Legal News

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.

DOJ sues New York over alleged ‘fraud scheme’ linked to home healthcare
The U.S. Department of Justice accuses the state of failing to hold a contractor accountable, despite the company allegedly failing to meet its obligation to bring savings to a Medicaid program that aids disabled patients. The state said the private management company saved taxpayers $1 billion in a single year since taking over the program.
OIG warns of ‘ghost network’ trouble in maternal health managed care
Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information.
Major grocery operator on the hook for $40M over pharmacy monkey business; $6M windfall for whistleblower
One of the largest food retailers in the world—and the fourth biggest in this country—got itself into hot water with the U.S. Department of Justice for allegedly cheating on drug prices it charges to federal healthcare programs.
Legal battle between two rival doctors results in dancefloor-biting during church fundraiser
Tamin Naber, MD, was charged with simple assault for biting a former employee at his medical practice who was suing him for wrongful termination. The incident occurred in November 2025.
OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network
The U.S. Department of Justice said the settlement will save citizens of the state money and open up the market to competition.

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Novant Health backs out of North Carolina hospital buyout after FTC pressure

The U.S. Court of Appeals of the Fourth Circuit temporarily blocked the buyout of two North Carolina hospitals after an FTC appeal.

doctor's open hand waiting for a payment

Emergency reimbursement for Change Healthcare breach ends in July

The last day for providers and suppliers to apply for Medicare reimbursement through the advanced payment program is July 12.

Lawsuit over theft of UnitedHealth’s trade secrets settled out of court

UnitedHealth alleged its proprietary technology was used to create Lore Health, a generative AI chatbot. The case was dismissed after arbitration.

Senators introduce bill to criminalize private equity ‘looting’ in healthcare

Senators Ed Markey and Elizabeth Warren are co-sponsoring legislation that would put executives in jail if their business practices result in the death of a patient.

Telehealth execs face 20 years for $100M Adderall prescription fraud

The CEO and the medical director of telehealth platform Done have both been arrested for allegedly running a virtual pill mill.

Coalition seeks to simplify prior authorizations and improve Medicare Advantage coverage

More than 380 organizations have expressed support for the bipartisan Improving Seniors’ Timely Access to Care Act, which unanimously passed a House vote in 2022.

FDA announces recall of Medline endotracheal tubes after three injuries

The Medline Sub-G endotracheal tubes with subglottic suction are defective and known to tear, potentially leading to serious injury or death.

Brazen marital healthcare scheme ends with guilty pleas

A former Alabama doctor and her wife faced a slew of charges related to healthcare billing fraud, misuse of PPE loan funds and illegal distribution of opiates.

Legal News

DOJ sues New York over alleged ‘fraud scheme’ linked to home healthcare

OIG warns of ‘ghost network’ trouble in maternal health managed care

Major grocery operator on the hook for $40M over pharmacy monkey business; $6M windfall for whistleblower

Legal battle between two rival doctors results in dancefloor-biting during church fundraiser

OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network