Hospitals Defraud the Federal Government, Disguising Costs of "Gender Affirming Care" as Something Else, Claiming It's For Something Else; Hospitals Referred to DOJ for Prosecution

"They should go to prison," JD Vance writes.

This may shock you, but Planned Parenthood may be at the heart of the fraudulent billing.

Which is a nice way to say "theft."

A day after the Trump administration ended federal funding of "sex-rejecting procedures on children," otherwise known as gender affirming care, Vice President J.D. Vance and Health and Human Services Secretary Robert F. Kennedy Jr. referred hospitals and gender clinics identified in a new HHS billing fraud report for prosecution and investigation.

Vance's letter to Attorney General Todd Blanche asks the Justice Department to investigate whether flagged providers violated the Food, Drug, and Cosmetic Act, False Claims Act and federal fraud and conspiracy laws by "intentionally" miscoding treatment to "secure insurance coverage for gender-transitioning interventions that insurance would not otherwise cover." If so, "they should go to prison."

"More than just pushing these procedures on kids, hospitals and providers may have been defrauding Medicaid and private insurers by using misleading or fraudulent billing codes to get insurance to cover the costs," Vance said in an X thread on the report and criminal referral.

...

The secretary's letter identifies four fishy cohorts: claims for puberty blockers with endocrine disorder diagnosis on the same claim with "no gender diagnosis" and "no precocious puberty" diagnosis, ages 9-17; claims for puberty blockers with precocious puberty diagnosis, 13-17; claims for "primary gender dysphoria" diagnosis with a cross-sex hormone prescription "written the same day" in a state where that's prohibited for minors, 17 and younger; and affiliates to whom prescribers billed at least 95% of their claims in a prescription year and are registered at one of their addresses, all of them Planned Parenthood clinics.

Related: A fraud-mill in NY collected $32 million in sham Medicaid payments and just happened to be donating to NY governess Kathy Hochul while they did so.

Kathy Hochul received $55,000 in campaign contributions from social adult daycare centers (SADCs) in fraud-plagued Flushing, Queens, records show.

Almost half of those donations can be linked to two men: local powerbroker Baoli Zhang, and Jiemin Shang -- who own two of Flushing's biggest daycare businesses, both of which were empty of patients when visited by The Post last week.

Zhang, 69, personally donated $10,000, as well as another $5,000 through his Bao Kang Adult Day Care, financial disclosures show. Zhang's various businesses have claimed at least $32 million from Medicaid since 2018, on behalf of tens of thousands of patients.

Shang runs Livingwell Day Care, which donated $5,000 to Hochul in 2022, the same year it billed $5.8M to Medicaid. Another $5,000 came from Finest Adult Day Care, which Shang also runs.

"In 2021, [social adult daycare centers] were dying due to COVID. Someone threw them a lifeline and must have said something like, 'Take care of me, I'll take care of you.' They're making more money than ever now," an industry source claimed to The Post.

Federal figures back this up. Business has exploded at Livingwell, which billed $114,000 in 2018, a number that increased to $8.05 million in 2024. Bao Kang went from claiming $1.5M in 2018 to $7.22M by 2024. Monthly revenue for daycares across Flushing overall has nearly doubled compared to pre-pandemic numbers.

Only nine of the city's nearly 400 SADCs made contributions over $5,000 to Hochul's first gubernatorial campaign in 2022. Those same nine businesses accounted for billing Medicaid for an eyepopping $49 million in 2022, The Post's investigation found.

posted by Disinformation Expert Ace at 12:10 PM

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