The US justice took 11 people on Friday, accused of being part of a Russian -based network that has framed Medicare, a health insurance that covers more than 65, $ 10.6 billion. This amazing fraud was based on a well -greased system, according to the accusation made public by federal prosecutors in New York.
Between August 2022 and September 2024, the Network bought dozens of medical team companies trained to make Medicare Refund requests. Then, these companies made sure they had provided several devices (urinary catheters, splints, devices that measure blood sugar, etc.) to more than one million Americans whose personal data had been stolen and obtained social security refunds.
The network was “based in Russia” and “presented or presented more than $ 10 billion in fraudulent applications of Medicare”, according to the accusation.
The vein is juicy because it is not very controlled
He “constantly evolved”, constantly acquiring new medical equipment companies, which he had administered by nominees, and stealing New assigned personal data to justify his requests. The 11 defendants accused on Friday are mainly stations, as well as a Czech and an American who belonged to the network. They are prosecuted for health insurance and money laundering fraud.
Promoting US health insurance thanks to medical equipment companies is a line regularly used by criminals, because there are few controls on the legitimacy of the reimbursement requests they present.
In 2019, the Ministry of Justice had discovered a scam that had gone to medications to cheat more than one billion dollars, thanks to false reimbursement requests from the back and knees. In 2023, 18 defendants had been accused of contributing to extorting almost $ 500 million, thanks to the false invoices for the Covid tests that had never been carried out.
Source: BFM TV
