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Fraudulent health care scheme stopped in Montana
The Commissioner of Insurance helped stop a fraudulent multimillion dollar billing scheme by agents preying on Native Americans.
The Pollwatcher: Another fraudulent pollster is out of business, and a third group just disappeared
Why a fake poll got into mainstream poll trackers, how it was discovered and the common thread behind both fake poll scandals this year.
HHS Releases Report Exposing Fraudulent Insurance Coding For Sex-rejecting Procedures On Minors
HHS released a report Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine”.
Bipartisan push to crackdown on fraudulent campaign donations
Rep. Bryan Steil says his Campaign Finance Transparency Act updates the law for the digital age.
Hundreds of California businesses registered with Secretary of State may be fraudulent, investigation finds
Koreatown rideshare driver arrested for allegedly using $2M in COVID business loans for crypto investment
A rideshare driver from Los Angeles’ Koreatown neighborhood has been arrested for allegedly using more than $2 million in fraudulently obtained COVID-19 pandemic business loans to buy cryptocurrenc…
Springfield business owner indicted for laundering pandemic PPP loans
The U.S. Attorney's Office alleges Jason Hemingway fraudulently obtained more than $316,000 in PPP loans and used it for personal benefit.
Two Georgia men sentenced in $522M health care fraud
Two Georgia men were sentenced for their roles in a $522 million scheme involving fraudulent genetic testing claims through Medicare and Medicaid.
10 SoCal residents arrested in health care fraud takedown
The U.S. Department of Justice launched its massive 2026 National Health Care Fraud Takedown, charging 455 individuals nationwide over $6.5 billion in fraudulent claims.
Las Vegas business owner convicted of $24 million cryptocurrency ponzi scheme
The owner of a Las Vegas-based business was convicted Monday of fraudulently taking $24 million from at least 400 investors.
Paxton accuses Chinese national of running fake childcare businesses in Texas
Texas Attorney General Ken Paxton has filed a lawsuit against a North Texas business he said is being used to issue fraudulent work visas for employees.
Pols & Politics: Massachusetts GOP candidate considers lawsuit over fraudulent signature collections
Republican Lt. Gov. candidate Anne Brensley is speaking out after reportedly falling victim to fraud by a political consultant she hired to collect ballot signatures for her campaign.
Justice Department announces federal charges in Southern California health care, hospice fraud investigation
Acting U.S. Attorney Bill Essayli said the individuals are accused of running fraudulent hospice care facilities that billed Medicare by using people without terminal illnesses as beneficiaries.
'Lifestyle analysis' found Moorhead business owner hid income while collecting SNAP
A Minnesota business owner is facing several felony charges after investigators say she filed false tax returns while fraudulently receiving SNAP benefits.
Sarcone Leads Revival of NDNY Health Care Fraud Task Force
The task force will focus on identifying emerging fraud trends, coordinating investigations among partner agencies, sharing intelligence, and pursuing both criminal and civil enforcement actions against individuals and organizations engaged in fraudulent conduct involving federal and state health care programs.
Sen. Lesser Statement on Trump Administration Healthcare Cuts
Sen. Lesser Statement on Trump Administration Healthcare Cuts Today, State Senator Matt Lesser, Senate Chair of the Human Services Committee, issued a statement in response to Vice President J.D. Vance announcing that 760,000 Americans will be losing health insurance. The Vice President claims that 760,000 people were fraudulently enrolled in Affordable Care Act coverage, and 419,000 more people would face…
Fraud allegations may spark additional probe
Staff found 15 instances when this occurred but noted that time limits for making a decision made it “impossible to determine the exact number of fraudulent QC’s claimed by Collector 1.”
Meriden tax business owner accused of filing 4,335 fraudulent returns
Prosecutors said many of the tax returns included fraudulent deductions.
Grand jury: Man's fraudulent service dog business scammed families out of nearly $600K
The president of a since-shuttered Raleigh company that provided service dogs to those with medical concerns appeared in court on Friday, years after he was charged with fraud.
Norwalk man pleads guilty to years-long prize insurance business scam
BRIDGEPORT, Conn. (WTNH) — A Norwalk man pleaded guilty in federal court Tuesday to an offense related to the operation of a fraudulent prize insurance business, the United States Attorney for the …
Dear Abby: I’m sure friend is milking her health issue for fraudulent GoFundMe money. Should I report her?
She opened a new fundraising page with an untrue sob story about her cancer returning and being hospitalized about a week.
BAR Investigation Leads to Suspension of Business License - California Statewide Law Enforcement Association
“The State employees who investigate fraudulent activity associated with car repairs often go unnoticed by the motoring public, but their work helps to keep us safe out on the roads. Their work also protects consumers from financial harm.” CSLEA President Alan Barcelona SACRAMENTO – On September 3, 2026, the California Bureau of Automotive Repair (BAR)announced […]
Medicaid autism therapy boom triggers crackdown
Spending quadrupled over five years amid a proliferation of fraudulent billings.
AG candidate's new challenge: overcoming 'political no one' status
After surviving a ballot access challenge, Republican candidate for attorney general Michael Walsh is ready to move past allegations that he submitted fraudulent nomination signatures, and realistic about the uphill
Former prison healthcare provider denies it fraudulently billed the state
Delaware’s former prison healthcare provider denied allegations it fraudulently requested payment for medical services it did not provide.
SGMC Health Alerts Patients to MyChart Phishing Scam
SGMC Health is reminding patients to stay alert after reports of fraudulent emails and text messages using the MyChart name to target healthcare consumers nationwide.
Paul Pate pitches stricter laws to crack down on fraudulent businesses
Iowa Secretary of State Paul Pate wants to make it easier to crack down on fraudulent businesses when the 2026 legislative session begins.
VA Warns of National Postcard Scam as Health Care Notices Go Out to 3.8M Veterans
The department said fraudulent postcards had appeared in multiple states over the past year, claiming to be linked to the VA.
About 3 million people have dropped Obamacare health coverage after subsidies expire and costs rise
The Department of Health and Human Services suggests the 13% drop is due to a federal crackdown on fraudulent enrollmentut, but health analysts believe it's more likely related to the Jan. 1 expiration of federal subsidies.
More than $8,000 in flooring stolen from Brecknock Twp. business: police
A Lancaster County flooring business is reporting someone stole more than $8,000 of flooring after a fraudulent credit card transaction, according to Pennsylvania State Police.
Business Restructuring Review Vol. 25 No. 3 May-June 2026
In This Issue Texas Bankruptcy Court Adopts Barnet Rule Requiring Foreign Debtor to Have U.S. Assets to Be Eligible for Chapter 15 Relief In In re Siu-Fung Ceramics Holdings Limited, No. 24-33299, 2026 WL 382424 (Bankr. S.D. Tex. Feb. 10, 2026), the court denied petitions for chapter 15 recognition of Hong Kong bankruptcy and liquidation proceedings commenced on behalf of an individual debtor and a group of companies that he owned or controlled. According to the court: (i) the corporate debtors' Hong Kong liquidation proceeding was not eligible for chapter 15 recognition because the attorney retainer upon which such relief was based was not funded until nine months after the chapter 15 petition date; and (ii) the individual debtor's Hong Kong bankruptcy case could not be recognized because the debtor's "center of main interests" on the chapter 15 petition date was not in Hong Kong, and he did not even maintain an "establishment" there. [read more …] Southern District of Texas Clarifies Post-Purdue Course for Consensual Third-Party Releases and Gatekeeping Provisions In In re Container Store Group, Inc., 676 B.R. 356 (S.D. Tex. 2026), appeal filed, No. 26-20166 (5th Cir. Apr. 14, 2026), cross appeal filed, No. 26-20166 (5th Cir. Apr. 24, 2026), the U.S. District Court for the Southern District of Texas addressed consensual third-party releases and gatekeeping provisions in the aftermath of the U.S. Supreme Court's ruling in Harrington v. Purdue Pharma L.P., 603 U.S. 204 (2024). Consistent with existing Fifth Circuit precedent, the court confirmed that, in appropriate circumstances, consent for third-party releases may be obtained through a creditor's failure to opt out of granting that consent. But, the court ruled, consent through an opt-out mechanism essentially can never be inferred for creditor classes that stand to receive no recovery under a chapter 11 plan and that are deemed to reject the plan by operation of applicable bankruptcy law. Instead, those classes must affirmatively opt in to any release. The court also narrowed and remanded the bankruptcy court's acceptance of a broad gatekeeping provision, ruling that such provisions must correspond to the restrictions established by Fifth Circuit precedent. [read more …] Delaware Bankruptcy Court: Initial Transferee Need Not Be Defendant in Fraudulent Transfer Avoidance and Recovery Litigation The Bankruptcy Code gives a bankruptcy trustee the power to avoid asset transfers that are either made with the intent to defraud creditors or that are "constructively" fraudulent because an insolvent debtor did not receive adequate value in exchange. The Bankruptcy Code also permits recovery of an avoided transfer from not only the initial recipient, but also from subsequent transferees. Courts disagree over whether a transfer must actually be avoided before the trustee can seek recovery from a subsequent transferee and whether the initial transferee must also be a defendant in the recovery litigation against a subsequent transferee. The U.S. Bankruptcy Court for the District of Delaware weighed in on this debate in Phillips v. SS Associates LLC (In re ONH AFC CS Investors, LLC), No. 23-10931 (CTG), 2026 WL 312892 (Bankr. D. Del. Feb. 4, 2026). The court adopted the majority view, ruling that the initial transferee need not be a defendant in avoidance and recovery litigation against a subsequent transferee, but that the trustee must establish the elements necessary to avoid the initial transfer as part of the recovery litigation. [read more …] New York Bankruptcy Court Weighs In on Adequate Assurance of Future Performance under Assigned Leases and Chapter 11 Plan Exculpation Provisions In order to assume and assign an executory contract or unexpired lease, a bankruptcy trustee must cure most defaults under the agreement and provide "adequate assurance" of the assignee's future performance. However, the Bankruptcy Code provides no guidance as to the meaning of "adequate assurance" other than with respect to shopping center leases. In In re Broadway Realty I Co. LLC, No. 25-11050, 2026 WL 147505 (Bankr. S.D.N.Y. Jan. 19, 2026), the U.S. Bankruptcy Court for the Southern District of New York examined this issue in connection with a proposed assignment of thousands of residential leases as part of a free-and-clear sale of debtors' properties. The court held that "adequate assurance" does not mean a guarantee of the assignee's future performance, but merely demonstration that the assignee has the ability to satisfy the underlying obligations. The bankruptcy court also ruled that an exculpation provision in the debtors' chapter 11 plan exonerating non-estate fiduciaries from liability for actions taken in connection with the chapter 11 case was unobjectionable, provided it was limited in scope to postpetition conduct and actions taken in connection with implementation of the plan after its effective date. [read more …] Newsworthy Corinne Ball (New York) (Hall of Fame), Bruce Bennett (Los Angeles), Carl E. Black (Cleveland), Jeffrey B. Ellman (Atlanta), Brad B. Erens (Chicago), Gregory M. Gordon (Dallas), Heather Lennox (Cleveland/New York), Joshua M. Mester (Los Angeles), and Kevyn D. Orr (Washington) were included in the 2026 edition of Lawdragon 500 Leading Bankruptcy and Restructuring Lawyers. The Daily Business Review selected Isel M. Perez (Miami) as an "On the Rise" winner for the Florida Legal Awards. The Florida Legal Awards annually recognize those who have made significant contributions to the legal industry in Florida. Dan T. Moss (Washington/New York) was inducted as a Fellow in the 37th Class of the American College of Bankruptcy at its Annual Meeting in March 2026 in San Antonio, Texas. Christine Borries (Munich) was ranked in the practice area Restructuring/Insolvency in the 2026 edition of Chambers Germany. The 2027 edition of The Best Lawyers in Singapore™ recognized Sushma Jobanputra (Singapore) in the practice area Insolvency & Reorganization. The restructuring transaction involving Eissmann Automotive North America, Inc. received the "2025 Turnaround of the Year (Large Company)" at the Turnaround Management Association (Detroit) Annual Awards Reception. T. Daniel Reynolds (Cleveland) and Nick Buchta (Cleveland) represented subsidiaries of Eissmann Group Automotive in connection with the parent company's German insolvency proceedings. Roger Dobson (Sydney) is among 40 Jones Day lawyers recognized by The Best Lawyers in Australia 2027 for his contributions in Banking and Finance Law; Distressed Investing & Debt Trading; Insolvency and Reorganization Law; Litigation. An article written by Corinne Ball (New York) titled "Ard Finance—A Global Enterprise Combining an LME With a Foreign Insolvency Proceeding and Chapter 15" was published in the April 21, 2026, edition of the New York Law Journal. An article written by Alex Sapp (New York) titled "Recent Developments in Section 510—Subordination" was published in the 2025 edition of the Norton Annual Survey on Bankruptcy Law. An article written by Brad B. Erens (Chicago) titled "New York Bankruptcy Court Approves Insider DIP Litigation Financing" was published on April 6, 2026, by Lexis Practical Guidance. An article written by Corinne Ball (New York), Dan T. Moss (Washington/New York), David S. Torborg (Washington), and Isel M. Perez (Miami) titled "New York District Court Affirms Narrow Scope of 'Public Policy Exception' in Chapter 15 Cases" was published on April 6, 2026, by Lexis Practical Guidance. An article written by Jeffrey B. Ellman (Atlanta) titled "Statutory Cap on Lease Rejection Damage Claims in Bankruptcy Applies to Solvent Debtors" was published on April 6, 2026, by Lexis Practical Guidance. An article written by Trisha L. Mowbray (Real Estate; Chicago) and Ryan Sims (Washington) titled "Chapter 11 Plan that Abridged Non-Debtor Lessee's Rights to Remain in Possession After Rejection Unconfirmable as Having Been Proposed in Bad Faith" was published on April 6, 2026, by Lexis Practical Guidance. Lawyer Spotlight: Ben Rosenblum Ben Rosenblum, a partner in the New York Office, represents debtors, creditors, and other parties in out-of-court restructurings and court-supervised proceedings, including chapter 11 cases, municipal bankruptcies, international insolvency matters, and stockbroker liquidations. His experience spans industries such as manufacturing, shipping, mining, aviation, energy, real estate, and telecommunications. Ben's notable debtor representations include Peabody Energy, the City of Detroit, Chrysler LLC, Spansion Japan, and Dana Corporation. Significant creditor representations include General Maritime Corporation, Calpine Corporation, American Home Mortgage, and Murray Energy. He currently represents creditors in Puerto Rico's restructuring. He also has extensive experience advising financial institutions on bankruptcy law as applied to derivatives.
Former CT resident admits to health care fraud. She caused almost $1.3M in losses to Medicaid
She allegedly participated in a scheme to defraud health care benefit programs by submitting fraudulent claims from the company she owned and operated.
Detectives Arrest Woman in Business Card Theft and Fraud
Cape Coral, Fla — Renee Lynn Companioni (W/F, DOB 03/02/1978) has been arrested following an investigation into the fraudulent use […]
Clark County Sheriff’s Office warns of fraudulent website impersonating local business
The scammers have attempted to defraud several citizens.
Trump administration to remove 760,000 Affordable Care Act enrollees over fraud claims
White House officials allege these individuals were fraudulently enrolled in the program or do not exist. Vice President Vance said the move would save $2.2 billion.
Colorado Attorney General settles case involving misleading solicitations to businesses
The Colorado Attorney General's Office has reached a $150,000 settlement with two companies that allegedly mailed fraudulent marketing materials to businesses.
How to be a science sleuth
Research integrity experts share their tips for spotting and reporting fraudulent papers
Woman accused of trying to steal $52K through fraudulent refunds at Northwest Freeway business
April Timberlake was arrested after allegedly attempting to process fraudulent refunds totaling approximately $52,000 at her workplace on the Northwest Freeway, according to Harris County Precinct 4 Constable’s Office.
Small Business Administration bans thousands of Minnesota borrowers over suspected pandemic-era fraud
The agency’s leader said a review over the past week flagged $400 million in loans to Minnesotans with “suspected fraudulent activity.”
iam8bit sues Skybound Games for $4m, claiming breach of contract and theft of designs
Iam8bit is suing Skybound Games for £2.9 million ($4 million), alleging breach of contract, fraudulent expenses, theft …
Chandigarh University's Computer Science Engineering Students Develop AI-Powered Platform to Detect Fraudulent Apps
Chandigarh University's Computer Science Engineering (CSE) students have once again proven their brilliance on the national stage by securing second position in the national-level CyberShield Hackathon, organized by Bank of India in collaboration with IIT Hyderabad to solve AI, cybersecurity and banking-fraud challenges, winning a prize of Rs 3 lakh by providing innovative solution for harnessing Generative AI for automated reverse engineering, static and dynamic analysis and risk scoring of fra
The fact-checking mandate evolves from politics to personal security
"Online scams, phishing attempts, and fraudulent schemes have grown in both volume and sophistication, creating a new front in the war on falsehoods."
Burbank business owner disputes $2,000 Zelle transfer, bank's fraud review
The physical therapist said she’s fighting to recover nearly $1,980 she said was fraudulently transferred from her Bank of America business account.
New Iowa law first step in efforts to combat fraudulent businesses, Iowa secretary of state says
Iowa Secretary of State Paul Pate said he is working with organizations like the Better Business Bureau to help address fraud in the state.
Cumming man accused of stealing more than $30K from business using company credit card
A Forsyth County man is accused of using a company credit card to steal more than $30,000 through fraudulent purchases of money orders, according to the Hall County Sheriff’s Office.
Xtreme One Entertainment Secures Temporary Restraining Order Against Lender Williamsburg Venture Holdings, Halting Alleged Fraudulent Transfer and Sale of $XONI Stock
Emergency Court Order Requires Immediate Return of Shares by Williamsburg and Securities Intermediaries Based on Alleged Breach of Contract and Fraudulent TransferGRAND RAPIDS, Mich., April 07, 2026 (GLOBE NEWSWIRE) -- Xtreme One Entertainment, Inc. (OTCQB: XONI), a diversified media and live-event sports company, and parent company of Xtreme Fighting Championships (XFC), today announced it was granted a Temporary Restraining Order (TRO) based on the Company’s lawsuit that alleges fraud, breach
How Much of Science Is Fake?
For decades, scientists were above reproach. Not any more. Joe Nocera investigates the murky world of fraudulent research, and the sleuths exposing dishonest science.
Fraudulent business checks tied to Enid daycare lead to arrests of two employees
The Enid Police Department has arrested two daycare employees on complaints of fraud and embezzlement involved with fraudulent business checks.According to EPD,
Former Youngstown clerk accused of falsifying business records
BUFFALO, N.Y. (WIVB) — A woman is facing charges after she allegedly used a Village of Youngstown account to make fraudulent transactions while employed as a village clerk, the Niagara County…
Trump again orders changes to ‘save’ college sports
The order would restrict the amount of money student-athletes could get by cracking down on “fraudulent” NIL payments.
Hundreds of California business registrations may be fraudulent, investigation finds
Identity theft experts say criminals are creating fake business entities by targeting a specific population: legal immigrants.
Anthropic accused Alibaba of exploiting its AI models
Anthropic said the Chinese company interacted with Claude millions of times through 25,000 fraudulent accounts in recent months.
My Strange Amex Credit Card Fraud: What Really Happened In Malaysia?!
I just had fraudulent transactions on an Amex card, and I find them to be particularly strange, given some recent Citi card fraud. Here's why.
Trump administration freezes billions in social services funding to five Democratic states
The Trump administration is slashing $10 billion in funds for social services and child care in five Democratic-led states, a Health and Human Services official confirmed to CNN, with the agency suggesting without evidence that the funding has been used fraudulently.
Investors lost at least $40 million on a Florida business that never had a client
His guilty plea says among his purchases with the fraudulently gained money were a 2011 54-foot Cruiser Yacht 540 Sports Coupe.
Two men have been charged with running a fraudulent contracting business in Lower Merion
The Lower Merion Police Department is urging anyone who believes they were a victim of contractor fraud by Jake Fox and Scott Bradley to contact law enforcement.
DOJ charges 15 for $2 billion in fraudulent health care claims in California
The largest of the cases involved $1.6 billion in billings for what the DOJ described as “sham substance abuse treatment” in Southern California.
Burbank business owner says fraudulent Zelle transfers cost her $2k
The physical therapist, who has had a business account with Bank of America for 20 years, said the bank’s responses were unsatisfactory. Carolyn Johnson reports for the NBC4 News at 5 p.m. on Tuesday, Sept. 22, 2026.
15 charged in massive $2 billion L.A. health care fraud crackdown
Federal authorities charged 15 people, including six medical professionals, in a sweeping Los Angeles-area health care fraud crackdown involving $2 billion in alleged fraudulent claims, the Justice…
DOJ announces $6.5B healthcare fraud takedown with record Medicaid enforcement
The Department of Justice unveiled charges against 455 people, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare schemes that involved mor | Law enforcement unveiled charges against 455 defendants for their alleged participation in healthcare schemes, among which fraudulent amniotic wound allografts and undelivered Medicaid services were spotlighted.
Vance’s fraud task force is sweeping up legitimate small businesses
The vice president and other officials have downplayed evidence of collateral damage in their crackdown on fraudulent hospices.
Ex-Reno business owner indicted for allegedly embezzling $7.8 million from high-speed internet project
“Through multiple fraudulent schemes, the defendant clearly exploited trust to line his pockets,” according to an FBI official.
Prosecutors: Colorado medical transportation businesses invoiced Medicaid for family trips, dead person
Two Colorado business owners have been separately charged for fraudulently billing the federal government's Medicaid program.
Trump Lashes Out at National Academies of Sciences Over Climate Guide For Judges
Trump claimed without evidence that the manual was “fraudulent, biased, and misleading.”
Business busted for selling hundreds of fake 'luxury' items out of Hamilton, Monroe County
Ivestigators have exposed a fraudulent business for selling hundreds of fake 'luxury' items out of Hamilton, Monroe County
Thousands of fraudulent business filings weeded out by Secretary of State
Over the past month, Colorado Secretary of State Jena Griswold marked 12,693 business entities listed in the state’s registry as fraudulent.
Small Business Administration suspends loans to thousands of Minnesota borrowers
On Thursday, the agency suspended loans for 6,900 Minnesota borrowers amid "suspected fraudulent activity."
McCordsville business owner pleads guilty to $600K pandemic relief fraud scheme
INDIANAPOLIS (WRTV) - A McCordsville business owner faces prison time after admitting to stealing more than $600,000 through a fraudulent pandemic relief scheme. Sandra Pierce, 42, pleaded guilty to t...
Man who ran Oregon health care facilities admits to fraudulent sleep study, over $2 million in fake billing
PORTLAND, Ore. (KOIN) — A Coos Bay man pleaded guilty to conspiring to commit health care fraud on Wednesday, officials from the U.S. Attorney’s Office announced. Mehrdad Gerami, 67, fa…
Hennepin County sheriff's office lacks records to start small business grant fraud investigation
After Hennepin County staff reported apparent fraudulent applications for a small business recovery grant fund, they asked the sheriff's office to investigate in June, KSTP reports.In July the Hennepin County Sheriff's Office requested the documents they needed to open the investigation, but as of mid-September, those documents haven't been shared yet.
Minnesota politicians restarted fraudulent program due to political pressure, Rep Jim Jordan says
Rep. Jim Jordan, R-Ohio, praises the DOJ’s charges against individuals tied to alleged Minnesota fraud schemes on ‘The Bottom Line.’
August Monthly Review: ChatGPT In Epic
Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
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