Federal Prosecutor Says Florida Network Defrauded Medicare and Medicaid of Over $1 Billion

The New York Times reports the details. Here’s a sample:

“Prosecutors, however, described [Philip Esformes] as the “mastermind” of a conspiracy that cycled some 14,000 elderly people in and out of nursing homes and assisted-living facilities, whether they needed medical care or not.

With the help of doctors, pharmacists, health care consultants and other medical personnel who got kickbacks for their roles, the facilities billed Medicare and Medicaid for high-priced drugs, medical procedures and health equipment that the patients either did not need or never received, prosecutors said.

In some cases, they charged, Mr. Esformes’s operation “preyed upon” the elderly patients by giving them narcotics so that they would have to remain longer in the care facilities to treat their addictions and “the cycle of fraud could continue.”

Source: U.S. Says Florida Network Defrauded Medicare and Medicaid of Over $1 Billion – The New York Times

Follow my advice and you’ll be much less likely to even need Medicare’s coverage.

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