"As of June 2018, more than 66 million individuals were enrolled in Medicaid.
As approximately one-sixth of the national healthcare economy, it’s easy to see how the government healthcare program is an easy target for fraud. (In 2016, Medicaid spending totaled $565.5 billion.)
A significant portion of fraud occurs when individuals providing personal care services submit fraudulent claims for services that were not provided. Today’s fraudster is a Lexington, Kentucky woman, who used her sister as a cover to commit Medicaid fraud.
...Additional research shows that statements were taken from the caregiver’s parents. Another article stated that the caregiver had told her mom, “If we all tell the same thing, they’re not going to be able to prove anything.” (That turned out to be a very bad idea.)
...After a two-hour deliberation, the jury returned a verdict.
The 40-year-old woman from Lexington, Kentucky was found guilty of Medicaid fraud.
The jury also recommended five years behind bars when sentenced.
Whatever the outcome is on sentencing, the real losers are the taxpayers who fund the program and the recipients who don’t get the care they qualify for and deserve. In this particular case, it was her own sister. (Fraudsters will use anyone and everyone to get what they want, even a vulnerable family member.)..."
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