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.
"This case reflects a troubling pattern in which payers, dissatisfied with IDR results, increasingly try to attack those outcomes outside the framework Congress created," Rad Partners says.
Prosecutors allege that a licensed therapist in Georgia was working with co-conspirators to bill insurers for sessions that never happened, in exchange for kickbacks. In some cases, more than 24 hours of services were billed in a single day.
The shift comes after a federal court struck down sweeping changes to the pediatric vaccine schedule that went into effect in 2026. The committee of medical experts, which advises on policy at the Centers for Disease Control and Prevention (CDC), will have to focus on a cost-benefit analysis in its future analyses.
In a settled lawsuit, a surgeon and anesthesiologist admitted to playing the game and missing an alarm that warned them a 56-year-old patient had stopped breathing.
A California health system and a local morgue are facing accusations of gross negligence after the bodies of missing persons were discovered—some with identification still on them. The state Department of Public Health is investigating the incidents.
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.