Physicians won some of the most closely watched races of the 2026 midterms, including two Senate seats that helped Democrats take control of the chamber and the Ohio governor’s office. The current Congress includes 20 physicians — 16 in the…
Legal
Rep. Rosa DeLauro, D-Conn., introduced the Medicare for America Act on Oct. 30, legislation that would open an expanded Medicare program to every U.S. resident while preserving employer-sponsored coverage. The bill would also ban prior authorization and step therapy and…
Anthem has not paid 74% of the No Surprises Act arbitration awards it lost since 2024, the highest nonpayment rate among major insurers, The New York Times reported Nov. 3. The figure comes from medical billing firm HaloMD’s data on…
Dallas-based U.S. Anesthesia Partners has reached settlements in principle in two proposed class action lawsuits alleging it overcharged Texas patients and health plans for anesthesia. The parties disclosed the agreements in notices filed Oct. 30 in the U.S. District Court…
Syed Kablazada of Des Plaines, Ill., pleaded guilty Oct. 30 to two counts of healthcare fraud in a $227 million Medicare fraud scheme that billed for COVID-19 test kits beneficiaries never requested or received. Over six months starting in January…
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Regulators cut the cost of surprise-billing arbitration by 87%, at least four states tightened the rules on private equity deals, and the Department of Justice ran the largest healthcare fraud sweep in its history — all since January. Here are…
A federal grand jury indicted Mikia Noble, co-owner and COO of Richmond, Va.-area mental health provider Advancing Communities Everywhere, in an alleged $49 million Virginia Medicaid fraud scheme, the Justice Department said in an Oct. 28 news release. Ms. Noble,…
For generations, physicians have focused on the next patient and left policy and the business of medicine to others. Michael Verdon, DO, a neurosurgeon in Dayton, Ohio, believes that model is approaching a turning point. After watching threatened Medicare cuts…
A federal jury convicted Sophie Dufort, 57, of Gainesville, Fla., for her role in an $8.6 million Medicare fraud scheme involving medically unnecessary orthotic braces, the Justice Department said Oct. 27. Ms. Dufort owned one durable medical equipment company and…
The North Carolina Supreme Court has agreed to hear two AdventHealth challenges to certificates of need that state regulators awarded to Asheville-based Mission Health, part of Nashville, Tenn.-based HCA Healthcare. The court allowed two petitions for discretionary review from Fletcher…