SACRAMENTO, Calif. — For weeks, Mehmet Oz has been waging a public feud with California leaders over health care fraud, accusing the blue state of failing to adequately combat such abuse.
Oz, who heads the U.S. Centers for Medicare & Medicaid Services, alleged that there was approximately $3.5 billion of fraud in the hospice and home health care industry in Los Angeles County alone. "This administration under President [Donald] Trump is not going to tolerate taxpayer dollars being stolen because people aren't paying attention anymore. We're focused on this," Oz said. He claimed the fraud was largely orchestrated by the "Russian, Armenian mafia" and said that most of the money spent on home and community-based services across California "might be fraudulent."
However, CMS clarified that not all billing activities referenced by Oz were presumed to be improper. And a review of the most recent available data shows that there are hotbeds of health care fraud across the country and across practice areas, most of them allegedly perpetrated by health insurers and other domestic actors, and that California outperforms most other states in recovering fraud dollars.
As the temperature heats up in the conflict between the Trump administration and California, a handful of Republican state lawmakers have entered the fray, accusing Gov. Gavin Newsom in a March letter of allowing "rampant fraud." Democratic state officials insist they aggressively combat fraud, and Newsom has filed a civil rights complaint against Oz, calling language in the allegations "baseless and racially charged."
"The Trump Administration is attempting to take the issue of fraud — a very real, and national issue — and weaponize it against Democratic states," California Attorney General Rob Bonta said in an early February statement.
UCI Health said the cuts were prompted by a changing environment that includes shifts in federal funding, reimbursement pressures and rising operational costs. (Maio, 3/23)
Over the past year, multibillion dollar cuts in federal and state funding for health care have led to job cuts at hospitals — with some pushed into dire financial straits. (Maio, 3/22)
Dana Erickson, BSN, RN, president and CEO of Eagan, Minn.-based Blue Cross and Blue Shield of Minnesota, has resigned from the board of Sacramento-based Sutter Health as the system moves forward with its proposed acquisition of Minneapolis-based Allina Health. (Gooch, 3/23)
The businesses, which should have raised red flags for potential fraud, have received more than $12 million from Medicare and Medi-Cal since 2023. (Henry, 3/22)
Child Therapy Center of Los Angeles opens a new Santa Monica location offering neuroscience-based pediatric mental health care for ages 2-18. (Edgar, 3/19)
California expects to save more than $300 million per year by restricting Medi-Cal dental benefits for undocumented, low-income residents. But advocates say it will come at the expense of broader health concerns and reduced access to care. (Sheehan, 3/23)
Fifty percent of the cardiac arrest calls the Ripon Consolidated Fire District handled last year ended with the patient surviving. It's a relatively solid survival rate not enjoyed by a lot of fire services. (Wyatt, 3/21)
Assembly Bill 2082 would require the State Department of Public Health to partner with local nonprofit organizations to distribute free menstrual products—including tampons, pads, and menstrual cups—to women in remote agricultural regions. (Bojorquez, 3/24)
At least 9.4% of babies born in San Francisco in 2024, the latest available data, were born from pregnancies that used assistive reproductive technologies. (Echeverria, 3/21)
The U.S. undercounted COVID deaths by more than 150,000, with more than 11,000 in California, according to a new study by Stanford and UCSF researchers. (Vaziri, 3/19)
To curb a dengue-carrying mosquito, L.A. County officials are releasing sterilized males. The approach is promising, but funding to expand it is uncertain. (Seidman, 3/22)
Humboldt County health officials identified the poisonous mushroom consumed by a local resident as a western destroying angel mushroom. (Schneider, 3/20)
Candidates were asked to tour the Tijuana River Valley and see (and smell) firsthand the cross-border pollution crisis that has caused a state of emergency county-wide. (3/20)
During the latest heat wave, South Bay residents have experienced higher-than-normal hydrogen sulfide odors from Tijuana sewage pollution. (Selgi-Harrigan, 3/20)
People experiencing homelessness in Encinitas may soon be able to get up to $2,000 in one-time rental assistance in a matter of days, thanks to a new agreement between the city and a nonprofit. (Futterman, 3/22)
Supervisor Matt Dorsey is pushing a new proposal that would emphasize drug-free permanent supportive housing, making it possible to evict residents for drug use. (Gurevich, 3/20)
While cities across Orange County look to ban smoking in public areas, the City of Orange is looking to take a different approach — targeting people who sleep on the streets. (Grube and Georgitis, 3/23)
Chico's second attempt to exit the Warren v. Chico settlement agreement was once again been denied in a ruling Monday from the U.S. District Court Eastern District of California. (Weber, 2/23)
In a significant move for the county's aging population, the board will consider a three-year agreement between the Public Administrator and the Imperial Valley Food Bank. The contract would provide senior meals through March 2029. (3/24)
Mendocino County students and families are invited to attend a free community screening of the documentary Fentanyl High, followed by a panel discussion. There are two opportunities to participate: Wednesday, March 25, in Ukiah at Regal Theater, and Thursday, April 2, in Fort Bragg at Coast Cinemas. (3/21)
Every incarcerated person in a California prison has a digital table enabling communication with the outside world. The system is changing vendors to lower costs. (Garcia, 3/24)
Due to health and energy concerns, the California Legislature is considering bills to prohibit data centers from being exempted from the state's stringent environmental law and impose new tariffs on new major energy users that strain power supplies. (King, 3/23)
UCSF and Stanford researchers are tracking early schizophrenia signs to predict psychosis and improve treatment before it starts. (Allday, 3/22)
This Week's 'KFF Health News Minute'
Amid federal spending cuts and suspicion of fluoride, tooth problems are sending more kids to the ER. Plus, patients look to health savings accounts to deal with rising medical costs.
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