{"id":172591,"date":"2017-10-04T13:19:58","date_gmt":"2017-10-04T17:19:58","guid":{"rendered":"https:\/\/www.liveaction.org\/news\/?p=172591"},"modified":"2017-10-04T18:13:57","modified_gmt":"2017-10-04T22:13:57","slug":"former-planned-parenthood-staffers-explain-medicaid-fraud-committed","status":"publish","type":"post","link":"https:\/\/archive.liveaction.org\/news\/former-planned-parenthood-staffers-explain-medicaid-fraud-committed\/","title":{"rendered":"Former Planned Parenthood staffers explain how Medicaid fraud is being committed"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>In 2015, seven former <a href=\"http:\/\/liveaction.org\/abortioncorporation\">Planned Parenthood<\/a> (PPFA) employees informed the House Energy and Commerce Subcommittee on Oversight and Investigations that Planned Parenthood should be investigated for a number of potentially criminal and fraudulent acts. These former employees told Committee members in a formal <a href=\"http:\/\/www.sba-list.org\/sites\/default\/files\/content\/shared\/12.7.11_former_employees_of_planned_parenthood_letter_to_congress_0.pdf\">letter<\/a> that because Planned Parenthood receives half a billion in taxpayer funding annually, Planned Parenthood should &#8220;[&#8230;] merit close Government attention as to whether or not these funds are being spent appropriately.&#8221;<\/p>\n<p>The former Planned Parenthood staffers&#8217; letter noted, &#8220;we are of one mind that the extent of theses problems with the organization is not fully understood by the American people&#8230;.&#8221; They\u00a0<a href=\"http:\/\/www.sba-list.org\/sites\/default\/files\/content\/shared\/12.7.11_former_employees_of_planned_parenthood_letter_to_congress_0.pdf\">added<\/a> that they &#8220;could personally attest&#8221; that Planned Parenthood has &#8220;operated as a law unto itself, gladly accepting tens of millions of dollars of taxpayer support while using the rubric of &#8216;reproductive rights&#8217; to claim exemption from the normal standards of accountability that every other recipient of public funds is expected to meet.&#8221;<\/p>\n<p>In recent years, additional former Planned Parenthood staffers have come forward to accuse the abortion corporation of fraudulently overbilling <a href=\"https:\/\/archive.liveaction.org\/news\/are-planned-parenthoods-taxpayer-funds-just-reimbursements-as-they-claim-not-quite\/\">Medicaid,<\/a>\u00a0milking American taxpayers for millions of dollars.<\/p>\n<p><span style=\"color: #00ffff;\"><em><strong><a href=\"https:\/\/archive.liveaction.org\/news\/half-of-planned-parenthoods-medicaid-payments-were-fraud-auditors-say\/\">READ: Half of WI Planned Parenthood&#8217;s Medicaid payments were fraud, auditors say<\/a><\/strong><\/em><\/span><\/p>\n<p><strong>Karen Reynolds<\/strong><\/p>\n<p>In August 2013, the whistleblower case of\u00a0<a href=\"http:\/\/www.chron.com\/news\/houston-texas\/houston\/article\/Planned-Parenthood-finalizes-4-3-million-lawsuit-4696121.php?cmpid=htx\">Karen Reynolds<\/a>,\u00a0a former employee of Planned Parenthood Gulf Coast, resulted in the Houston-based Planned Parenthood affiliate paying $4.3 million to resolve civil allegations made by Reynolds under the False Claims Act in the Eastern District of Texas.\u00a0According to a <a href=\"https:\/\/www.justice.gov\/usao-edtx\/pr\/planned-parenthood-pays-43-million-settle-allegations-unnecessary-medical-care\">Department of Justice<\/a> release:<\/p>\n<blockquote><p>The government alleged that between 2003 and 2009, Planned Parenthood Gulf Coast billed and was paid by government programs, Texas Medicaid, Title XX, and the Women\u2019s Health Program, for certain items and services related to birth control counseling, STD testing and contraceptives when such items and services were either not medically necessary, not medically indicated or not actually provided.<\/p><\/blockquote>\n<p>According to a 2017 report called &#8220;<a href=\"https:\/\/lozierinstitute.org\/wp-content\/uploads\/2017\/01\/plannedparenthood-profit-no-matter-what.pdf\">Profit No Matter What<\/a>,&#8221; published by Alliance Defending Freedom (ADF) and the Charlotte Lozier Institute (CLI), Planned Parenthood\u2019s facilities were required \u201cto constantly increase their \u2018pay per visit\u2019 goals which were the bills charged to Medicaid for every patient visit.\u201d<\/p>\n<p>A recent interview with former Planned Parenthood manager, Sue Thayer, indicated that Planned Parenthood also had <a href=\"http:\/\/abortionprocedures.com\">abortion<\/a> quotas:<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/mkxUAR3a_Jc\" width=\"640\" height=\"355\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><strong>Patricia Carroll<\/strong><\/p>\n<p><a href=\"https:\/\/www.gpo.gov\/fdsys\/pkg\/USCOURTS-txsd-4_12-cv-03505\/pdf\/USCOURTS-txsd-4_12-cv-03505-0.pdf\">Patricia Carroll<\/a>\u00a0was\u00a0employed as the Accounts Receivable Manager by Planned Parenthood Gulf Coast and stated in her <a href=\"https:\/\/www.gpo.gov\/fdsys\/pkg\/USCOURTS-txsd-4_12-cv-03505\/pdf\/USCOURTS-txsd-4_12-cv-03505-0.pdf\">claim<\/a>\u00a0against Planned Parenthood that she noticed \u201ca large revenue increase\u201d of 314.76% for PP in Huntsville &#8220;while preparing the monthly Projection report.&#8221; The Dallas Morning News <a href=\"https:\/\/www.dallasnews.com\/news\/politics\/2015\/10\/26\/whistleblower-accusations-led-to-planned-parenthood-medicaid-investigations\">said<\/a> about Carroll&#8217;s Medicaid fraud accusation:<\/p>\n<blockquote><p>Carroll worked as the accounts receivable manager at Planned Parenthood Gulf Coast from 2007-2012. In that position, she said she discovered \u201ca fraudulent Medicaid scheme\u201d that dated back to 2002. She alleged that a Planned Parenthood clinic in Huntsville had an employee visit a charter school called Gulf Coast Trade Center and perform STD\/HIV tests on the students there, all of whom receive Medicaid benefits.<\/p>\n<p>Carroll said Planned Parenthood incorrectly coded the visits to collect Medicaid reimbursements, estimating the clinic received about $200 per student. \u201cThousands of claims were filed\u201d in the ten year span, according to Carroll\u2019s original complaint.<\/p>\n<p>In May 2014, a federal district judge in Houston ruled that Carroll had \u201cadequately pleaded factual content that allows the court to draw the reasonable inference that Planned Parenthood knowingly filed false claims.\u201d<\/p><\/blockquote>\n<p>The ADF\/CLI <a href=\"https:\/\/lozierinstitute.org\/wp-content\/uploads\/2017\/01\/plannedparenthood-profit-no-matter-what.pdf\">report<\/a>\u00a0added that &#8220;at least some of the services were not medically necessary due to the duplication of visits, teens already having been tested at the jails or court systems they came from, and the higher-level staff already onsite at the school who could provide the same testing and education at no cost.&#8221;<\/p>\n<p>Carroll\u2019s lawsuit was dismissed on January 29, 2016, for an undisclosed settlement amount, the ADF\/CLI report states.<\/p>\n<div id=\"attachment_172595\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img aria-describedby=\"caption-attachment-172595\" decoding=\"async\" loading=\"lazy\" class=\"wp-image-172595\" src=\"https:\/\/archive.liveaction.org\/news\/wp-content\/uploads\/2017\/09\/VIctor-Gonzalez-alleged-Medicaid-Fraud-with-Planned-Parenthood.jpg\" alt=\"\" width=\"390\" height=\"474\" \/><p id=\"caption-attachment-172595\" class=\"wp-caption-text\">Victor Gonzalez&#8217;s complaint<\/p><\/div>\n<p><strong>P. Victor Gonzalez<\/strong><\/p>\n<p>P.\u00a0<a href=\"http:\/\/operationrescue.org\/pdfs\/GonzalezvPP.pdf#page=1&amp;zoom=auto,-169,792\">Victor Gonzalez<\/a>\u00a0was employed as Vice President of Finance and Administration by Planned Parenthood of Los Angeles (PPLA). Gonzalez accused Planned Parenthood affiliates in California of <a href=\"https:\/\/lozierinstitute.org\/wp-content\/uploads\/2017\/01\/plannedparenthood-profit-no-matter-what.pdf\">marking up the cost of birth control drugs<\/a> between 1997 and 2004 for government reimbursement, resulting in improper reimbursements &#8212; at taxpayer expense &#8212; far in excess of $200 million.<\/p>\n<p>&#8220;An internal email from Gonzalez states that PPLA\u2019s actual acquisition cost for oral contraceptive pills was $1-2, but that it was charging the government $12-48 per pack \u2013 a &#8216;hefty markup&#8217; &#8216;proscribed by DHS regulations.&#8217; Gonzalez estimates the impact on PPLA alone as approximately $4 million in revenues in a single typical year,&#8221; the ADF\/CLI <a href=\"https:\/\/lozierinstitute.org\/wp-content\/uploads\/2017\/01\/plannedparenthood-profit-no-matter-what.pdf\">report<\/a>\u00a0states.<\/p>\n<p><strong>Sue Thayer<\/strong><\/p>\n<p><a href=\"http:\/\/www.desmoinesregister.com\/story\/news\/health\/2016\/06\/22\/ex-planned-parenthood-managers-lawsuit-moves-ahead\/86251570\/\">Sue Thayer,<\/a>\u00a0former manager for Planned Parenthood of the Heartland\u2019s Storm Lake and LeMars facilities in Iowa,\u00a0claimed Planned Parenthood defrauded Medicaid out of millions by overcharging for services, illegally billing for abortion-related care.<\/p>\n<p>In 2015, Thayer <a href=\"http:\/\/www.adfmedia.org\/files\/ThayerTestimony.pdf\">testified<\/a> before a Congressional committee about the claim, accusing Planned Parenthood of filing &#8220;[&#8230;] false claims totaling about $28 million with Iowa\u2019s Medicaid program for (1) illegally dispensing \u201cmedically unnecessary\u201d quantities of oral contraceptive pills and birth control patches to C-Mail Medicaid patients and doing so without a prescription; (2) fraudulently billing the Iowa Medicaid program for abortion-related services; and (3) coercing \u201cdonations\u201d from Medicaid patients.<\/p>\n<p>In an op-ed Thayer\u00a0<a href=\"https:\/\/morningconsult.com\/opinions\/insider-view-planned-parenthood-harms-women\/\">wrote<\/a> in 2017, she elaborated further:<\/p>\n<blockquote><p>Planned Parenthood advertises that services and supplies are free, but when Medicaid-eligible women are served, it is expected they donate fifty percent of the total cost for the visit&#8230;. Planned Parenthood receives $542,000,000 in federal funding, yet asks women who live at or below the poverty line, who depend on federally-funded healthcare to make a donation \u2014 proof that Planned Parenthood is much more concerned about its bottom line than women in need.<\/p><\/blockquote>\n<p>&#8220;Planned Parenthood counted those payments as voluntary <a href=\"https:\/\/archive.liveaction.org\/news\/need-help-from-planned-parenthood-be-prepared-to-donate\/\">donations<\/a> and billed the full amount to Medicaid,&#8221; Thayer recounted in her\u00a02015 testimony, adding, &#8220;There is a reason that, despite technically being a nonprofit, <a href=\"http:\/\/thehill.com\/policy\/healthcare\/201833-planned-parenthood-tops-1-billion-in-assets\">Planned Parenthood<\/a> has reported $765 million in <a href=\"https:\/\/archive.liveaction.org\/news\/need-help-from-planned-parenthood-be-prepared-to-donate\/\">excess revenue<\/a> over the last 10 years. It is run very much like a business \u2013 focused on increasing revenues, placing its own bottom line above the interests of women. And yet leadership would take <a href=\"http:\/\/thehill.com\/policy\/healthcare\/255263-planned-parenthood-chief-gives-sharpest-attack-yet-on-anti-abortion-smear\">expensive trips<\/a> to Europe and Russia and throw elaborate parties at fancy venues.&#8221;<\/p>\n<p>In addition, <a href=\"https:\/\/www.youtube.com\/watch?v=RoRViFZS0Rk\">Thayer<\/a> discussed the alleged fraud accusations in the video below:<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/CxqZ49WiGr0\" width=\"640\" height=\"355\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><strong>Abby Johnson<\/strong><\/p>\n<p><a href=\"https:\/\/www.lifesitenews.com\/news\/former-clinic-manager-abby-johnson-files-whistleblower-lawsuit-against-plan\">Abby Johnson,<\/a> the former director of an abortion center operated by Planned Parenthood Gulf Coast, (formerly Planned Parenthood of Houston and Southeast Texas) accused Planned Parenthood in her <a href=\"http:\/\/www.adfmedia.org\/files\/JohnsonComplaint.pdf\">lawsuit<\/a>\u00a0of \u201crepeated false, fraudulent, and ineligible claims for Medicaid reimbursements\u201d through the Texas Women\u2019s Health Program:<\/p>\n<blockquote><p>In violation of its duty to report such false, fraudulent, and\/or ineligible claims and\/or to reimburse the United States and\/or the State of Texas for monies wrongfully received by Planned Parenthood of the Gulf Coast, Planned Parenthood Gulf Coast knowingly or willfully concealed the making of such false,\u00a0fraudulent, and\/or ineligible claims and knowingly or fraudulently retained funds which Planned Parenthood Gulf Coast knew it was not entitled to retain.<\/p><\/blockquote>\n<p>According to the ADF\/CLI <a href=\"https:\/\/lozierinstitute.org\/wp-content\/uploads\/2017\/01\/plannedparenthood-profit-no-matter-what.pdf\">report<\/a>, Johnson\u00a0&#8220;alleged that Planned Parenthood of Houston and Southeast Texas filed at least 87,075 false, fraudulent, or ineligible claims with the Texas Women\u2019s Health Program.&#8221;<\/p>\n<p>As a result, Planned Parenthood wrongfully received and retained reimbursements totaling more than $5.7 million, Johnson alleged.<\/p>\n<div id=\"attachment_172606\" style=\"width: 683px\" class=\"wp-caption aligncenter\"><img aria-describedby=\"caption-attachment-172606\" decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-172606\" src=\"https:\/\/archive.liveaction.org\/news\/wp-content\/uploads\/2017\/09\/Abby-Johnson-alleges-over-9-million-in-fraud-by-Planned-Parenthood.jpg\" alt=\"\" width=\"673\" height=\"525\" \/><p id=\"caption-attachment-172606\" class=\"wp-caption-text\">Abby Johnson alleges millions in fraud by Planned Parenthood<\/p><\/div>\n<p>According to a <a href=\"https:\/\/www.lifesitenews.com\/news\/former-clinic-manager-abby-johnson-files-whistleblower-lawsuit-against-plan\">report<\/a>\u00a0published by LifeSiteNews, the lawsuit also claimed:<\/p>\n<blockquote><p>&#8230; Planned Parenthood held a meeting in late 2008 or early 2009 to inform its clinic directors that it had been falsely billing the Texas WHP since January 1, 2007.\u00a0 Johnson says that when she asked \u201cwhat are we going to do about\u201d the money that Planned Parenthood had improperly received, her supervisor answered, \u201c<strong>Well, we are going to hope we don\u2019t get caught<\/strong>.\u201d<\/p><\/blockquote>\n<p><strong>Ramona Trevino<\/strong><\/p>\n<p>A 2017 op-ed <a href=\"https:\/\/archive.liveaction.org\/news\/planned-parenthoods-medicaid-patients-are-like-cash-cows-that-we-milked-for-all-we-could\/\">written<\/a> by Ramona Trevino, a former Planned Parenthood North Texas facility manager, claimed further that &#8220;Medicaid patients are like mini cash cows for Planned Parenthood.&#8221; Trevino added, &#8220;Patients who went to Planned Parenthood abortion centers used\u00a0<a href=\"https:\/\/archive.liveaction.org\/news\/yes-your-tax-dollars-fund-abortions-at-planned-parenthood\/\"><em>federal funds<\/em><\/a>\u00a0to pay for post-abortion exams at Planned Parenthood\u2019s non-abortion centers&#8230;.&#8221;<\/p>\n<p>Today, due in part to the broken promises of politicians to defund Planned Parenthood, American taxpayers are still forced to hand over $1.5 million per day to this fraudulent organization.<\/p>\n<p>Government tax dollars going to <a href=\"https:\/\/oversight.house.gov\/wp-content\/uploads\/2015\/09\/Planned-Parenthood-Chairman-Memo.pdf\">Planned Parenthood<\/a>\u00a0in just the past ten years now total in the billions of dollars with little to no oversight, while Planned Parenthood continues to send hefty &#8220;campaign contributions&#8221; to its allies through its political arm. And, despite accusations of fraud, another half a billion in taxpayer dollars is slated to be handed over to Planned Parenthood in 2018.<\/p>\n<p>It is past time to stop this abuse and defund Planned Parenthood.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 2015, seven former Planned Parenthood (PPFA) employees informed the House Energy and Commerce Subcommittee on Oversight and Investigations that Planned Parenthood should be investigated for a number of potentially criminal and fraudulent acts. These former employees told Committee members in a formal letter that because Planned Parenthood receives half a billion in taxpayer funding [&hellip;]<\/p>\n","protected":false},"author":303,"featured_media":162326,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false},"categories":[8,9459],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Former Planned Parenthood staffers explain how Medicaid fraud is being committed<\/title>\n<meta name=\"description\" content=\"Former Planned Parenthood employees say Planned Parenthood should be investigated for a number of potentially criminal and fraudulent acts.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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