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Recent healthcare data breaches include a PHI data breach, phishing attack, compromised email account, and a vendor error that won't go away.

April 19, 2018 - Blue Shield of California admitted to a PHI data breach involving an insurance broker who was not authorized to receive patient information, according to a breach notification submitted to the California Attorney General’s Office. 

The Blue Shield of California Privacy Office received confirmation on March 23, 2018 that a breach had occurred in November 2017 during the 2018 Medicare Annual Enrolment Period...

An Alabama lawmaker, a lobbyist who once led the Alabama Republican Party and a health care executive have pleaded not guilty to federal conspiracy charges.

State Republican Rep. Jack D. Williams, lobbyist Marty Connors and G. Ford Gilbert, the California-based CEO of Trina Health, were arrested earlier this month and charged with conspiracy to commit bribery and mail fraud.

The three men pleaded not guilty in federal court in Montgomery on Wednesday. Trial is set for Sept. 4 though the date could change after the defense counsel reviews the government's evidence, wh...

A federal whistleblower complaint alleges that a major California insurer failed to pay an estimated $89 million in taxes on premium revenue as required under the Affordable Care Act.

The complaint against Blue Shield of California focuses on the taxation of certain health plans that are funded by both an employer and insurer. It could spark more scrutiny by federal officials into whether all insurers are paying their fair share of taxes on premiums.

The ACA’s health insurance tax is one of several fees designed to help fund the health law. Employers’ self-funde...

Cigna Corp. confirmed that its proposed $54 billion acquisition of Express Scripts Holding Co. will be reviewed by the U.S. Department of Justice, which has raised the bar for approving deals that don’t combine direct competitors.

The health insurer has been telling investors since at least early April about the review, but hadn’t made a public statement until late Wednesday. Analysts at Credit Suisse sent an alert to clients on April 5, saying Cigna Chief Executive Officer David Cordani told investors during an event in Europe that the deal would be looked at by th...

The state has slapped sanctions on Blue Cross and Blue Shield of Illinois, saying its Medicaid managed care network of doctors and hospitals is inadequate and it isn’t responding to grievances and appeals as it should.

Blue Cross is part of the state’s recently revamped Medicaid managed care program, in which private insurers administer Medicaid benefits. Medicaid is a state and federally funded health insurance program for the poor.

According to the state, insurers in the program are supposed to provide members certain access to primary care doctors, behavioral heal...

Kindred Healthcare Inc. will pay millions to settle a class-action lawsuit that alleges the Louisville-based post-acute and home health care company violate California labor laws.

The lawsuit, filed U.S. District Court's Northern District Court of California in August 2016, claims that Kindred (NYSE: KND) and its Gentiva Health Services home health care subsidiary failed to pay health care workers overtime, provide meal and rest breaks, pay the state's minimum wage, and keep accurate payroll records, among other things, from 2012 to 2016.

Kindred will set up a $12 mi...

A federal judge in Alabama overseeing a case involving 36 Blue Cross plans ruled Thursday a 1980s-era plan to divvy up service areas may violate antitrust laws, a finding attorneys said is a major blow to the companies' case.

The ruling is not final, but does provide a lens for the judge to use as the case goes to trial, said plaintiff's attorney Barry Ragsdale. The 2013 lawsuit, filed by providers and small-group subscribers, accuses the plans and the Blue Cross Blue Shield Association of violating antitrust laws that keep businesses from conspiring to affect the m...

A federal court struck a blow to Blue Cross and Blue Shield insurers in high-stakes litigation focused on how they work together, finding that some of their practices could represent an automatic violation of federal antitrust law.

U.S. District Judge R. David Proctor in Birmingham, Ala., in a late Thursday ruling, said challengers to the Blue insurers' practices had presented evidence that the Blues have adopted competitive restrictions "which, considered together, constitute a per se violation of the Sherman Act," the central federal law that bars unlawful restrai...

Irelsie Alvarez said she and fellow jurors wanted to send JPMorgan Chase & Co. a message with their startling $8 billion verdict in a Dallas probate case -- an award that’s destined to be reduced to no more than $90 million.

She concluded at the close of the trial in September that the bank mismanaged the estate of deceased American Airlines executive Max Hopper, who died in 2010 with assets of more than $19 million. Alvarez said she took the suggestion of lawyers for Hopper’s family that a big damage award was needed “in order to prevent this from happening again.”

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Some clients of the bank's wealth-management division were steered into investments that maximized revenue for the bank and compensation for its employees, according to several people familiar with the unit and documents reviewed by Bloomberg. Those investments weren't always in the best interests of clients, the people said. They included estates, trusts and loans, according to one of the people and the documents.

Wealth advisers as recently as 2016 were given ambitious quotas and could earn extra pay by steering clients into loans and accounts with recurring fees,...

The Massachusetts Division of Banks wrapped up a long-running investigation of mortgage servicer Ocwen with a $1 million fine for numerous problems involving the Florida company’s administration of home loans.

The settlement is related to a cease-and-desist order Massachusetts officials obtained against Ocwen in April 2017, part of broad national action by regulators from more than 30 jurisdictions for deficient loan-servicing practices. In 2013, Ocwen had been ordered by the US Consumer Financial Protection Bureau and multiple states to pay consumers $2 billion for...

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