#medical-denial

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Healthcare
fromTruthout
11 hours ago

Nurses Forge Alliances to Protect Patients From Trump's Immigration Crackdown

Nurses demand the abolition of ICE and improved patient rights protections in healthcare settings.
Medicine
fromFast Company
1 day ago

The $80,000 clue hiding in plain sight in U.S. healthcare

Genomic sequencing can identify genetic causes of neurological conditions but is often underutilized early in patient care.
SF parents
fromLos Angeles Times
9 hours ago

California kids are going without vision care, and the problem is getting worse

Vision problems in children are increasing, yet fewer kids on Medi-Cal are receiving necessary eye care.
Law
fromABA Journal
2 days ago

Sanctions ramping up in cases involving AI hallucinations

Monetary sanctions against attorneys for AI-generated hallucinations in case documents are increasing as courts take these issues more seriously.
NYC parents
fromPsychology Today
2 days ago

Is Mandated Reporting Racist? What Families Must Know

Low reporting standards and systemic racism lead to unjust CPS reports, disproportionately affecting Black and Brown families.
SF politics
fromNextgov.com
2 days ago

Social Security delays launch of new nationwide caseload system

The Social Security Administration is delaying the rollout of new centralized claims processing systems to ensure customer experience is prioritized.
Cancer
fromFortune
3 days ago

Cancer's grim calculus for the young: their insurance status can determine how long they survive | Fortune

Insurance status significantly impacts cancer survival rates among young adults, with private insurance leading to better outcomes than Medicaid or no insurance.
fromFortune
3 days ago

The quadruple amputee cornholer's shooting was in self-defense, lawyer says | Fortune

The truth here is that he would have been a murder victim if he had not acted immediately in defense of his life, according to defense attorney Andrew Jezic.
US news
Public health
fromwww.npr.org
4 days ago

Babies are an afterthought in the birthright citizenship case, advocates say

Birthright citizenship impacts every baby born in America, providing them with immediate access to essential support and services.
Podcast
fromSlate Magazine
4 days ago

A Court Settlement Made Me a Millionaire. I've Barely Touched the Money.

Natalie received over a million dollars in a major abuse settlement after being sexually abused by her university gynecologist.
Social justice
fromSlate Magazine
5 days ago

The Horrifying Secret of the Child Detention Center We Shared as Detainee and Warden

The Cheltenham Youth Detention Center has a troubling history of racial segregation and a lack of memorial for children who died in custody.
Healthcare
fromMedCity News
1 week 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.
fromShore News Network - The Latest Breaking, Viral and Trending News
1 day ago

Federal judge allows parts of discrimination lawsuit against NYC agency to proceed

The lawsuit was filed by Deshanae L. Brown, who alleges she was subjected to discrimination based on her race, sex, and disability, citing violations of federal and state laws including Title VII, the Americans with Disabilities Act, and the Family and Medical Leave Act.
Law
fromNews Center
1 day ago

Policy Intervention Linked to Increase in Kidney Transplants in Black Patients - News Center

"This argues for the need to sustain such policies and shows that it is possible to right the wrongs retroactively, which is a powerful idea," said Kenneth Michelson, MD, MPH, associate professor of Pediatrics in the Division of Emergency Medicine and a co-author of the study.
Medicine
#affordable-care-act
fromPsychology Today
1 week ago
Left-wing politics

How the Battle for Affordable Care Became a Culture War

The Affordable Care Act's passage and implementation faced significant political and cultural challenges, shaping national discourse for years to come.
fromTruthout
1 week ago
Healthcare

Trump Admin Touts ACA Fraud Fixes While Pushing New Barriers to Coverage

The Trump administration proposes new ACA regulations to combat enrollment fraud, but these may hinder eligible applicants from enrolling.
Left-wing politics
fromPsychology Today
1 week ago

How the Battle for Affordable Care Became a Culture War

The Affordable Care Act's passage and implementation faced significant political and cultural challenges, shaping national discourse for years to come.
Healthcare
fromTruthout
1 week ago

Trump Admin Touts ACA Fraud Fixes While Pushing New Barriers to Coverage

The Trump administration proposes new ACA regulations to combat enrollment fraud, but these may hinder eligible applicants from enrolling.
California
fromCalifornia Post
1 week 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.
fromwww.npr.org
6 days ago

How to navigate the maze of drug discounts to get the best price

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.
US news
#healthcare-fraud
Healthcare
fromLos Angeles Times
2 days 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
3 weeks 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.
Law
fromAbove the Law
2 days ago

The Price Of Justice And The Promise Of AI - Above the Law

Rising legal service costs and declining access-to-justice funding widen the gap for those needing legal protections, with AI presenting potential solutions.
fromIndependent
2 days ago

Retired urologist faces tribunal over alleged patient care failures and failure to triage hundreds of GP referrals

Aidan O'Brien faces a series of allegations including that he failed to provide good clinical care to 10 patients between 2011 and 2019.
Medicine
Public health
fromTruthout
1 week ago

ICE Raids and Medicaid Cuts Put Both Caregivers and Their Patients at Risk

Access to in-home care for disabled individuals is threatened by fears of immigration enforcement against care workers.
Healthcare
fromFuturism
2 days ago

Insurance Companies Already Deploying AI Systems to Deny Claims Faster Than Ever Before

AI automation in insurance claims may lead to increased denials of necessary medical care, raising concerns among patients and advocates.
Law
fromESPN.com
4 days ago

Judge dismisses lawsuit alleging sex abuse by ex-IU doctor

A federal judge dismissed a lawsuit against Indiana University due to the plaintiffs exceeding the statute of limitations for reporting sexual misconduct.
Healthcare
fromwww.amny.com
2 days ago

Op-Ed | New Yorkers can't afford Albany's single-payer fantasy | amNewYork

New York lawmakers propose the New York Health Act for a single-payer system, but it risks catastrophic tax increases and financial instability.
Law
fromURL Media
3 days ago

For Asian Immigrants in NYC, Legal Help Remains Out of Reach With Life-Altering Consequences

Mohan's deportation highlights systemic issues in immigration legal services for Asian immigrants in New York City.
US news
fromThe Washington Post
2 weeks 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.
Healthcare
fromwww.cbc.ca
3 days ago

Ontario misses federal funding deadline for nurse practitioners | CBC News

Ontario's health minister announced no plans for publicly funding all nurse practitioners despite federal compliance deadlines.
fromwww.bbc.com
3 weeks 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
#gender-affirming-care
Healthcare
fromAdvocate.com
3 days ago

Doctors' group says American Medical Association didn't retreat on gender-affirming care for minors

The American Medical Association maintains its support for gender-affirming care despite claims of a policy shift.
Healthcare
fromAdvocate.com
3 days ago

Doctors' group says American Medical Association didn't retreat on gender-affirming care for minors

The American Medical Association maintains its support for gender-affirming care despite claims of a policy shift.
Public health
fromwww.theguardian.com
3 weeks ago

Patients face long journeys for medicines as pharmacies cut weekend hours

One in six English pharmacies have reduced weekend hours since 2022, causing over 20% loss of weekend opening hours and forcing patients to travel long distances or seek emergency care.
Healthcare
fromwww.bbc.com
3 days ago

Warning to patients ahead of next doctors' strike

Patients in Hull and East Yorkshire face appointment cancellations due to a six-day strike by hospital doctors over pay disputes.
#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
1 week 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

US news
fromwww.npr.org
3 weeks ago

Medicare Advantage 'dark money' group tries to win higher payments for insurers

A dark money group orchestrated a coordinated campaign with 83% identical comments on federal Medicare Advantage reimbursement proposals, masking industry opposition as grassroots advocacy.
#healthcare
fromNew York Post
1 week ago
Healthcare

Major NYC hospital accused of using 'market power' to force higher insurance costs: feds

NewYork-Presbyterian Hospital allegedly forces insurers to accept higher prices, limiting affordable health insurance options for New Yorkers.
fromNextgov.com
1 week ago
Healthcare

CMS rule looks to kill faxed, mailed claims in favor of e-submissions

CMS finalizes rule to phase out fax and paper mail for healthcare claims, promoting electronic submissions and expected to save $781 million annually.
Healthcare
fromwww.amny.com
4 days ago

Scaling Success: The Medicaid Model New York Can't Afford to Ignore | amNewYork

The American healthcare system prioritizes volume over quality, leading to rising costs and poor outcomes.
Healthcare
fromPsychology Today
5 days ago

When Doctors Are Rated Like Uber Drivers

Healthcare should not be reduced to a rating system that overlooks the complexities of medical practice and the challenges faced by physicians.
Healthcare
fromwww.dw.com
5 days ago

Sixty-six ways to fix Germany's expensive healthcare system

A 66-point plan aims to reduce rising health insurance contributions in Germany's costly healthcare system.
Healthcare
fromNew York Post
1 week ago

Major NYC hospital accused of using 'market power' to force higher insurance costs: feds

NewYork-Presbyterian Hospital allegedly forces insurers to accept higher prices, limiting affordable health insurance options for New Yorkers.
Healthcare
fromNextgov.com
1 week ago

CMS rule looks to kill faxed, mailed claims in favor of e-submissions

CMS finalizes rule to phase out fax and paper mail for healthcare claims, promoting electronic submissions and expected to save $781 million annually.
Law
fromLos Angeles Times
2 weeks ago

California trial attorneys push bills to rein in 'bad actors' in legal industry

California trial lawyers support bills increasing penalties for attorneys who illegally solicit clients or allow hedge funds to control case strategy.
Healthcare
fromTechCrunch
4 days 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.
Healthcare
fromTruthout
4 days ago

Trump's Medicaid Cuts Are Threatening to Shutter Hospitals Across the US

Medicaid cuts by Trump and Republicans threaten hundreds of hospitals and millions of low-income Americans' access to care.
Healthcare
fromwww.businessinsider.com
5 days ago

I used AI to dispute a $1,200 dental bill. I don't see the glory in wasting my energy on tedious life tasks.

Unexpected dental bills can arise from changing providers, especially if insurance coverage is not verified beforehand.
Law
fromIPWatchdog.com | Patents & Intellectual Property Law
3 weeks ago

Legal Groups Push for Mandatory Disclosure of Litigation Funders

Third-party litigation funders must disclose their involvement in federal civil cases through a proposed amendment to Federal Rule of Civil Procedure 26(a)(1)(A) to establish uniform disclosure requirements across inconsistent federal courts.
fromSecurityWeek
5 days ago

Healthcare IT Platform CareCloud Probing Potential Data Breach

CareCloud disclosed a cybersecurity incident that may have resulted in patient information compromise, affecting one of its electronic health record environments for roughly 8 hours.
Healthcare
Healthcare
fromTruthout
1 week ago

Some Adults Are Delaying Treatment Until Medicare Following ACA Subsidy Loss

Middle-aged adults with Obamacare plans face significant financial strain due to expired subsidies, leading to delayed medical care until Medicare eligibility.
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.
#health-data-privacy
fromMedCity News
2 months ago
Privacy professionals

Epic vs. Health Gorilla: Inside the Battle Over Who Controls Your Medical Records - MedCity News

fromMedCity News
2 months ago
Privacy professionals

Epic vs. Health Gorilla: Inside the Battle Over Who Controls Your Medical Records - MedCity News

UK politics
fromwww.independent.co.uk
2 months ago

NHS fails to take meaningful steps' to tackle rising negligence costs

The Public Accounts Committee condemned the government and NHS England for failing to address soaring clinical negligence costs despite decades of warnings.
Medicine
fromPsychology Today
1 month ago

A Different Way to Rein in Health Care Costs

Medical education's narrow biomedical focus shapes physician values and the medical industrial complex, contributing significantly to the United States' very high health care costs.
fromwww.theguardian.com
2 months ago

The Pitt continues to shine a light on the horrors of the US healthcare system

If you were stuck in the waiting room at the fictional Pittsburgh trauma medical center (PTMC) and, as is the case with most real emergency rooms, to be at the Pitt almost certainly means waiting for hours (unless you're imminently dying, but even then ) you would at least have a lot to read. Paperwork and entry forms, for one. Signs warning that aggressive behavior will not be tolerated, a response to the real uptick in violence against healthcare workers.
Television
Healthcare
fromwww.theguardian.com
2 weeks ago

Thank God they're still alive': Kaiser therapists claim its new screening system puts patients at higher risk by delaying their care

Changes in patient screening at Kaiser Permanente have led to concerns about delayed care for high-risk mental health patients.
Healthcare
fromNextgov.com
2 weeks 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.
#medical-billing
Healthcare
fromMedCity News
2 weeks ago

Employer Groups Applaud Bill that Aims to Spur Competition in Healthcare - MedCity News

The Healthy Competition for Better Care Act bans anticompetitive healthcare contracts to increase competition and reduce costs for patients and employers.
Healthcare
fromMedCity News
2 weeks ago

Why The Epic-Health Gorilla Case Just Got Juicier - MedCity News

GuardDog Telehealth admitted to falsely representing itself as a healthcare provider to access patient medical records in Epic's lawsuit over alleged patient data misuse through interoperability networks.
Public health
fromCbsnews
2 months ago

State of denial: How insurance companies impact health care today

Insurance profit motives are reducing access to necessary medical care through unaffordable premiums, high deductibles, and denials of tests and treatments.
Medicine
fromThe Atlantic
2 months ago

In America, Fake Patients Get the Best Care

Standardized patients role-play diverse illnesses so medical students can practice clinical skills, examinations, counseling, and diagnostics in realistic, unhurried encounters.
Healthcare
fromNextgov.com
3 weeks ago

AI 'nihilism' is a barrier to better health care, CMS lead says

AI can transform U.S. healthcare delivery, but patient distrust remains the primary barrier requiring clinicians to communicate its life-saving benefits and improved access to care.
#prior-authorization
fromKqed
1 month ago
Public health

'Delay' and 'Deny': Even Health Insurance Companies Agree Prior Authorization Process Is Broken | KQED

fromKqed
1 month ago
Public health

'Delay' and 'Deny': Even Health Insurance Companies Agree Prior Authorization Process Is Broken | KQED

Healthcare
fromAxios
3 weeks ago

What Americans sacrifice due to high health costs

Rising medical costs force millions of Americans to delay major life decisions like having children, buying homes, retiring, and pursuing education across all income levels.
fromwww.npr.org
1 month 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
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.
Healthcare
fromMedCity News
3 weeks ago

It Took Years for Congress to Enact PBM Transparency, Delinking. What About Vertical Integration? - MedCity News

Congress passed initial PBM reforms in February 2026, but advocates seek stronger action against vertical integration between PBMs, insurers, and pharmacies through proposed legislation like the Break Up Big Medicine bill.
fromCbsnews
2 months ago

State of denial: How insurance companies impact health care today

It was heartbreaking, and it was awful," she said. "I lived in fear every day.
Public health
Healthcare
fromwww.npr.org
1 month ago

In lawsuit, Minnesota accuses Trump administration of 'weaponizing' Medicaid funding

Minnesota sued the Trump administration for withholding approximately $250 million in federal Medicaid matching funds, alleging political punishment amid fraud investigation claims.
Public health
fromWIRED
2 months ago

Surveillance and ICE Are Driving Patients Away From Medical Care, Report Warns

Weak privacy laws and expanding digital surveillance allow health data to be sold and accessed, deterring care, delaying treatment, and harming health outcomes.
Healthcare
fromThe Atlantic
1 month ago

The Cost of Not Having Health Insurance

A woman survives a burst brain aneurysm and undergoes emergency surgery, with family members gathering to support her recovery in the ICU.
fromwww.housingwire.com
2 months ago

Long-term care advocates speak out on regulatory rollbacks

Industry lawsuits quickly blocked most of the regulation, with two federal courts ruling that Medicare exceeded its authority. Following the 2024 elections, Congress barred implementation of the standards before 2034. Last month, the Centers for Medicare and Medicaid Services (CMS) repealed the rule entirely. Hunter called the move devastating with advocates saying it signals a retreat from oversight. It's clear (CMS) has no interest in ensuring adequate staffing, said Sam Brooks of the National Consumer Voice for Quality Long-Term Care.
Public health
Public health
fromLGBTQ Nation
1 month ago

Blue states sue over federal healthcare cuts they say are "based on political animus" - LGBTQ Nation

The Trump administration cut roughly $600 million in CDC-authorized public-health funding to four Democratic states, prompting a lawsuit alleging politically motivated and illegal rescissions.
Healthcare
fromBusiness Insider
1 month ago

Waiting for Medicare and skipping prescriptions: Meet the Americans on the brink of losing health insurance

Expiration of enhanced ACA subsidies on December 31 caused monthly premiums to spike hundreds of dollars, forcing over 1 million Americans to cancel marketplace plans between early 2025 and 2026.
Public health
fromwww.npr.org
2 months ago

A judge orders HHS to restore children's health funding as a lawsuit continues

A federal judge ordered restoration of nearly $12 million to the American Academy of Pediatrics, finding HHS likely acted with retaliatory motive in cutting grants.
fromBusiness Insider
2 months ago

We want to hear your story about healthcare access

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.
Healthcare
#kaiser-permanente
fromMedCity News
3 months ago

Rising Costs & Medicare Advantage Flaws to Drive Healthcare Reform Talks in 2026 - MedCity News

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.
Healthcare
fromwww.mercurynews.com
2 months ago

Kaiser affiliates will pay $556M to settle a lawsuit alleging Medicare fraud

SAN FRANCISCO Kaiser Permanente affiliates will pay $556 million to settle a lawsuit that alleged the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records to receive higher reimbursements, federal prosecutors said. The deal announced Wednesday came more than four years after the U.S. Department of Justice filed the legal claim in San Francisco that consolidated allegations made in six whistleblower complaints.
Healthcare
fromSan Jose Inside
2 months ago

Kaiser Permanente Affiliates Pay $556M to Settle False Claims Act Allegations

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.
Healthcare
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