Texas Medicaid Fraud Unit Takes Down $70M Health Care Fraud Scheme


 

Texas Attorney General Ken Paxton announced that Dr. David Young, 61, of Fredericksburg, Texas, was convicted by a federal jury for causing the submission of more than $70 million in fraudulent health care claims.

Young wrote fraudulent prescriptions for medically unnecessary orthotic braces and genetic tests for more than 13,000 beneficiaries and received $475,000 in illegal kickbacks from providers.

“This successful investigation by my office demonstrates our ongoing commitment to protecting taxpayers and fighting fraud,” said Attorney General Paxton. “We remain steadfast in our mission to ensure that lawless individuals who exploit our health care system and steal taxpayer funds are brought to justice.”

Young was convicted of one count of conspiracy to commit health care fraud, which carries a maximum penalty of 10 years in prison, and three counts of false statements relating to health care matters, each carrying a maximum penalty of five years in prison. His sentencing is scheduled for a later date.

Those charging documents also name four other people as co-conspirators who worked with Young to “unlawfully enrich themselves” through writing the fraudulent prescriptions from August 2016 to August 2019.

Paxton

Since 2021, the MFCU has recovered more than $612 million in settlements, judgments, and restitution for Texas taxpayers. The MFCU receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $20,944,200 for fiscal year 2023.

The remaining 25 percent, totaling $6,981,395, is funded by the State of Texas. For every dollar of state funding, the OAG’s MFCU has recovered more than 49 dollars for taxpayers over the last 3 years.

The investigation was conducted by Sergeant Michelle Killinger, Investigative Auditor Jennifer Blakely, and Captain Justin Boyce of Paxton’s Medicaid Fraud Control Unit, in cooperation with the Department of Health and Human Services’ Office of Inspector General.

The case was prosecuted by Brynn Scheiss and Ethan Womble of the Department of Justice Strike Force.

7 comments

  1. Drs pharma been stealing murdering us for centuries if you haven’t woke up yet I suggest you do some serious research, They r not your friend, 3 years in a cancer institute $$$ I cured myself n 30 days of blood cancer I believed everything they told me until I did my own research & thanks to Clever journey’s for the wake up call !!..

    Liked by 2 people

  2. That’s so right, Big Pharma and the medical institution as we know it are out to harvest us until they’ve squeezed out every last drop from people so afraid to die they won’t question or seek knowledge; when that’s done, they gladly keep you comfortable while you’re dying, and charge you for that. The intent is not to cure, but to keep you sick so you make a lot of money for them, and I do believe there is a sadistic joy in it for them. This is not to impugn the many, many health workers who are in it because they care; many do all they can to get people better. But more and more of these are finding they can’t do that within this evil system, and are finding better ways. Ways that work.

    Liked by 1 person

  3. My son and daughter in law have a home healthcare business in Corpus. He tells me the fraud is rampant not only by healthcare companies, but the doctors themselves. The feds have audited them three times in 10 years, and they were given a good score. Nice work, Jack and Dodie.

    Liked by 3 people

Leave a comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.