Rheumatologist Dr. Claribel Tan and her husband, Daniel Tan, of Anchorage, Alaska, have admitted to a scheme that defrauded more than $12 million from insurers. Prosecutors said Claribel Tan underdosed patients, used expired medications and substituted drugs without patients' knowledge, while the clinic billed insurers for medications that were not used. Authorities also said that the couple falsified medical records to conceal the scheme.

Mark Weinberger of Lake Worth Beach, Fla., has been charged with health care fraud, wire fraud and conspiracy in connection with a $6.7 million scheme involving durable medical equipment. Prosecutors allege Weinberger controlled a Medicare-enrolled company that submitted fraudulent claims for orthotic braces, receiving $3.4 million. Weinberger was previously banned from participating in Medicare for at least 15 years.

Alayjah Terrell and Monica Dean from the Cleveland, Ohio, area are accused of defrauding the state's Medicaid program in separate cases. Authorities say that Terrell billed Medicaid $63,471 for days when she canceled services, when recipients were hospitalized and after removal from service plans, while Dean falsely claimed shifts, resulting in a $45,205 loss.

Researchers have introduced a tool, based on the PREVENT risk calculator, that uses sex- and age-specific percentiles to estimate 30-year cardiovascular risk, aiming to improve communication and motivate early prevention. "When a patient sees they are in the 90th percentile, we hope that this will serve as a wake-up call that risk starts early," said researcher Sadiya Khan of Northwestern University. "We don't want to wait until it is too late, and someone has had an event." Research findings were published in JACC.

A watchdog report has found that the NIH did not ensure robust cybersecurity protocols for the All of Us research program, which contains sensitive health data from over a million participants. The HHS Office of Inspector General report criticized the NIH for not adequately restricting data access and for failing to classify genomic data as high risk. NIH has accepted the recommendations and is taking steps to improve data security, including revising access controls and addressing national security concerns.

Cigna Healthcare has introduced Clearity, a health plan designed to enhance transparency and predictability. The plan, which has a tiered copay model that eliminates coinsurance and deductibles, uses Cigna's AI tools to provide upfront pricing and patient reviews through a streamlined digital platform. The plan provides "a simpler, more predictable way for customers to get the health care th