TRICARE is the health care program for uniformed service members, retirees and their families. The conduct resulted in more than $180 million in fraudulent billings, including more than $50 million paid by federal health care programs.
According to court documents, Thomas “Tommy” Wilburn Shoemaker, 57, of Rayville, participated in a scheme to defraud TRICARE and other health care benefit programs by acting as a marketer for a network of pharmacies owned and operated by co-conspirators Mitchell “Chad” Barrett and David Jason Rutland.
Shoemaker worked with the pharmacies to use his TRICARE insurance to adjust prescription formulas to ensure the highest reimbursement without regard to efficacy, and he recruited doctors to procure prescriptions for high margin compounded medications. Shoemaker also obtained numerous fraudulent prescriptions using the personal information of military acquaintances.
Source: Louisiana Marketer Sent To Prison In $180M+ Health Care Fraud / insurancenewsnet.com