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The knock came just four days after Steven Krueger got out of the hospital. He was recovering from back surgery in his home in Idaho Falls when sheriff's deputies arrived with a warrant to bring him to the courthouse.


Steve was in a back brace and wasn't supposed to travel, except to the doctor.

"I just kind of stood there stunned," says Mari Krueger, Steve's wife. "I was just horrified ... I was almost hysterical."

Mari wasn't stunned by Steve's arrest simply because of his condition. She was also shocked because he wasn't accused of committing a crime. What he...

More details revealed as allegations unfold of Stanford Hospitals unlawfully charging Northern California patients and falsifying their records. The case is captioned United States vs. Stanford et al. Case No. CV 17-08726-DSF (AFMx). It is a live case in the Central District Federal Court.

The Department of Justice also just filed in Federal Court a “Statement of Interest” in support of the false claims action (“FCA”) against Stanford Health Care (formerly Stanford Hospitals and Clinics).

The Complaint alleges that Stanford is a purported non-profit organization...

Imagine a health-care system in which doctors and nurses are so exhausted and beaten down that many of them work like zombies — error-prone, apathetic toward patients and at times trying to blunt their own pain with alcohol or even suicide attempts.

That is what America’s broken health care system is doing to its health workers, according to a 312-page report released Wednesday by the National Academy of Medicine, one of the country’s most prestigious medical institutions.

The report found that as many as half of the country’s doctors and nurses experience substantia...

Felicia Morrison is eager to find a health plan for next year that costs less than the one she has and covers more of the medical services she needs for her chronic autoimmune disease.

Morrison, a solo lawyer in Stockton, Calif., buys coverage for herself and her twin sons through Covered California, the state’s Affordable Care Act insurance marketplace. Morrison, 57, gets a federal subsidy to help pay for her coverage and she said that her monthly premium of $167 is manageable. But she spends thousands of dollars a year on deductibles, copayments and care not cover...

Have you ever stepped up to the pharmacy cash register only to learn your new prescription will cost you hundreds of dollars — instead of your typical $25 copay — because your insurance doesn’t cover it? Or received a painfully high bill for a medical test because your health plan didn’t think it was necessary?

Most people have, but only a tiny fraction ever appeal such decisions. In 2017, for example, enrollees in federally run Affordable Care Act marketplace plans appealed fewer than one-half of 1% of denied medical claims, according to an analysis by the Kaiser F...

WASHINGTON — Federal authorities have shut down a network of Florida companies that they say used aggressive, deceptive tactics to sell skimpy health insurance products that skirt requirements of the Affordable Care Act and left tens of thousands of people around the country with unpaid medical bills.

“There is good cause to believe” that the Florida companies have sold shoddy coverage by falsely claiming that such policies were comprehensive health insurance or qualified health plans under the Affordable Care Act, Judge Darrin P. Gayles of the Federal District Cour...

A South Florida company that collected more than $100 million in premiums selling sham health insurance “for smart people” through a network of deceptive websites, including one called trumpcarequotes.com, was ordered by a federal judge to temporarily shut down following consumer complaints to the Federal Trade Commission.

Simple Health Plans, based in Hollywood, lured “tens of thousands” of consumers with false promises of covering pre-existing medical conditions and prescription drugs for monthly premiums ranging from $40 to $500, the FTC said in a 28-page complai...

Hollywood-based sellers of "sham" health insurance plans have been shut down by the Federal Trade Commission amid charges they collected more than $100 million from consumers by misrepresenting "worthless" plans as qualified under the Affordable Care Act.

Named as defendants in the restraining order, asset freeze, preliminary injunction and appointment of a receiver are Simple Health Plans LLC, 2 Oakwood Blvd., Suite 100, Hollywood, and several affiliated companies, as well as the companies' owner, Steven J. Dorfman.

The restraining order also authorizes the seizure...

Respiratory Sleep Solutions, LLC (RSS), a wholly owned subsidiary of the Alliance Family of Companies, LLC (Alliance), has filed suit against Aetna seeking a declaratory judgment that restores patient access to needed in-home neurodiagnostic testing. The suit alleges that Aetna has systematically violated standard coding practices for RSS-provided in-home video electroencephalogram testing (VEEG), effectively preventing patients from accessing in-home neurological testing for epilepsy and other disorders.

"Aetna is lining its pockets by denying patients neurodiagnos...

Drew Calver took out his trash cans and then waved goodbye to his wife, Erin, as she left for the grocery store the morning that upended his picture-perfect life.

Minutes later, the popular high school history teacher and swim coach in Austin, Texas, collapsed in his bedroom from a heart attack. He pounded his fist on the bed frame, violent chest pains pinning him to the floor.

"I thought I was dying," the 44-year-old father recalled. He called out to the only other person in the house, his oldest daughter, Eleanor, now 7. Using the voice-recognition feature on his p...

Ashley Summers said she got an unpleasant surprise in February when she tried to pick up a prescription for her rheumatoid arthritis: Her pharmacy said her insurance had been canceled, even though her premiums were paid.

Summers called Blue Shield of California and got her policy reinstated — then she said it happened again in March and this time, the lapse in coverage dragged on for three months.

Without insurance to cover her medications and doctor visits, her arthritis and fibromyalgia worsened to the point that she could barely walk, she said. In June, she said,...

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