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nitpicker

(7,153 posts)
Sat Jan 20, 2018, 06:06 AM Jan 2018

Indicted for Racketeering, Health Care Fraud and Drug Trafficking Conspiracies to Distribute Opioids

https://www.justice.gov/opa/pr/two-top-leaders-italy-and-five-us-residents-indicted-racketeering-health-care-fraud-and-drug

Department of Justice
Office of Public Affairs

FOR IMMEDIATE RELEASE
Friday, January 19, 2018

Two Top Leaders in Italy and Five Us Residents Indicted for Racketeering, Health Care Fraud and Drug Trafficking Conspiracies to Distribute Opioids Resulting in Deaths Involving “Pill Mills” Operating in Tennessee and Florida

On Jan. 4, a federal grand jury in Knoxville, Tennessee, returned a 14-count superseding indictment unsealed today charging seven individuals for their roles in a Racketeer Influenced and Corrupt Organization (RICO) conspiracy and drug trafficking conspiracy to distribute and dispense oxycodone, oxymorphone and morphine outside the scope of professional practice and not for a legitimate medical purpose and resulting in deaths, maintenance of drug-involved premises, distribution of oxycodone resulting in death, conspiracy to defraud the United States through the solicitation and receipt of illegal healthcare kickbacks and money laundering.
(snip)

Luca Sartini, 58, of Rome, Italy, and Miami; Luigi Palma aka Jimmy Palma, 51, of Rome, Italy, and Miami; Benjamin Rodriguez, 42, of Delray Beach, Florida; Sylvia Hofstetter, 53, of Knoxville; Courtney Newman, 42, of Knoxville; Cynthia Clemons, 45, of Knoxville; and Holli Womack aka Holli Carmichael, 44, of Knoxville, are charged in a third superseding indictment filed in the Eastern District of Tennessee.
(snip)

According to the indictment, Sartini, Palma, Rodriguez, Hofstetter and a co-conspirator charged in another indictment, from about April 2009 to March 2015, ran the Urgent Care & Surgery Center Enterprise (UCSC), which operated opioid based pain management clinics, “pill mills,” in Florida and Tennessee, where powerful narcotics were prescribed and/or dispensed. The defendants are alleged to have hired medical providers with DEA registration numbers, which would allow the providers to prescribe controlled substances. The prescriptions were primarily large doses of highly addictive and potentially deadly controlled substances. As alleged in the indictment, individuals seeking prescriptions would often travel long distances purporting to suffer from severe chronic pain.

The superseding indictment alleges the defendants distributed quantities of oxycodone, oxymorphone and morphine sufficient to generate clinic revenue of at least $21 million. As per the indictment, the clinics did not accept insurance, received gross fees and ordered unnecessary drug screenings defrauding Medicare. Shell companies were set up to launder the proceeds.

As alleged in the indictment, approximately 700 UCSC enterprise patients are now dead and a significant percentage of those deaths, directly or indirectly, were the result of overdosing on narcotics prescribed by the USSC Enterprise. As alleged in the indictment, the narcotics prescribed by the UCSC enterprise contributed to the deaths of another significant percentage of those patients.

The indictment further alleges that many patients arrived in groups, who were sponsored by drug dealers who paid for the pain clinic visits and prescriptions to obtain all or part of the opioids and other narcotics prescribed to the purported pain patients. In return, drug addicted patients would receive a portion of prescribed narcotics for free from the sponsor.
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Indicted for Racketeering, Health Care Fraud and Drug Trafficking Conspiracies to Distribute Opioids (Original Post) nitpicker Jan 2018 OP
Reminds me of the book, American Pain LiberalLoner Jan 2018 #1
Big sprawling investigation unc70 Jan 2018 #2
Pretty much sounds like how pain clinics operate in general ... they don't necessarily 'know' ... mr_lebowski Jan 2018 #3
No it sounds like a "pill mill" HopeAgain Jan 2018 #4
The book American Pain is actually about the biggest pill mills in Florida LiberalLoner Jan 2018 #5
I know all about it. HopeAgain Jan 2018 #6
What a nightmare. I cant imagine how upsetting it must have been to you to watch all LiberalLoner Jan 2018 #7

unc70

(6,129 posts)
2. Big sprawling investigation
Sat Jan 20, 2018, 06:50 AM
Jan 2018

Has many parts involving lots of people. Earlier indictments back in the fall.

The owner of one of the related companies was a big donor to former GOP Rep. and WH advisor Jack Kingston.

 

mr_lebowski

(33,643 posts)
3. Pretty much sounds like how pain clinics operate in general ... they don't necessarily 'know' ...
Sat Jan 20, 2018, 07:12 AM
Jan 2018

about the 'groups' of 'sponsored by drug dealers' patients they may have. And yes, people sometimes 'travel great distances' to get to them ... like if they've MOVED but don't want to start anew getting treatment in the area where they've moved TO, cause it's become a huge PITA due to red tape. Sometimes it's easier to just drive 4 hours to your old Pain Clinic once a month than to try to become a NEW patient in your new locale. There might not even BE any 'spots' there.

Pain Clinics are REQUIRED to do 'drug screenings', so the claim that they 'ordered unnecessary screenings, defrauding Medicare' doesn't make much sense, esp. since they JUST SAID 'they didn't accept insurance'. Medicare IS insurance, and drug screenings for pain patients on opioids is required ... So which is it?

Also, NO pain clinics 'dispense opioids' that I've ever heard of. You have to go to the pharmacy for those drugs (except in rare cases like getting morphine drips or demerol shots after surgery, while directly in the care of the doctors).

And why would this company need to 'launder' proceeds, when authorities don't appear to have established a means by which the clinic was taking in funds ... illegally?

And what are 'gross fees'? Must be something bad, since 'gross' is in the description?

Also, TONS of doctors these days simply don't want to deal with Insurance Co's (or only deal w/a very limited number of them at most), if they can run a profitable practice without them ... and that's just how it is. Pain Clinics (and Suboxone-dispensing docs) especially.

Sounds to me like yeah, maybe these people were involved in something deliberately shady/criminal ... but I'd say it's just as likely that they are just a legitimate Pain Clinic, and this is actually a case of opioid hysteria and overreach.

HopeAgain

(4,407 posts)
4. No it sounds like a "pill mill"
Sat Jan 20, 2018, 08:34 AM
Jan 2018

and in 2009, they could despense before Florida changed the law. I work in a profession where I was directly exposed to pill mills here in South Florida. If these patients received large doses of pills, were traveling from Tennesee, not given treatment alternatives, being operated by likely mobsters, it is not legit.

LiberalLoner

(9,762 posts)
5. The book American Pain is actually about the biggest pill mills in Florida
Sat Jan 20, 2018, 09:26 PM
Jan 2018

That got shut down in 2010 or thereabouts. Really a great book.

HopeAgain

(4,407 posts)
6. I know all about it.
Sun Jan 21, 2018, 10:10 AM
Jan 2018

I've actually been in some of the mills in the documentary because of what I do professionally. Saw a guy who claimed he couldn't afford health insurance plop down $1,200 in cash for the exam and his pills.

LiberalLoner

(9,762 posts)
7. What a nightmare. I cant imagine how upsetting it must have been to you to watch all
Sun Jan 21, 2018, 05:10 PM
Jan 2018

That happening. Thank God for the professionals who shut these pill mills down!

Now, I’m not anti-opiate. The pain management help I got the first couple of weeks after my hysterectomy/oopherectomy was a god send. It was horribly painful and hard to heal from even with the help, I can’t imagine how awful it would have been without the Percocet.

But these pill mills that encourage addiction, are a terrible thing and I’m glad they are shutting them down.

I just keep wondering, trying to find an answer for the question, why is there so much addiction in the US? Meth, Heroin, alcohol, you name it, hardly anyone doesn’t know at least one person who has struggled with addiction.

It feels really messed up and I’m trying to understand why things are so messed up.

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