The physicians allegedly performed medically unnecessary ablation procedures as part of a years-long fraud scheme.

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 nonprofit said it intends to appeal the U.S. District Court’s decision, though it will comply with the ruling for now. Five Tenet hospitals filed the lawsuit in April 2025, accusing Leapfrog of issuing ratings via a pay-to-play model.

The request to the court comes a month after the agency settled with Express Scripts, under the condition the company change its wholesale buying practices, pass on manufacturer rebates and support TrumpRx.gov. Now it's up to CVS Caremark and UnitedHealth’s Optum Rx to make deals of their own. 

Clestina Lamai, the surgical technician, claimed in a lawsuit that Iowa Methodist Medical Center removed her from surgery at the request of a racist patient. The case was settled as a jury was set to deliver its verdict, local media reports.