Terre Haute Vice News

Hospitals and Insurance accused of $700 million dollar Indiana Medicaid fraud

According to a report in the Indianapolis Star, a whistleblower lawsuit accuses several insurance companies and hospitals of defrauding Indiana’s Medicaid program of up to $700 million, potentially deepening the state’s nearly $1 billion Medicaid shortfall.

Filed by former state employees James McCullough and James Holden, the suit claims improper billing, duplicate claims, and payments for services provided after patients had died.

The lawsuit argues that state officials began limiting fraud recovery efforts in 2017 under political pressure from healthcare lobbyists, despite warnings from IBM Watson, the state’s fraud detection contractor. The reports, covering 2015 to 2020, identified hundreds of millions of dollars in suspected fraud, which the lawsuit alleges could have alleviated the financial crisis if recovered.

The alleged misconduct occurred as Medicaid faced rising costs, especially for home-based care programs, which state officials have blamed for the budget shortfall. However, McCullough and Holden argue that fraudulent activities, enabled by political connections, contributed significantly to the financial gap.

Insurance companies and hospitals involved in the lawsuit have largely denied the claims, while state legislators, including Rep. Greg Porter, voiced frustration over the unaddressed overpayments. The case, filed under state and federal false claims acts, seeks to recover lost funds for Indiana’s Medicaid system.

13 responses to “Hospitals and Insurance accused of $700 million dollar Indiana Medicaid fraud”

  1. Kelly Suzanne Sims Avatar
    Kelly Suzanne Sims

    I have always noticed that CMHC now called INcompass charged Anthem for services I never received

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    1. Michael Avatar
      Michael

      Five score years ago, a great American, in whose symbolic shadow we stand today, signed the Emancipation Proclamation. This momentous decree came as a great beacon light of hope to millions of Negro slaves who had been seared in the flames of withering injustice. It came as a joyous daybreak to end the long night of their captivity.But one hundred years later, the Negro still is not free. One hundred years later, the life of the Negro is still sadly crippled by the manacles of segregation and the chains of discrimination. One hundred years later, the Negro lives on a lonely island of poverty in the midst of a vast ocean of material prosperity. One hundred years later, the Negro is still languished in the corners of American society and finds himself an exile in his own land. And so we’ve come here today to dramatize a shameful condition.

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      1. Tony Avatar
        Tony

        Today there is talk of war everywhere. Everyone fears a war breaking out between the two countries. If that happens it will be a calamity both for India and for Pakistan. India has written to the U.N. because whenever there is a fear of conflict anywhere the U.N. is asked to promote a settlement and to stop fighting from breaking out. India therefore wrote to the U. N. O. however trivial the issue may appear to be, it could lead to a war between the two countries. It is a long memorandum and it has been cabled. Pakistan’s leaders Zafrullah Khan and Liaquat Ali Khan have since issued long statements. I would take leave to say that their argument does not appeal to me. You may ask if I approve of the Union Government approaching the UNO I may say that I both approve and do not approve of what they did. I approve of it, because after all what else are they to do? They are convinced that what they are doing is right. 

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    2. Tony Avatar
      Tony

      Today there is talk of war everywhere. Everyone fears a war breaking out between the two countries. If that happens it will be a calamity both for India and for Pakistan. India has written to the U.N. because whenever there is a fear of conflict anywhere the U.N. is asked to promote a settlement and to stop fighting from breaking out. India therefore wrote to the U. N. O. however trivial the issue may appear to be, it could lead to a war between the two countries. It is a long memorandum and it has been cabled. Pakistan’s leaders Zafrullah Khan and Liaquat Ali Khan have since issued long statements. I would take leave to say that their argument does not appeal to me. You may ask if I approve of the Union Government approaching the UNO I may say that I both approve and do not approve of what they did. I approve of it, because after all what else are they to do? They are convinced that what they are doing is right. 

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  2. Kelly Suzanne Sims Avatar
    Kelly Suzanne Sims

    nobody is interested in my sister’s death in Ripley County Jail. She was arrested for violating her original charge if stealing a bottle of wine from CVS. She died in custody of double pneumonia. She begged for help and received nothing but 2 tylenol on the night of her death.

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    1. Ben Avatar
      Ben

      I was arrested for a misdemeanor. Taken in while hypokalemic, was refused medical attention. So I got a lil aggressive with the cell door and window bc it is very painful and I was being ignored. As punishment they striped me naked, put me in an empty cell with no bed or blankets, 60°, solitary, with 24hr lights for 5 days, no phone call ever, and for some reason the judge kept skipping me til someone figured out where I was and got me a lawyer. Still no medical treatment was given and had to be wheeled out of the jail. Hypokalemia causes FULL body charlie horses, I WAS TORTURED FOR 5 DAYS BY THE FORT WAYNE PD. All bc I wrote FJB on public property.

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      1. Asspersnarius Avatar
        Asspersnarius

        Ben, that’s why Fart Pain and IN in general are good places to be FROM.

        Agree with the sentiment, tho. Use a website next time.

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    2. Ryan Avatar
      Ryan

      The world must be made safe for democracy. Its peace must be planted upon the tested foundations of political liberty. We have no selfish ends to serve. We desire no conquest, no dominion. We seek no indemnities for ourselves, no material compensation for the sacrifices we shall freely make. We are but one of the champions of the rights of mankind. We shall be satisfied when those rights have been made as secure as the faith and the freedom of nations can make them.Just because we fight without rancor and without selfish object, seeking nothing for ourselves but what we shall wish to share with all free peoples, we shall, I feel confident, conduct our operations as belligerents without passion and ourselves observe with proud punctilio the principles of right and of fair play we profess to be fighting for.

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  3. Jeremy wilson Avatar
    Jeremy wilson

    I want to know why no lawyer will back me in Indiana crimes over Religious Freedom act and making me a lab rat in like 2015. I was speaking on Christ consciousness and talking about mental health on Facebook that people get paid to do now on social media and TBN preaches it on there tv program now. I was forced invega sustana against my will and all medical rights were stripped from me. The corruption gets deep that I’m going to keep my privacy but shame on Vigo county and the state of Indiana. U unleashed a double edge sword and since the doctors fire me as a patient for refusing there suicidal drugs I. The name of Jesus you for the wrath of God headed your way. I finally found my freedom when the angels helped me to find my peace in prison cause at least there you wouldn’t drug me to the suicidal tendencies with your synthetic manipulation. I seek my souvernty thru the Holy Spirit and by the natural order of Gods will he gifted me the power of healing so I say unto you the State of Indiana are you going to continue like the rest of the country in these times of revelations with its tribulations and keep attempting to murder the chosen ones of God your calling this Woke Mob I hear about . What happened to being reborn in Christ??? Again where’s are Religious freedom s. Immunity immortal Gods of war Deimos and Krotos aka democracy in Greek. And the Egyptian rooted free masons . With the Roman Catholic Church and denying the tru doctrine of the soul healing teachings of Jesus. Under God in one Nation and I ask what gods are we under and when will most of u stop pretending to be Gods. Read your Revelations and the lawless man with his healed ear and this DOGE phat at elite more worried about colonization of mars than hope for humanity here. Enjoy your Nuerolink brains and Starlink controls and the laziness of solonas phone company to expand from crisper tech and vaccines. Don’t worry the psychic mediums I. The White House and card readers that don’t move by the cross and Holy Spirit have the Obama’s and the rest of the snakes calling the shots behind the scenes. That pillar of salt will regret trying to sacrifice is again cause Gods taking bank accounts and casting wrath as I’ll sit back and watch the false Gods make fools of themselves. It’s quite comical seeing the snakes doing snaky things.. choose the free will of tree of life thru the cross. Or be defeated by the shadows rooted from fear and manipulation from the dark souls of the tree of death. Personally I learned my lesson and I will never get bit again that’s just an Oxy moron to your occum Razor Scientology or lack of evolving from ancient history and advancing consciousness past the deliverance out of sin and viewing the Holy Bible outside of flesh and in the inner spirit to seek wisdom and knowledge when Jesus intimately guides your journey thru Holy Spirit. Again where’s my Religious Freedom. This State tried to kill my soul to many times and now my lions here to roar the fire at a demons truth. Doubt me if u want but it’s that fuck around and find out now ….

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    1. Jamey Avatar
      Jamey

      Just by reading what you wrote, you seem like you need meds because you might be schizophrenic of sorts.

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    2. Michael Avatar
      Michael

      Makes total sense.

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      Reply
  4. Michelle S Curry Avatar
    Michelle S Curry

    I was hurt at work and before I was discharged to rehab my case manager knew workmen’s comp would be paying all my bills and where to send them. I found out later that all my hospital bills were sent to Medicare. That is Medicare fraud. I called the lady at the hospital and told her it was fruad and sh said I didn’t know what I was talking about

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  5. Michael Avatar
    Michael

    Five score years ago, a great American, in whose symbolic shadow we stand today, signed the Emancipation Proclamation. This momentous decree came as a great beacon light of hope to millions of Negro slaves who had been seared in the flames of withering injustice. It came as a joyous daybreak to end the long night of their captivity.

    But one hundred years later, the Negro still is not free. One hundred years later, the life of the Negro is still sadly crippled by the manacles of segregation and the chains of discrimination. One hundred years later, the Negro lives on a lonely island of poverty in the midst of a vast ocean of material prosperity. One hundred years later, the Negro is still languished in the corners of American society and finds himself an exile in his own land. And so we’ve come here today to dramatize a shameful condition.

    Like

    Reply

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