Southern California prosecutors have filed a new round of charges against medical providers who care for the state’s injured workers, raising further questions about state oversight of the program that covers 15 million people.
In many ways, scamming the health system meant to heal California’s injured workers is just too easy. Case documents reveal gaping holes in the state’s strategy to prevent fraud.
A review of thousands of criminal court records shows a workers’ compensation system in which pay-to-play schemes trump patient care, particularly in unregulated treatments rejected by insurers and disputed in obscure courts.
The history of fraud in the California medical system meant to help injured workers goes back decades.
A former California hospital executive at the center of a $500 million kickback scheme that subjected injured workers to risky spinal surgeries is attempting to spread the blame by suing his alleged co-conspirators.
Religious finance experts say the motivation to keep graft secret, combined with lax financial controls, makes such betrayals at houses of worship as common as sin.