A Kentucky addiction treatment company built itself into the state's largest provider by billing Medicaid more than a billion dollars. Federal investigators, two creditors, and former employees are now describing the same machine from different doors.
Massachusetts has sued UnitedHealthcare for allegedly inflating the health status of elderly Medicaid members to pull at least $100 million in extra payments from MassHealth over a decade. The state says the company found the problem in an internal review, then kept the money.
A dual citizen was stopped at JFK in September 2024 with a one-way ticket toward Azerbaijan. The bag he was carrying mattered less than the bank accounts he left behind, and the ninety-year-old whose Medicare number was written on a claim form she never saw.
For years, the price on the pharmacy receipt was not the price of the drug. It was the price of a rebate game played above the patient's head. On February 4, 2026, one of the three companies running that game agreed to stop.
By Mark Tell · May 1
Daily at 6AM Eastern
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Tomorrow's pitch, decoded today.
Financial crime intelligence. The patterns, the tells, the playbook. Daily at 6AM before anyone asks you for money.
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