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Morning Briefing

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Thursday, Jun 23 2016

Full Issue

300 Charged In Largest Takedown Of Medicare, Medicaid Fraud In U.S. History

The nationwide sweep exposed alleged kickbacks, embezzlement and fake claims, and involved various kinds of fraud in diverse areas of health care, ranging from prescription drugs to home health care to physical therapy, the Department of Justice announced.

Health care fraud sweeps across the country have led to charges against 300 people including doctors, nurses, physical therapists and home health care providers accused of bilking Medicare and Medicaid, the government announced Wednesday. The sweep spread from southern California to southern Florida and Houston to Brooklyn, New York, with arrests being made over three days. (6/22)

Federal agents have arrested roughly 300 suspects in what officials call their largest crackdown on Medicare fraud, with charges ranging from taking illegal payments for marketing medications to false physical-therapy claims. (Barrett, 6/22)

The national sweep resulted in charges against doctors, nurses, pharmacists and physical therapists accused of fraud that cost the government $900 million, the department said. The cases involved an array of charges, including conspiracy to commit health care fraud, money laundering and violations of an anti-kickback law. This year's sweep exceeded last year's record in which 243 defendants faced charges in a combined $712 million in government losses. (6/22)

In some cases, doctors took part in schemes to submit claims to Medicare and Medicaid for treatments that were not necessary and were never provided. In others, health care providers offered kickbacks to 鈥減atient recruiters鈥 to help assemble beneficiary information that could be used in phony filings. One of the biggest scams involved phony billings for costly prescription drugs at a time when Medicare鈥檚 drug costs are spiking. (Pianin, 6/23)

"They submitted dishonest claims, they charged excessive fees and they prescribed unnecessary drugs," Attorney General Loretta Lynch said at a news conference. "As this takedown should make clear, health-care fraud is not an abstract violation. It鈥檚 not a benign offense. It鈥檚 a serious crime." (Johnson and Zapotosky, 6/22)

And media outlets report on the sweep on a state level聽鈥

In Southern California, five physicians were among those arrested in cases involving $125 million in elaborate fraud schemes that targeted Medicare and the military鈥檚 medical plan and involved medical billing, unnecessary procedures and high-priced specialized compound medications. The charges in 13 criminals cases filed in federal courts in Los Angeles and Santa Ana include conspiracy, money laundering, kickback schemes and identity theft, according to several federal indictments. (Winton, 6/22)

A Hilliard-area couple who operated a home-health-care agency have agreed to plead guilty to federal charges in a scheme that defrauded the Medicaid program and helped them build a million-dollar luxury home. State and federal officials revealed the local case today, as the U.S. Justice and Health and Human Services departments also announced a nationwide sweep that has led to charges against 301 people 鈥 including 61 doctors, nurses and other licensed medical professionals 鈥 involved in $900 million worth of false billings. (Price, 6/22)

More than 300 people across the nation - including 22 in the Houston area - have been charged with stealing more than $900 million in what federal investigators say is the "largest Medicare fraud takedown in history." The 301 people facing criminal and civil charges of health care fraud include 61 doctors, nurses and other medical professionals, according to the Department of Justice. (Banks, 6/22)

Three Garland residents accused of operating a more than $5 million ear care scam are among dozens of people across the country arrested as part of the biggest Medicare fraud bust in history. Nine others in the Dallas area linked to three separate home health care scams also were charged. (Krause, 6/22)

Four St. Louis-area residents are among hundreds across the nation facing charges of federal health care fraud. The U.S. Department of Justice announced the allegations on Wednesday. All told, more than 300 people in 30 states, the District of Columbia and Puerto Rico have been accused of defrauding Medicare and Medicaid. (Lippmann, 6/22)

A Delaware County podiatrist is one of 301 individuals charged in a nationwide Medicare-fraud bust spanning 36 federal districts and involving approximately $900 million in fraudulent payments. (Chadha, 6/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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