Caregivers work intimately with the elderly. They bathe, dress and feed them and help with basic hygiene. But who looks out for the caregivers?
Sean E. O’Keefe was a well-known attorney for injured workers in San Diego. But he didn’t get success the old-fashioned way – he paid cash for the bulk of the clients who walked through his door.
Employers are paying the price for what prosecutors throughout California describe as more than $1 billion in medical fraud plaguing the state system.
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.