Northwest Arkansas Democrat-Gazette

Woman enters guilty plea in Tricare fraud

- LINDA SATTER

LITTLE ROCK — A woman admitted Wednesday in a federal courtroom that she received $89,800 in kickbacks for forwarding fraudulent, pre-filled prescripti­ons to her mother, a registered nurse practition­er, as part of a scheme to defraud a government insurance program.

Jennifer Crowder of Little Rock, formerly known as Jennifer Bracy, now 37, pleaded guilty to a charge of violating an anti-kickback statute.

Her mother, who court documents say rubber-stamped the prescripti­ons so they could be filled at a compoundin­g pharmacy, wasn’t identified in court documents and hasn’t been charged. The documents say in exchange for the older woman approving the phony prescripti­ons, Crowder was paid $1,000 per patient.

Crowder is one of several people to be charged in the Eastern District of Arkansas over the past two years with participat­ing in schemes dating to 2015 that have cost Tricare, the military’s health insurer, millions of dollars. Investigat­ions began across the country after Tricare paid nearly $2 billion for compounded prescripti­on drugs in 2015 alone, constituti­ng an 18-fold increase over previous years.

The charging document to which Crowder pleaded guilty says she was part of a scheme generating more than $12 million in fraudulent payments from the insurer. Also charged in the scheme are Albert Glenn Hudson, Derek Clifton and Joe David “Jay” May.

Clifton, a Little Rock man who was a high school basketball coach in Baxter County before becoming a medical sales representa­tive, and May, a physician from Alexander, were indicted Jan. 9, and are scheduled for trial beginning Jan. 11, 2021, before U.S. District Judge Kristine Baker.

Hudson, who lives in Little

Rock and did business as Major Healing LLC, pleaded guilty June 24 to a charge of conspiring to defraud the government, after waiving review by a federal grand jury.

He admitted pocketing $1.5 million by organizing a group of people to submit phony prescripti­ons. While his plea agreement calls for him to pay back all the money and to be sentenced based on that amount, his attorney contends the amount of taxes he has paid on the money should be deducted from the restitutio­n amount. He’s facing sentencing on March 16 before Chief U.S. District Judge D. Price Marshall Jr.

According to Crowder’s charging document, her mother rubber-stamped prescripti­ons for patients who hadn’t been examined, in exchange for Hudson paying Crowder. During Wednesday’s hearing, Crowder surrendere­d $89,800, representi­ng the amount of kickbacks she received, by way of cashier’s checks payable to the U.S. Marshals Service.

The document says Crowder, Hudson, Clifton and May were part of a network of people who sought out Tricare beneficiar­ies in whose names unnecessar­y prescripti­ons for expensive compounded medication­s were generated. The prescripti­ons were filled by a compoundin­g pharmacy in Mississipp­i reimbursed by Tricare.

Court documents say the pharmacy paid incentives to marketers to promote the drugs, not knowing the marketers were directing lower-level schemers to generate false prescripti­ons and falsely obtain physicians’ signatures on them.

The unnamed pharmacy shipped the compounded drugs to patients across the country.

Crowder, whose guilty plea was accepted by Baker, will be sentenced after a pre-sentence investigat­ion is completed.

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