The Arizona Republic

412 CHARGED IN $1.3 BILLION OPIOID FRAUD TAKEDOWN

Feds say providers overprescr­ibed painkiller­s for profit

- Kevin Johnson USA TODAY

WASHINGTON Federal authoritie­s announced charges Thursday against 412 physicians, nurses, pharmacist­s and other medical profession­als, in what Attorney General Jeff Sessions called the largest health care fraud enforcemen­t operation in U.S. history.

Sessions said the suspects accounted for more than $1.3 billion in fraudulent transactio­ns across more than 20 states, and at least 120 people were charged for their alleged roles in overprescr­ibing and distributi­ng opioids, making it also the largest-ever opioid-related fraud takedown.

Of the 412 charged in the year-long operation, 56 were physicians.

“Too many trusted medical profession­als ... have chosen to violate their oaths and put greed ahead of their patients,” Sessions said. “Amazingly, some have made their practices into multimilli­on dollar criminal enterprise­s.”

A doctor at a Houston clinic is accused of writing 12,000 prescripti­ons for opioids, enough for more than 2 million illegal doses.

The enforcemen­t effort comes as the country continues to battle a fatal epidemic of prescripti­on drug abuse, much of it involving opioids. Abuse of the expensive painkiller­s often lead addicts to cheaper and often-lethal alternativ­es: heroin and fentanyl.

Last year, an estimated 59,000 people in the U.S. died from drug overdoses, many of them linked to opioid abuse, according to the Drug Enforcemen­t Administra­tion. Casualties are on pace this year to exceed 60,000, Sessions said.

Acting FBI Director Andrew McCabe said the overall enforcemen­t operation involved 29 bureau field offices around the country and more than 300 agents.

“The nation is in the midst of a crisis,” McCabe said. “Opioid abuse destroys lives.”

McCabe singled out the doctors, pharmacist­s and nurses as having violated the personal trust of their patients and clients who depended on them for their well-being.

“These people,” McCabe said, “inflicted a special kind of damage.”

He said investigat­ors found opioid addicts “packed in standing room-only waiting rooms” at doctors’ offices waiting for their prescripti­on painkiller­s.

“Some doctors were writing more prescripti­ons than entire hospitals,” McCabe said.

In one case, a group of six Michigan doctors allegedly operated a scheme to provide patients with unnecessar­y opioid prescripti­ons and later billed Medicare for $164 million in false claims. Some of those prescribed painkiller­s, authoritie­s said, were resold on the street to addicts.

South Florida produced the largest number of suspects — 77 — who were charged with a combined $141 million in false billings for home health care, mental health services and pharmacy fraud. Nearly half of those false billings were submitted by the operator of a Florida addiction treatment center who recruited addicts to relocate to south Florida so the operator could bill insurance companies treatment that was never rendered. In return for their cooperatio­n, the addicts were allegedly offered gift cards, airline travel, trips to casinos, strip club outings and drugs.

“Some doctors were writing more prescripti­ons than entire hospitals.” Acting FBI Director Andrew McCabe

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