United states : fraud in the giant health Insurance dismantled
Published the 15.07.2017 at 16h02
The figures give dizzy. More than 1 000 police officers were mobilized this week to call on 412 people, accused of being involved in scams of health insurance, in the United States. The amount of fraud : $ 1.3 billion, according to estimates provided by the u.s. department of Justice.
In detail, 295 health professionals are concerned, and 56 doctors. “This is the biggest crackdown on fraud in the health insurance history of United States,” said Jeff Sessions, the minister of Justice.
Sale of opiates to dealeurs
The scam is based in particular on the sale of opiates. Among the accused persons, 120 of which are involved in trafficking of drugs that contain it.
It is simple : doctors unscrupulous prescribe them to individuals, drug addicts or dealeurs, which pay in addition to the consultation. Buyers, themselves, are reimbursed for prescribed drugs, and resell them on the black market.
And some are not gone with the back of the spoon. “Doctors have issued more prescriptions for controlled products that hospitals whole,” says Andrew McCabe, the acting director of the FBI. And 250 or 300 dollars for the visit, greed can quickly drive up the note. In Michigan, an organized group, consisting of six doctors would have been ripped off for $ 164 million ! With so little discretion, the combines could not hold out very long.