AmeriHealth Clinics and its owners, Ryan and Alban Hatch, have consented to a $2 million judgment in U.S. District Court after admitting to violating the False Claims Act.
The fraud scheme, which was uncovered in December 2023, involved using vulnerable or inexperienced medical staff to submit or cause to be submitted false claims to federal health care programs like Medicare, Medicaid, and Tricare.
According to a Complaint filed by the United States, AmeriHealth hired vulnerable, compromised, and inexperienced medical staff who were then pressured into providing unnecessary and worthless care, resulting in false claims being submitted to federal health care programs.
For example, owners Ryan and Alban Hatch ordered a hungover and impaired practitioner to provide medical care to unsuspecting patients. The Complaint also alleged that they pressured practitioners to prescribe controlled substances, entered into an unlawful kickback scheme with a third-party laboratory, and falsely certified information in order to obtain forgiveness of a PPP loan worth more than $750,000.
Fighting health care fraud is about ensuring safety for patients and families as well as protecting taxpayer funds, said U.S. Attorney Josh Hurwit. Health care fraud enforcement has been, and will continue to be, a priority for my office.
Providers who cheat federal health care programs and put financial gain before the needs of patients must be rooted out at every turn, said Steven J. Ryan, Special Agent in Charge with the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG).
This settlement demonstrates that OIG will bring individuals to justice that knowingly provided false information to gain access to the Paycheck Protection Program and subsequent loan forgiveness, said SBA OIG’s Western Region Special Agent in Charge Weston King.
This matter was investigated jointly by the U.S. Attorney’s Office for the District of Idaho, the U.S. Department of Health and Human Services, Office of the Inspector General, the Small Business Administration, and the Drug Enforcement Administration. Additional assistance was provided by the Idaho Board of Pharmacy, the Idaho State Department of Health and Welfare, and the Idaho Division of Occupational and Professional Licenses.
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Key Facts
- State: Idaho
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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