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 company told Cardiovascular Business it respectfully disagrees with the jury's decision and is evaluating all possible legal options going forward. The Association of Medical Device Reprocessors, meanwhile, celebrated the news.
Citing sources familiar with the matter, the Wall Street Journal reports that UnitedHealth Group is being investigated for criminal fraud, likely stemming from its Medicare Advantage billing practices.
The unwanted spam calls were associated with Optum's home healthcare service. Plaintiffs alleged they received the marketing calls despite opting out and never signing up, in violation of federal consumer protection laws. The company does not admit to wrongdoing.
A Biden-era update to the law would require private insurers to update their networks to ensure patients have access to mental and behavioral health services, with those services reimbursed in a manner similar to physical care.
CureIS, a company that supports healthcare providers who take Medicaid and Medicare, is accusing the EHR leader of data blocking and other anti-competitive practices that violate state and federal laws.
One Medical, a chain of primary care clinics owned by Amazon, is being sued by the family of a man who died due to alleged provider negligence. Now, court filings reveal staff improperly accessed the deceased man's protected medical records.
A federal judge has issued a two-week halt to further staffing and funding cuts at the Department of Health and Human Services, agreeing that plaintiffs representing unions and municipalities may be correct in claiming the sweeping shifts by President Donald Trump's administration are unlawful.