Fascinating long-read story on a whistle-blower in one of the largest companies involved in administering/billing Medicare plans.
(Also, a mention of how Advantage Plans can provide ancillary benefits such a gym memberships.)
The Personal Toll of Whistle-Blowing
Why one physician took the risk of becoming an F.B.I. informant to expose alleged Medicare fraud.
"Sewell had joined Freedom, which made most of its money administering Medicare plans, in 2007. The financial crisis was beginning, and employment opportunities were drying up across the country, but the sector of the health-care industry that drew its revenue from Medicare was booming. During his time at Freedom, Sewell had become convinced that the company was defrauding the government of hundreds of millions of dollars by carrying out a sophisticated set of scams targeted at a new program called Medicare Advantage. Sewell, an avid reader of John Grisham novels, had been so appalled by what he observed, and so intrigued by the romanticism of going undercover, that he had decided to become a whistle-blower."
https://www.newyorker.com/magazine/2019/02/04/the-personal-toll-of-whistle-blowing
omni
(Also, a mention of how Advantage Plans can provide ancillary benefits such a gym memberships.)
The Personal Toll of Whistle-Blowing
Why one physician took the risk of becoming an F.B.I. informant to expose alleged Medicare fraud.
"Sewell had joined Freedom, which made most of its money administering Medicare plans, in 2007. The financial crisis was beginning, and employment opportunities were drying up across the country, but the sector of the health-care industry that drew its revenue from Medicare was booming. During his time at Freedom, Sewell had become convinced that the company was defrauding the government of hundreds of millions of dollars by carrying out a sophisticated set of scams targeted at a new program called Medicare Advantage. Sewell, an avid reader of John Grisham novels, had been so appalled by what he observed, and so intrigued by the romanticism of going undercover, that he had decided to become a whistle-blower."
https://www.newyorker.com/magazine/2019/02/04/the-personal-toll-of-whistle-blowing
omni