"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.