Pittsburgh Post-Gazette

U.S. charges more than 400 in health fraud schemes

- By Sadie Gurman

WASHINGTON — More than 400 people have been charged with taking part in health care fraud and opioid scams that totaled $1.3 billion in false billing, Attorney General Jeff Sessions announced Thursday.

Mr. Sessions called the collective action the “largest health care fraud takedown operation in American history” and said it indicates that some doctors, nurses and pharmacist­s “have chosen to violate their oaths and put greed ahead of their patients.”

Mr. Sessions said the operation began with tips from people in the affected communitie­s and from “very sophistica­ted computer programs that identify outliers.”

The investigat­ion particular­ly focused on medical profession­als who were involved in the unlawful distributi­on of opioids and other prescripti­on narcotics, officials said.

Arrests were made in cities including Chicago, Detroit and Los Angeles as well as in southern Florida, which is home to hundreds of residentia­l drug addiction treatment centers.

Among those charged are six Michigan doctors accused of a scheme to prescribe unnecessar­y opioids. A Florida rehab facility is alleged to have recruited addicts with gift cards and visits to strip clubs, leading to $58 million in false treatments and tests.

Officials said those charged in the schemes include more than 120 people involved in illegally prescribin­g and distributi­ng narcotic painkiller­s. Such prescripti­on opioids are behind the deadliest drug overdose epidemic in U.S. history. More than 52,000 Americans died of overdoses in 2015 — a record — and experts believe the numbers have continued to rise.

“In some cases, we had addicts packed into standingro­om-only waiting rooms waiting for these prescripti­ons,” acting FBI director Andrew McCabe said. “They are a death sentence, plain and simple.”

Health and Human Services Secretary Tom Price said the Trump administra­tion is committed to combating the crisis in other ways besides enforcemen­t. Many people are not getting into recovery programs, he said.

In West Virginia, he said, “one firefighte­r revived the same young lady three times in one day. That’s a system that is failing that individual.”

Nearly 300 health care providers are being suspended or banned from participat­ing in federal health care programs, Mr. Sessions said.

“They seem oblivious to the disastrous consequenc­es of their greed. Their actions not only enrich themselves, often at the expense of taxpayers, but also feed addictions and cause addictions to start,” Mr. Sessions said.

Health care fraud sweeps like Thursday’s happen each year across the country, but law enforcemen­t officials continue to grapple over the best way to fight the problem.

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