The current situation in the USA deeply concerns as healthcare fraud is on the rise today. Today, the nation is plagued with cases of fake medical supplies, fraudulent vaccination records, and other criminal activities that are a grave threat to the nation. These scams were predominant even before the advent of the Affordable Care Act (ACA) and the global pandemic. Both the federal and the state enforcement law agencies have intensified their crackdowns on offenders who are directly associated with these fraudulent crimes.
John LeBlanc of Manattand the current situation in the USA
Eminent healthcare lawyer John M. LeBlanc, partner, national healthcare litigation, Manatt, Phelps & Phillips, states with the above scams and counterfeit items on the rise, there is a serious threat to the public at large. Moreover, there are grave concerns over the high COVID-19 transmissions in the nation concerning people.
John LeBlanc of Manatt adds that ever since the pandemic outbreak in the USA, several weaknesses in the system that cater to the people have been discovered. The worst hit in the healthcare sector; he adds.
He says, “In many cases, frontline healthcare workers place their lives at risk daily, caring for those infected with the highly contagious virus. Unfortunately, less than honorable people living among us will go to great lengths to profit from this pandemic and take advantage of leniency intended on helping the medical community treat patients more effectively.”
The incidences are quite serious
It is unfortunate for the nation today to state that the main offenders engaged with these COVID-19 healthcare scams are doctors and professionals who have direct access to the nation’s healthcare systems. It is very convenient for them to conduct illegal activities that often go undetected. With the advancement of technology, there is an increase in fraud, and this rising trend now puts a lot of pressure on internal controls where risk management and assessments need to be improved.
He says there are more than 4.5 million claims under Medicare every day. The government is now focusing on people who have received funds from the Provider Relief Fund that was created as an integral component of the extensive Coronavirus Aid, Relief, and Economic Security Act in the nation.
Counterfeited medicines are now being distributed
He says there are reports of counterfeited COVID-19 vaccinations that are being distributed in Poland and Mexico (Pfizer). He states that this practice will become worse when vaccines are rolled out in the lower socio-economic nations, and the discussions about booster shots rise.
John LeBlanc of Manatt sums up the above by saying, “As businesses make return-to-work plans and schools across the nation emerge from virtual learning programs, identifying and removing counterfeit medical supplies from hospitals and healthcare facilities is critical to properly and effectively reduce the spread of COVID-19 and other infectious diseases in these spaces.”
The COVID-19 Pandemic is still continuing its assault on society as well as the healthcare system. The intensity of fraud has increased, is deadly, and even widespread in society today. The public respects healthcare providers and medical professionals, but unfortunately, their involvement in these frauds have affected their integrity and ethics to a large extent.