Posted on 07/20/2026 4:21:34 AM PDT by Libloather
Federal Medicaid czar Dr. Mehmet Oz said New York’s overblown $110 billion spending on medical bills is sickening — as he claimed Chinese crime syndicates are ripping off the Empire State.
The TV doctor-turned-Trump administration official, blasted New York’s Medicaid program as rife with fraud in an interview Sunday as he outlined an alleged scheme that included millions of dollars in fraudulent medical bills.
“Social safety net programs are being defrauded. They’re being hurt oftentimes by foreign governments or foreign-run criminal syndicate organizations,” Oz, administrator of the US Centers for Medicare & Medicaid Services, said Sunday on 77 WABC ‘s the “Cats Roundtable” program.
Oz recently toured Flushing, Queens where a cluster of 64 social adult care centers operate — mostly serving ethnic Chinese and Korean senior citizens. Officials claim the center and pharmacies have generated massive amounts of questionable bills to Medicaid, a public insurance program intended to help the needy.
The social centers arguably shouldn’t be propped up by taxpayers, Oz said. The federal government covers more than half of Medicaid’s costs, with the state and local governments covering the rest.
“Normally, the government doesn’t pay for it. In New York, they’ve created a mechanism to pay for these programs,” Oz told host John Catsimatidis.
“These are run, we believe, under the auspices of the Chinese organized criminal groups that are also doing human trafficking in the East Coast.”
He didn’t specify which organizations may be behind the scheme or provide further details.
(Excerpt) Read more at nypost.com ...
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The ccp needs to be brought down once and for all. General Augusto Pinochet had the right idea for dealing with commie abominations.
Report Finds Evidence of Growing Over-Enrollment in New York’s Medicaid Program and Essential Plan
With or without the complicity of the NY authorities?
They aid and abet.
Wait until he checks out Williamsburg and Kiryas Joel. The Hasidim put the Chinese to shame when it comes to Medicaid fraud.
My guess is that they never look under that rock for political reasons.
Like the traitors they are.
If he’d seen any movies featuring Chinese organized crime, he’d know it’s the Tongs.
The biggest crooks are the NY state legislature. They collect campaign contributions from Medicaid nursing homes, and then let them loot the program.
In many locations and in many ways, the Chinese seem to be able to steal money from us and then feed it back into our system to create corruption. It’s a type of money laundering. Doesn’t really cost the Chinese a dime, but allows them the use of billions to destroy our country.
FTA
“Social safety net programs are being defrauded by foreign governments or foreign-run criminal syndicates,” said Dr Oz, administrator of the US Centers for Medicare & Medicaid Services.
Dr Oz was in Flushing, Queens where “a cluster of 64 social adult care centers operate” — mostly serving ethnic Chinese and Korean senior citizens. Officials claim the center and its “pharmacies” have generated massive amounts of questionable daycare-related bills to Medicaid that were intended to bilk US taxpayers.
Yes...see my tagline:
Factio Communistica Sinensis Delenda Est
(The Chinese Communist Party Must Be Destroyed)
Pharmacy Medicare fraud occurs
<><>when pharmacies, pharmacy benefit managers (PBMs), or related entities
<><>collude to deliberately deceive the Medicare program
<><>they cheat to steal unearned, inflated government reimbursements.
The most common types of pharmacy-related Medicare fraud schemes include:
1. Billing for Medication Never Dispensed (”Phantom Billing”) A pharmacy bills Medicare Part D for a drug that the patient never picked up, requested, or was prescribed. Pharmacies keep the medication on the shelf to resell it while pocketing the government reimbursement, billing Medicare Part D for drugs that were never actually provided to patients.
2. Auto-Refill Fraud: Automatically refilling prescriptions without the patient’s authorization or knowledge. When a patient stops taking a drug, the pharmacy intentionally fails to stop the auto-refill sequence. Medicare is consistently billed for chronic care drugs that accumulate unused in patients’ homes or are entirely abandoned.
3. Prescription Drug Switching Definition: Dispensing a cheaper medication while billing Medicare for a more expensive version. A generic alternative or a completely different, lower-cost drug is handed over to the patient.The pharmacy submits a claim for a premium brand-name or highly priced medication to absorb the financial spread.
4. Offering incentives to doctors, telemarketers, or patients to route prescriptions through a specific pharmacy. Pharmacies buy “doctor orders” or pay marketing companies to obtain Medicare beneficiary numbers. This forces the generation of highly expensive, medically unnecessary prescriptions (e.g., compound creams, footbaths) to bill the taxpayers.
5. Compounding Pharmacy Schemes: Fraudulently manufacturing custom-mixed medications at massive scale purely to trigger high Medicare payouts. Bribed medical providers write scripts for unnecessary, non-FDA-approved compounded products like pain or scar creams. These tailored drugs bypass standard pricing caps, often costing Medicare thousands of dollars per single tube.
6. PBM Overcharging and Pricing Manipulation: Corporate Pharmacy Benefit Managers (PBMs) manipulating drug pricing metrics reported to federal healthcare programs. Inflating the “usual and customary” prices or hiding manufacturer rebates instead of passing the savings to Medicare.
A federal court penalized CVS Caremark nearly $290 million following whistle-blower evidence that the PBM consistently overcharged Medicare for prescription drugs.
The government didn’t initially question the 64 facilities in Flushing, Queens because of weak oversight and regulatory capacity that failed to keep pace with rapid expansion.
Lax monitoring by the New York Department of Health, diffuse oversight responsibilities, and fraudsters exploiting tight-knit community trust allowed these operations to hide in plain sight.
The dense concentration of 64 centers in a single one-mile radius flourished due to several structural vulnerabilities in the system:
Lack of Proportional Scrutiny: As the number of social adult daycare centers (SADCs) grew rapidly across New York, the New York Department of Health failed to adequately monitor programs or perform proper inspections before facilities opened and began billing.
Diffuse Responsibilities: Medicaid managed long-term care plans, state health departments, and federal agencies all held partial oversight, creating gaps and blind spots that sophisticated fraudsters could easily exploit.
Targeting Insular Communities: Organizers specifically targeted tight-knit populations, utilizing community trust, social pressure, and cash kickbacks to persuade seniors to participate in programs they might not have fully understood.Federal authorities and oversight bodies have since stepped in to scrutinize these centers.
Investigations revealed schemes where operators billed Medicaid for unneeded services, falsified attendance, and used threats to keep beneficiaries in line. Consequently, the U.S. Department of Justice and the Centers for Medicare & Medicaid Services (CMS) have launched major probes into the city’s Medicaid-funded programs.
The federal government covers more than half of Medicaid’s costs, with the state and local governments covering the rest.
And nobody checks on them yep it’s gobment folks at it’s finest.
Isn’t it strange that most of the corruption in the US is centered in blue states, blue cities, and blue counties?
Most likely taking their cut.
Joey Jones at Fox gave a simple way of significantly fixing this: He said “at the slightest hint of fraud the feds need to immediately stop all payments to the fraudster”.
Trump needs to implement this immediately. A slight hint might be failure to answer the phone, empty parking lot, blacked out windows, etc.
legitimate businesses will immediately provide evidence and the illegitimate ones won’t, Those should then be prosecuted.
Put out pots of free money and they will come.
This is so sad. The open borders Welfare State has turned into an invitation for the entire world to come to America to rip off the US taxpayer. And the Dems are perfectly willing to enable it.
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