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 Pharmaceutical Care Management Association—a trade lobby representing pharmacy benefit managers—argues a state law that would force companies to divest from drugstores could leave patients without access to critical medications.
Staff purged from the Department of Health and Human Services by Elon Musk's Department of Government Efficiency claim their termination notices contained bogus information and other inaccuracies that were cited as justifications for performance-based firings. The plaintiffs are seeking unspecified damages.
The family of Grace Schara claims Ascension Health’s St. Elizabeth Hospital gave their unvaccinated daughter a cocktail of drugs that ultimately caused her death. The case has earned the attention of Children’s Health Defense, a controversial nonprofit formed by HHS Secretary Robery F. Kennedy Jr.
Returning CEO Stephen Hemsley will receive a base salary of $1 million per year, alongside a one-time bonus package in stocks worth $60 million. He is not eligible to receive future bonuses until 2028, the company confirmed in a SEC filing.
A series of lawsuits has been filed against Plenary Health Care Partnerships, the consortium hired by the Ontario government to build Humber River Health’s new Toronto hospital, alleging floors are deteriorating and the water system was faulty.