US Announces Charges Against 193 in $2.75 Billion Health Care Fraud Crackdown

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In a major crackdown on healthcare fraud, the US Justice Department has brought criminal charges against 193 individuals, among them 76 doctors, nurses, and other medical professionals. The charges stem from alleged schemes totaling $2.75 billion, targeting various facets of the healthcare system.

Attorney General Merrick Garland announced the operation, highlighting its focus on fraudulent practices ranging from illegal Adderall distribution to Medicare billing scams. The bust, which spanned 32 federal districts, also saw the seizure of more than $231 million in assets, including cash, luxury vehicles, and gold.

During a press conference, Garland underscored the severity of the offenses, stating, “The Justice Department will bring to justice criminals who defraud Americans, steal from taxpayer-funded programs, and put people in danger for the sake of profits.”

Among the notable cases, federal prosecutors charged seven individuals associated with the telehealth startup Done Global based in San Francisco. Allegations include the illegal distribution of Adderall, a stimulant commonly used to treat ADHD, with one nurse practitioner accused of prescribing 1.5 million pills with minimal patient interaction. Earlier this month, charges were filed against the company’s founder and lead physician.

The operation also targeted fraudulent practices in telemedicine, with 36 defendants collectively accused of submitting over $1.1 billion in false claims to the Medicare program. These schemes, noted officials, not only defrauded the government but also potentially compromised patient safety.

Officials emphasized the role of advanced data analytics in uncovering these schemes, which have been implicated in exacerbating shortages of medications like Adderall in recent years. The collaborative effort involved the Justice Department’s criminal fraud unit, alongside agencies such as the Department of Health and Human Services Office of Inspector General, FBI, and Drug Enforcement Administration.

As investigations continue, the Justice Department remains vigilant in its efforts to curb health care fraud, safeguard taxpayer funds, and protect public health from illicit practices within the medical industry.

Reuters

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