The Daily Outrage: Health care fraud

Whistle-blowers helped recover $9.3 billion

WHAT: Unscrupulous medical providers and pharmaceutical companies have been gaming federal and state government health programs for potentially hundreds of billions of dollars, according to researchers in the Annals of Internal Medicine. More than $9.3 billion has been recovered, mostly by whistle-blowers who receive bounties.

WHY IT’S HAPPENING: Practitioners, facilities and drug manufacturers are required to offer Medicaid programs at the “best price” in the private marketplace. But the billing is complex and can be falsely inflated.

WHY IT’S A BAD IDEA: Stealing from public programs is stealing from all of us, and it inflates everybody’s cost of living.

WHERE TO VENT: If you have reason to suspect health care pricing malfeasance, you can file a sealed complaint in federal court. If the Department of Justice pursues your charges, you get up to 25 percent of the amount recovered.

Daily OutrageOpinionOther Opinion

If you find our journalism valuable and relevant, please consider joining our Examiner membership program.
Find out more at www.sfexaminer.com/join/

Just Posted

Folks wave from the side of a Muni cable car as it heads down Powell Street after cable car service returns from a 16-month COVID absence on Monday, Aug. 2, 2021. (Kevin N. Hume/The Examiner)
San Francisco’s cable cars return after 16-month absence

San Francisco’s cable cars are back, and they’re free for passengers to… Continue reading

Tiffany Carter, owner of Boug Cali West Coast Creole Shack in San Francisco’s La Cocina Marketplace, was dismayed by gentrification she found when she returned to her hometown to start a business. (Kevin N. Hume/The Examiner)
SF Black Wallstreet: Helping residents build wealth, reclaim spaces they’ve had to leave

Tiffany Carter moved back to her hometown of San Francisco five years… Continue reading

Christina Najjar, 30, a TikTok star known online as Tinx, is one of the social media influencers tapped by the White House to help promote COVID-19 vaccines among young people. (Alyson Aliano/The New York Times)
How an ‘influencer army’ is fighting vaccine lies

By Taylor Lorenz New York Times Ellie Zeiler, 17, a TikTok creator… Continue reading

A great white shark swims off Isla Guadalupe, Mexico. The term “shark attack” is slowly disappearing, at least as a phrase used by researchers and officials who have been rethinking how to describe the moments when sharks and humans meet. (Benjamin Lowy/The New York Times)
Don’t call them ‘shark attacks,’ scientists say

By Alan Yuhas New York Times On the beaches of Northern California,… Continue reading

Vickie Gaddy, a nurse at the intensive care unit, with a 44-year-old patient who later died, at Providence St. John’s Health Center in Santa Monica, July 27, 2021. Doctors at the hospital say more younger people with COVID-19 are being sent to the ICU. (Isadora Kosofsky/The New York Times)
New COVID surge at a California ICU: ‘When will this ever end?’

By Isadora Kosofsky and Shawn Hubler New York Times Two months ago… Continue reading

Most Read