Health
Cyberattack on UnitedHealth Leaves Medical Providers in Debt
Two independent medical practices in Minnesota once hoped to expand operations but have spent the past year struggling to recover from the cyberattack on a vast UnitedHealth Group payment system.
Odom Health & Wellness, a sports medicine and rehabilitation outfit, and the Dillman Clinic & Lab, a family medicine practice, are among the thousands of medical offices that experienced sudden financial turmoil last year. The cyberattack against Change Healthcare, a division of United, paralyzed much of the nation’s health-care payment system for months.
Change lent billions of dollars to medical practices that were short on cash but has begun demanding repayments.
Dillman and Odom are suing United in U.S. District Court in Minneapolis, accusing the corporation of negligence related to the cyberattack and claiming they sustained excessive expenses because of the attack’s fallout.
In addition, Odom and Dillman asserted in court filings that the company’s insurance arm, UnitedHealthcare, has in turn been denying claims to cover patient care for being submitted late.
Lawmakers viewed the chaos caused by the cyberattack as a result of United’s seemingly insatiable desire to buy up companies like Change, alongside doctors’ practices and pharmacy businesses. The widespread disruption was a reminder of how deeply United’s sprawling subsidiaries had become embedded in the nation’s health care system.
“This is yet another sign that the rapid consolidation of major health care companies has harmed, rather than helped, American patients and doctors,” Senator Ron Wyden, Democrat of Oregon, said of the financial bind that the cyberattack had placed on practices.
Last month, the American Medical Association sent a letter to Optum, the UnitedHealth division that owns Change, saying that it was concerned that many practices were being pressured to repay loans despite continued financial difficulties from the cyberattack.
Since March 2024, Change had provided $9 billion in interest-free loans to more than 10,000 medical providers, including $569,680 to Odom and $157,600 to Dillman.
A year later, roughly $5.5 billion had been repaid, United said in court filings. About 3,500 practices, including Odom, Dillman and six other plaintiffs in the lawsuits, had made no repayments as of April 1. Several other practices and patients have also filed suits against United.
In a statement, Change said it would “continue to actively work with providers to identify flexible repayment plans based on the individual circumstances of providers and their practices.”
It added, “We have also worked with UnitedHealthcare to ensure the claims it receives are reviewed in light of the challenges providers experienced, including waiving timely filing requirements for the plans under its control.”
Change compared its efforts to recoup loans to those by the Centers for Medicare and Medicaid Services. After the cyberattack, C.M.S. provided accelerated payments to practices to cover Medicare billings delayed by the cyberattack. It has since garnished Medicare claims to recoup the funds.
In court filings, United cited data showing that only a small percentage of Odom’s and Dillman’s health care claims were rejected for being “untimely,” although those denials increased after the cyberattack.
Calling the plaintiffs’ motions a “collective shakedown,” UnitedHealth has also requested that the district court reject their request for an injunction against repayment of loans, arguing that they did not have the right to interfere in its business with thousands of other loan recipients.
An injunction, United argued, could be used by other medical practices to “hold hostage billions of dollars.”
Dr. Megan Dillman, who specializes in pediatrics and internal medicine, said she had opened her Lakeville, Minn., practice in 2022 to “bring the joy back to medicine.” She said she spent far more time with patients than the spartan 15 minutes that corporate health care operations have increasingly required of their doctors.
“I have some patients where I don’t think they would be here today if we didn’t exist,” Dr. Dillman said, citing cancers she had detected that had been missed by more hurried doctors.
Her husband, Richard Dillman, runs the business side of the practice. He called United’s repayment demands “a kick in the teeth.”
“I’d rather go through the Special Forces qualification course back to back — to back to back — than ever do this again,” said Mr. Dillman, a former Green Beret.
At the time of the cyberattack, Change’s medical-billing clearinghouse processed about 45 percent of the nation’s health care transactions, or about $2 trillion annually. The company had to take its services offline in February 2024 to contain damage from the attack, halting much of the health care system’s cash flow and unleashing chaos.
The associated breach of private information was the largest reported in U.S. health-care history. In January, United increased the reported number of people whose personal data had been exposed to 190 million from 100 million.
The U.S. Department of Health and Human Services’s Office of Civil Rights opened an investigation into the ransomware attack in March 2024. An agency spokesperson stated that it “does not generally comment on current or open investigations.” Some health care companies have been fined for breaches involving patient data.
Company officials have said that the hackers infiltrated Change’s systems by obtaining compromised login credentials and using a portal for entry that did not require multifactor authentication.
United officials confirmed that the company had paid a $22 million ransom to the Russian cybercriminals who claimed responsibility. The corporation reported in a January earnings report that the cyberattack had by then cost $3.1 billion.
Health care reimbursements didn’t begin to channel relatively freely through Change until June 2024, although United said that some of its systems had taken longer to come back online and that a few were still not at 100 percent.
At congressional hearings in May 2024, senators slammed Andrew Witty, United’s chief executive, for how the company had handled the cyberattack and the disruption it caused thousands of providers. Mr. Witty testified that the company had “no intention of asking for repayment until providers determine their business is back to normal.”
The loan terms stipulated that Change would not demand repayment until “after claims processing and/or payment processing services and payments impacted during the service disruption period are being processed.”
The meaning of “being processed” is now at the center of the court cases.
Change began seeking repayment from Dillman and Odom through what the medical practices characterized in court filings as a succession of increasingly aggressive letters. Both practices told Change they were unable to repay and neither accepted repayment plan offers. Change then in January demanded full repayment and threatened to withhold future reimbursements for patients’ health care.
“It’s disappointing but not surprising that UnitedHealth Group has decided to prioritize its bottom line over the well-being of families and small businesses,” said Mr. Wyden, who led the Senate hearing on the cyberattack.
The A.M.A. called upon the company to negotiate “an individualized, realistic repayment plan” with each practice.
Dr. Catherine Mazzola, who runs a pediatric neurology and neurosurgery practice in New Jersey, is among many others who have also battled with United over the loans.
“Optum, in my opinion, is acting like a loan shark trying to rapidly collect,” Dr. Mazzola, who is not a plaintiff in the lawsuits against United, said of the division that owns Change.
Dr. Mazzola received a $535,000 loan, and she said she had later told Change she could not repay it. She proposed a schedule but received no response. So she began paying $10,000 a month in January. But without any warning, she said, United began garnishing her reimbursements.
A United spokesman disputed her account, saying demand for full repayment would not occur without warning but after months of efforts to negotiate a plan.
Today, Dr. Odom employs about 110 people, many of whom provide rehab to older people in assisted-living facilities. If his practice had to repay the Change loan immediately, his lawsuit asserted, he would have to lay off at least 22 staff members. Dr. Odom said that could prompt assisted-living chains to drop his services and cause more financial harm.
“We face an uphill battle as such a small company,” said Dr. Meghan Klein, Odom’s president. Speaking to the gulf between her company’s finances and United’s, she said: “What is little impact to them is huge impact to us. These are a lot of people’s lives that we’re worried about.”
The Dillman Clinic, which derives about one-quarter of its income from United insurance reimbursements, would face bankruptcy if forced to fully repay its loan, according to its lawsuit.
Having leveraged their house, their cars and their retirement accounts against their practice, the Dillmans would lose all of their assets to bankruptcy, including their home, they said.
“Part of the goal of being here is to have control over my schedule,” Dr. Dillman said. But the cyberattack-driven chaos has consumed the couple’s time, leaving little for their 6-year-old daughter.
“There are days I see her for an hour,” Dr. Dillman said. “I’m missing her childhood.”
Health
Not all fiber is created equal — doctors share which kinds truly support longevity
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Fiber is known to be a crucial part of a healthy diet, promoting fullness and gut health.
As trends like “fibermaxxing” make high-fiber eating more popular, understanding the best sources is increasingly important for individual health, according to nutritionists.
Longevity expert Peter Attia, a Stanford University physician based in Austin, Texas, spoke about how fiber aligns with a healthier lifestyle in a sneak peek of his newest “Ask Me Anything” episode of “The Peter Attia Drive” podcast.
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People who engage in a beneficial habit, such as eating a high-fiber diet, tend to do “many other healthy things,” according to the doctor.
“They might be exercising more, they’re much less likely to smoke, they’re probably getting more sleep,” he said. “You are very likely to be capturing other healthy habits when you’re trying to simply measure one thing.”
As trends like “fibermaxxing” make high-fiber eating more popular, understanding the best sources of fiber is increasingly important for individual health, according to nutritionists. (iStock)
For this reason, it can be difficult to “disentangle” fiber’s specific effects, Attia said, since people who eat more fiber also tend to consume other beneficial plant nutrients and make generally healthier lifestyle choices.
Different types of fiber
Different types of fiber are known to function differently in the body, according to Attia.
“There are lots of things that are classified as fiber, [and] a wide range of physical properties that a particular fiber might have, but these different properties produce different effects on the body,” he said.
“Some fibers provide primarily microbiome support because they’re actually fermented by gut microbiomes. Some fibers can improve blood sugar … and others simply bulk up stool.”
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Soluble fiber dissolves in water, while insoluble fiber does not — and each type plays a different role in digestion.
Insoluble fiber includes vegetables, the skin of fruits, whole grains and bran, according to Attia. It will remain “largely intact” as it moves through the digestive system, adding stool bulk, reducing constipation and supporting regular bowel movements.
Insoluble fibers are not fermented by gut bacteria, but they stimulate the gut lining to release water and mucus, which “dilutes toxins in the colon” and speeds up “intestinal transit,” the doctor said.
Vegetables typically contain more fiber than other options, according to the doctor. (iStock)
Most soluble, or viscous, fiber can absorb water and create a gel in the gut, which can lead to slower gastric emptying, reduce blood sugar spikes and potentially lower cholesterol levels, according to Attia.
Some examples of soluble fiber include pectin (found in fruits), beta-glucan (found in whole oats) and psyllium husk, which is a plant most often consumed as a supplement.
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Some soluble fibers belong to a subgroup called fermentable, or prebiotic, fibers. These fibers are broken down by gut bacteria to produce short-chain fatty acids (SCFAs) — compounds such as butyrate that help support gut health, regulate pH, improve metabolism and reduce inflammation, according to various studies.
“My mantra is ‘baby steps’ whenever I introduce fiber … a little at a time goes a long way.”
Fermentable fibers are found in foods like beans, pectin and inulin, as well as in prebiotic sources such as onions, garlic, asparagus and chicory root. They’re also present in certain resistant starches, including green bananas, legumes, and cooked, starchy foods like potatoes, rice and pasta.
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Resistant starches, while fermentable, are not soluble, Attia noted. They are categorized into several types:
- RS1: Found in whole grains, seeds and legumes
- RS2: Found in raw potato starch, unripe bananas and maize (corn) starch (commonly used in fiber supplements)
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In most diets, a mix of fiber types is consumed. Plant-based foods — especially those with skins, along with oats, beans and legumes — tend to be the richest sources, Attia shared.
Beans don’t contain any single comitant fiber, but are high in fiber overall, said Attia. (iStock)
Benefits of high-fiber diets
Some key benefits of a high-fiber diet include satiety and weight management, glycemic control, cardiovascular health and colorectal cancer prevention, Attia said.
Robin DeCicco, a certified holistic nutritionist in New York, shared with Fox News Digital in a previous interview that increasing fiber intake can be “quite beneficial.”
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“Everything from gastrointestinal health to cardiovascular health, weight management, prevention of diabetes and certain cancers, to feeling fuller throughout the day and minimizing cravings for sugars and starches, are all major benefits of fiber intake,” she said.
“Not all fibers do the same things, and they don’t all do them equally well,” the doctor said. (iStock)
As health is individualized, DeCicco warned that those with pre-existing gastrointestinal conditions could experience complications by introducing too much fiber at once.
“If your system is not used to fiber, and you start to overload, you can easily become bloated, get cramps and have constipation,” she said.
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It’s “easier on the stomach” to spread it out, since fiber can bulk up in the stomach and cause a back-up, according to DeCicco.
“This is why it’s especially important to incorporate fiber slowly,” she said. “My mantra is ‘baby steps’ whenever I introduce fiber to any client. A little at a time goes a long way toward long-term health.”
Health
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Health
Man dies hours after eating burger as researchers confirm fatal allergy
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A New Jersey man’s death is the first known to be linked to a tick-borne meat allergy, according to researchers at UVAHealth in Virginia.
The unidentified man, 47, reportedly died last summer, four hours after eating a hamburger and just two weeks after a similar episode triggered by steak.
With the summer episode, the man experienced severe abdominal pain, diarrhea and vomiting after eating the steak, a UVAHealth press release said.
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The incident was initially reported as “sudden unexplained death” until Dr. Thomas Platts-Mills of UVA Health determined the man suffered a fatal allergic reaction.
The findings were published in The Journal of Allergy and Clinical Immunology: In Practice.
A New Jersey man’s death is the first known to be linked to a tick-borne meat allergy, according to researchers at UVAHealth in Virginia. (iStock)
The allergy, alpha-gal syndrome (AGS) — also known as “red-meat allergy” or the “tick bite meat allergy” — is caused by the bite of the Lone Star tick, which is found primarily in Southeastern and Eastern states, according to the Centers for Disease Control and Prevention.
The tick’s saliva contains a sugar molecule called alpha-gal, which is injected into the body with the bite. This triggers allergies to certain types of red meat (primarily pork, beef, rabbit, lamb or venison) or products made from mammals (including cheese, milk, other dairy products and gelatin).
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When people eat any foods containing the allergens, they can experience serious allergy symptoms within a few hours, although some may only have mild reactions.
Symptoms may include rash, nausea and vomiting after eating beef, pork or lamb, according to researchers. Some may also experience itchy or scaly skin; swelling of the lips, face, tongue and throat; and wheezing or shortness of breath, according to Mayo Clinic.
The allergy, alpha-gal syndrome (AGS) — also known as “red-meat allergy” or the “tick bite meat allergy” — is caused by the bite of the Lone Star tick. (iStock)
Although fatal anaphylaxis has been noted as a rare risk in severe cases, the New Jersey man’s death was the first to be attributed to the allergy.
Other factors that may have contributed to his severe reaction, according to Platts-Mills, include a beer he drank with his burger, his exposure to ragweed pollen and recent exercise.
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“The important information for the public is: First, that severe abdominal pain occurring three to five hours after eating beef, pork or lamb should be investigated as a possible episode of anaphylaxis; and, second, that tick bites that itch for more than a week or larvae of ticks often called ‘chiggers’ can induce or increase sensitization to mammalian-derived meat,” Platts-Mills, former chief of UVA Health’s Division of Asthma, Allergy and Clinical Immunology, said in the release.
“On the other hand, most individuals who have mild to moderate episodes of hives can control symptoms with an appropriate diet.”
The tick’s saliva contains a sugar molecule called alpha-gal, which is injected into the body with the bite. This triggers allergies to certain types of red meat. (iStock)
A diagnosis of AGS requires antibody testing and a clinical exam. Many patients face a long road to diagnosis — an average of seven years, according to Dr. Johanna Salzer, CDC epidemiologist and author of a 2023 report on AGS.
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“And to get diagnosed, they have to have access to an allergist,” Salzer previously told Fox News Digital. “For many people, there are barriers to get that level of treatment.”
When someone is diagnosed with AGS, the person may have it for a lifetime.
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“However, for some people, if they remove the foods from their diet that can reactivate alpha-gal syndrome, over time, their antibody levels may drop,” the expert said.
There is no treatment or cure for AGS, though physicians can help patients manage their symptoms.
When people eat any foods containing the allergens, they can experience serious allergy symptoms within a few hours, although some may only have mild reactions. (iStock)
“There are a number of things [that] healthcare providers can provide to alleviate symptoms depending on the patients’ individual reactions,” Salzer said.
“Those with more severe reactions are administered EpiPens in case they go into anaphylactic shock.”
Prevention tips
To protect against tick bites, Salzer recommends applying EPA-approved insect repellent, those containing DEET, picaridin, IR3535, Oil of Lemon Eucalyptus (OLE), para-menthane-diol (PMD) or 2-undecanone, whenever going into an area where tick bites are a possibility.
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Wearing long-sleeved shirts, long pants and socks and avoiding grassy, brushy and wooded areas can also help to prevent bites.
“When returning from an area that is known to have ticks, be sure to shower and do a very thorough check,” Salzer advised.
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Platts-Mills urged doctors and patients who live in areas where Lone Star ticks are common to be aware of the risk.
“More specifically, if they have unexpected episodes of severe abdominal pain occurring several hours after eating mammalian meat, they should be investigated for possible sensitization to the oligosaccharide alpha-gal,” he added.
Fox News Digital reached out to the researchers for comment.
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