Tag: health care

Georgian National Charged for Conspiracy to Launder Proceeds of $1.3 Billion Health Care Fraud Scheme

A Georgian national has been indicted by a federal grand jury in Boston for allegedly conspiring to launder the proceeds of a $1.3 billion health care fraud scheme while he was illegally in the United States.

Erekle Gugava, 33, a Georgian national, was indicted on one count of money laundering conspiracy. Gugava fled the United States in July 2025, after the alleged conduct.

According to court documents, Gugava was a money launderer for the foreign-based organization that spearheaded the largest health care fraud case ever prosecuted by the Department of Justice, dubbed Operation Gold Rush. The organization, based in Russia and elsewhere, orchestrated a multi-billion-dollar health care fraud and money laundering scheme to target, exploit and steal from Medicare and other health insurers.

As alleged in the charging documents, Gugava purportedly owned ND Medical Solutions, LLC (ND Medical), a durable medical equipment company located in Pennsylvania, between February 2025 and July 2025. During the limited five-month span of Gugava’s purported ownership, ND Medical submitted at least $1.3 billion in fraudulent DME claims to Medicare, private health insurance companies that contracted to provide Medicare supplemental insurance policies, private employer-sponsored plans and union health plans. These insurers paid ND Medical approximately $6.5 million.

As part of the scheme, Gugava allegedly facilitated the deposit and transfer of fraud proceeds. Among other things, he allegedly opened several bank accounts in the name of ND Medical – for which he was the sole signatory – and deposited checks from Medicare Supplemental Insurers and other health insurers into the ND Medical bank accounts. The funds were then ultimately transferred to various overseas bank accounts for the benefit of the organization.

As alleged in charging documents, the fraudulent claims relied, in part, on the stolen identities of citizens from Massachusetts, across New England, and throughout the United States to justify the fraudulent billings. Many of these individuals, including elderly and disabled Americans, reported their concerns to Medicare and its contractors after receiving explanation of benefit forms that reflected them purportedly receiving DME that they did not in fact receive, that was purportedly prescribed by doctors whom they had never visited and purportedly delivered from ND Medical—a DME company with which they were unfamiliar.

As further alleged, the organization exploited the United States’ financial system by depositing insurance reimbursement checks from the fraud. The health care fraud proceeds were particularly susceptible to laundering because they originated from legitimate sources. Medicare and established private insurance carriers, giving the funds the initial appearance of legitimacy.

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Huge Red Flags Emerge as ‘Respiratory Therapist’ Gets Caught Billing California Medicaid for OVER $40 MILLION and Goes on INSANE Spending Spree with His Husband

Alarm bells are going off as a California man who supposedly works as a “respiratory therapist” has gotten obscenely rich in what appears to be one of the worst cases of Medicaid fraud yet.

As City Journal’s Chris Rufo reported on Wednesday, Curtis Kurkova has a company called HeroCare that has at least $40.5 million in California Medicaid payments since 2020. Roughly $34.4 million of that was paid out between 2023 and 2024.

Per Rufo, HeroCare earned the majority of its Medicaid revenue between 2020 and 2024 from a handful of basic plastic commodities.

Flush with these tens of millions of dollars, Kurkova has spent lavishly. His largest purchase was a $28 million Hidden Hills mansion near where the Kardashians live.

Kurkova and his husband also spent millions on sports cars, private jets, luxury resorts, and three additional homes. They have even partied in some of the most exclusive areas on the planet.

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Taxpayers Lost $65 Billion On Obamacare Fraud Last Year

Taxpayers spent $65 billion on health insurance premiums for people who either didn’t exist or didn’t qualify for benefits in two federal programs in 2024, according to an Aug. 26 report from Paragon Health Institute.

Expanded Medicaid and Obamacare, the signature programs of the Affordable Care Act, improperly enrolled a combined 14.3 million people that year, researchers concluded.

Expanded Medicaid allows states to enroll people making up to 138 percent of the federal poverty level, versus up to 100 percent for traditional Medicaid. That limit was about $35,600 for a family of three in 2024.

Obamacare was open to people earning up to 400 percent of the federal poverty level at that time, about $103,000 for a family of three.

Both programs are administered through the Affordable Care Act Marketplace, with coverage provided by commercial insurance companies.

As Lawrence Wilson details below, via The Epoch Times, researchers estimate that about 34 percent of all Marketplace enrollees in 2024 were either fraudulent, duplicates, or simply didn’t meet the benefit criteria.

And the number went up the next year, researchers said.

“Improper exchange enrollment increased by more than 26 percent from 2024 to 2025 – up to an estimated 6.5 million enrollees,” the report stated.

Enrollment Problems

Researchers studied federal data from surveys, program enrollment, and spending and concluded that more than 9 million Medicaid expansion enrollees in 2024 probably didn’t qualify for the benefit.

Those were likely people whose income was over the limit, did not meet citizenship, immigration, or residency requirements, or should have been enrolled in traditional Medicaid.

With Obamacare, the $0 premium policies made possible during the post-COVID years became a target for fraud, according to Paragon President Brian Blase.

Testifying before Congress in December, Blase said many people were enrolled in the program without their knowledge by unscrupulous insurance brokers, prompting the federal government to send a commission check to them – and premium payments to an insurance company.

These phantom enrollees are detected in part by their lack of activity once enrolled, Blase said.

Also, 28 states had more people enrolled in Obamacare than there were people in the state who met the income requirements.

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RFK Jr. Exposes the Ugly Reason America Fell Behind Europe in Restricting the Transing of Kids

For years, the transgender lobby sold the world on a lie: give a child puberty blockers, cross-sex hormones, and eventually surgery, and everything will be fine. Europe swallowed that lie first. Now Europe is spitting it back out. So why is the United States only now catching up?

European countries like Sweden, Finland, and even the United Kingdom once led the charge in normalizing these barbaric procedures on minors. They built the clinics, wrote the guidelines, and exported the ideology to the rest of the Western world. In recent years, though, those same countries have slammed the brakes. In 2021, Sweden’s Karolinska Institute stopped prescribing puberty blockers and cross-sex hormones for minors. In 2022, the NHS shut down the Tavistock Clinic, the UK’s only child gender identity clinic, and later banned the use of puberty blockers in most cases. Finland moved to prioritize psychotherapy over medical transition. And Britain’s Cass Review, the most comprehensive scientific study of its kind, found that the evidence behind these interventions was “remarkably weak.”

Fox News’s Kayleigh McEnany pressed HHS Secretary Robert F. Kennedy Jr. on exactly this disconnect during Fox News’s Saturday in America town hall, asking him why the United States had fallen so far behind Europe on the issue. Kennedy didn’t hesitate to name the real motive.

“I think it was politicized issue and there were people making huge amounts of money,” Kennedy told her. “A lot of the medical centers were making billions and billions of dollars on these surgeries, and they were falsifying the science and making it look like there was some benefit over the long term.”

Kennedy pointed directly to the Cass Review as the turning point Americans were never allowed to have. “The Cass report, which came out in Britain and was the first really comprehensive scientific study, showed that the benefits were minimal and the cost, the people who were getting these surgeries, that it was often catastrophic for them, that in terms of suicide, suicidal ideation, that those numbers went up,” he said. He added that HHS has now “essentially replicated” those findings.

Kennedy said his department is using every tool available, including Medicaid and Medicare funding, to discourage medical centers from performing these procedures on adolescents. This is the kind of common sense that used to be uncontroversial: kids whose brains, hormones, and judgment are still developing shouldn’t be making irreversible, life-altering decisions.

The Trump administration is finally doing what Europe already figured out: treating this as a medical scandal instead of a civil rights crusade. I blame the Biden administration for the United States falling behind. Europe led the way in normalizing this evil. Now it’s leading the way out of it. The only question left is how much damage was done to American kids while Washington finally caught up.

Much of that European reversal happened while Joe Biden sat in the Oval Office. While European doctors and regulators were quietly admitting they’d made a catastrophic mistake, the Biden administration was doubling down. It pushed to expand access to these procedures, fought state laws that tried to restrict them, and treated anyone who raised concerns as a bigot.

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Numercide: When doctors use numbers to prescribe medicines to healthy people

Blood pressure, blood sugar, cholesterol and BMI numbers are used by doctors to prescribe a treatment to avoid the risk of future health problems.

The problem is, these numbers are not evidence-based.  They are “expert” recommended targets. And Big Pharma’s interests are more than well-represented in the experts’ recommendations.

Below, Alan Cassels describes these four “health” targets as the “Four Horsemen of the Apocalypse, four ways to medicalise you, four ways to apply a disease-mongered label to you, and four avenues for you to start living under a dark cloud.”

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80-Page Report Reveals New Details About Pharmacy Technicians Involved in Drug Mix-Up That Left Patients Paralyzed at Nashville Hospital

An 80-page report revealed more details about a ‘pharmacy error’ that sent multiple patients into cardiac arrest at a Nashville hospital.

At least two patients are paralyzed, and one was put on a ventilator at Ascension Saint Thomas Midtown Hospital on August 14 after they were given the wrong medication prior to surgery.

The four patients were reportedly given potassium instead of an anesthetic. The dangerous mix-up happened at the hospital’s in-house pharmacy.

Too much potassium administered too quickly can stop a person’s heart, CBS reported.

The Tennessee Bureau of Investigations is now involved in the case.

The hospital said they were “sorry” for injecting the patients with too much potassium.

“Our hearts remain entirely with the four patients and families impacted by the recent event at Ascension Saint Thomas Hospital Midtown,” the hospital said. “On behalf of our leadership and care teams, we extend our deepest apologies for the harm caused.”

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Hope Florida grand jury finds Medicaid money ‘misused for political purposes’

A state grand jury investigating the Hope Florida scandal found that key members of the DeSantis administration wrongly engaged in a “sophisticated scheme” to divert $10 million of a Medicaid settlement into political activities and the Republican Party of Florida, according to a copy of the grand jury’s report obtained by CBS News Miami.

The report concluded the $10 million in taxpayer money was “plainly used for political purposes” but also said the grand jury could not find enough evidence to charge anyone with a crime because no one would “take responsibility” for deciding to divert the money to Hope Florida “or had any memory” of who made the decision.

It noted that most of those involved were lawyers who “acted on the advice of other lawyers” making it hard to determine who was to blame.

“We recognize that this would be an impediment to criminal prosecution,” the report said. “While we can’t prove who is responsible, we can plainly see that taxpayer money was misused for political purposes and we would like to see changes made to prevent this from happening again.”

Despite a lack of criminal charges, the report pointed fingers at key DeSantis officials who had been at the center of a scandal that centered on Hope Florida, a charity championed by First Lady Casey DeSantis. It became embroiled in controversy last year, once it became public that the charity had served as conduit for the $10 million that landed in political committees but should have paid for medical expenses for needy Floridians.

Florida Attorney General James Uthmeier, who was then Gov. Ron DeSantis’ chief of staff, was “in a position of authority” and at the heart of a scheme that sent money to political committees fighting passage of an amendment to legalize marijuana in 2024, the grand jury found.

“Testimony identified (Uthmeier) as having involvement in directing the money after it went to Hope Florida,” the report said. “Testimony also revealed that Mr. Uthmeier’s Keep Florida Clean, a political action committee, was the prime recipient of the majority of the $10 million taxpayer funds.”

The report also found that U.S. Sen. Ashley Moody, who was attorney general at the time, knew of the scheme and authorized her chief deputy at the time, John Guard, to sign the settlement agreement, CBS News reported. Guard signed the settlement, despite his reservations, and “without conducting his due diligence to ensure the proper appropriation of taxpayer funds,” the report said.

Both Uthmeier and Moody were appointed by DeSantis to their current positions and are running for election to those offices in November. Their Democratic opponents called for their resignation after CBS posted its story.

DeSantis appointed Guard to serve as a judge on the Second Circuit Court of Appeal in January.

The $10 million was part of a $67 million settlement with the Centene Corporation, a Medicaid provider that overcharged the state. The $10 million was peeled off to Hope Florida, then within a matter of days transferred to two nonprofit political organizations that in quick succession gave the money to a political committee chaired by Uthmeier and set up to defeat the marijuana amendment.

The grand jury was convened in October 2025 by Leon County State Attorney Jack Campbell to investigate the circumstances surrounding the distribution of the $10 million, part of a larger $67 million settlement with the Centene Corporation, a Medicaid vendor that had overcharged the state for prescription medicines.

The investigation followed months of news reports about the scheme, after Rep. Alex Andrade held committee hearings questioning state officials and Hope Florida board members about the transfer. The grand jury concluded its work in January, and its report was sealed.

Neither DeSantis, Uthmeier or Moody were called to testify before the grand jury.

Uthmeier has defended his actions in public, and his office told CBS News on Wednesday said the only crime was releasing the grand jury report. Moody has ducked reporters’ questions about her involvement in the Hope Florida scandal.

DeSantis has characterized the Hope Florida scandal as a “hoax.” During a news conference Wednesday, CBS News reported, he said he wasn’t involved in the settlement agreement, “but was very happy with how everything was done.”

The grand jury report concludes with two recommendations — that the Legislature should pass a law to prevent something like this from occurring again, and pass “clear laws setting requirements” for how nonprofits like the Hope Florida Foundation can use taxapyer funds, making sure those funds are monitored and providing penalties for violating any new laws.

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‘Detransitioners’ share sex-change horror stories about doctors pressuring them as impressionable teens: ‘Like a car salesman’

Three disturbing stories of children that were allegedly preyed upon by greedy hospitals and doctors — and encouraged as minors to undergo gender-care treatment — were outlined in the Department of Health and Human Services’ bombshell “Wolves in White Coats” report Thursday.

Here are their stories.

Clementine Breen

Clementine was just 12 years old and anxious about her changing adolescent body, while simultaneously grappling with unprocessed trauma from sexual abuse years earlier.

Desperate for an escape, she discovered the idea of transitioning gender in an internet search, and thought it would be the perfect refuge for her puberty fears.

She confided in a school guidance counselor, who immediately reached out to her parents. “Within months,” HHS details, the counselor coordinated meetings to her social transition, which included explaining the concept of transgenderism to her classmates.

At her first medical appointment at Children’s Hospital Los Angeles, which was about an hour long, doctors told Clementine’s parents their daughter was “100% trans” and at a high risk of suicide without medical intervention.

Her terrified parents agreed, and she was placed on puberty blockers a month later, then testosterone at 13 before undergoing a double mastectomy at 14.

Clementine’s mental health cratered, culminating in a psychotic episode, and she began suffering from insomnia, disordered eating and fits of anger.

Not one of her doctors attributed her symptoms to her undergoing hormone therapy, instead loading her up with psychiatric drugs like Zoloft, Seroquel, Guanfacine and Hydroxyzine, according to the HHS.

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Chaos Agent: Anthony Fauci Represents A System That Needs To Be Cleansed

I think nothing enrages Americans more than a lack of accountability from government officials. Yes, it happens often, and the public hasn’t taken up torches and pitchforks (yet), but I would point out that these incidents are cumulative and they light a growing fire within the collective memory. Eventually, people are going to snap if they don’t see action taken to rectify past wrongs.

This week, Dr. Anthony Fauci faced a flurry of questions from the Senate Homeland Security Committee over his handling of the covid response as well as his involvement in the gain of function research which likely led to the creation of the viral variant that spread around the world and nearly triggered a permanent Orwellian police state.

Fauci pleaded the Fifth over 100 times.  It’s not a sign of confidence in his own innocence.

He knows he’s untouchable legally, but I think what the man fears most is public judgment, and he’s not going to offer any confirmation that conservatives and the alternative media were right about him all along.  Unfortunately, even with substantial evidence, there is very little that any congressional committee or even the Trump Administration can do about him.

Fauci is well protected, and not just by the sweeping pardon “signed” by Joe Biden which covers the Doctor back to 2014. No, Fauci is also protected by the system – The bureaucracy and the globalist network of which he is a member.  Fauci is a chaos agent and he served his purpose well. They’re not going to let him face punishment.  If they did, then they might find it harder to procure the cooperation and loyalty of other bureaucrats in future schemes.

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HORROR: Multiple Patients Paralyzed at Nashville Hospital After ‘Pharmacy Error’ Leads to Drug Mix-Up

Multiple patients went into cardiac arrest after a ‘pharmacy error’ led to a dangerous drug mix-up.

Two patients are paralyzed, and one is on a ventilator at Ascension Saint Thomas Midtown Hospital after they were given the wrong medication prior to surgery.

The four patients were reportedly given potassium instead of an anesthetic. The dangerous mix-up happened at the hospital’s in-house pharmacy.

Too much potassium administered too quickly can stop a person’s heart, CBS reported.

The Tennessee Bureau of Investigations is now involved in the case.

The hospital said they were “sorry” for injecting the patients with too much potassium.

“Our hearts remain entirely with the four patients and families impacted by the recent event at Ascension Saint Thomas Hospital Midtown,” the hospital said. “On behalf of our leadership and care teams, we extend our deepest apologies for the harm caused.”

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