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News You Need to Know Today
Weekly Update: Massive fraud crackdown | Kaiser to pay hospital $82M | Florida’s CVS probe | Portal messaging increases | more
Sunday, June 28, 2026
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This Week’s News

455 individuals charged with perpetrating healthcare fraud to the collective tune of $6.5B+

The defendants include 90 physicians and other licensed medical professionals. 

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2026 healthcare fraud takedown
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455 individuals charged with perpetrating healthcare fraud to the collective tune of $6.5B+

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2026 healthcare fraud takedown
The defendants include 90 physicians and other licensed medical professionals. 
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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. 

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

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home rehab
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. 
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Kaiser Permanente to pay community hospital over $82M to resolve out-of-network reimbursement dispute

The lawsuit dates back to 2019 but has been stuck in the court process for years. In the end, the health plan will pay Pomona Valley Hospital for emergency care delivered to patients at an out-of-network rate—though the facility didn’t get all of what it was seeking. 

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the-kaiser-permanente-thrive-center-street-telegraph_1300x867.jpg
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Kaiser Permanente to pay community hospital over $82M to resolve out-of-network reimbursement dispute

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the-kaiser-permanente-thrive-center-street-telegraph_1300x867.jpg
The lawsuit dates back to 2019 but has been stuck in the court process for years. In the end, the health plan will pay Pomona Valley Hospital for emergency care delivered to patients at an out-of-network rate—though the facility didn’t get all of what it was seeking. 
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CMS projection: 90% of Americans will still have health insurance in 2034—when healthcare spending reaches $9T

Legislative changes, demographic shifts and growing demand will combine to drive national health spending to almost $9 trillion by 2034.

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Economics
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CMS projection: 90% of Americans will still have health insurance in 2034—when healthcare spending reaches $9T

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Economics
Legislative changes, demographic shifts and growing demand will combine to drive national health spending to almost $9 trillion by 2034.
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Does the US have what it takes to stay ahead of China in medical advancement?

The U.S. owns the lead in the critical categories of scientific quality and commercial know-how. However, Chinese development is faster, bigger and cheaper—and gaining on us. Which nation will ultimately prevail? 

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usa and china
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Does the US have what it takes to stay ahead of China in medical advancement?

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usa and china
The U.S. owns the lead in the critical categories of scientific quality and commercial know-how. However, Chinese development is faster, bigger and cheaper—and gaining on us. Which nation will ultimately prevail? 
READ MORE >

Data breach on healthcare AI vendor exposes records from 1.4M patients

A phishing attack on Xsolis, a Tennessee-based company whose list of clients includes hospitals and healthcare payers, was confirmed to have exposed sensitive medical information, including details on treatments that patients received.

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Cybersecurity
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Data breach on healthcare AI vendor exposes records from 1.4M patients

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Cybersecurity
A phishing attack on Xsolis, a Tennessee-based company whose list of clients includes hospitals and healthcare payers, was confirmed to have exposed sensitive medical information, including details on treatments that patients received.
READ MORE >

Florida probes CVS Health in latest crackdown on PBMs

State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores. 

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Florida Attorney General James Uthmeier
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Florida probes CVS Health in latest crackdown on PBMs

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Florida Attorney General James Uthmeier
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores. 
READ MORE >

Whistleblower: Abbott Laboratories and Hawaiian provider colluded to use more medical devices

An alleged whistleblower working for Abbott, Kris Ghosh, claims to have evidence of Pacific Vascular Institute utilizing more products for atherectomy procedures than medically necessary.

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Hawaii Maui island paradise
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Whistleblower: Abbott Laboratories and Hawaiian provider colluded to use more medical devices

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Hawaii Maui island paradise
An alleged whistleblower working for Abbott, Kris Ghosh, claims to have evidence of Pacific Vascular Institute utilizing more products for atherectomy procedures than medically necessary.
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Portal messaging proves ‘an expansion of between-visit care rather than a substitute for in-person care’

Any lingering fears about patients using online portals to get bonus medical attention for free should be largely quieted, albeit not completely silenced, by a new study conducted at New York University. 

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patient clinician portal
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Portal messaging proves ‘an expansion of between-visit care rather than a substitute for in-person care’

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patient clinician portal
Any lingering fears about patients using online portals to get bonus medical attention for free should be largely quieted, albeit not completely silenced, by a new study conducted at New York University. 
READ MORE >

Kentucky doc earns $3.5M judgment after seven-year court battle over complaint he was ‘on something’

The state’s Supreme Court restored the judgment, agreeing that John Farmer, Jr., MD, was branded with a “proverbial scarlet letter” after the complaint, which spiraled out of control and damaged his career. 

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Kentucky doc earns $3.5M judgment after seven-year court battle over complaint he was ‘on something’

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The state’s Supreme Court restored the judgment, agreeing that John Farmer, Jr., MD, was branded with a “proverbial scarlet letter” after the complaint, which spiraled out of control and damaged his career. 
READ MORE >

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