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News You Need to Know Today
Weekly Update: Hospital sues insurer over AI denials | FDA recalls | Senate bill to revoke Medicaid cuts | Steward lawsuit
Saturday, July 19, 2025
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This Week’s News

Hospital sues insurer over use of AI to deny $2M in claims

AdventHealth Shawnee Mission is suing Blue Cross and Blue Shield of Kansas City over its AI claims audits, which have rejected some 350 incidents of patient care. The hospital claims the insurer is violating state and federal laws.

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Blue Cross Blue Shield BCBS
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Hospital sues insurer over use of AI to deny $2M in claims

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Blue Cross Blue Shield BCBS
AdventHealth Shawnee Mission is suing Blue Cross and Blue Shield of Kansas City over its AI claims audits, which have rejected some 350 incidents of patient care. The hospital claims the insurer is violating state and federal laws.
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FDA recalls real-time glucose monitors after 56 injuries

Receivers on active glucose monitors manufactured by Dexcom are reportedly failing to send alerts when a patient’s blood sugar levels are dangerously high or low. There have been no deaths linked to the malfunction. 

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FDA Recall
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FDA recalls real-time glucose monitors after 56 injuries

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FDA Recall
Receivers on active glucose monitors manufactured by Dexcom are reportedly failing to send alerts when a patient’s blood sugar levels are dangerously high or low. There have been no deaths linked to the malfunction. 
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FDA issues recall on defective cranial drills after 10 injuries

The devices are manufactured by Integra LifeSciences. Due to a manufacturing error where inadequate welding has caused bits to get stuck in patients’ skulls, this recall has been designated as the most serious type.

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the words "FDA recall" on a board
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FDA issues recall on defective cranial drills after 10 injuries

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the words "FDA recall" on a board
The devices are manufactured by Integra LifeSciences. Due to a manufacturing error where inadequate welding has caused bits to get stuck in patients’ skulls, this recall has been designated as the most serious type.
READ MORE >

Two insurers dominate most Medicare Advantage markets, report finds

Over 97% of all counties in the U.S. see high or very high levels of consolidation in Medicare Advantage markets, with UnitedHealthcare and Humana owning the most plans nationwide. 

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Medicare Advantage Part C clipboard payment
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Two insurers dominate most Medicare Advantage markets, report finds

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Medicare Advantage Part C clipboard payment
Over 97% of all counties in the U.S. see high or very high levels of consolidation in Medicare Advantage markets, with UnitedHealthcare and Humana owning the most plans nationwide. 
READ MORE >

GOP senator introduces bill to repeal federal Medicaid cuts

Josh Hawley (R-MO) voted for the “One Big, Beautiful Bill Act,” which narrowly passed the Senate. Now he’s introducing legislation to increase funding for rural hospitals and roll back cuts to safety-net healthcare programs.

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By Missouri State Archives - MO Attorneys General - 42 Joshua D. Hawley (2017-2019)
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GOP senator introduces bill to repeal federal Medicaid cuts

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By Missouri State Archives - MO Attorneys General - 42 Joshua D. Hawley (2017-2019)
Josh Hawley (R-MO) voted for the “One Big, Beautiful Bill Act,” which narrowly passed the Senate. Now he’s introducing legislation to increase funding for rural hospitals and roll back cuts to safety-net healthcare programs.
READ MORE >

Doctor accused of forging vaccine cards and injecting children with saline has all charges dropped

Under the direction of U.S. Attorney General Pam Bondi, charges against Michael Kirk Moore Jr., MD, were dropped just as his trial began. He had been accused of destroying 1,937 doses of COVID-19 vaccines and accepting kickbacks for falsifying vaccine records.

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Child vaccine
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Doctor accused of forging vaccine cards and injecting children with saline has all charges dropped

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Child vaccine
Under the direction of U.S. Attorney General Pam Bondi, charges against Michael Kirk Moore Jr., MD, were dropped just as his trial began. He had been accused of destroying 1,937 doses of COVID-19 vaccines and accepting kickbacks for falsifying vaccine records.
READ MORE >

Judge overturns Biden-era rule that curbed medical debt reporting after CFPB backs off

The Consumer Financial Protection Bureau joined trade lobby groups in asking a federal court to vacate the rule, which would have forbidden creditors from considering medical debt in lending decisions.

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medical debt
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Judge overturns Biden-era rule that curbed medical debt reporting after CFPB backs off

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medical debt
The Consumer Financial Protection Bureau joined trade lobby groups in asking a federal court to vacate the rule, which would have forbidden creditors from considering medical debt in lending decisions.
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Trump teases 200% tariff on all pharmaceutical imports

After issuing a 50% tariff on copper imports this week, President Donald Trump said a massive levy on drugs could be announced “very soon.” The details are currently unknown. 

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Trump teases 200% tariff on all pharmaceutical imports

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After issuing a 50% tariff on copper imports this week, President Donald Trump said a massive levy on drugs could be announced “very soon.” The details are currently unknown. 
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Report: UnitedHealth allegedly using legal threats to silence critics

In a new report, the New York Times details multiple incidents of the insurance giant using legal threats to silence social media users and news outlets, citing the murder of Brian Thompson and the threat of rising violence as the basis for its claims. 

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UnitedHealthcare UHC UnitedHealth
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Report: UnitedHealth allegedly using legal threats to silence critics

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UnitedHealthcare UHC UnitedHealth
In a new report, the New York Times details multiple incidents of the insurance giant using legal threats to silence social media users and news outlets, citing the murder of Brian Thompson and the threat of rising violence as the basis for its claims. 
READ MORE >

Steward sues former CEO over alleged pilfering that contributed to bankruptcy

Former Steward Health Care CEO Ralph de la Torre, MD, and other executives are accused in a $1.4 billion legal filing of paying themselves hundreds of millions of dollars in bonuses, despite the health system being insolvent.

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Bankruptcy
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Steward sues former CEO over alleged pilfering that contributed to bankruptcy

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Bankruptcy
Former Steward Health Care CEO Ralph de la Torre, MD, and other executives are accused in a $1.4 billion legal filing of paying themselves hundreds of millions of dollars in bonuses, despite the health system being insolvent.
READ MORE >

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