Dr. Oz Exposes California’s Medicare Scam Factory [WATCH]

Oz said the estimate is based on analysis conducted by experts at the Centers for Medicare & Medicaid Services, pointing to specific warning signs that indicate potential fraud.

“We believe half of them are fraudulent,” Oz said.

He added, “Half of the 1800 prosperity should not be in business if we are able to identify the red flags.”

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He emphasized that the conclusions are not based on speculation.

“And that’s what we’re basing these numbers on,” Oz said.

“These are not  random assumptions.”

Oz detailed several indicators that regulators use to identify suspicious operations, including unusually high survival rates among hospice patients.

“World experts at CMS say if you’ve got 100% on your survival,” Oz said.

“Certainly, if you’ve got a survival over 50% for population, that’s supposed to pass in six months, you got a problem.”

He also pointed to patterns involving shared locations and resources.

“If you’re clustered in the same buildings as other crooks,” Oz said.

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“If you’re sharing employee numbers and license numbers,” he continued, “if you’ve got a small number of people, less than 50 members, you do that because you can hide what’s really going on when they’re small because you don’t have reporting obligations.”

Oz referenced additional concerns tied to staffing practices and broader irregularities.

“J1 visa holders,” he said. “There are lots of things going on in California that just are not rational, and we’re going to take them out.”

He compared recent enforcement actions to earlier efforts following a 2021 report from California’s Auditor General, noting a shift in the number of cases being pursued.

“These defendants that you heard about, they were seven hospices,” Oz said.

He added, “The entire first four years of really looking at this issue, since 2021 when the report came out from the Auditor General here in California, the entire first four years there were four hospices.”

“They were revoked, four hospices,” Oz said. “Seven of them were, you know, criminal charges today, so you see a dramatic and appropriate shift.”

Oz also highlighted a case involving a provider with significant billing activity that drew federal attention.

“There are other people involved that the US attorney’s going after,” Oz said. “Yesterday, she had generated $127 million of billing.”

He continued, “Her 113 agencies that she worked with, 113 agencies one doctor is working with, had built over the last three years, 120 $7 million.”

Oz said federal officials are taking action to stop further payments in such cases.

“CMS is going to suspend payments to stop money from leaving the US,” he said.

He outlined a plan to review all hospice providers in California within the year.

“That’s our goal,” Oz said. “We’re going to review every single hospice in California to make sure that they’re all appropriate.”

“We will do it this year,” he added.

Oz also compared the current pace of enforcement with actions taken by California officials, stating that recent efforts have already exceeded prior totals.

“In the 10 weeks, we have taken out 221 hospices already. 221,” Oz said.

“We will surpass the governor’s achievements in The first four years, within the month we believe.”

He described broader consequences tied to the alleged fraud, including effects beyond California.

“The ecosystem is rotten,” Oz said.

“Your neighbors in Nevada are suffering because the fraudsters here are not going there, and they have a seven fold decrease in hospice.”

Oz concluded with a warning directed at those engaged in fraudulent activity involving Medicare.

“If you’re defrauding Medicare, listen carefully,” he said.

“If you’re defrauding Medicare, start running, because we are coming for you.”

“Don’t walk run away,” Oz said.

“None of us can afford the luxury of being sloppy about this.”

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