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$200K demanded of Doctors Alliance as hacker reveals possible data breach | Allstate sues clinics over alleged $1.7M fraud

News You Need to Know Today
$200K demanded of Doctors Alliance as hacker reveals possible data breach | Allstate sues clinics over alleged $1.7M fraud
Thursday, November 13, 2025
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Today's News and Trends

$200K ransom demanded of Doctor Alliance after hackers say they stole 1.2M files

Someone self-identifying as "Kazu" posted a sample of the data trove on a dark web forum, which was discovered by cybersecurity researchers. The company has not confirmed a data breach occurred.

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Ransomware
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$200K ransom demanded of Doctor Alliance after hackers say they stole 1.2M files

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Ransomware
Someone self-identifying as "Kazu" posted a sample of the data trove on a dark web forum, which was discovered by cybersecurity researchers. The company has not confirmed a data breach occurred.
READ MORE >

Allstate accuses Texas provider network of operating $1.7M auto injury fraud scheme

The insurer claims personal injury attorneys referred patients to the network, where they allegedly received dubious treatments and undergo excessive testing to inflate medical claims. Allstate is seeking up to $5.2 million in restitution.

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Car accident head injury
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Allstate accuses Texas provider network of operating $1.7M auto injury fraud scheme

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Car accident head injury
The insurer claims personal injury attorneys referred patients to the network, where they allegedly received dubious treatments and undergo excessive testing to inflate medical claims. Allstate is seeking up to $5.2 million in restitution.
READ MORE >

Featured Articles

House Democrats push for last-ditch amendment to protect ACA subsidies for 3 years

With the U.S. Senate passing a funding agreement to reopen the federal government, the House of Representatives will now have a chance to make changes—though there’s little chance this particular amendment will succeed.

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bipartisan house task force on artificial intelligence
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House Democrats push for last-ditch amendment to protect ACA subsidies for 3 years

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bipartisan house task force on artificial intelligence
With the U.S. Senate passing a funding agreement to reopen the federal government, the House of Representatives will now have a chance to make changes—though there’s little chance this particular amendment will succeed.
READ MORE >

Patient dies when surgical 'blade' is left inside him, spurring $1M malpractice lawsuit

The family of Jeffrey Alan Fulcher, 58, sued the Medical University of South Carolina after the father of three died six days after undergoing a minimally invasive procedure to remove part of his esophagus. The state, on behalf of the hospital, settled the case out of court. 

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surgery
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Patient dies when surgical 'blade' is left inside him, spurring $1M malpractice lawsuit

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surgery
The family of Jeffrey Alan Fulcher, 58, sued the Medical University of South Carolina after the father of three died six days after undergoing a minimally invasive procedure to remove part of his esophagus. The state, on behalf of the hospital, settled the case out of court. 
READ MORE >

UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.

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UnitedHealthcare UHC UnitedHealth
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UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

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UnitedHealthcare UHC UnitedHealth
Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.
READ MORE >

In Case You Missed It

Humana, Providence unveil interoperable data-sharing framework

The two companies said their model for exchanging payer and provider data will be “easily replicable” and could be adopted across the healthcare space. The initial rollout of the system will be focused on automatically identifying Medicare Advantage patients. 

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Humana
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Humana, Providence unveil interoperable data-sharing framework

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Humana
The two companies said their model for exchanging payer and provider data will be “easily replicable” and could be adopted across the healthcare space. The initial rollout of the system will be focused on automatically identifying Medicare Advantage patients. 
READ MORE >

Planned Parenthood sues to block Missouri’s request for abortion records

The Missouri attorney general has demanded details on patient care, communications between providers and pregnant women, maintenance records and more in an effort to identify state residents who have sought abortions. 

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Missouri state house capitol Jefferson City
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Planned Parenthood sues to block Missouri’s request for abortion records

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Missouri state house capitol Jefferson City
The Missouri attorney general has demanded details on patient care, communications between providers and pregnant women, maintenance records and more in an effort to identify state residents who have sought abortions. 
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In Other News

Interventional radiologists who neglect E&M visits risk losing more lucrative procedures

“This study affirms that when interventional radiologists are afforded the time to evaluate and follow their patients, the complexity and value of the care they provide increases," one expert notes. 

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interventional radiology philips
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Interventional radiologists who neglect E&M visits risk losing more lucrative procedures

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interventional radiology philips
“This study affirms that when interventional radiologists are afforded the time to evaluate and follow their patients, the complexity and value of the care they provide increases," one expert notes. 
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A new alternative: Surgeons, cardiologists gather to learn about robotic aortic valve replacement

The WVU Heart and Vascular Institute is hosting a two-day symposium focused on exploring the benefits and long-term potential of robotic aortic valve replacement. Fans of the procedure say it represents a safe, effective alternative to TAVR and SAVR in patients with severe aortic stenosis. 

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robotic aortic valve replacement (RAVR)
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A new alternative: Surgeons, cardiologists gather to learn about robotic aortic valve replacement

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robotic aortic valve replacement (RAVR)
The WVU Heart and Vascular Institute is hosting a two-day symposium focused on exploring the benefits and long-term potential of robotic aortic valve replacement. Fans of the procedure say it represents a safe, effective alternative to TAVR and SAVR in patients with severe aortic stenosis. 
READ MORE >

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