Home » US Department of Justice charges 78 people with $2.5 billion worth of healthcare fraud

US Department of Justice charges 78 people with $2.5 billion worth of healthcare fraud

by Derek Andrews
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The US Division of Justice (DOJ) announced on Wednesday that it was criminally charging 78 individuals for his or her alleged involvement in healthcare fraud schemes. The alleged fraud schemes totaled over $2.5 billion and focused the aged, individuals with HIV, pregnant ladies and others.

“These enforcement actions, together with towards one of many largest well being care fraud schemes ever prosecuted by the Justice Division, characterize our intensified efforts to fight fraud and prosecute the people who revenue from it,” stated Legal professional Basic Merrick B. Garland. “The Justice Division will discover and convey to justice criminals who search to defraud People and steal from taxpayer-funded applications.”

The defendants resided in a number of states and are accused of collaborating in varied schemes to defraud sufferers and federal medical applications. The alleged schemes included telemedicine fraud, pharmaceutical fraud, opioid distribution and different varieties of fraud. A typical thread between the schemes was overcharging sufferers and utilizing fraudulent prescriptions. The costs declare defendants then acquired kickbacks and extra funds. Many applications engaged in advertising particularly focused at weak teams, like older sufferers.

“Sufferers belief federal well being care applications to supply top quality care,” stated Inspector Basic Christi A. Grimm of the Division of Well being and Human Providers Workplace of the Inspector Basic. “When unhealthy actors steal from these applications, they harm sufferers.”

One case concerned the submission of $1.9 billion price of fraudulent claims to Medicare, a federal healthcare program. One other case resulted in over $150 million being diverted from HIV sufferers. The DOJ alleged that many defendants used the kickbacks from these applications to buy luxurious items, corresponding to automobiles, jewellery, and yachts. The DOJ additional claimed it confiscated hundreds of thousands of {dollars} price of automobiles, money and actual property from the defendants.

A full checklist of the complaints, informations, and indictments unsealed by the DOJ is on the market here.

That is the primary main arrest made by the DOJ associated to healthcare fraud this 12 months. In February, 23 Michigan residents had been charged with $61.5 million of Medicare fraud. The DOJ says that their latest healthcare fraud enforcement actions contain over $10 billion price of fraud.

Healthcare fraud usually leads to poorer outcomes for sufferers, who both don’t obtain sufficient care or have to search out new suppliers. For instance, quite a few Navajo Nation residents not too long ago lost housing because of the closure of sober dwelling properties discovered to have defrauded Medicaid.

Source / Picture: jurist.org

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