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.
A grand jury in Florida issued the formal charge after being presented with evidence from the prosecution. It is alleged that the death of William Bryan, 70, was a result of Thomas Shaknovsky, MD, removing his liver instead of his spleen.
According to Heartflow, Cleerly's actions represent “one of the most egregious examples of piracy in the medical technology industry.” Cleerly commented on the lawsuit, defending the value and integrity of its products.
Members of Congress caution that the fee could be especially consequential for rural and urban safety net hospitals, which could be pushed “to their financial brink” if they are required to absorb the charge.
McLaren Health Care fell victim to ransomware crime in 2023 and 2024, with the total number of victims exceeding 3.2 million. Those affected may be eligible for a cash payment. Per the terms of the agreement with lawyers representing victims, the health system does not admit to wrongdoing.
The U.S. Department of Justice said MultiCare admitted in court documents to ignoring warnings from a whistleblower and staff who said a neurosurgeon was performing spinal surgeries on patients without medical need and billing the procedures to Medicare.
The Federal Trade Commission was suing the pharmacy benefit manager over allegations it was deliberately inflating the price of insulin. Per the agreement, Express Scripts has agreed to end business practices that involved taking manufacturer rebates on wholesale drug costs without passing them on to patients.
A malpractice lawsuit filed by a gender detransitioner ended Jan. 30 with a victory for the aggrieved former patient. The decision may set a generalizable precedent since this was the first such suit to reach a courtroom—and since 30 or so others are en route.