The defendants include 90 physicians and other licensed medical professionals. 

The U.S. Department of Justice accuses the state of failing to hold a contractor accountable, despite the company allegedly failing to meet its obligation to bring savings to a Medicaid program that aids disabled patients. The state said the private management company saved taxpayers $1 billion in a single year since taking over the program. 

The lawsuit dates back to 2019 but has been stuck in the court process for years. In the end, the health plan will pay Pomona Valley Hospital for emergency care delivered to patients at an out-of-network rate—though the facility didn’t get all of what it was seeking. 

Legislative changes, demographic shifts and growing demand will combine to drive national health spending to almost $9 trillion by 2034.

The U.S. owns the lead in the critical categories of scientific quality and commercial know-how. However, Chinese development is faster, bigger and cheaper—and gaining on us. Which nation will ultimately prevail? 

A phishing attack on Xsolis, a Tennessee-based company whose list of clients includes hospitals and healthcare payers, was confirmed to have exposed sensitive medical information, including details on treatments that patients received.

State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores. 

An alleged whistleblower working for Abbott, Kris Ghosh, claims to have evidence of Pacific Vascular Institute utilizing more products for atherectomy procedures than medically necessary.

Any lingering fears about patients using online portals to get bonus medical attention for free should be largely quieted, albeit not completely silenced, by a new study conducted at New York University. 

The state’s Supreme Court restored the judgment, agreeing that John Farmer, Jr., MD, was branded with a “proverbial scarlet letter” after the complaint, which spiraled out of control and damaged his career.