- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message

Trump DOJ announces largest Medicare fraud bust in US history…
Posted on 11/5/25 at 12:18 pm
Posted on 11/5/25 at 12:18 pm
Posted on 11/5/25 at 12:27 pm to Placekicker
14.6B that's crazy. Wish they would be skinned alive instead of a 2 year prison sentence.
Posted on 11/5/25 at 12:27 pm to Placekicker
All of Medicaid is a fraud
Posted on 11/5/25 at 12:29 pm to Placekicker
This happened back in June, right? Or is this new?
Posted on 11/5/25 at 12:53 pm to Placekicker
A lot of wake-boats and lake houses bout to hit the market.
'sorry kids, start applying to state schools.'
'sorry kids, start applying to state schools.'
Posted on 11/5/25 at 1:14 pm to Placekicker
Well here is California alone and keep in mind the 9.5 billion in the first item is annually, and many states are doing the same, its what was cut off and the dems want to put back in.....
$9.5 billion (alleged scheme): A 2025 report by the Paragon Institute alleged that California used a "money laundering scheme" involving an insurer tax to improperly generate $9.5 billion in federal funds to cover costs, including Medicaid for undocumented immigrants, which is generally prohibited from using federal funds.
$320 million (lawsuit): The Department of Justice filed a lawsuit against a California health insurer, Inland Empire Health Plan, for allegedly hiding and misusing $320 million in surplus federal Medicaid funds that should have been returned.
$300 million (charges): A California pharmacist was charged in October 2024 with submitting over $300 million in fraudulent claims to Medi-Cal for medically unnecessary medications, dispensed drugs, and prescriptions obtained through illegal kickbacks.
$52.7 million (audit finding): A May 2024 audit by the Office of the Inspector General (OIG) found California improperly claimed $52.7 million in federal Medicaid reimbursement for non-emergency services provided to noncitizens with unsatisfactory immigration status, due to an outdated proxy percentage used for billing.
$180.6 million (audit finding): An OIG report in 2018 recommended California refund over $180 million in unallowable federal reimbursement for specialty mental health services (SMHS) expenditures.
$70.7 million (settlement): In August 2022, a county-managed health plan and three healthcare providers in Ventura County agreed to pay $70.7 million to settle claims they overbilled Medi-Cal by avoiding the return of funds related to the 2014 Medicaid expansion.
$31.5 million (settlement): Memorial Health Services reached a settlement in which it paid over $31.5 million after self-disclosing that it overcharged Medi-Cal for prescription drugs.
$362.8 million (annual recovery): In fiscal year 2023, California's Medicaid Fraud Control Unit (MFCU) was responsible for $362.8 million of the $1.2 billion recovered nationwide from Medicaid provider fraud and patient abuse or neglect, a figure that only represents identified and recovered funds, not the total amount of fraud occurring.
$9.5 billion (alleged scheme): A 2025 report by the Paragon Institute alleged that California used a "money laundering scheme" involving an insurer tax to improperly generate $9.5 billion in federal funds to cover costs, including Medicaid for undocumented immigrants, which is generally prohibited from using federal funds.
$320 million (lawsuit): The Department of Justice filed a lawsuit against a California health insurer, Inland Empire Health Plan, for allegedly hiding and misusing $320 million in surplus federal Medicaid funds that should have been returned.
$300 million (charges): A California pharmacist was charged in October 2024 with submitting over $300 million in fraudulent claims to Medi-Cal for medically unnecessary medications, dispensed drugs, and prescriptions obtained through illegal kickbacks.
$52.7 million (audit finding): A May 2024 audit by the Office of the Inspector General (OIG) found California improperly claimed $52.7 million in federal Medicaid reimbursement for non-emergency services provided to noncitizens with unsatisfactory immigration status, due to an outdated proxy percentage used for billing.
$180.6 million (audit finding): An OIG report in 2018 recommended California refund over $180 million in unallowable federal reimbursement for specialty mental health services (SMHS) expenditures.
$70.7 million (settlement): In August 2022, a county-managed health plan and three healthcare providers in Ventura County agreed to pay $70.7 million to settle claims they overbilled Medi-Cal by avoiding the return of funds related to the 2014 Medicaid expansion.
$31.5 million (settlement): Memorial Health Services reached a settlement in which it paid over $31.5 million after self-disclosing that it overcharged Medi-Cal for prescription drugs.
$362.8 million (annual recovery): In fiscal year 2023, California's Medicaid Fraud Control Unit (MFCU) was responsible for $362.8 million of the $1.2 billion recovered nationwide from Medicaid provider fraud and patient abuse or neglect, a figure that only represents identified and recovered funds, not the total amount of fraud occurring.
Posted on 11/5/25 at 1:16 pm to Placekicker
Here comes the Democrats to explain it's just a bunch of poor fathers feeding their families.
Posted on 11/5/25 at 1:24 pm to Placekicker
That is old "BREAKING!" news, but it is a legit big time operation. You, and everyone, would be wise to read the overview from the DoJ. I think SFP posted the link.
ETA: It was posted here when it actually happened.
ETA: It was posted here when it actually happened.
This post was edited on 11/5/25 at 1:27 pm
Posted on 11/5/25 at 1:29 pm to The Torch
Great. now look into the CPAP sleep testing scam next. A cpap purchased directly is 700 bucks. the two sleep tests are billed at several thousand bucks to justify the 700 buck expenditure.
Popular
Back to top
9










