Is My Drug Copay Coupon a Form of Charity — Or a Bribe?

Is My Drug Copay Coupon a Form of Charity — Or a Bribe?

by | Apr 22, 2022 | FWA

Before my insurer had even preapproved coverage of the new injectable medicine my doctor had prescribed, I got a voicemail from its manufacturer informing me that I might qualify for its copay assistance program. That meant the company would cover at least the lion’s...
Stop Being a Crook in your Old Age

Stop Being a Crook in your Old Age

by | Apr 15, 2022 | FWA

Earlier this week, I wrote a LinkedIn post where I mentioned that the age of the healthcare fraud defendants involved in schemes where their professional license was needed (medical doctor, etc.) appeared to me to be older (and by older I used middle-aged as my...
Gaslighting: Medically Unnecessary Services

Gaslighting: Medically Unnecessary Services

by | Apr 1, 2022 | FWA

For those that are movie buffs, you know the term gaslighting.  For those that are not, it comes from a 1944 film where the antagonist creates an environment where he convinces his spouse (protagonist) that she is going insane.  He does this by creating physical cues...
Investigative Competence

Investigative Competence

by | Feb 11, 2022 | FWA, OIG Files

I spent about 25 years in federal law enforcement, and most of that time was as a Senior Special Agent at HHS-OIG.  I loved working there, and I loved doing healthcare fraud investigations.  When I was exploring retirement, and what I was interested in doing...