
After the Supreme Court lifted a lower court injunction, approximately 10,000 employees at the U.S. Department of Health and Human Services were officially terminated.
In a new report, the New York Times details multiple incidents of the insurance giant using legal threats to silence social media users and news outlets, citing the murder of Brian Thompson and the threat of rising violence as the basis for its claims.