Texas doctor accused of largest Medicare, Medicaid fraud scheme in US history

Saturday, March 10, 2012 by: Jonathan Benson, staff writer
Tags: Medicare, fraud, doctors

eTrust Pro Certified

Delicious Pin It
(NaturalNews) Medicare and Medicaid, the two largest government-run health care programs that cover health services for elderly, disabled, and low-income individuals, cost taxpayers tens of billions of dollars a year just in fraudulent claims. And an ongoing crackdown on such fraud being undertaken by the U.S. Department of Justice (DOJ) and the U.S. Department of Health and Human Services (HHS) has revealed perhaps the largest single-person case of Medicare and Medicaid fraud in U.S. history.

Jointly established by both DOJ and HHS to investigate such matters, the Health Care Fraud Prevention and Enforcement Action Team (HEAT) has exposed a massive health care fraud scheme in Texas that involves $375 million in stolen taxpayer dollars. Dr. Jacques Roy had reportedly been operating a practice called Medistat Group Associates in DeSoto, Tex., where he allegedly engaged in routine acts of fraud, which included paying poor and homeless individuals cash sums in exchange for them agreeing to use their names to file bogus Medicare and Medicaid claims.

According to CBS News, Roy is also accused of "selling his signature" to file phony claims, which included hiring recruiters to go around the community in search of willing individuals to participate in various conspiracies to commit health care fraud. Part of this scheme involved billing the government for unnecessary, and typically expensive, home health services like in-home nursing care and physical therapy.

W. Rick Copeland, Director of the Medical Fraud Control Unit of the Office of the Texas Attorney General explained at a recent conference how the scheme worked, as it involved several home health service agencies as well as more than 75 agencies with which Roy was involved. If convicted, Roy faces up to 100 years in prison on several counts of health care fraud and conspiracy to commit health care fraud.

"You can't have 11,000 bills from a single doctor if you're the number one home health provider in the nation," said Patrick Burns, a spokesman from the consumer advocacy group Taxpayers Against Fraud, concerning the co-conspirators that he believes should have known that Roy was running a racket. "You can't see that many patients. It's not physically possible."

Big Pharma has bilked even more money from Medicare, Medicaid than Roy

Doctors are not the only ones involved in bilking taxpayers out of billions of dollars via the U.S. government, though. A new report explains that the drug industry has already had to pay out more than $8 billion for fines levied for Medicare and Medicaid fraud -- and this represents just the fraud that has thus far been discovered (

Representing far more than the amount stolen by Roy, this $8 billion in collective fines covers the fraudulent health care schemes devised by the likes of Pfizer, Merck & Co., and GlaxoSmithKline, all of which have committed much worse acts of fraud. And yet, unlike Roy, these companies remain in business and their executives not in prison because they "are often the sole suppliers of critical products," according to USA Today.

That Roy could spend the rest of his life in prison while drug company executives walk free illustrates the blatant double standard in the American justice system. Drug companies are apparently "too important to fail," and are simply required to pay out a portion of their plunder in the form of fines when they get caught for fraud, while everyone else faces life in prison.

Sources for this article include:

Get breaking news alerts on GMOs, fluoride, superfoods, natural cures and more...
Join over four million monthly readers. Email privacy 100% protected. Unsubscribe at any time.

Have comments on this article? Post them here:

comments powered by Disqus

Take Action: Support

Email this article to a friend

Permalink to this article:

Reprinting this article: Non-commercial use OK, cite with clickable link.

Embed article link: (copy HTML code below):
Most Popular
Today | Week | Month | Year

See all Top Headlines...


Now Available at

O3 Essentials OraJuvenate™
A powerful, cleansing dental cream for maximum oral/dental health.
New Cancer Solutions
Over 3 hours of content covering today’s best cancer tests, how to kill cancer cells and the best diets and exercise routines.
Freeze-Dried 100% Organic Whole Corn
Our freeze-drying method preserves taste, texture and nutrients better than any other food preservation method ever invented.
Fenix TK35 Flashlight
Tough, waterproof, extremely bright and it’s touted to throw an 800+ lumen beam more than 1,000 feet into the night.
Inca Treasure Smoothie Pack
This pack of our four most popular superfoods from South America is the perfect combo pack for smoothie lovers.
Pink Himalayan Salt
This salt delivers significant levels of magnesium, zinc and selenium, with trace levels of dozens of other elements.
Pinhole Glasses - Aviator Style
Pinhole glasses are becoming famous for helping people improve their vision without the risks of laser surgery.
Oxy-Rich Facial Serum
O3 Essentials Jojoba Oxy-Rich Facial Serum is cellular nourishment for your skin. Helps smooth fine lines while enhancing tissue elasticity.
Freeze-Dried 100% Blackberry Halves
Our freeze-dried blackberry halves are grown in Serbia under strict organic standards.

Also on NaturalNews:

Health Ranger Videos
Activist music
CounterThink Cartoons
Food documentaries
FREE Special Reports
Colloidal Silver

Advertise with NaturalNews...

Support NaturalNews Sponsors:

Advertise with NaturalNews...

Most Popular Stories

Flu shot kills 19-year-old, but vaccine industry still has total immunity against lawsuits
Here's a nutty fact: Eating more tree nuts lowers the risk of all-cause death by up to 20 percent
Six important facts you're not being told about lost Malaysia Airlines Flight 370
Malaysia Airlines Flight 370 now clearly a government cover-up: All evidence contradicts official story
10 other companies that use the same Subway yoga mat chemical in their buns
BLM fracking racket exposed! Armed siege and cattle theft from Bundy ranch really about fracking leases
High-dose vitamin C injections shown to annihilate cancer
U.S. treating meat with ammonia, bleach and antibiotics to kill the '24-hour sickness'
USDA to allow U.S. to be overrun with contaminated chicken from China
Vaccine fraud exposed: Measles and mumps making a huge comeback because vaccines are designed to fail, say Merck virologists
Battle for humanity nearly lost: global food supply deliberately engineered to end life, not nourish it
Diet soda, aspartame linked to premature deaths in women

25 Amazing Facts About Food

This FREE downloadable report unveils a collection of astonishing and little-known facts about the food we eat very day. Click here to read it now...


Resveratrol and its Effects on Human Health and Longevity - Myth or Miracle.

Unlock the secrets of cellular health with the "miracle" nutrient Resveratrol Click here to read it now...


Nutrition Can Save America

FREE online report shows how we can save America through a nutrition health care revolution. "Eating healthy is patriotic!" Click here to read it now...

The Healing Power of Sunlight and Vitamin D

In this exclusive interview, Dr. Michael Holick reveals fascinating facts on how vitamin D is created and used in the human body to ward off chronic diseases like cancer, osteoporosis, mental disorders and more. Click here to read it now...

Vaccines: Get the Full Story

The International Medical Council on Vaccination has released, exclusively through, a groundbreaking document containing the signatures of physicians, brain surgeons and professors, all of which have signed on to a document stating that vaccines pose a significant risk of harm to the health of children. Click here to read it now...

Health Ranger Storable Organics

GMO-free, chemical-free foods and superfoods for long-term storage and preparedness. See selection at

Recommended Resources On:

Natural News trends
Health Ranger news
Natural News GMOs
Mike Adams tracker
Natural News photos
Natural News Global
Natural News in focus
Natural News connect
Natural News shocking stories
Natural News radar
Health freedom
Dr. Paul Offit

This site is part of the Natural News Network © 2014 All Rights Reserved. Privacy | Terms All content posted on this site is commentary or opinion and is protected under Free Speech. Truth Publishing International, LTD. is not responsible for content written by contributing authors. The information on this site is provided for educational and entertainment purposes only. It is not intended as a substitute for professional advice of any kind. Truth Publishing assumes no responsibility for the use or misuse of this material. Your use of this website indicates your agreement to these terms and those published here. All trademarks, registered trademarks and servicemarks mentioned on this site are the property of their respective owners.

eTrust Pro Certified Android app on Google Play

Sign up for the FREE Natural News Email Newsletter

Receive breaking news on GMOs, vaccines, fluoride, radiation protection, natural cures, food safety alerts and interviews with the world's top experts on natural health and more.

Join over 7 million monthly readers of, the internet's No. 1 natural health news site. (Source:

Your email address *

Please enter the code you see above*

No Thanks

Already have it and love it!

Natural News supports and helps fund these organizations:

* Required. Once you click submit, we will send you an email asking you to confirm your free registration. Your privacy is assured and your information is kept confidential. You may unsubscribe at anytime.