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‘AI avalanche’ descends on surgery | Nonprofit health system sues PBMs | ‘Pill mill’ doctor charged | HIV drugs from Turkey

News You Need to Know Today
‘AI avalanche’ descends on surgery | Nonprofit health system sues PBMs | ‘Pill mill’ doctor charged | HIV drugs from Turkey
Friday, January 9, 2026
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Today's News and Trends

The ‘AI avalanche’ descends on surgery, ChatGPT goes healthcare-specific and more AI news & views not to miss

AI is an icy landslide sweeping through healthcare. Even surgeons must choose between two stark options: Ride the crest of the powder cloud now or dig yourselves out of a deep runout zone later. 

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AI Avalanche
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The ‘AI avalanche’ descends on surgery, ChatGPT goes healthcare-specific and more AI news & views not to miss

Share on Twitter Share on Facebook Share on Linkedin
AI Avalanche
AI is an icy landslide sweeping through healthcare. Even surgeons must choose between two stark options: Ride the crest of the powder cloud now or dig yourselves out of a deep runout zone later. 
READ MORE >

Large nonprofit health system sues PBMs, drug companies over insulin prices

Philadelphia-based Jefferson Health has accused the three biggest PBMs—Caremark, Express Scripts and Optum Rx—of a de facto collusion scheme involving the primary makers of insulin, Eli Lilly, Novo Nordisk and Sanofi. The lawsuit alleges rebates offered by the manufacturers unfairly burden self-insured and public health plans, like the one the health system uses for its employees.

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Jefferson Health
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Large nonprofit health system sues PBMs, drug companies over insulin prices

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Jefferson Health
Philadelphia-based Jefferson Health has accused the three biggest PBMs—Caremark, Express Scripts and Optum Rx—of a de facto collusion scheme involving the primary makers of insulin, Eli Lilly, Novo Nordisk and Sanofi. The lawsuit alleges rebates offered by the manufacturers unfairly burden self-insured and public health plans, like the one the health system uses for its employees.
READ MORE >

Doctor faces 58 counts of unlawful opioid distribution, fraud as part of 'pill mill' operation

The U.S. Department of Justice alleges that 52-year-old Ritesh Kalra, MD, wrote 50 prescriptions a day for addictive painkillers and billed New Jersey Medicaid for patient visits that never occurred. The alleged incidents occurred between 2019 and 2025.

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Department of Justice DOJ
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Doctor faces 58 counts of unlawful opioid distribution, fraud as part of 'pill mill' operation

Share on Twitter Share on Facebook Share on Linkedin
Department of Justice DOJ
The U.S. Department of Justice alleges that 52-year-old Ritesh Kalra, MD, wrote 50 prescriptions a day for addictive painkillers and billed New Jersey Medicaid for patient visits that never occurred. The alleged incidents occurred between 2019 and 2025.
READ MORE >

Lawsuit alleges AFP imported unsafe HIV drugs from Turkey through gray market supply chains

Numerous “alternative funding programs” are named as defendants in what is a larger challenge of the right of these third-party organizations to import drugs from overseas, bypassing FDA regulations. 

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supply chain shipping boat tariff
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Lawsuit alleges AFP imported unsafe HIV drugs from Turkey through gray market supply chains

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supply chain shipping boat tariff
Numerous “alternative funding programs” are named as defendants in what is a larger challenge of the right of these third-party organizations to import drugs from overseas, bypassing FDA regulations. 
READ MORE >

Featured Articles

New food pyramid cheered and contested, doctors vs. gun harms & other high-level briefings

Keto-diet champions will like the new food pyramid’s emphasis on proteins, including those high in saturated fats. Not everyone shares their predisposition. 

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new food pyramid
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New food pyramid cheered and contested, doctors vs. gun harms & other high-level briefings

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new food pyramid
Keto-diet champions will like the new food pyramid’s emphasis on proteins, including those high in saturated fats. Not everyone shares their predisposition. 
READ MORE >

Mangione defense pushes for recusal of Pam Bondi, citing her ties to UnitedHealth lobbyists

Lawyers representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson, cite Attorney General Pam Bondi's tenure with Ballard Partners, a lobbying firm whose clients include UnitedHealth, as evidence of her conflict of interest. In response, the prosecution called the claim “misleading.”

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Mangione PA Police Photo
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Mangione defense pushes for recusal of Pam Bondi, citing her ties to UnitedHealth lobbyists

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Mangione PA Police Photo
Lawyers representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson, cite Attorney General Pam Bondi's tenure with Ballard Partners, a lobbying firm whose clients include UnitedHealth, as evidence of her conflict of interest. In response, the prosecution called the claim “misleading.”
READ MORE >

FDA: AI-powered medical devices ‘simply providing information’ are not subject to regulation

During a recent segment on Fox Business, Food and Drug Administration Commissioner Martin Makary, MD, clarified new guidance on AI, meant to provide companies with the flexibility to gather and provide data without the agency's approval. However, medical devices that provide "clinical-grade" data will still need to be cleared.

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U.S. FDA Sign
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FDA: AI-powered medical devices ‘simply providing information’ are not subject to regulation

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U.S. FDA Sign
During a recent segment on Fox Business, Food and Drug Administration Commissioner Martin Makary, MD, clarified new guidance on AI, meant to provide companies with the flexibility to gather and provide data without the agency's approval. However, medical devices that provide "clinical-grade" data will still need to be cleared.
READ MORE >

In Case You Missed It

CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year

That number includes signups on both state and federal exchanges. To date, roughly 400,000 new plans have been sold on exchanges, year over year. But the still-unknown details will determine what exactly it all means.

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insurance
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CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year

Share on Twitter Share on Facebook Share on Linkedin
insurance
That number includes signups on both state and federal exchanges. To date, roughly 400,000 new plans have been sold on exchanges, year over year. But the still-unknown details will determine what exactly it all means.
READ MORE >

How US healthcare can win over—or win back—the American people

The American public’s trust in healthcare institutions, long a matter of common courtesy, fell off a cliff after the COVID-19 crisis. Two academic physicians propose a treatment pathway for the injured patient—aka our healthcare system’s reputation for reliability. 

READ MORE >
4th of July parade
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How US healthcare can win over—or win back—the American people

Share on Twitter Share on Facebook Share on Linkedin
4th of July parade
The American public’s trust in healthcare institutions, long a matter of common courtesy, fell off a cliff after the COVID-19 crisis. Two academic physicians propose a treatment pathway for the injured patient—aka our healthcare system’s reputation for reliability. 
READ MORE >

In Other News

Cardiologists perform first procedure of its kind to prevent coronary obstruction after TAVR

A vulnerable heart patient required TAVR, but he faced an extremely high risk of coronary obstruction. Leaflet modification and snorkel stenting were not possible, so the group turned to a brand new treatment option: the VECTOR procedure.

READ MORE >
Newsweek ranked the 50 best heart hospitals in the world
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Cardiologists perform first procedure of its kind to prevent coronary obstruction after TAVR

Share on Twitter Share on Facebook Share on Linkedin
Newsweek ranked the 50 best heart hospitals in the world
A vulnerable heart patient required TAVR, but he faced an extremely high risk of coronary obstruction. Leaflet modification and snorkel stenting were not possible, so the group turned to a brand new treatment option: the VECTOR procedure.
READ MORE >

Siemens Healthineers' latest 'helium-free' MRI nabs FDA clearance

The health tech company announced the news Thursday, noting that the platform should help facilities address the growing demand for imaging.

READ MORE >
70cm bore Magnetom Flow platform
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Siemens Healthineers' latest 'helium-free' MRI nabs FDA clearance

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70cm bore Magnetom Flow platform
The health tech company announced the news Thursday, noting that the platform should help facilities address the growing demand for imaging.
READ MORE >

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