US battle against (medicare and other) fraud thread

1,815 Views | 25 Replies | Last: 7 hrs ago by nortex97
nortex97
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4:23a, 6/23/26
AG
Kash claiming credit for this one;


This isn't really purging the deep state or Homan, so I guess we need a separate thread for all the massive fraud the FBI seems focused on uncovering.

There are many other stories and I've read that up to 50% of medicare spending is fraudulent likely ($60-83 billion/year). It's just staggering, in any case. AG Todd Blanche said the WH anti-fraud task force has reclaimed over $5 billion in payments just in the last 2 months.

Political because it involves the WH task force so I am sure democrats will be/are opposed to cutting down on the waste/fraud.

ETA: Democrat AG's universally snubbed coming to the anti-fraud task force meeting last month. The fraud prevention and accountability act only drew 28 House democrats' support, which is actually a surprisingly high amount to me, but of course the mid-terms are near.
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Rex Racer
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6:05a, 6/23/26
AG
Tomorrow's headline: "Trump takes away $3.7 billion in Medicare benefits".
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doubledog
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7:27a, 6/23/26
The problem lies not with the criminal fraudsters, as they are a constant presence. The real issue is the kickbacks received by politicians who allow the fraud to occur and turn a blind eye in exchange for payment, favors or votes.
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Rex Racer
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In reply to doubledog • 8:12a, 6/23/26
AG
doubledog said:
The problem lies not with the criminal fraudsters, as they are a constant presence. The real issue is the kickbacks received by politicians who allow the fraud to occur and turn a blind eye in exchange for payment, favors or votes.

Right. The system should be a LOT harder to defraud than it is. The fact that someone can defraud Medicare in the first place is the real problem.
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Science Denier
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In reply to nortex97 • 8:19a, 6/23/26
AG
nortex97 said:
Kash claiming credit for this one;


This isn't really purging the deep state or Homan, so I guess we need a separate thread for all the massive fraud the FBI seems focused on uncovering.

There are many other stories and I've read that up to 50% of medicare spending is fraudulent likely ($60-83 billion/year). It's just staggering, in any case. AG Todd Blanche said the WH anti-fraud task force has reclaimed over $5 billion in payments just in the last 2 months.

Political because it involves the WH task force so I am sure democrats will be/are opposed to cutting down on the waste/fraud.

ETA: Democrat AG's universally snubbed coming to the anti-fraud task force meeting last month. The fraud prevention and accountability act only drew 28 House democrats' support, which is actually a surprisingly high amount to me, but of course the mid-terms are near.

Vance needs to be doing this full time. Screw the "negotiations" with folks that will NEVER honor anything you come up with.

I hope "big balls" is on the team.
LOL OLD
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Omperlodge
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8:19a, 6/23/26
Father in law had a medical procedure cancelled on the day it was scheduled. The hospital still billed and was paid for it by Medicare. We are talking close to $100,000 in charges that should not have been paid.
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MouthBQ98
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In reply to Omperlodge • 8:28a, 6/23/26
AG
If there was a fine schedule for this kind of BS to deter "administrative errors" then a lot of bad payouts would be prevented or deterred. I've long suspected that our entitlement programs were chock full of fraud and erroneous submissions and dispersals but the scale of the programs snd vast quantity of data deterred forensic analysis until the arrival of AI accounting. This will clean up the mess and find the fraud that has become a part of the system and a useful tool for fundraising and distribution by so many "special interests"
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American Hardwood
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8:29a, 6/23/26
AG
I suspected the home health service for my mother who is on Medicare was engaging in some shady practices. A while back when DOGE and others started looking into government spending, the service notified me that they were dropping a bunch of services my mother had been receiving for several years.

They also stopped trying to offer other services for which she was supposedly eligible. I was a bit suspicious with how generous and pushy they were about such things and felt they were trying to clean up their accounts before they found themselves under investigation.
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YouBet
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8:35a, 6/23/26
AG
Wish we would execute this guy.
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ts5641
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In reply to nortex97 • 8:46a, 6/23/26
We've made progress. At least the FBI isn't focusing on parents speaking at school board meetings. Baby steps...
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ts5641
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In reply to YouBet • 8:47a, 6/23/26
YouBet said:
Wish we would execute this guy.

That's exactly how they should be dealt with. Do it enough and the fraud stops.
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YouBet
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In reply to ts5641 • 8:51a, 6/23/26
AG
ts5641 said:
We've made progress. At least the FBI isn't focusing on parents speaking at school board meetings. Baby steps...


Almost strange to see the FBI focusing on actual crime as opposed to social justice and fake far right wing conspiracy theories. Very refreshing. Will enjoy it while we can.
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RikkiTikkaTagem
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In reply to Omperlodge • 8:55a, 6/23/26
AG
Omperlodge said:
Father in law had a medical procedure cancelled on the day it was scheduled. The hospital still billed and was paid for it by Medicare. We are talking close to $100,000 in charges that should not have been paid.


I say this as a doctor

Go get paid king.
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Helicopter Ben
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In reply to Rex Racer • 9:16a, 6/23/26
Rex Racer said:
doubledog said:
The problem lies not with the criminal fraudsters, as they are a constant presence. The real issue is the kickbacks received by politicians who allow the fraud to occur and turn a blind eye in exchange for payment, favors or votes.

Right. The system should be a LOT harder to defraud than it is. The fact that someone can defraud Medicare in the first place is the real problem.

Or…perhaps these systems simply shouldn't exist. Government can't run anything even at the lowest possible bar of satisfactory level. Considering that, it's inevitable that fraud of this scale will occur. Now factor in the incompetence and the destructive nature of these programs becomes downright reprehensible
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BQ78
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In reply to nortex97 • 9:35a, 6/23/26
AG
I bet they arrested him at the gym.
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FrioAg 00
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In reply to RikkiTikkaTagem • 9:43a, 6/23/26
AG
There is a curative process for billing errors, and a defined clock once it's probable they know about it.

This will not get anywhere close to a qui tam case, which is what you're describing.
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jagsdad
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10:40a, 6/23/26
Ok, noy only do I want these people to go to the lowest hole in the worst prison we have, we need to confiscate every car, house, watch, down to the last can of beans they own, to resell to recoup our loss.
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Rex Racer
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In reply to Helicopter Ben • 10:50a, 6/23/26
AG
Helicopter Ben said:
Rex Racer said:
doubledog said:
The problem lies not with the criminal fraudsters, as they are a constant presence. The real issue is the kickbacks received by politicians who allow the fraud to occur and turn a blind eye in exchange for payment, favors or votes.

Right. The system should be a LOT harder to defraud than it is. The fact that someone can defraud Medicare in the first place is the real problem.

Or…perhaps these systems simply shouldn't exist. Government can't run anything even at the lowest possible bar of satisfactory level. Considering that, it's inevitable that fraud of this scale will occur. Now factor in the incompetence and the destructive nature of these programs becomes downright reprehensible

I'm all for that, too. And while we're at it, post the prices for medical procedures beforehand so we can comparison shop!
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Kenneth_2003
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In reply to YouBet • 10:55a, 6/23/26
AG
YouBet said:
Wish we would execute this guy.


These scum should simply be bullet holed the minute their dome clears the door!
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CanyonAg77
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In reply to YouBet • 11:20a, 6/23/26
AG
YouBet said:
Wish we would execute this guy.

I'd reduce his sentence if he fully disclosed all the bureaucrats and politicians he paid off to run the fraud
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BigN--00
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11:40a, 6/23/26
AG
One problem we have is not enough DOJ to prosecute this. I was told by a couple of lawyers just the other day. that if the qui tam cases isn't $10 million the feds aren't even gonna' look at it. But those cases add up.

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javajaws
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11:43a, 6/23/26
AG
I only give this guy 50% of the blame. The other 50% is on the government for allowing fraud of this scale in the first place.
"Those who would give up essential Liberty, to purchase a little temporary Safety, deserve neither Liberty nor Safety." - Ben Franklin
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DCPD158
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12:19p, 6/23/26
AG
I wish, since it was "our" tax dollars, that each individual citizen could file suit in civil court for losses against this guy and all others.. It isn't theft of government money, it is theft of my tax dollars.
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agracer
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In reply to nortex97 • 6:14p, 6/23/26
AG
nortex97 said:
Kash claiming credit for this one;


This isn't really purging the deep state or Homan, so I guess we need a separate thread for all the massive fraud the FBI seems focused on uncovering.

There are many other stories and I've read that up to 50% of medicare spending is fraudulent likely ($60-83 billion/year). It's just staggering, in any case. AG Todd Blanche said the WH anti-fraud task force has reclaimed over $5 billion in payments just in the last 2 months.

Political because it involves the WH task force so I am sure democrats will be/are opposed to cutting down on the waste/fraud.

ETA: Democrat AG's universally snubbed coming to the anti-fraud task force meeting last month. The fraud prevention and accountability act only drew 28 House democrats' support, which is actually a surprisingly high amount to me, but of course the mid-terms are near.

But that scooter mi-ma needs to get around is "FREE"......
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agracer
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In reply to Rex Racer • 6:18p, 6/23/26
AG
Rex Racer said:
Helicopter Ben said:
Rex Racer said:
doubledog said:
The problem lies not with the criminal fraudsters, as they are a constant presence. The real issue is the kickbacks received by politicians who allow the fraud to occur and turn a blind eye in exchange for payment, favors or votes.

Right. The system should be a LOT harder to defraud than it is. The fact that someone can defraud Medicare in the first place is the real problem.

Or…perhaps these systems simply shouldn't exist. Government can't run anything even at the lowest possible bar of satisfactory level. Considering that, it's inevitable that fraud of this scale will occur. Now factor in the incompetence and the destructive nature of these programs becomes downright reprehensible

I'm all for that, too. And while we're at it, post the prices for medical procedures beforehand so we can comparison shop!

I've been told that is impossible in ER situations....except that if a 65yr old male comes in with chest pain the same tests/procedures are going to be done on 99% of patients so you'd THINK there'd be SOME transparency.
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nortex97
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3:49a, 6/24/26
AG
DAG Blanche; 455 people charged in $6.5 billion medicare/medicaid fraud:
Quote:
WASHINGTON Acting Attorney General Todd Blanche announced Tuesday that the feds have charged hundreds of defendants in recent weeks for seeking to bilk taxpayer-funded programs out of $6.5 billion.

"This announcement marks the greatest combined federal and state effort in combating health care fraud in history," Blanche told reporters at the Department of Justice's headquarters in DC.

"These individuals participated in health care fraud schemes involving over $6.5 billion in false claims submitted to Medicare, Medicaid, and other health care programs."

Quote:
One recent case involved an Arizona-based corporate executive who purportedly took $2 billion in taxpayer funds after billing the feds for fake claims to pay for amniotic wound allografts, charging more than $1 million per patient, Blanche noted.

The executive and 10 other defendants eight of whom are medical professionals took the funds to pay for lux lifestyles including a $135,000 Maserati, an $865,000 Bulgari necklace, multimillion-dollar homes and the construction of a $4.6 million resort in the Philippines.

"We're taking back the money, the luxury cars, the jewelry and these alleged fraudsters will face justice," Blanche said.

'Living piggy banks' made me laugh.
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