$27M Hospice Fraud
A Los Angeles hospice owner was arrested for stealing $27 million in taxpayer dollars through a medical fraud scheme
A massive $27 million hospice fraud scheme was recently uncovered in Los Angeles, with federal agents arresting multiple individuals accused of stealing millions in taxpayer dollars through medical fraud schemes, including a hospice owner who allegedly used the identities of dead people to fund a luxury car collection, as reported by Yahoo News. The scheme involved the sale of patients' personal information to facilitate the fraud, with marketers and nurses taking kickbacks and targeting vulnerable hospice patients, making in many instances, over $1 million per patient. This case is part of a larger nationwide federal crackdown on health care fraud, which has led to charges against 455 defendants accused of submitting more than $6.5 billion in fraudulent claims, making it the largest health care fraud takedown in U.S. history, similar to the $6.5B Fraud Bust that was reported earlier.
The Department of Justice has been actively pursuing these cases, with Assistant Attorney General Colin McDonald delivering remarks at a National Healthcare Fraud Takedown Press Conference, highlighting the success of their data-driven initiatives, as seen on the justice.gov website. In the Los Angeles case, Shin and Choi allegedly sold patients' personal information to Shachar to help with the fraud, according to gvwire.com. A conviction could result in "decades" in federal prison. The hospice owner's arrest is a significant development in the ongoing effort to combat health care fraud, which has also seen cases of $12M Medicaid Fraud and $89M Health Fraud in recent months.
Between December 2021 and June 2024, Rowan and his co-conspirators caused the submission of $1.2 billion in false and fraudulent claims to Medicare, TRICARE, CHAMPVA, and commercial insurers, of which approximately $614 million was paid. The $27 million hospice fraud scheme in Los Angeles is just one example of the widespread problem of health care fraud, which costs taxpayers billions of dollars each year. The case highlights the need for continued vigilance and enforcement efforts to prevent these types of scams and protect vulnerable patients. As the investigation continues, more details are likely to emerge about the scope and complexity of the scheme, and the measures being taken to prevent similar cases in the future.
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