Billions Missing: Dr. Oz Takes On California Healthcare Fraud | 2.7.26
00:03LA County should be ashamed of the 2022 California State Auditor Report showing that their number of hospice agency increased by 1,500% since 2010.Yes, you heard that right, 1,500%.That exceeds the 40% increase in the senior population during that same period.That was Dr. Mehmet-Az, administrator for the Centers for Medicare and Medicaid services discussing allegations of widespread fraud centered in Deep Blue California.While Minnesota has come under fire amid evidence of massive,broad, new reports found that in-home Medicare billings have exploded in L.A. County.And evidence points to the influence of criminal networks.In this episode, we sit down with Dr. Oz to discuss what his agency has uncovered in California
00:48and his public battle with its progressive governor.I'm Daily Wire, Executive Editor John Bickley, with Georgia Halm.This is a weekend edition of Morning Wire.This episode is sponsored by Brickhouse Nutrition.You've probably heard about those weight loss in Jacksonville.that everyone's been talking about.And for good reason.The results can be pretty incredible.
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01:38But once Lean came into the picture, I was able to rain in my cravings.Let's get you started with 20% off and free rush shipping so you can add Lean to your healthydiet and exercise plan.Visit TakeLean.com and enter Wire for your discount.That's promo code wire at takelein.com today.Joining us now to talk about the federal fraud investigations in California and other statesas Dr. Mehmet Oz administrator for the Centers for Medicare and Medicaid.services. So you put out some pretty explosive videos alleging potentially tens of billions of dollars
02:09in fraud in California. L.A. County in particular is a hub for this activity. Can you explain to uswhat exactly is happening in California? This is an example of what happens if you don't deal withfraud in a timely fashion. We've known for years that there's been a problem with fraud, starting probablymost obviously in hospice, which is designed for people at the very end of their life. It's a verydelicate time. They're very fragile. And you can trick them. You can get them to do things theyprobably shouldn't do. And so we began to notice, this is before I came into the administration,but that there was an increase, about a sevenfold increase in the available hospice in California.That doesn't make any sense. We don't have seven times more people dying, what's going on.
02:49Then you begin to look at the individual hospices. And again, it's for end of life. So not everyoneshould survive. 100% survival rate in these hospices. And then, you know, you begin to see some verysmall, gentle baby steps towards fixing the problem like Governor Newsom, and immediately you seethe same problems sprout up in Nevada, which I went to, same issue, massive increase in, inhospitals, it's now, and it's like a virus, it spreads, it's in Texas, it's in Arizona.And so I went back to the hub, like, what's going on in Los Angeles?And in Los Angeles, I met with patient groups.I met with companies that were suffering because they were being taken advantage of by these
03:24guys.I met with law enforcement.And they all said the same thing.We've been making noise about this for years.nobody will listen.Even the prior administration in Washingtonwould not listen.Well, we listen and we hear.
03:36And what we saw wasindividuals involved in organized criminal efforts.The mafia Don was actually a Russian originwhen he was indicted.He fled back to Russia.But we saw this now becoming weaponizedoutside of these communitieswhere it started
03:49and it spread across Los Angeles.I'll give you a number.It's going to chill you.We have about $1.10spent in Americaand home health carejust in Los Angeles.So other home health care systems around the country, they're all suffering because the money gets pulled.
04:04So they're losing money because these guys are taking it all.And obviously, you don't need that much home health care in Los Angeles.What we've really witnessed is a weaponization of this criminal effort that has been tolerated.And the key question we should all be asking ourselves is why?Why would Governor Newsom tolerate this degree of fraud in his state?And I have lots of ideas, but I do believe there's an element of political patronage,which is why they're circling the wagons really quickly and trying to defendaway and obfuscate what's really going down, which is a severe dereliction of duty.
04:35And the people who get hurt are our most vulnerable. Yes, worry about the money, worry abouttax fares being taken advantage of. But what about those poor souls who no longer can get accessto care or are losing care because they've been caught up in these congames?Right. Taxpayers are victims, of course, but also the seniors involved in this.Can you elaborate a little bit on how they are victimized in this situation?I met many patients.One woman, I just can't forget, get her out of my mind.I had a brother that she loved dearly,
05:03and he'd had some health problems.He was fine.He was living by himself.He was approached by a young woman who said,hey, listen, you know, I got some things I can bring you to help you outif you want to just sign this document.He signs a document.What the document said was that you're giving up all your health care to go into hospice.
05:20Which is, by the way, that's the deal, right?If you're going to pass away anyway within a few months,because you've got metastatic cancer,You don't need to have all those ICU and protections and all these extra crazy things you might happen.Do you just want to be able to be made comfortable?Signs of documents and lo and behold, he has a health problem.He doesn't have access to care because he gave up his insurance and the man died.He died.
05:39He could not get in to the system.And so she was angry, livid and made worse by the fact that no one was hearing her pleas for help.She tried to identify the problem when she finally realized what had happened.She couldn't reverse it.These are the kinds of things we want to prevent.But then let me take it one step further.60% of the vans on Amazonfrom a vendor
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06:20like theonAmazon.com.a hyper-capit income. It's a blue state, by the way, politically, you know, similar side as California,taxpayers in New Mexico have to pay extra federal taxes so that we can divert the money to L.A.Is that right? I mean, please. Let's be honest about the real pathology here. It's deep.The rot stinks, and we've got to deal with it. Now, you've said the FBI is looking into this.
06:48Do we know of any known referrals or investigations by the DOJ or FBI at this point?Well, we've been referring cases to the U.S. attorney in Los Angeles.I spoke, I spoke to Pam Bondi, Cash Patel. This is on everyone's radar. And again, we're justlooking for the bad guys to make sure they stop hurting the American people. But I've got to see,my focus is not on putting people in jail. My focus is not stopping the money from leaving thebuilding. I'm sitting here in Washington at the Health Human Services Building. We dole outclose to $2 trillion of money. I just don't want the money going outside the building because onceit leaves here, we don't get it back and it ends up overseas. You're publicly battling
07:27now with Governor Newsom here. What would compliance from Newsom look like to CMS? Well, we've sent thegovernor a corrective action plan as we have with Governor Walts in Minnesota demanding thatcertain actions be taken, both to show that they're credibly going after these problems,but also to ensure that this fraud has not been going on for a period of time that I thinkintolerable without someone taking action. Some of these are going to require some decisions by thegovernor to see how much he's willing to discuss this with his legislature, with other regulators in thestate, but they've got to get serious about this. They've got to turn loose some of the weapons thatthey have to deal with fraud and abuse and criminal activities in their own state. Our job,
08:06at least in Medicaid, is to pay the states back when they spend money wisely. But if they don'tspend the money the right way, sometimes I've got to pay money anyway. That's not fair. We wanteverybody in America to be treated equally, and California has gotten away with this. And again,I don't think the average person in California wants this either. They want their state to be on the rightside of this decision. For some reason, we are having trouble getting the attention of theleadership of California. Like in Minnesota, we're seeing claims from Newsom specifically thatlooking into this is racist. His accusation is directed directly at you, in fact. What do you make ofNewsom's response to your letter? I wrote a letter and I visited it because I care. I want him to
08:46care as much as I do about the most vulnerable people in California. And why would you allow thiskind of fraud to take place in Los Angeles, what even the people live in that beautifulcity don't want it to take place. I mean, I do think political patronage might be part of this.These are issues that he should deal with internally. Frankly, all I care about is stopping thehemorrhage of money into this area and making sure people aren't hurt.Final question. Are there any updates on potential Medicare or Medicaid fraud cases inMinnesota or other states? We're making progress, auditing, all the things we're getting fromMinnesota. The good news is they've asked for a hearing. What we've done, which is the deferred payments,
09:22has gotten their attention. But there's a lot of problems that we're just now unraveling that we'regetting access to data. California has not responded yet. We've sent them a similar letter that we sentto Governor Walts just obviously customized for California. And I'll tell you, there's going to bemore letters going out. There are states that have just not been taking this issue seriously.I bet you people in those states, when they hear what's going on, will be very upset.I'm sure they will be as they have been in Minnesota and now California. Dr. Oz, thank you so muchfor joining us.That was Dr. Mehmet Oz, CMS administrator, and this has been a weekend edition of Morning Wire.
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