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Trump DOJ announces largest Medicare fraud bust in US history…

Posted on 11/5/25 at 12:18 pm
Posted by Placekicker
Florida
Member since Jan 2016
13754 posts
Posted on 11/5/25 at 12:18 pm
Posted by idlewatcher
Planet Arium
Member since Jan 2012
96989 posts
Posted on 11/5/25 at 12:27 pm to
14.6B that's crazy. Wish they would be skinned alive instead of a 2 year prison sentence.
Posted by tigerfootball10
Member since Sep 2005
10156 posts
Posted on 11/5/25 at 12:27 pm to
All of Medicaid is a fraud
Posted by SloaneRanger
Upper Hurstville
Member since Jan 2014
13784 posts
Posted on 11/5/25 at 12:29 pm to
This happened back in June, right? Or is this new?
Posted by the808bass
The Lou
Member since Oct 2012
128797 posts
Posted on 11/5/25 at 12:44 pm to
Medicaid
Posted by SlowFlowPro
With populists, expect populism
Member since Jan 2004
476851 posts
Posted on 11/5/25 at 12:47 pm to
Posted by Stat M Repairman
Member since Jun 2023
2822 posts
Posted on 11/5/25 at 12:53 pm to
A lot of wake-boats and lake houses bout to hit the market.

'sorry kids, start applying to state schools.'
Posted by trinidadtiger
Member since Jun 2017
19987 posts
Posted on 11/5/25 at 1:14 pm to
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.
Posted by The Torch
DFW The Dub
Member since Aug 2014
29604 posts
Posted on 11/5/25 at 1:16 pm to
Here comes the Democrats to explain it's just a bunch of poor fathers feeding their families.
Posted by LegendInMyMind
Member since Apr 2019
75157 posts
Posted on 11/5/25 at 1:24 pm to
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.
This post was edited on 11/5/25 at 1:27 pm
Posted by Trevaylin
south texas
Member since Feb 2019
11013 posts
Posted on 11/5/25 at 1:29 pm to
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.
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