| This Week’s News | In a lawsuit, plaintiffs allege the company changed course from a long-standing policy of denying medical claims, hiding from investors its impact on profits. The insurer denies any wrongdoing and vowed to defend itself in court. In a lawsuit, plaintiffs allege the company changed course from a long-standing policy of denying medical claims, hiding from investors its impact on profits. The insurer denies any wrongdoing and vowed to defend itself in court. | | |
| The agency said all of its centers will be fully integrated by June 30, following the success of an early pilot where generative AI supported scientific reviews. The agency said all of its centers will be fully integrated by June 30, following the success of an early pilot where generative AI supported scientific reviews. | | |
| For the second time in less than two years, the struggling retail pharmacy chain has filed for Chapter 11 bankruptcy protection, seeking buyers as it prepares for store closures. For the second time in less than two years, the struggling retail pharmacy chain has filed for Chapter 11 bankruptcy protection, seeking buyers as it prepares for store closures. | | |
| House Speaker Mike Johnson confirmed on Tuesday that Medicaid cuts would be excluded from an upcoming spending bill, as both President Donald Trump and other Republicans in Congress opposed any reduction to funding. House Speaker Mike Johnson confirmed on Tuesday that Medicaid cuts would be excluded from an upcoming spending bill, as both President Donald Trump and other Republicans in Congress opposed any reduction to funding. | | |
| Bloomberg writes about a company, Quick Health, run by a former comedy writer, who through a loophole in the law is accused of "hiring" members for fake jobs to enroll them in junk insurance policies. Bloomberg writes about a company, Quick Health, run by a former comedy writer, who through a loophole in the law is accused of "hiring" members for fake jobs to enroll them in junk insurance policies. | | |
| The states argue the Department of Health and Human Services is failing to perform basic functions, in violation of the Constitution, as the agency and its programs are authorized by Congress. The states argue the Department of Health and Human Services is failing to perform basic functions, in violation of the Constitution, as the agency and its programs are authorized by Congress. | | |
| Five Tenet Healthcare hospitals are suing the Leapfrog Group, accusing the organization of pressuring hospitals to share internal data in exchange for higher scores in its annual safety rankings. The watchdog outright denies the claim. Five Tenet Healthcare hospitals are suing the Leapfrog Group, accusing the organization of pressuring hospitals to share internal data in exchange for higher scores in its annual safety rankings. The watchdog outright denies the claim. | | |
| State Attorney General Dana Nessel is suing Express Scripts and Prime Therapeutics, accusing the two PBMs of manipulating rebate pricing, "crippling small, independent pharmacies and restricting access to lifesaving medications in the process." State Attorney General Dana Nessel is suing Express Scripts and Prime Therapeutics, accusing the two PBMs of manipulating rebate pricing, "crippling small, independent pharmacies and restricting access to lifesaving medications in the process." | | |
| Erin Strotman, 26, has been charged in a 12-count indictment for incidents of alleged neglect and abuse. Her license to practice nursing has also been suspended, pending trial. Erin Strotman, 26, has been charged in a 12-count indictment for incidents of alleged neglect and abuse. Her license to practice nursing has also been suspended, pending trial. | | |
| The three insurance giants are accused of conspiring with brokers to enroll profitable patients in Medicare Advantage plans, in exchange for "hundreds of millions" in kickbacks. The three insurance giants are accused of conspiring with brokers to enroll profitable patients in Medicare Advantage plans, in exchange for "hundreds of millions" in kickbacks. | | |
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