October 2026

Legal News: Medicare Advantage ratings challenged | Fraud crackdown in NYC | Amtrak insurance scammed | Leapfrog appeals ()
WiSeR Medicare AI chaos: delays, denials and poor communication | Zocdoc opens door to AI-powered bots—if they play nice ()
AI RECAP: AMA framework, FDA balance, lawsuit settlement, 4 more must-read AI stories of the past 30 days ()
Spreadsheet shared with LLM exposes 3K patient records | International fugitive in $400M healthcare fraud gets 20 years ()
Lawsuits against 2027 MA star ratings pile up | PA looks to ban AI for mental health | Quest Diagnostics hack update ()
Survey: 46% of U.S. adults are underinsured or uninsured | Quest Diagnostics breach leaks patient records | FDA culture shift ()
Another insurer sues CMS over Medicare Advantage star ratings | Major nonprofit health systems merge in New Jersey ()
Weekly Update: Doximity, OpenEvidence settle bitter dispute | CMS targets PBMs | CDC, FDA approval lows | AMA's AI guidance ()
Economy: Lobby sues over broker ban | Bill to end NSA arbitration | CMS vs ‘ghost networks’ | FTC sends warning to hospitals ()
Public perception of CDC, FDA hit record lows in Gallup poll | New York City Medicaid fraud raid leads to arrests ()
Two arrested, dozens raided in NYC Medicaid fraud crackdown | Kaiser scoops up Oklahoma’s largest nonprofit health system ()
Insurance broker lobby challenges HHS’ ACA registration freeze | AMA releases agentic AI governance framework ()
Business News: Waystar seeking buyer | GE to buy Sophie for $1B | Labcorp buys prostate cancer test | Fairfield joins Adena ()
Doximity, OpenEvidence settle ‘ChatGPT of healthcare’ lawsuit | CMS announces Medicare Advantage regulation changes for 2028 ()
CMS takes on ‘ghost networks,’ PBMs with new regulatory framework | FDA braces for AI adoption wave | $6M Medicare fraud plea ()
Weekly Update: 189K ACA enrollments eliminated | BlackRock’s $2.8B Humana deal | Healthcare CEO gets 19 years | NSA bill ()
Healthcare CEO sentenced to 19 years in $1B Medicare fraud conspiracy | Labcorp buys prostate cancer test in $872M deal ()
Cybersecurity: Hunting ShinyHunters | Oracle breach count hits 20M | Pixel lawsuit | Conti ransomware sentence | more ()
HHS eliminates ACA subsidies for 189K duplicate and deceased enrollees | CMS faces lawsuit over Medicare Advantage ratings ()
CVS Health agrees to $315M opioid epidemic settlement | BlackRock to take over CenterWell primary care centers in $2.8B deal ()
Insurer sues to challenge 2027 CMS Medicare Advantage star ratings | House bill would eliminate NSA arbitration ()
Ransomware crackdown leads to arrest of cybersecurity exec | Another sent to prison for role in $11M Amtrak fraud scheme ()
Weekly Update: FTC warns hospitals | Gen Z TikTok docs | Prime sues labor union | Out-of-pocket max for Medicare? ()
Policy: Texas probes UHC | States push back on Medicaid rules | Trump refund checks | Doc shortages | MA premiums to drop 16% ()
‘Blue Conspiracy’ named in Michigan antitrust lawsuit | Oracle Health data breach impacted 20M | Telehealth kickback scheme ()
FTC warns 24 hospitals about perils of dodging price transparency compliance | Prime Healthcare sues nurses’ union ()
Utah using AI for initial prescriptions | Gen Z loves TikTok docs | ‘Black matter’ in IV line kits deemed not to be dangerous ()
Texas probes UHC over claims denials | Should Medicare take tips from Medicare Advantage? | Part B beneficiaries to get $90 ()
Month’s Best: Physician shortage crisis | Senator sued 700+ patients | Doximity report | PA universal care | Leapfrog appeals ()
Five states plead for Medicaid work requirement delay, citing poor guidance | Labcorp settles $2.3B breach lawsuit with 44 AGs ()
Weekly Update: Health execs investing big in IT | CMS teams up with 37 states | MA insurer settles upcoding case | Saving $23B ()
1M Americans begin receiving $500 ACA refund checks | Medicare Advantage insurer pays $23M after alleged chart review failures ()
28% of healthcare workers experience long COVID, study finds | 1 in 4 hospital transfers are avoidable | more ()