Many of the medicines on TrumpRx include brand-name drugs that patients can find cheaper elsewhere as generics. For instance, Protonix for heartburn is available for $200 on TrumpRx, but the generic version, pantoprazole, costs less than $30 with a GoodRx coupon.
Eight individuals were arrested and 15 charged in a scheme to defraud Medicare of over $50 million by running sham hospice facilities across Southern California. Federal officials described the actions as brazen efforts to commit fraud, with many billed patients not being terminally ill.
Costa's then-manager told him that ServiceNow would not pay this commission because the Sales Compensation Department had concluded that Costa had 'overachieved to a degree that was outside normal' in relation to his sales quota. In other words, ServiceNow believed Costa had made too much money, notwithstanding that his commission was only a small percentage of the revenue recognized and received by ServiceNow.
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.
In birth injury cases, the collection of evidence is crucial for establishing liability and demonstrating the extent of harm suffered by the child and family. Without sufficient evidence, it becomes challenging to prove that the injury was preventable and that the healthcare providers failed in their duty of care.
Your potential client is in pain, their car is totaled, the medical bills are piling up, and a claims adjuster is calling them relentlessly, trying to get a recorded statement. They do not want a gladiator in a suit; they want a lifeline.
Part of the issue is the black box that is insurance. The state Department of Financial Services helps set rates for companies operating in New York, but on a granular level, companies use proprietary algorithms and metrics to set premiums.
We're seeing more frequent, more severe extreme weather events and that inevitably affects claims and affects pricing it can't not. And this is happening all over the globe. More, after this week's most important reads.
According to a 2025 MetLife personal injury study, the severity of injury plays a significant role in determining a settlement amount both in terms of economic and non-economic damages. As such, the MetLife study found that on average, the amount of settlement money a personal injury litigant receives is about $324,000.
Insurance is often one of those bills people think about only when premiums rise or a loss makes it necessary to review. Not updating a policy can cost you vastly more money than just paying a slightly higher premium, be that car insurance, home insurance or life insurance, to name a few. Rather than waiting to find out what coverage you have, brokers and other insurance experts offered some moves you should make as soon as possible.
Constantin Iosca moved here from Romania in 1997 for a 'better life', but will be spending nearly three years in jail after bringing a fraudulent personal injury claim
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.
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,"
Gov. Gavin Newsom noted that insurance companies are returning or expanding coverage in California in his final State of the State speech, but acknowledged that there is still "a lot of work to do here." His latest budget includes a financing program to help survivors of wildfires bridge the gap between insurance payouts and the costs of rebuilding. "This will help get survivors back in their homes much, much faster," he said.
Medicare has launched a six-year pilot program that could eventually transform access to healthcare for some of the millions of people across the U.S. who rely on it for their health insurance coverage. Traditional Medicare is a government-administered insurance plan for people over 65 or with disabilities. About half of the 67 million Americans insured through Medicare have this coverage. The rest have Medicare Advantage plans administered by private companies.
"Today I'm forced to stand here and beg because an insurance company decided that profits matter more than the life of a man who spent his career protecting this city," said Jones's daughter Rachel Jones at the hearing. He ran into burning buildings, inhaled toxic smoke, and put his life on the line again and again, so that others could survive, Rachel Jones continued. Now, when he needs the help the most, the insurance company provided by this city through Blue Shield is denying him the medication his doctors say is necessary to keep him alive.
The most important concept in any personal injury case is "negligence." You can't simply sue a business because you got hurt on their property; you have to prove that they did something wrong. To win your case, you generally need to show that the business had a duty to keep you safe, that they failed in that duty, and that their failure directly caused your injury.
The issue is particularly critical right now for people who have insurance plans through the Affordable Care Act marketplace. Prices for those plans have skyrocketed this year after Congress failed to extend critical tax credits. Without those credits, monthly premiums for ACA plans have, on average, more than doubled. Early data on ACA enrollments for 2026 not only suggests that fewer people are signing up for the plans, but also that those who are enrolling are often choosing bronze plans, which are high-deductible plans.
They don't drive it. They don't manage it. They don't control it. They let it control them. And then one day, they look up and realize discovery closed last week, the client is asking why nobody has taken the key depo, the adjuster wants a status report "by the end of the day," and the partner is asking the question that makes your stomach drop: "Where are we on this file?"
Last August, my dream trip to India imploded before takeoff. A delayed flight from Orlando to Atlanta caused me to miss my connection to Paris. Delta Air Lines rebooked me 25 hours later through London, costing me $270 for hotels, meals and taxis. I'd wisely bought Trawick International travel insurance, which covers a trip disruption. But SureGo Claims, their administrator, became a nightmare. They demanded endless documents, assured me everything was received, then denied my claim with a lie: Your delay was only 3 hours.
Affiliates of Kaiser Permanente, the healthcare consortium headquartered in Oakland, have agreed to pay $556 million to resolve allegations that they violated the federal False Claims Act by submitting invalid diagnosis codes for their Medicare Advantage Plan enrollees in order to receive higher payments from the government. The civil settlement includes the resolution of certain claims brought in lawsuits under the whistleblower provisions of the False Claims Act by Ronda Osinek and Dr. James M. Taylor, former employees of Kaiser Permanente.
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.
You're getting ready to make a document production to the other side. You're worried though that the other side may use GenAI tools on the documents that don't ensure they are protected from public disclosure. You ask to see the other side's policies just to be sure. They refuse. You ask the judge for a protective order since some of your documents contain trade secrets.
According to one expert at Pitchbook, two core issues are likely to dominate healthcare reform discussions in 2026: rising costs and flaws in Medicare Advantage. Healthcare affordability remains a major systemic issue preventing millions of Americans from accessing care, and Medicare Advantage's risk-adjustment system is "clearly broken," creating incentives that pull excess money into the program, explained Brian Wright, lead analyst for healthcare research at Pitchbook.
In 2026, the US healthcare system is changing. Enhanced Affordable Care Act subsidies have expired, causing premiums for marketplace plans to spike - and pricing some families out of health insurance entirely. President Donald Trump's One Big Beautiful Bill Act will reduce coverage for some patients with Medicaid and funding for hospitals, especially those in rural areas. Costs for Medicare and private insurance are also rising: Employer-based healthcare premiums have increased by 9%, the largest rise in more than a decade.
