#healthcare-fraud-allegations

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#hospice-fraud
Healthcare
fromLos Angeles Times
2 days ago

California was warned of shocking hospice fraud. Inaction allowed problems to persist

California officials have failed to stop widespread hospice fraud despite promises of reform and ongoing investigations into the industry.
California
fromCalifornia Post
3 weeks ago

House Oversight Committee launches probe into 'rampant' hospice fraud in California

California is under investigation for hospice fraud costing taxpayers over $100 million, involving ghost hospices billing Medicare from non-existent locations.
Healthcare
fromLos Angeles Times
1 week ago

Colossal hospice scheme cost California millions, officials say amid intensifying Trump feud

Twenty-one individuals are charged in a hospice fraud scheme that defrauded California's medical system of $267 million.
#insurance-fraud
California
fromFortune
20 hours ago

A bizarre insurance scam was exposed as 'clearly a human in a bear suit' damaging luxury cars | Fortune

Three individuals in California staged insurance fraud using a bear costume to claim damages on luxury cars, seeking nearly $142,000 in payouts.
California
fromABC7 Los Angeles
1 day ago

3 Southern California residents sentenced in bear suit insurance fraud scheme

Three residents staged fake bear attacks on cars for insurance fraud, leading to jail sentences and restitution.
California
fromFortune
20 hours ago

A bizarre insurance scam was exposed as 'clearly a human in a bear suit' damaging luxury cars | Fortune

Three individuals in California staged insurance fraud using a bear costume to claim damages on luxury cars, seeking nearly $142,000 in payouts.
California
fromABC7 Los Angeles
1 day ago

3 Southern California residents sentenced in bear suit insurance fraud scheme

Three residents staged fake bear attacks on cars for insurance fraud, leading to jail sentences and restitution.
Artificial intelligence
fromFuturism
1 day ago

Millions of Americans Are Talking to AI Instead of Going to the Doctor, and It's Giving Them Horrendously Flawed Medical Advice

AI chatbots are not reliable for medical advice, with failure rates exceeding 80% for ambiguous symptoms and 40% for straightforward cases.
Law
fromAbove the Law
2 days ago

Lawyer Tells Attorneys For Missing Child That They're 'Gonna Burn In Hell' - Above the Law

A lawyer for Camp Mystic made a controversial remark during a hearing related to a tragic flood that killed 27 people.
Media industry
fromThe Verge
2 days ago

Betting on the news raises ethical questions for journalists

Newsrooms are partnering with prediction market platforms while prohibiting staff from using them, creating a conflict in journalism ethics.
UK news
fromIndependent
3 days ago

Accountant who stole almost 30,000 from the golf club she worked for jailed

An accountant received a partially suspended three-year prison sentence for stealing nearly €30,000 from a golf club.
#healthcare-fraud
US politics
fromwww.mediaite.com
3 days ago

It's a Fact, Sir! House Democrat Confronts RFK Jr on Healthcare Fraud and Trump Administration

Rep. Lloyd Doggett questioned HHS Secretary Robert F. Kennedy Jr. about healthcare fraud and the reinstatement of brokers suspected of fraud.
Healthcare
fromLos Angeles Times
2 weeks ago

SoCal hospice owners bilked taxpayers for millions in false claims, federal officials say

Eight people were arrested for a scheme to defraud Medicare of over $50 million through sham hospice facilities in Southern California.
Healthcare
fromwww.mediaite.com
1 month ago

CBS Reports California Hospice Industry 'Ripe for Fraud'

California's hospice industry faces widespread fraud involving identity theft, overbilling, and hundreds of questionable facilities costing taxpayers hundreds of millions of dollars.
US politics
fromwww.mediaite.com
3 days ago

It's a Fact, Sir! House Democrat Confronts RFK Jr on Healthcare Fraud and Trump Administration

Rep. Lloyd Doggett questioned HHS Secretary Robert F. Kennedy Jr. about healthcare fraud and the reinstatement of brokers suspected of fraud.
Healthcare
fromLos Angeles Times
2 weeks ago

SoCal hospice owners bilked taxpayers for millions in false claims, federal officials say

Eight people were arrested for a scheme to defraud Medicare of over $50 million through sham hospice facilities in Southern California.
Healthcare
fromwww.mediaite.com
1 month ago

CBS Reports California Hospice Industry 'Ripe for Fraud'

California's hospice industry faces widespread fraud involving identity theft, overbilling, and hundreds of questionable facilities costing taxpayers hundreds of millions of dollars.
Medicine
fromThe Atlantic
4 days ago

How to Fix a Diagnosis Crisis

Diagnostic errors are common, affecting 5% of Americans annually, leading to significant disability and death.
#corruption
Brooklyn
fromNew York Post
5 days ago

Brooklyn homecare indictment exposes web of corruption that could bring down city Dem politicians

A Brooklyn nonprofit faces federal indictment for alleged corruption involving $200 million in public contracts and fraudulent activities.
Brooklyn
fromNew York Post
5 days ago

Brooklyn homecare indictment exposes web of corruption that could bring down city Dem politicians

A Brooklyn nonprofit faces federal indictment for alleged corruption involving $200 million in public contracts and fraudulent activities.
#fraud
France news
fromThe Local France
4 days ago

French police arrest man for selling fake sick notes online

A man was arrested in France for selling over 44,000 fake doctor's notes, facing up to 10 years in prison and a €1 million fine.
fromwww.cbc.ca
5 days ago
Brooklyn

Ontario pastor charged with fraud after York Region homelessness prevention program targeted: police | CBC News

France news
fromThe Local France
4 days ago

French police arrest man for selling fake sick notes online

A man was arrested in France for selling over 44,000 fake doctor's notes, facing up to 10 years in prison and a €1 million fine.
fromwww.cbc.ca
5 days ago
Brooklyn

Ontario pastor charged with fraud after York Region homelessness prevention program targeted: police | CBC News

fromTheregister
3 days ago

Indian government investigating TCS after police sting

Reports indicate that an initial inquiry, triggered by a complaint relating to religious practices, has brought to light disturbing allegations involving sexual harassment, rape, and attempts at forced religious conversion of female employees by certain individuals in supervisory roles.
Women in technology
Retirement
fromEntrepreneur
5 days ago

More Taxpayers Are Cheating. Here's Why 'The IRS Isn't Going to Catch Me' Is the New Strategy.

IRS workforce reductions lead to decreased audits and increased taxpayer noncompliance, costing the government significantly in revenue.
Healthcare
fromwww.npr.org
7 hours ago

Real estate investors are buying up long-term care facilities. Residents can suffer

Pearlene Darby died from infections and bedsores after alleged neglect in a nursing home, leading to a lawsuit against the facility and its owner.
fromLos Angeles Times
5 days ago

Ex-UCLA doctor admits to sexually abusing five patients after previous conviction overturned

James Heaps, 70, pleaded guilty to 13 felonies, including multiple counts of sexual penetration of an unconscious person, and must register as a sex offender for life.
Law
fromArs Technica
3 days ago

Florida surgeon charged with killing man after removing liver instead of spleen

The liver Shaknovsky removed was over 2,100 grams, measuring about 23 by 19 by 11 centimeters. An enlarged spleen is at most 500 grams and only up to 20 cm long, the health department noted.
Medicine
#antitrust
Healthcare
fromMedCity News
1 week ago

Inside The DOJ's Hospital Contracting Crackdown: What Message Are the Feds Sending? - MedCity News

The Department of Justice is suing OhioHealth and NewYork-Presbyterian for anticompetitive contracting practices that limit patient access to affordable care.
Healthcare
fromMedCity News
3 weeks ago

DOJ Cracks Down on Unfair Contracts with New Lawsuit Against NewYork-Presbyterian - MedCity News

The Department of Justice filed an antitrust lawsuit against NewYork-Presbyterian Hospital for using restrictive contracts to block lower-cost healthcare plans.
Healthcare
fromMedCity News
1 week ago

Inside The DOJ's Hospital Contracting Crackdown: What Message Are the Feds Sending? - MedCity News

The Department of Justice is suing OhioHealth and NewYork-Presbyterian for anticompetitive contracting practices that limit patient access to affordable care.
Healthcare
fromMedCity News
3 weeks ago

DOJ Cracks Down on Unfair Contracts with New Lawsuit Against NewYork-Presbyterian - MedCity News

The Department of Justice filed an antitrust lawsuit against NewYork-Presbyterian Hospital for using restrictive contracts to block lower-cost healthcare plans.
fromLos Angeles Times
3 days ago

Former O.C. cop used database to track woman, contacted her thousands of times, prosecutors say

Josett admitted to contacting the woman sometimes more than 100 times a day during a period of nine months, violating a restraining order by driving by her house after being notified of his impending termination.
Law
#manslaughter
California
fromABC7 San Francisco
1 week ago

California officials charge 21 people in hospice fraud ring exceeding $250 million

California officials uncovered a multimillion-dollar scheme involving stolen identities to fraudulently bill for hospice services through government insurance.
Healthcare
fromMedium
3 days ago

The trust gap in healthcare AI isn't about the AI

Trust in healthcare AI is established in the first 30 seconds of interaction, not through model improvements.
Remote teams
fromTheregister
2 weeks ago

Security contractor blew the whistle on shabby support crew

Brad, a security contractor, faced challenges with antivirus alerts while working in a labor hire company's office without proper IT support.
Law
fromPadailypost
5 days ago

DA sued for paying prosecutor not to work

A lawsuit claims Santa Clara County DA Jeff Rosen wastes taxpayer money by paying a prosecutor to stay home amid budget cuts.
#ransomware
Healthcare
fromSecurityWeek
3 days ago

Data Breach at Tennessee Hospital Affects 337,000

Cookeville Regional Medical Center experienced a ransomware attack, compromising data of over 337,000 individuals, including sensitive personal and medical information.
Healthcare
fromSecuritymagazine
3 days ago

What "The Pitt" Gets Right About Ransomware and What Hospitals Can't Afford to Ignore

Ransomware incidents in healthcare lead to significant operational fallout, requiring extensive recovery efforts beyond just paying the ransom.
Healthcare
fromSecurityWeek
3 days ago

Data Breach at Tennessee Hospital Affects 337,000

Cookeville Regional Medical Center experienced a ransomware attack, compromising data of over 337,000 individuals, including sensitive personal and medical information.
Healthcare
fromSecuritymagazine
3 days ago

What "The Pitt" Gets Right About Ransomware and What Hospitals Can't Afford to Ignore

Ransomware incidents in healthcare lead to significant operational fallout, requiring extensive recovery efforts beyond just paying the ransom.
Law
fromAbove the Law
5 days ago

Legal Ethics Roundup: Billing 34.5 Hours In A Day, New ABA Recusal Opinion, Shortcomings In SCOTUS Ethics Rules, Pro Se AI Sanctions, Extra Time For Bar Exam, Purging Immigration Judges & More - Above the Law

Lawyers must disclose information that could lead to a judge's disqualification, balancing this with client confidentiality obligations.
Healthcare
fromwww.amny.com
2 days ago

Op-Ed | Albany should reject 340B expansion legislation and focus on patients | amNewYork

CancerCare advocates for transparency in the 340B Drug Pricing Program to prioritize patient benefits and reject harmful budget proposals.
Law
fromAbove the Law
5 days ago

Biglaw Firm Sued For Firing Staffer A Month After Returning From Disability - Above the Law

Firing an employee shortly after disability leave, amid claims of a hostile work environment, can lead to legal repercussions.
US news
fromThe Washington Post
1 month ago

Company admits it diverted private patient records to law firms

GuardDog Telehealth illegally accessed and sold patient medical records from multiple health systems to law firms without patient consent, representing the first settlement in Epic Systems' lawsuit against companies engaged in this practice.
Law
fromThe Gottman Institute
6 days ago

What Is a Superbill? And Can It Be Used for Therapy?

A superbill is a detailed receipt that enables clients to claim out-of-network therapy reimbursements from insurance companies.
#healthcare
Healthcare
fromCbsnews
1 week ago

Fighting for health care claim approvals

Insurance companies often delay or deny necessary medical treatments, causing significant emotional and physical distress for patients.
Healthcare
fromMedCity News
1 week ago

Jefferson Health Sues Aetna As Providers' Frustration with MA Grows - MedCity News

Jefferson Health is suing Aetna for unfairly reducing Medicare Advantage payments for inpatient hospital stays deemed 'low severity'.
Healthcare
fromMedscape
1 week ago

Medscape Physician Compensation Report 2026: Positive Signs

Doctors in the US experienced a 3% average pay increase in 2025, with eight specialties earning over $500,000 in total compensation.
Privacy professionals
fromSecuritymagazine
1 month ago

GuardDog Telehealth Accesses Sensitive Medical Records Under False Pretenses

GuardDog Telehealth accessed patient medical records under false treatment pretenses and sold sensitive data to law firms seeking clients with specific injuries.
#medicaid
fromFortune
1 week ago
Healthcare

'It's really slapdash': Trump administration coughs up to egregious errors to justify New York health fraud probe | Fortune

Healthcare
fromwww.mediaite.com
1 week ago

Trump Admin Admits Majorly Inflated Medicaid Numbers Were Used to Justify Fraud Probe

The Trump administration admitted to using inflated Medicaid figures for a fraud probe, raising questions about its nationwide crackdown on alleged abuse.
Healthcare
fromFortune
1 week ago

'It's really slapdash': Trump administration coughs up to egregious errors to justify New York health fraud probe | Fortune

The Trump administration admitted to a significant error in Medicaid fraud probe figures, undermining its anti-fraud campaign in Democratic states.
fromwww.bbc.com
1 month ago

Police probe breast cancer treatment allegations

A report last year found unnecessary surgeries were carried out, cancers were missed and poor standards of care were delivered at the University Hospital of North Durham and Darlington Memorial Hospital. CDDTF said it wanted to support the patients it had let down, including by offering access to psychological support, and to ensure they knew how to make a claim or raise concerns with police.
Cancer
Healthcare
fromwww.theguardian.com
6 days ago

Private firms providing services to NHS made 1.6bn profit in two years, research finds

Private firms made £1.6 billion in profits from NHS contracts, raising concerns about profiteering and calls for profit caps.
Law
fromNextgov.com
3 weeks ago

VA's former EHR lead indicted for concealing contractor gifts

A senior VA executive was charged for failing to disclose gifts from contractors during a health records modernization project.
Healthcare
fromMedCity News
2 weeks ago

Why 131 Hospitals Are Suing HHS Over Alleged Underpayment - MedCity News

131 hospitals are suing HHS over CMS payment reductions for facilities treating low-income Medicare patients.
#cybersecurity
Healthcare
fromSecuritymagazine
1 week ago

Healthcare Executives Face a New Era of Personal Risk

Healthcare executives face heightened personal risks due to grievance-motivated cyber threats amid economic pressures and public accountability.
Healthcare
fromBoston.com
1 week ago

Signature Healthcare in Brockton hit by cybersecurity incident

Signature Healthcare is managing a cybersecurity incident, affecting some services while maintaining inpatient and emergency care.
Healthcare
fromSecurityWeek
2 weeks ago

Healthcare IT Platform CareCloud Probing Potential Data Breach

CareCloud experienced a cybersecurity incident that may have compromised patient information, but the impact is believed to be limited and manageable.
Law
fromwww.bbc.com
1 month ago

Saleswoman faked doctor's note about cancer care

A saleswoman admitted to perverting the course of justice by fabricating evidence including fake doctor's notes, false police emails, and CCTV claims across two failed employment tribunal cases involving sexual harassment allegations.
Social justice
fromCommon Dreams
2 months ago

New Report Exposes MAHA's Corrupting Influence in HHS and Beyond

Immigration enforcement in Minnesota allegedly involved constitutional violations, racial profiling, violent detentions, and ignoring proof of legal status against mainly US citizens and residents.
fromwww.theguardian.com
2 months ago

NHS patients put at risk by sham investigations', says ex-CEO of hospital

Dr Susan Gilby took over as chief executive at the Countess of Chester hospital in 2018 after it was rocked by the Lucy Letby case. She was awarded the payout one of the biggest in NHS history last month after a tribunal ruled she had been unfairly dismissed after raising concerns about alleged bullying and harassment by the chair of the hospital board.
Public health
fromPsychology Today
2 months ago

Suing Therapeutic AI Systems for Malpractice

As AI becomes integrated into daily life and personal decision making, it is unsurprising that many people are consulting AI for assistance with depression, anxiety, and other mental health concerns. Mental health chatbots, self-help applications, and large language models can provide immediate responses, emotional validation, and structured coping strategies.
Mental health
UK news
fromwww.bbc.com
2 months ago

Doctor accused of sex assaults on 38 patients

Nathaniel Spencer has been charged with over 40 counts of sexual assault and assault by penetration involving 38 patients, including some under 13.
#data-breach
Healthcare
fromTechCrunch
2 weeks ago

Health data giant CareCloud says hackers accessed patients' medical records | TechCrunch

CareCloud experienced a data breach where hackers accessed patient electronic health records for over eight hours, but data exfiltration status remains unclear.
fromDataBreaches.Net
2 months ago
Privacy professionals

Investigation into data breach involving Blue Cross Blue Shield members could head to court - DataBreaches.Net

Healthcare
fromTechCrunch
2 weeks ago

Health data giant CareCloud says hackers accessed patients' medical records | TechCrunch

CareCloud experienced a data breach where hackers accessed patient electronic health records for over eight hours, but data exfiltration status remains unclear.
fromDataBreaches.Net
2 months ago
Privacy professionals

Investigation into data breach involving Blue Cross Blue Shield members could head to court - DataBreaches.Net

Public health
fromCbsnews
2 months ago

Patients are being hit with this surprise fee just for seeing their doc. Here's what to know.

Hospital-owned outpatient clinics often add surprise facility fees that increase patients' costs and can deter people from seeking routine care.
US politics
fromNextgov.com
1 month ago

White House 'war on fraud' to begin with freezing Medicaid payments to Minnesota

The Trump administration withheld $259.5 million in Medicaid funding from Minnesota as part of a fraud investigation, with potential for $1 billion in deferred payments if the state fails to respond within 60 days.
fromwww.npr.org
2 months ago

Hospitals are posting prices for patients. It's mostly industry using the data

The idea echoes a policy implemented during his first term, when Trump suggested that requiring hospitals to post their charges online could ease one of the most common gripes about the health care system the lack of upfront prices. To anyone who's gotten a bill three months after treatment only to find mysterious charges, the idea seemed intuitive. "You're able to go online and compare all of the hospitals and the doctors and the prices,"
US news
#no-surprises-act
fromMedCity News
2 months ago
Public health

Is It Time to Change the Independent Dispute Resolution Process of the No Surprises Act? - MedCity News

Healthcare
fromMedCity News
3 weeks ago

'This is Crazy': Health Experts Call for Changes to the No Surprises Act - MedCity News

The No Surprises Act is facing challenges due to the misuse of the Independent Dispute Resolution process by providers, leading to unsustainable reimbursement levels.
fromMedCity News
2 months ago
Public health

Is It Time to Change the Independent Dispute Resolution Process of the No Surprises Act? - MedCity News

Privacy professionals
fromDataBreaches.Net
2 months ago

It's 2026, but hospitals still haven't prevented snooping in celebrities' records - DataBreaches.Net

Hospital employees accessed and shared a celebrity patient's private medical information, took selfies while he was medicated, and took steps to conceal his presence.
California
fromLos Angeles Times
1 month ago

SoCal nonprofit exec spent thousands in public money to lift breasts, tighten tummy, D.A. says

A former nonprofit COO allegedly embezzled over $130,000 from overdose-prevention grants and used funds for cosmetic surgery, luxury travel, and personal purchases.
#medical-misconduct
fromIndependent
2 months ago
Medicine

Surgeon guilty of professional misconduct over death of Jessica Sheedy should get 'significant' sanction, court hears

fromIndependent
2 months ago
Medicine

Surgeon guilty of professional misconduct over death of Jessica Sheedy should get 'significant' sanction, inquiry hears

fromIndependent
2 months ago
Medicine

Surgeon guilty of professional misconduct over death of Jessica Sheedy should get 'significant' sanction, court hears

fromIndependent
2 months ago
Medicine

Surgeon guilty of professional misconduct over death of Jessica Sheedy should get 'significant' sanction, inquiry hears

Healthcare
fromNextgov.com
1 month ago

CMS seeks to expand tech-driven fight against Medicaid fraud

CMS uses innovative technologies and AI-driven fraud detection to prevent improper payments, saving over $2 billion through its Fraud Defense Operations Center launched in March 2025.
#medicaid-fraud
Healthcare
fromwww.npr.org
1 month ago

The threats to Minnesota's Medicaid funds are unprecedented. Other states could be next

Medicaid fraud investigations in Minnesota threaten funding for essential services for vulnerable populations, including children with disabilities, raising concerns about unprecedented disruption to healthcare coverage.
Healthcare
fromwww.npr.org
1 month ago

The threats to Minnesota's Medicaid funds are unprecedented. Other states could be next

Medicaid fraud investigations in Minnesota threaten funding for essential services for vulnerable populations, including children with disabilities, raising concerns about unprecedented disruption to healthcare coverage.
fromwww.dw.com
2 months ago

Federal judge drops murder rap in UnitedHealthcare CEO case

A New York federal judge has dismissed murder and weapons charges against Luigi M., accused of killing UnitedHealthcare chief executive Brian Thompson, ruling that prosecutors cannot pursue those counts under federal law. The decision has stripped prosecutors of the ability to seek the death penalty in the federal case, while leaving Mangione facing separate state charges. Who has issued the ruling? US District Judge Margaret M. Garnett issued the decision on Friday in federal court in Manhattan.
Law
Healthcare
fromwww.mercurynews.com
2 months ago

My insurance says I owe nothing, so why is Quest Diagnostics demanding $563?

Provider failed to file the claim timely due to a coding error, leaving the patient wrongly pursued for full charges; patient should not be responsible.
Healthcare
fromSecuritymagazine
2 months ago

Top 20 Healthcare Data Breaches of 2025

Healthcare data breaches fell 4.3% in 2025, but reporting delays and late additions—compounded by a federal shutdown—may obscure the final breach total.
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