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Hospice Fraud

All articles tagged with #hospice fraud

Fraud Crackdown Triggers $1.3B Deferral in California Medicaid Payments
politics13 days ago

Fraud Crackdown Triggers $1.3B Deferral in California Medicaid Payments

Vice President JD Vance announced a deferral of $1.3 billion in California Medicaid reimbursements over fraud concerns, as CMS Administrator Dr. Oz unveiled a six‑month moratorium on new hospice and home‑health enrollments amid alleged widespread fraud in the Los Angeles area. California officials pushed back, saying the moves target fraud rather than patient care, while the administration warned all states they could lose federal funding if they don’t aggressively prosecute fraud. The action fits a broader federal crackdown on healthcare fraud across states and programs like Medi‑Cal.

Pickleball Injury Casts Light on California Hospice Fraud
politics1 month ago

Pickleball Injury Casts Light on California Hospice Fraud

At a House Ways and Means Committee hearing, Lynn Ianni described how a stolen Medicare ID enrolled her in hospice and denied treatment for a pickleball injury, illustrating a broader California hospice fraud scheme involving fake claims and stolen physician identities; despite a licensing moratorium and hundreds of hospice suspensions in Los Angeles, regulators say reforms lag and fraud persists, signaling a nationwide Medicare integrity challenge.

California hospice fraud crackdown: 21 charged in $267 million Medi-Cal scheme
crime1 month ago

California hospice fraud crackdown: 21 charged in $267 million Medi-Cal scheme

California’s Department of Justice and state agencies arrested five people as part of Operation Skip Trace in a crackdown on a hospice fraud ring that allegedly billed Medi-Cal for about $267 million while providing no real hospice services; 21 suspects face charges including conspiracy, healthcare fraud, money laundering and identity theft, with investigations ongoing into hundreds of hospices. A related federal case in April charged eight people with more than $50 million in fraud.

LA Hospice Cluster at One Plaza Triggers Fraud Flags
investigative-crime-and-public-safety2 months ago

LA Hospice Cluster at One Plaza Triggers Fraud Flags

CBS News documents a dramatic clustering of 89 licensed hospice firms in a single Van Nuys building (Merabi Plaza), a pattern auditors say raises red flags for fraud; 72 of the 89 show multiple warning signs such as multiple firms in one building, low patient counts, or excessive billing, and regulators have logged roughly 400 violations at 75 companies from 2021–2025; the building’s owner disputes the count, noting some tenants moved out, prompting concerns about ghost hospices while federal officials pledge ongoing Medicare scrutiny.

Newsom files civil rights complaint against Oz in widening Trump-era clash
politics3 months ago

Newsom files civil rights complaint against Oz in widening Trump-era clash

California Gov. Gavin Newsom filed a civil rights complaint with the U.S. Department of Health and Human Services accusing Dr. Mehmet Oz of discrimination after Oz linked Armenian-run hospice facilities to alleged nationwide fraud; Oz and CMS did not immediately comment, and Newsom noted California has revoked more than 280 hospice licenses since 2022, highlighting a broader clash with the Trump administration.

Newsom Strikes Back Over Oz’s Armenian Healthcare Fraud Claims
politics3 months ago

Newsom Strikes Back Over Oz’s Armenian Healthcare Fraud Claims

California Gov. Gavin Newsom filed a civil rights complaint with the Department of Health and Human Services challenging Dr. Mehmet Oz's video alleging Armenian Americans in Los Angeles orchestrated hospice and home-care fraud, countering with California’s actions to revoke licenses and calling the claims racist; the feud reflects broader partisan tension with the Trump administration.