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Keyword: medicare

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  • Six Charged in $20 Million Medicare, Medicare Fraud Scheme Involving NJ Pharmacy

    07/10/2026 9:37:35 PM PDT · by Red Badger · 12 replies
    Townhall ^ | July 10, 2026 | Scott McClallen
    Six people have been charged in connection with an alleged scheme to defraud Medicare and Medicaid involving a doctor and other medical professionals issuing medically unnecessary prescriptions to a pharmacist in exchange for cash kickbacks. The defendants allegedly caused a loss of about $20,684,264 to Medicare and Medicaid. The following individuals were charged by Information in the District of New Jersey on July 7, 2026 and appeared before Judge Karen M. Williams in federal district court in Camden in connection with the scheme: * Sherif Elmasri, 45, of Morganville, New Jersey, pled guilty to a two-count Information charging him with...
  • Indian Fraud Has Made Its Way Into American Healthcare

    07/08/2026 7:09:18 PM PDT · by Red Badger · 57 replies
    Daily Caller ^ | July 08, 2026 | Carla Sands and Samantha Flanigan
    In December 2025, India seized over 100,000 forged diplomas from 28 universities that had been accepted by American companies for employment. In a bombshell report by a former U.S. diplomat, Mahvash Siddiqui alleged that 80% to 90% of the H-1B visa applications from India she reviewed involved fraudulent documentation or unqualified applicants. What is even more alarming is that some of those applicants could now be serving as physicians, surgeons and in various roles as health care professionals across the United States due to decades-old policies that incentivize the speedy hiring of foreign health care professionals. A compounded immigration issue...
  • An Impossible Saturation of Adult Daycares Popped Up in Flushing, NY, and Nobody Thought to Ask Why

    07/02/2026 5:05:49 AM PDT · by Red Badger · 23 replies
    retirement.media ^ | July 02, 2026 | Clive Cummings
    There are 64 Medicaid-funded social adult daycare centers packed into a single one-mile radius of Flushing, Queens. Not 64 in the borough. Not 64 in the city. Sixty-four within walking distance of each other, according to a new CBS News data analysis that found the densest cluster of such facilities anywhere in the country. Federal investigators have noticed, and they are asking the question any taxpayer with a pulse would ask. “[It] begs the question: How many social adult daycare centers do you need?” said Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services, in the CBS...
  • ‘State sanctioned’ Russian mob ran $1B Medicare scam out of New York, compromised 1M medical records: Feds

    06/30/2026 3:42:13 PM PDT · by Libloather · 16 replies
    NY Post ^ | 6/30/26 | Chadwick Moore
    A quiet Brooklyn storefront served as a key part of a $1 billion Medicare fraud scheme led by the Russian mob, a federal indictment charges — and could even have been backed by the Kremlin. The scheme was so brazen, one medical supply company linked to the outfit submitted bills totaling over $250 million for urinary catheters in 2023 alone, according to the feds. The number was so large it amounted to $50 million more than the combined spend of every other medical provider in the country on catheters that year. The scam started in 2022 when a Russia-based transnational...
  • The FBI just HUNTED DOWN Herbert Leon Kimble — the #2 kingpin on their brand new “Most Wanted Fraudsters” list — and dragged him back from the Philippines in handcuffs! This crook allegedly masterminded a $1.2 BILLION Medicare fraud empire (TRANSCRIPT)

    06/22/2026 12:21:38 PM PDT · by ransomnote · 39 replies
    X.com ^ | June 22, 2026 | CONSTITUTIONAL PATRIOT @ConstitustionX
    CONSTITUTIONAL PATRIO@ConstitustionX·4h🚨 JUSTICE STRIKES AGAIN! 🚨The FBI just HUNTED DOWN Herbert Leon Kimble — the #2 kingpin on their brand new “Most Wanted Fraudsters” list — and dragged him back from the Philippines in handcuffs!This crook allegedly masterminded a $1.2 BILLION Medicare fraud empire using a sophisticated call center scam that stole from American taxpayers and patients.Fugitive no more.TWO arrests from the list in just THREE weeks.The White House Anti-Fraud Task Force is delivering. Big fraudsters are running scared.Massive W for @FBIDirectorKash and @DAGToddBlanche Who’s next? #FraudBusters #DrainTheSwamp #JusticeServed #MAGA6/22/2026TRANSCRIPT BEGINS~~~Reporter 1: ...second most wanted fraudster allegedly behind, listen to...
  • 13, including doctors, charged in North Texas healthcare fraud scheme, $365M in false claims

    06/24/2026 3:44:07 AM PDT · by DFG · 25 replies
    WFAA (DFW) ^ | 06/23/2026 | Krista Summerville
    DALLAS — Federal prosecutors have charged 13 people in North Texas as part of a sweeping nationwide healthcare fraud crackdown involving billions of dollars in false claims. The crackdown was a coordinated effort that included more than 450 defendants nationwide, U.S. Attorney Ryan Raybould said in a news release. Investigators say the schemes involve more than $6.5 billion in fraudulent claims and, in some cases, led to serious patient harm. In North Texas alone, prosecutors say the cases involve more than $365 million in fraudulent billing, targeting taxpayer-funded programs like Medicare and TRICARE. Authorities also seized more than $35 million...
  • FBI brings back fugitive accused in $3.7B Medicare fraud scheme after capture in Turkey

    06/22/2026 1:52:16 PM PDT · by DFG · 25 replies
    Fox News ^ | 06/22/2026 | Stephen Sorace
    A fugitive accused of helping mastermind a $3.7 billion Medicare fraud scheme — one of the largest in U.S. history — is in American custody after authorities tracked him down in Turkey and flew him back to the U.S. to face charges, the FBI announced Monday. Ibrahim Khaldoon Hilmi was recently detained by Turkish authorities after he fled the U.S. in May 2025, the FBI said. The FBI's Critical Incident Response Group flew out to Turkey and transported Hilmi to the U.S. on Friday through a foreign transfer of custody operation. FBI Director Kash Patel hailed the operation as a...
  • Total Boomer Luxury Communism”: Why the Federal Deficit is on Autopilot

    06/15/2026 10:26:34 AM PDT · by spintreebob · 93 replies
    OpentheBooks.com ^ | 6/12/26 | Open the Books
    The budget can’t be balanced without reform to Social Security and Medicare. Why won’t politicians admit it? America’s entitlement programs have morphed into something their creators never intended: an intergenerational wealth transfer sustained by promises that are completely removed from fiscal reality. The numbers are no longer debatable. Social Security and Medicare are on a collision course with insolvency that polite political rhetoric cannot wish away. While rooting out fraud and improving efficiency should be one of Washington’s top priorities, that alone cannot close the gap. The baby boomer generation benefited from favorable demographics, strong wage growth and affordable homes...
  • Dr. Oz dishes on blue state fraud: it’s an intentional feature, not a flaw

    05/15/2026 11:27:03 AM PDT · by CFW · 23 replies
    Just the News ^ | 5/14/26 | By John Solomon
    Dr. Mehmet Oz, President Donald Trump’s point man for Medicare and Medicaid, says the billions of entitlement fraud being uncovered in Democrat states may be intentionally driven by politics rather than incompetence. “I do think it's a feature for some of these states,” Oz told Just the News in a wide-ranging interview Thursday night in which he detailed why the administration led by Vice President JD Vance temporarily pulled $1.3 billion in Medicaid funding from California and uncovered foreign fraudsters stealing taxpayer welfare monies. “Republicans always suspected there was fraud of this magnitude. Democrats feel embarrassed that it's gotten this...
  • medicare benefit card

    05/14/2026 2:57:06 PM PDT · by jimfr · 52 replies
    Has anyone seen the ads for medicare benefit heath cards? The ads also describe is as a grocery card; able to be used for food and medicine. Some of the ads also shows grandma or grandpa puts on parties and BBQ for family saying they paid for it by the card. Is this suggesting improper use and possible fraud, at least in my mind.
  • REPORT: Medicare Scams in Texas: 15 ‘Hospices’ in One Building, Patients Signed Up Without Knowing

    05/10/2026 4:07:27 AM PDT · by DFG · 33 replies
    Breitbart ^ | 05/09/2026 | Bob Price
    One of the state’s leading hospice care providers told Texas legislators that Medicare fraud is rampant across the Lone Star State, with rogue operators billing Medicare for millions in Taxpayer dollars. Testimony revealed that patients are being enrolled into hospice without their knowledge, and at least one provider has as many as 15 hospices operating in a single building, with the same owner. Hospice Brazos Valley President and CEO Lisa McNair recently testified before the Texas Senate Committee on Health and Human Services and said that the number of registered hospices in Texas has nearly doubled in the last six...
  • Hospitals and Insurers Are Getting Rich Off Medical Fraud

    04/28/2026 8:04:57 PM PDT · by SeekAndFind · 18 replies
    Townhall ^ | 04/28/2026 | Stephen Moore
    Polls show Americans are angry – and rightly so – at accelerating medical bills. Meanwhile, the insurers and hospitals keep raking in record profits. UnitedHealthcare just reported jumbo profits so far in 2026, and in 2025, it recorded revenues of more than $400 billion. It is raking in profits from the $1.9 trillion in federal healthcare programs. Two of the largest "nonprofit" hospital chains, Kaiser Permanente and HCA Healthcare, recorded nearly $200 billion in assets at the end of 2024. As Republican Rep. Jason Smith (MO-8), chairman of the House Ways and Means Committee, put it: "Hospitals are charging an...
  • Dr. Oz Says Medicare/Medicaid Anti-Fraud Effort Coming To 'All 50 States'

    04/22/2026 8:39:46 PM PDT · by SeekAndFind · 7 replies
    Epoch Times ^ | 04/22/2026 | Jack Phillips
    Dr. Mehmet Oz, the administrator of the agency overseeing Medicaid and Medicare, announced Tuesday that his agency’s anti-fraud effort will come to every state. During an interview at a Politico-hosted event, Oz said that every U.S. state can expect anti-fraud activities involving funds received through the Centers for Medicare & Medicaid (CMS).“We are going to announce this week that all 50 states are going to be requested to give us a plan over the next 30 days of how they’re going to re-validate providers in high-risk areas in their states,” Oz said.Oz explained that it would involve proving whether individuals...
  • Something Stinks in Michigan - Dead Companies, Demolished Buildings, and Hundreds of Millions of Your Taxpayer Dollars.

    04/20/2026 7:26:09 AM PDT · by MtnClimber · 18 replies
    WC Dispatch ^ | 19 Apr, 2026 | Walter Curt
    Editor's note: Welcome to the second installment of Corruption Watch, WC Dispatch's investigative series exposing the leftists, illegal aliens, and NGOs defrauding John Q. Taxpayer from coast to coast. We're proud to partner with Restoration News to amplify these on-the-ground investigations, beginning in Michigan. Read the first installment HERE What do a demolished building, a dental office, and an immigrant hub have in common? In Michigan, they’re all billing Medicaid, and you’re paying for it. We went looking for a lead. All we found was a demolition team eating lunch. That crew gave us information that sent us to 21...
  • Why rural hospitals in Pennsylvania and across the country are closing in increasing numbers

    04/18/2026 4:00:54 PM PDT · by CondoleezzaProtege · 35 replies
    The Conversation ^ | Apr 14, 2026
    The UNC Sheps Center, which tracks rural hospital infrastructure in the United States, has documented 195 rural hospitals that have closed or converted to outpatient facilities since January 2005. Six are in Pennsylvania. Closures have far outpaced the opening of new rural hospitals during this period. As a physician who has trained in rural communities and a researcher who studies community well-being and public health, we see that every rural hospital closure exerts a domino effect on surrounding communities and residents. This can be difficult to quantify but manifests as lost jobs and economic decline, poorer health and a pervasive...
  • The $196 Billion Question: Where Did California’s Medi-Cal Money Go?

    04/02/2026 9:22:26 PM PDT · by SeekAndFind · 16 replies
    PJ Media ^ | 04/02/2026 | Stephen Green
    What do you get when you cross the Corleone crime family with the Sopranos pulling off a heist even bigger than the Lucchese crime family's multimillion-dollar Lufthansa caper in 1978? I dunno, but it's got nothin' on California. If you haven't already read Rick Moran's excellent "Gavin Newsom, 'The Celebrated Jumping Fraud King of Calaveras County'," open that in a new tab, take a gander, then come back here. Because when I first read Rick's piece, I thought, "That's some massive theft going on, but how big is it, really?"Longtime Sharp VodkaPundit Readers™ know I can't look at the big...
  • @DrOzCMS | Hospice fraud isn’t just about stealing your tax dollars – in some cases it’s about stealing your life. Federal and state authorities raided this illegal hospice ring in southern California

    03/19/2026 11:28:33 AM PDT · by ransomnote · 7 replies
    X.com ^ | 3/19/2026 | DrOzCMS @DrOzCMS
    This is a different type of hospice fraud. Seniors not aware they are in hospice (they aren't dying), neglected and defrauded when the home owner distributes their identity information to others who bill medicaid.DrOzCMS @DrOzCMSHospice fraud isn’t just about stealing your tax dollars – in some cases it’s about stealing your life. Federal and state authorities raided this illegal hospice ring in southern California earlier this month, but there are plenty more like it. We won’t rest until seniors and taxpayers are safe. March 18, 2026
  • Trump’s anti-fraud task force poised to scrutinize benefits programs

    03/19/2026 10:56:13 AM PDT · by spintreebob · 11 replies
    NetGov/FCW ^ | 3/19/26 | Natalie Alms
    The new White House task force will withhold government funding for state and local benefits programs if their anti-fraud controls are viewed as lacking. IT MODERNIZATION The White House is kicking off President Donald Trump’s “war on fraud” with a focus on federally-funded benefits like housing, food and cash assistance programs. Among the tactics that a new anti-fraud task force will be pursuing is withholding government funding to state and local jurisdictions whose anti-fraud controls for benefits are deemed inadequate and increasing data-sharing between states and the federal government, according to the Monday executive order establishing the task force. Both...
  • WATCH: Investigative Journalist Nick Shirley Releases Video Uncovering $170 Million in Fraud in California

    03/16/2026 9:04:54 PM PDT · by bitt · 36 replies
    https://www.thegatewaypundit.com/ ^ | Mar. 16, 2026 | Cristina Laila
    Investigative journalist Nick Shirley released his latest video on Monday, uncovering $170 million in fraud in California. And this is just the tip of the iceberg in Democrat-run California. “We uncovered over $170,000,000 in fraud as these fraudsters live in luxury with no consequences,” Nick Shirley said. “California’s version of Medicaid called ‘Medi-Cal’ has more than doubled since 2022 from $108 billion to a proposed $222 billion in 2026. Their population, however, has not grown exponentially. However, their spending has,” Nick Shirley said. “There has been a 1,000 percent increase in hospice care in Los Angeles County,” Nick Shirley said....
  • We visited “ground zero” for hospice fraud: Los Angeles, California

    03/10/2026 7:23:46 PM PDT · by logi_cal869 · 11 replies
    CBS News ^ | 3/10/2026 | Rachel Gold, Laura Geller, Adam Yamaguchi and Graham Kate
    At age 69, Lynn Ianni is a pickleball whiz, zipping from dinks to drives energetically. When she suffered an injury on the court two years ago, she sought physical therapy, and was surprised to learn her Medicare insurance wouldn’t cover it. She was, according to Medicare records, dying and in hospice. - snip - “They said, ‘you're in hospice.’ And I said, ‘what? What are you talking about?” Ianni said. “‘Are you kidding me? Do I look like I’m in hospice?’” Ianni’s Medicare number had been stolen, and used by a company to fraudulently enroll her in hospice – specialized,...