A 48-year-old in Miami went to 28 pharmacies to pick up HIV drugs worth nearly $200,000, almost 10 times what average patients get in a year. The prescriptions were supposedly written by 16 health providers.
A ProPublica series last year showed that Medicare’s lax oversight has enabled doctors to prescribe massive quantities of inappropriate medications, wasted billions on needlessly expensive drugs and exposed the program to rampant fraud. Part D cost taxpayers about $65 billion in 2013.
Previous inspector general reports have criticized the way Medicare oversees doctors and pharmacies, but this one focuses on patients and potential fraud and abuse.
Jeffrey Newman represents whistleblowers