DOJ Announces 324 Charged In $14.6 BILLION Healthcare Fraud Schemes

DOJ Announces 324 Charged In $14.6 BILLION Healthcare Fraud Schemes

DOJ Announces 324 Charged In $14.6 BILLION Healthcare Fraud Schemes

$14.6 BILLION dollars in healthcare fraud schemes. That’s how much the 324 defendants charged bilked from Medicaid, Medicare, and other private insurance companies. Read that again. $14.6 BILLION dollars. 

State and federal prosecutors have charged more than 320 people and uncovered nearly $15 billion in false claims in what they described Monday as the largest coordinated takedown of health care fraud schemes in Justice Department history.

Law enforcement seized more than $245 million in cash, luxury vehicles, cryptocurrency, and other assets as prosecutors warned of a growing push by transnational criminal networks to exploit the U.S. health care system. As part of the sweeping crackdown, officials identified perpetrators based in Russia, Eastern Europe, Pakistan, and other countries.

“These criminals didn’t just steal someone else’s money. They stole from you,” Matthew Galeotti, who leads the Justice Department’s criminal division, told reporters Monday. “Every fraudulent claim, every fake billing, every kickback scheme represents money taken directly from the pockets of American taxpayers who fund these essential programs through their hard work and sacrifice.”

Remember how the Democrats squawked and threw tantrums over DOGE going into the Department of Health and working to uncover fraud, waste and abuse? I remember. Their mantra was that they didn’t want DOGE to get their grubby little hands on people’s personal data. Which we all knew was a crock. The only personal data that would be compromised would be that of those engaging in actual fraud, waste, and abuse of the system. 

And…HELLO!!! 324 people and $14.6 billion dollars later, what have we here? 

Do you know why people couldn’t get their prescriptions filled at various times? Because of this:

74 defendants, including 44 licensed medical professionals, were charged across 58 cases in connection with the alleged illegal diversion of over 15 million pills of prescription opioids and other controlled substances. For example, five defendants associated with one Texas pharmacy were charged with the unlawful distribution of over 3 million opioid pills. As alleged, the defendants conspired to distribute massive quantities of oxycodone, hydrocodone, and carisoprodol, which were subsequently trafficked by street-level drug dealers, generating large profits for the defendants. This coordinated action is a continuation of the Health Care Fraud Unit’s systematic approach to stopping drug trafficking organizations and their pharmaceutical wholesale suppliers, which together have fueled an epidemic of prescription opioid abuse for nearly a decade.

And that’s just the tip of the iceberg. Oh sure, there were definitely transnationals from Estonia, Russia, China and more involved in bilking Americans. However, there are a great number of people across Nevada, Texas, the Carolinas, Tennessee, Washington State, the VA and beyond who were engaged in defrauding the healthcare system. 

People in HOSPICE were cruelly misdiagnosed and had unnecessary procedures performed! In HOSPICE. 

One of the defendants, a nurse practitioner, applied the grafts to patients even though they were “medically unreasonable and unnecessary,” the indictment said. The nurse allegedly applied them to terminally ill patients in hospice, including some who were days away from dying.

While that specific medical practice is typically non-invasive, Galeotti noted it was part of a $1 billion healthcare fraud scheme that stripped patients of “dignity and peace” in their final days.

“That conduct is exactly as callous and disturbing as it sounds,” Galeotti said. “Patients and their families trusted these providers with their lives. Instead of receiving care, they became victims of elaborate criminal schemes.”

It’s not callous. It is flat out evil that they did this. 

People needing key medical equipment or who were getting genetic testing were bilked. People who were supposed to be received treatment for substance abuse, didn’t get it or what was provided was so substandard, it was useless.  Identity theft was another component of this fraud.

All of this was being investigated while the Democrats were throwing tantrums about DOGE looking into fraud, waste, and abuse in all the government agencies. 

The Democrats blatantly showed they didn’t want fraud, waste, and abuse uncovered across our healthcare system. Now, we are finding out how extensive and damaging the fraud is. I’m afraid this is just the tip of a very giant iceberg. 

Feature Photo Credit: Medicare fraud via iStock, cropped and modified

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