The Department of Justice on Wednesday announced criminal charges against 78 people across 16 U.S. states for alleged health care fraud and opioid abuse schemes that resulted in $2.5 billion in alleged fraudulent claims. According to the department, the elderly and disabled, as well as HIV patients, were among those targeted by the schemes. Of the…
DOJ Charges 78 People for $7.8 Billion in Health Care Fraud
June 29, 2023
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DOJ Charges 78 People for $2.5 Billion in Health Care Fraud
June 29, 2023
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The Department of Justice on Wednesday announced criminal charges against 78 people across 16 U.S. states for alleged health care fraud and opioid abuse schemes that resulted in $2.5 billion in alleged fraudulent claims. According to the department, the elderly and disabled, as well as HIV patients, were among those targeted by the schemes. Of the…
Rep. Biggs Decries Biden DOJ for Re-Prosecuting Man Whose Sentence Was Commuted by Trump
The Biden administration’s effort to retry former healthcare executive Philip Esformes is “a travesty of justice,” Rep. Andy Biggs (R-Ariz.) said at a congressional oversight hearing on June 22. Convicted in a healthcare fraud scheme, Esformes was sentenced to 20 years in prison in 2019. In December 2020, then-President Donald Trump commuted to time served…
California Pharmacist Sentenced 15 Years for Role in $11 Million Scheme
April 3, 2023
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LOS ANGELES—A former Orange County pharmacist was sentenced April 3 to 15 years behind bars for her role in a healthcare fraud scheme that bilked the U.S. military’s healthcare plan out of more than $11 million. Sandy Mai Trang Nguyen, 43, of Irvine, was sentenced by U.S. District Judge Otis D. Wright II, who also…
Owner of West LA Pharmacy Sentenced to Prison for Health Care Fraud
February 7, 2022
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LOS ANGELES—A West Los Angeles pharmacy owner was sentenced to 30 months in federal prison on Feb. 7 for running a scheme in which millions of dollars in reimbursements for compounded drugs were generated through illegal kickbacks and fraudulent co-payments. Navid Vahedi, 42, of Brentwood, pleaded guilty a year ago to one federal count of…
DOJ Cracks Down on Fraudulent Addiction Treatment Facilities in Orange County
December 17, 2021
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SANTA ANA, Calif.—Ten substance abuse facility owners and patient recruiters in Orange County were criminally charged by the Department of Justice (DOJ) on Dec. 16, for kickback schemes involving exploiting addiction patients seeking help. For 10 months, The Sober Homes Initiative in Southern California, an anti-fraud initiative led by the DOJ’s Health Care Fraud Unit…
Texas Pharma Company Inflated Prices Over 400 Times Above Cost to Claim Fraudulent Reimbursements: DOJ
November 9, 2021
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The Department of Justice has filed a complaint against a Houston-based company for falsely inflating pharmaceutical ingredient prices to over 400 times the actual cost for the purposes of defrauding TRICARE, a federal health care program. According to a press release on Nov. 8, the DOJ filed the complaint under the False Claims Act against…
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