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The interesting thing is that what they did wouldn’t even be a crime if the doctors they paid didn’t work with Medicare patients. The anti kickback statute only applies to government funded health insurance programs. These same laws are also why manufacturers can’t offer copay assistance programs to people on Medicare. Applying these laws everywhere could probably reduce waste dramatically.

Also there’s a very high ROI and not very often discussed career path: Work in sales at big pharma company or home health care company or really any compare that bills Medicare, find False Claim Act violations and a lawyer to represent you, and collect 15-30% of settlement (should be 8 to 9 figures if you played your cards right).