| This Week’s News | The outlet DataBreaches.net was able to gather more details on the alleged hack of the healthcare billing automation platform, said to be perpetrated by a notorious cybercriminal. The outlet DataBreaches.net was able to gather more details on the alleged hack of the healthcare billing automation platform, said to be perpetrated by a notorious cybercriminal. | | |
| 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. 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. | | |
| A lawsuit contends that De’Markus Page, 2 years old, died because no one at University of Florida Health’s Shands Teaching Hospital spotted the errors, which should have been labeled as a “red flag” by EHR systems. A lawsuit contends that De’Markus Page, 2 years old, died because no one at University of Florida Health’s Shands Teaching Hospital spotted the errors, which should have been labeled as a “red flag” by EHR systems. | | |
| 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. 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. | | |
| 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. 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. | | |
| Nasser Mohamed, MD, a neurologist who operates a clinical practice in San Francisco, said an artificial intelligence system used by the autonomous taxi company led to him being denied multiple rides. He is seeking injunctive relief. Nasser Mohamed, MD, a neurologist who operates a clinical practice in San Francisco, said an artificial intelligence system used by the autonomous taxi company led to him being denied multiple rides. He is seeking injunctive relief. | | |
| President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medicare money. But eight Democrats opposing it think it will only bring Medicare Advantage chaos to Part A and Part B. President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medicare money. But eight Democrats opposing it think it will only bring Medicare Advantage chaos to Part A and Part B. | | |
| 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. 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. | | |
| With eight Democrats agreeing to the Republican-backed deal that reverses the firings of federal workers, the Senate now has the 60 votes needed for the bill to advance. The rehirings will include the 1,200 workers fired at the Department of Health and Human Services. With eight Democrats agreeing to the Republican-backed deal that reverses the firings of federal workers, the Senate now has the 60 votes needed for the bill to advance. The rehirings will include the 1,200 workers fired at the Department of Health and Human Services. | | |
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