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In the presented remarks, the speaker engages the audience with a series of questions intended to reveal potential overlaps among health sector entities. The questions ask the audience to raise their hands if their companies own or control a health insurance division; if they also employ health care providers or own clinics, specialty pharmacies, or any other medical practice or pharmacy; if they own or control a pharmacy benefit manager (PBM); and if they lead a publicly traded company at which they have a legal responsibility to maximize shareholder value. These questions are designed to surface the breadth of influence held by large health care firms. The speaker asserts that the audience’s responses demonstrate a broader pattern: the largest health insurance companies are not limited to providing insurance alone. Instead, they are also involved in delivering medical services and operating pharmacies. The speaker notes that these entities diagnose and decide treatment for patients, indicating an active role in clinical decision-making beyond underwriting risk or processing claims. Further, the speaker highlights that these same large insurers are also PBMs, describing PBMs as “another form of middlemen managing drug benefits.” This point emphasizes a layered structure in which a single company can influence which drugs are preferred, covered, or reimbursed, thereby affecting patient access and pricing across the drug supply chain. The speaker concludes that these combined roles signify that large health insurers are “increasingly controlling every aspect of our health care system.” This characterization suggests a consolidation of functions—from coverage and care provision to drug benefit management—under a few dominant corporate entities. In summary, the speaker’s lines of inquiry and subsequent claims illustrate a perceived convergence: health insurance companies are simultaneously insurers, medical providers, pharmacies, and PBMs, and they are expanding their control over multiple facets of health care delivery and economics. The overarching assertion is that the largest players in the health care landscape occupy a multifaceted, integrated position that spans diagnosis, treatment decisions, pharmacy operations, and drug benefit management, contributing to a broader phenomenon of comprehensive control within the system.

We found a hotel in California where every room was the headquarters for a nursing group. They were all PO boxes, not actually providing nursing care. They were just collecting money. As we now know, a lot of the money that was going into the Somali community for autism care went to these phony autism care houses. A lot of it ended up with al Shabaab in Somalia.

The documentary-style segment follows Nick Shirley and David as they investigate widespread fraud in Minnesota, centering on nonemergency medical transportation (NEMT), daycare operations, and the way state funds are billed for services that may not be delivered. They present a pattern where transportation companies appear to underpin multiple fraud schemes across childcare, adult daycare, autism services, and interpreter services, with transportation acting as the “belly of the beast” that ties these lines of fraud together. Key findings and claims include: - The investigation asserts that Minnesota’s NEMT sector is dominated by Somali-owned companies. David notes about 20 NEMT companies in Minnesota, with more than 90% Somali-owned, many hosted in addresses that appear noncommercial or vacant (an apartment, a house, a convenience store, or a vacant building) with little or no signage or staff. - The group argues the average national vehicle count per NEMT company is 20. They estimate Minnesota could have approximately 800 Somali-owned NEMT companies, each with about 20 vehicles, and claim payments from the state are based on electronic submissions of trips and miles, with trips typically paid at about $50 per trip (round trips $100). They contend many trips are never performed, yet payments are made once the electronic form is submitted, with no verification of actual service delivery. - The symposium of fraud is described as consisting of daycares, adult daycares, autism services, and other welfare providers that rely on the transportation brokers to create a paper-trail justifying payments to the providers, even when services aren’t delivered. This paper trail allegedly enables continued state funding for many supposedly operating centers. - Safari Transportation (607 Cedar Avenue South, Minneapolis) and Dreamline Transportation (617 Cedar Avenue South) are presented as examples of fraudulent listings: Safari Transportation is alleged not to exist at the listed address; Dreamline Transportation is said to be housed in a liquor store at 617 Cedar Avenue South, with multiple addresses showing confusing or false registration. On-site checks reveal no functioning transportation company or vans, and staff acknowledge the addresses are misleading. The reporting team notes that the listed addresses often correspond to other, non-transport businesses (e.g., money-wiring shops or liquor stores), with no observable fleet and no evidence of active transportation services. - They visit other addresses tied to transportation, such as Epimonia Transport (at 305/308 area) and Crescent Transportation in Saint Louis Park; Epimonia is described as lacking vehicles and consistency in address listings, while Crescent Transportation is found to be an apartment complex rather than a storefront, casting doubt on the legitimacy of these entities. - The Hopkins Child Care Center is highlighted as an example of large state funding for a facility licensed for 118 children, with reported funding of around $2.25 million for a given year and millions across multiple years, yet the center is observed as shuttered or lacking visible child activity, with many vehicles reportedly idle and windows blacked out. Similar patterns are noted at other daycare centers such as Quality Learning Center and Proud Child Care Center in Eden Prairie, which also show high funding receipts (e.g., $1.9 million for Quality Learning Center in a given year; Proud Child Care Center receiving about $1.25–$1.26 million in recent years), but with no apparent foot traffic or detectable enrollment. - The investigation connects the fraud to political actors and public officials, alleging cover-ups or complicity, and raises questions about accountability for figures like Tim Walz. They assert that investigations and governmental actions have been insufficient or misdirected to address the alleged fraud. - In a broader fraud narrative, they claim millions of dollars were being funneled through TSA at Minneapolis–Saint Paul International Airport, with whistleblowers recounting large sums (often in the millions) moved by Somali-descent individuals, sometimes via routes through Atlanta to Dubai before wiring money to Somalia. A former TSA narcotics investigator describes routine cash movements at checkpoints, suggesting that declarations of large sums did not trigger meaningful enforcement, and implying the funds were linked to the daycare and welfare networks described earlier. Throughout, the speakers attempt to confront individuals at various sites, record responses, and juxtapose the alleged abundance of funding with the lack of visible services or vehicles. They emphasize that even when fraud is spotlighted, participants often respond with hostility or denial, while security is required to manage confrontations. They conclude with a call for accountability and reforms, asserting that the fraud spans the entire state and that transportation companies are central to the ability to sustain fraudulent payments.

The speaker claims there is $14 billion in fraud related to people wrongly enrolled in Medicaid in multiple states. They state that people living in one state may move to another, and both states collect Medicaid money from the federal government. The speaker adds that sometimes people are enrolled in both Medicaid and exchanges within the same state, contributing to the $14 billion figure.

Speaker 0: A quiet building in Signal Hill, California, is described as not resembling the headquarters of hundreds of trucking companies. Federal records show nearly 700 freight companies tied to this single address, with roughly 500 listing the same email: WTF FMCSA@AOL.com. CRAX reported this exact address to federal regulators two years ago. The speaker asks, If we all know about it and we reported it, why is something not being done?

A documentary-style investigation in Minnesota accuses widespread government-funded fraud across childcare, elder care, and health care services, alleging that hundreds of millions (potentially billions) of taxpayer dollars were funneled to fraudulent businesses, many run by Somali-owned entities, with insufficient or no evidence of actual children or patients being served. Key figures and setup - David: An investigator whose office is in Minneapolis, claiming firsthand exposure to fraud. He frames the problem as deeply entrenched, involving billions of dollars and potentially ties to terrorist groups abroad. - Nick Shirley: The presenter and filmmaker, documenting the investigation, confronting daycare centers, health care providers, and government officials. Main fraud allegations and examples - Childcare and early learning centers: - Multiple Minneapolis daycares listed at the same addresses, licensed for large capacities (e.g., 120 children) but with no children present in long-running site visits. - Examples include Mako Childcare and Mini Childcare Center: combined licensing for 120 children, but vans never moving and no children observed over repeated visits; fiscal year payments ranged from about 714,000 to over 1.6 million dollars for the two centers in various years. - ABC Learning Center and other nearby facilities: windows blocked out, doors locked, no children observed despite licensing for dozens or hundreds of children; payments in the hundreds of thousands to millions per year. - Sweet Angel Childcare and others: similar patterns—license capacity reported, payments received, but no children seen; in one case, ongoing operation with no obvious play area or evidence of childcare. - The video notes cases where two daycares share addresses or switch names (e.g., Creative Minds Daycare reopens as Super Kids Daycare Center) yet continue to receive state funding, suggesting “fraudulent” billing. - Some locations claimed to be open long hours and to serve many children, yet on-site visits found no children, locked doors, or hostile responses when questioned. In one instance, a staffer refused to discuss the operation or provide paperwork. - Specific sums cited include ownership of facilities with payments like 1.26 million, 987 thousand, 714 thousand, 1.6 million, 1.3 million, 1.0–1.6 million in various fiscal years, totaling near several millions per site and aggregating toward millions across multiple centers. - Home health care and other services: - A building housing 14 Somali-owned home health care companies under many different names, all operating from the same location, raising concerns about service provision and billing. - A broader claim that in Minnesota, 14–22 Somali health care businesses at the same address are part of the same ecosystem; government money (state and federal CCAP funding) is disbursed to these entities, with a perception that services may not be rendered as billed. - A separate building contains numerous health care providers; the interviewee asserts that 50–60 million dollars per year could be fraudulently routed through this single building. - Overall scale and claims: - David asserts the fraud is “far worse than anybody can imagine” with estimates initially as high as 7 to 10 billion, later revised publicly to around 8 billion; in total, a major portion of the state budget is implicated. - A central claim is that funds from CCAP (a blend of federal and state money, taxpayer money) are written as checks to providers who may not deliver corresponding services; the state’s checks are allegedly not effectively cross-checked for actual service provision. - Political and procedural dimensions: - The investigation contends that Minnesota governor Tim Walz is responsible for allowing or failing to curb fraud, describing the state as “ground zero” for the issue and criticizing political and procedural inaction. - The documentary frames fraud as nonpartisan, noting Medicaid fraud occurs across parties and administrations nationwide, but then presents a partisan friction as they confront lawmakers at a state Capitol hearing. - At the Capitol hearing, Republicans and Democrats discuss fraud, with some speakers asserting the problem is nonpartisan and rooted in systemic issues across administrations, while others push to hold specific leaders accountable and emphasize the need for transparency and enforcement. Confrontations and outcomes - The team encounters resistance and hostility at several sites, including doors locked, hostile staff, and in one instance, a confrontation resulting in police involvement at a building housing healthcare providers. - The investigators claim to have faced intimidation and even threats; they describe instances of violence toward them for asking questions about child and elder care fraud. - The film documents a tense, complex landscape of allegations, aiming to connect misallocated funds to non-delivered services, with ongoing investigations, raids, and political debate as the state capital becomes a focal point for accountability discussions.

The investigation highlights potential fraud or serious irregularities in Somali daycare operations, based on observed signs such as windows not covered with vinyl and a lack of signage or children visible at purported day care locations. The team questions the existence of many day cares, noting that some places listed as licensed have no identifiable activity or occupants when visited. Speaker 2 argues that even if a daycare were legitimate and serving only two children, there is “no world” where the government should be giving almost a million dollars or three-quarters of a million dollars in subsidies to such a place. The discussion underscores how fraudulent claims can be made easily and points to a lack of visible accountability in the system. The agency responsible for overseeing and funding daycares is identified as the Washington State Department of Children, Youth, and Families, with Secretary Tana Sen named as the head of the agency being discussed. To contact leadership, the team attempts to reach the communications department led by Nancy Gutierrez, noting repeated efforts to obtain comment about suspicious Somali daycares. They report multiple attempts to call and email, with messages indicating that some numbers are unavailable and voicemails are full. Speaker 0 notes the difficulty in getting a response from DCYF’s top communications official, emphasizing that their mailbox is full and no responses have been received. This lack of contact is framed as convenient for avoiding questions about the alleged issues. Speaker 6 states that if fraud is confirmed, a forensic audit should be conducted to trace how much money was actually spent and to recover any funds. Speaker 7 suggests that, even in the best-case scenario, the situation is inefficient and a waste of taxpayer dollars. Speaker 8 adds that there is a prevailing attitude in Olympia that does not recognize the problem.

Prosecutors have identified billions in Medicaid fraud across 14 programs, and researchers have now found a fifteenth area: assisted living. In Minnesota, the assisted living program is expanding faster than other programs, with payments rising 10 to 15 times as fast. Data on area facilities show Minneapolis has 169, Saint Paul has 83 (population 307,000), Brooklyn Center has 106 (pop. ~30,000), and Brooklyn Park has 181 (pop. ~84,000), highlighting a higher concentration of facilities in smaller cities. The assisted living facility in question is housed in what appears to be a single-family home, yet it bills itself as an assisted living facility and receives substantial state funding. The facility is owned by Gandhi Mohammad, now Gandhi Abdi Qadai, through his LLC, and his wife runs the assisted living services. The state continues to pay while he awaits trial. The report notes that this man was indicted in the Feeding Our Future scam, which involved false billing, and asks why he is still receiving state funds through these facilities. Speakers discuss whether Feeding Our Future indictments should trigger a cross-check to prevent individuals involved in that scheme from receiving other state funds. One speaker asks, “Do you know the Feeding Our Future scandal?” and notes the lack of awareness among people being interviewed. It is stated that the man who owns the building was indicted in Feeding Our Future, and that his shell company was used to purchase a new assisted living facility property, with his wife operating the service provider side. The facility received over 2,300,000 in state money last year, and a Minnesota reformer article claims the person has been paid 49,000,000 since 2016. The interviewees question how it is possible that someone indicted in Feeding Our Future is still collecting checks from the state through these assisted living centers run by his wife. State Representative Kristen Robbins, chair of the House Fraud and Oversight Committee, expresses concern that basic due diligence was not performed to cross-check Feeding Our Future defendants against other state funding. The parties reached out to the man and his wife but have not heard back. They also contacted the Department of Human Services, which stated that they cannot cut funding from this person because he is “simply a landlord,” with his wife running the service provider arm of the facilities. The department’s position is described as passing the buck.

William Lajanes reports from Los Angeles on hospice fraud, describing it as costing taxpayers 200 million dollars a year, with the worst activity seen in LA. He cites ghost patients, sham companies, corrupt doctors, and hospitals billing for care never provided, including owners stealing Medicare numbers from seniors who don’t know they’re on hospice until they need real care and then can’t receive it because the hospice owns their Medicare number. He and others call it human trafficking of beneficiaries. A source labels hospice fraud in LA as “crazy,” noting hospice care has grown sevenfold in the last five years. They estimate about 3.5 billion dollars of fraud in LA County alone. They describe LA as ground zero for scammers. Sheila Clark states hundreds of LA hospices falsely bill the government for unnecessary care, often cycling patients from one provider to another. Another participant describes a “non ending benefit,” with patients allegedly receiving four thousand dollars a month indefinitely. Patients are said to be bought and sold like trading cards, and recruiters told to post at busy shopping centers or senior living addresses to knock on doors, offering walkers, wheelchairs, and promising recruiters earn 300 dollars for any senior aged 62 they sign up, sick or not. That patient data and Medicare numbers are then sold to providers. A speaker emphasizes that a Medicare MIB number is highly lucrative. When asked how much federal taxpayers are losing, the response is “Millions, billions.” The report asserts that Russian Armenian gangs and the mafia are leading many of these efforts, allegedly able to corrupt and work with doctors willing to lie. A doctor is cited who billed the government 120,000,000 dollars in a single year, claiming to oversee 1,900 patients. With almost 2,000 hospice agencies, LA County has more than 36 states combined, and 30 times more than Florida or New York. It is stated that 18 percent of the entire country’s home health care billing comes from Los Angeles County. A map shows a cluster of 287 hospice providers in a two-mile radius, including locations in strip malls, unmarked buildings, a wrecking yard, and a vacant lot. The problem is described as once a beneficiary’s number is assigned to a hospice, that patient cannot get care elsewhere, including in a hospital. There is a call to listen to people who say they’ve been scammed. Context is provided that Governor Newsom filed a civil rights complaint against Doctor Oz for unfairly targeting the Armenian community; auditors and prosecutors say Armenian organized crime is involved with Medicare fraud. California auditors four years ago warned that lax state controls created the mess, prompting a moratorium on new hospices and the revocation of about 280 licenses since then. Ayesha?

The speaker discusses concerns about day care providers in Minnesota who are allegedly violating federal and state laws and regulations. The core allegations include taking money for personal use, using funds to set up fraudulent child care clients, and providing kickbacks. The speaker notes that not just a few cases exist but 23 child care centers are either closed or under investigation. He states that the fraud may reach as high as $100,000,000. Specific financial figures are provided: in fiscal year 2018, Minnesota received $120,000,000 in federal funding, and the state contributed about $50,000,000 in matching and maintenance funds. The speaker contends there may be a fraud case of nearly $100,000,000 in Minnesota, with the money then being transferred out of the country via MSP Airport. He emphasizes that this is a major issue in Minnesota. The speaker then asks what the agency is doing to investigate these matters and whether there could be stricter enforcement to monitor states receiving these funds, to ensure there is oversight. He expresses gratitude for the testimony and yields back, addressing Mister Lewis.

The speaker describes a pattern of fraud concentrated in clusters rather than in isolated, large-scale operations. The fraud appears to occur within family groups or tightly connected networks, spreading across multiple small sites rather than a single, massive operation. These clusters involve using single apartments, single condos, or potentially a single-family home outside of Boston, effectively creating numerous small daycare facilities. The speaker notes that the capacity of these clusters is not as high as it might be in other regions (e.g., Minnesota). As a result, fraud operates at a large number of smaller sites rather than a few large ones. The implication is that there may be more individual perpetrators overall, but each site commits fraud on a smaller scale. This distributed approach contrasts with a hypothetical scenario in which one building or site would generate a multi-million-dollar fraud; instead, the speaker expects many buildings each contributing smaller amounts, culminating in a broader spread of fraudulent activity. A key factor driving this pattern is the very low barrier to entry for opening a daycare, which facilitates a large number of potential operators and, consequently, a higher overall opportunity for fraud. The speaker emphasizes that this low barrier makes it easier for fraudulent actors to multiply across numerous small locations, contributing to a wide but shallow trafficking of schemes. The speaker explains the financial impact and mechanism of the fraud: the state is subsidizing payments for these kids, but the fraud involves both the daycare and the parents allegedly claiming that children attend the daycare when they do not. In reality, the parents certify attendance, while the daycare providers and the parents are allegedly splitting the subsidized funds. As a result, taxpayers bear the burden of subsidizing services that are not actually being provided to the claimed attendees. In summary, the described fraud occurs in clustered groups, leveraging many small daycare operations (often housed in single residences) with a very low entry barrier, leading to widespread but not individually vast fraud. The purported scheme involves falsified attendance to obtain state subsidies, with the daycare operators and some parents allegedly sharing the ill-gotten funds.

Speaker 0: Massive fraud is going on here in the state of Minnesota, especially in Minneapolis. Explain to me what's going on with the day cares. Speaker 1: One of the things I've noticed is there’s an exceptional number of childcare centers set up mostly in Minneapolis, but also in Saint Paul. I wondered how many kids are there in the Twin Cities. I visited facilities near my office and saw there aren’t any kids there. I’d go to another one and there aren’t any kids there either. I spoke with someone outside who said, “We’re all full,” yet when I looked inside the door was open and there was a couch and a table with a couple chairs and no kids. I asked if the kids were outside playing or what kind of place this was, and the staffer said, “You go,” and followed me down the street to my car. That made me think something was going on, and this was maybe five years ago. Speaker 1: This fraud is so massive. When the dust settles on this, it’s going to be found to be the largest fraud in the history of the country and probably the world. The ones I’ve gotten data on average about $2,500,000 a year, and a lot of them will say they have anywhere from 80 to 120 children. Speaker 1: I’ve been to literally 40 or 50 of these childcare centers, and there never has been a single child at any one of them ever. Morning, afternoon, evening. Some say they’re open till 10:00 at night. I go there in the morning, I go there in the afternoon, I go there at 9:00 at night. Nobody. There are no kids there ever.

The Department of Justice announced the largest coordinated health care fraud takedown in its history, charging 324 defendants for alleged participation in health care fraud schemes involving approximately $14,660,000,000 in false claims submitted to Medicare, Medicaid, and other health care programs. Key points emphasized: - First, these health care fraud schemes affect every hardworking American family. The announcement states that criminals didn’t just steal money from others; they stole from taxpayers who fund these programs. Every fraudulent claim, fake billing, and kickback scheme represents money taken from American taxpayers, driving up the national deficit and threatening the long-term viability of health care for seniors, disabled Americans, and vulnerable citizens. The enforcement action involves seizure of cash as well as luxury vehicles and properties, returning real money to taxpayers and to government health care programs. - Second, there is a disturbing trend of transnational criminal organizations engaging in increasingly sophisticated schemes. The takedown identifies and charges defendants operating from Russia, Eastern Europe, Pakistan, and other foreign countries, who have infiltrated the U.S. health care system to steal taxpayer dollars. An example described involves a sophisticated operation run from Russia and Eastern Europe that bought dozens of medical supply companies in the United States and submitted more than $10,000,000,000 in fraudulent health care claims to Medicare. This operation used the stolen identities of more than 1,000,000 Americans spanning all 50 states. Federal agents intercepted and arrested key members of that organization at U.S. airports and the U.S.–Mexico border, cutting off their escape routes. The days of transnational criminal organizations using the American health care programs as their personal piggy bank are over. - Third, 74 defendants, including medical professionals, were charged, highlighting those who fueled America’s deadly opioid crisis for personal profit. Pill mill operators who prescribed unnecessary opioids were charged, and networks of corrupt pharmacies that distributed drugs to addicts and dealers were dismantled, feeding the addiction crisis that has devastated communities. This is described as a staggering breach of trust, and the Department’s Criminal Division will prosecute these criminals aggressively, equating them with drug dealers. - Fourth, some defendants targeted vulnerable citizens in nursing homes, individuals with disabilities, and those battling serious illnesses. Prosecutors charged seven defendants, including five medical professionals, in connection with approximately $1,000,000,000 in fraudulent claims to Medicare and other health care benefit programs for performing medically unnecessary skin grass on dying patients as they sought to spend their final days with dignity and peace. This conduct is described as callous and disturbing, reflecting a breach of trust between patients, families, and providers. The overall message: today’s enforcement action represents the largest health care fraud takedown in American history, signaling the beginning of a new era of aggressive prosecution and data-driven prevention.

Chaya from Lives at TikTok explains she investigated an unmarked building in Burnsville, Minnesota, where nine health care companies are operating out of a single location, all with Somali names. She notes there are likely more than the nine discovered. One of the entities is Grace Care Center, run by Saeed Ahmad, which the site claims has a facility for kids with autism. She reports numerous red flags on that site, including slogans like “We cure your chill,” and suggests it is aimed at offering care for children. When contacting the listed numbers for these businesses, many do not work: some ring endlessly, others are disconnected. Most of the companies do not have websites, reviews, or additional information available. One company at the location does have a website, but it contains many spelling errors. The site’s gallery uses stock images that do not lead anywhere. Other links on the site do not function, redirecting back to the homepage. The “About Us” section states it was founded by Omar, accompanied by a stock image of a white woman, even though Saeed Ahmad is the founder. The contact information is described as fake, including a fake address, phone number, and email address. Chaya emphasizes that the situation appears highly suspicious.

Joe Thompson announced the first round of indictments in the ongoing housing stabilization services Medicaid fraud investigation, stating, “The HHS program, the HSS program is riddled with fraud.” Minnesota started the housing stabilization services program in 2020 and “we were the first state in the nation to make this Medicaid benefit available.” It grew from “approximately $2,600,000 a year” to “more than $100,000,000 a year in Medicaid billing within just a few years.” “Hundreds of companies enrolled” and many operated from dilapidated storefronts, “such as the Griggs Midway building in Saint Paul.” “Today, we are charging eight defendants” for their role in Brilliant Minds Services LLC; “Brilliant Minds and its owners received more than $2,000,000 in Medicaid billings.” “Christopher and Emmanuel Falade” in Falade Care “received more than $2,000,000.” “Assad Ahmed Adao” of LEO Human Services “more than $2,700,000” and his brother “Anwar Ahmed Adao” of Liberty Plus LLC “more than $1,000,000.” They “identified vulnerable individuals” and “billed Medicaid for services they did not actually provide.” The investigation is ongoing; “the plan is to charge groups of defendants and companies as their cases are ready for indictment.” FBI, HHS, OIG, IRS, USPS, and Minnesota BCA are involved. “Minnesota is drowning in fraud.”

In Columbus, Ohio, in front of the Great Minds Learning Academy, one of several day care centers associated with the Somali community, speakers discuss a report by Nick Shirley about fraudulent daycare facilities in Minneapolis. They note this is the second-largest Somali community in the United States and intend to investigate further. The team attempts to visit the first center, knocking and ringing the doorbell, but no one answers and the door is locked. They speak with a local man who says the daycare is owned by Somalians and mentions that he has never seen children there, noting that the center “use[s] the back door,” so they don’t see anyone coming in or out. He lives in the same building and confirms that he has not seen kids at the location. Another speaker reiterates, “I’ve just seen it the building itself. I’ve never seen nobody come out the building or go into the building.” The group proceeds to the back of the building, as suggested, but finds nothing there. They decide to move on, noting there are many more centers to visit, and plan to go around the city to speak with people at additional locations. They sign off with a plan to continue the investigation and stay tuned.

The discussion centers on alleged fraud in Maine’s elder care sector, framed as Somalian/African fraud in a state considered very white. Steve Robinson, editor in chief of the Maine Wire, and John Featherston, a Maine Wire columnist, assert that immigrant workers—many with limited English and little health-care experience—are involved in schemes that steal taxpayer dollars by billing for care that is often neglected or nonexistent. Robinson distinguishes multiple fraudulent operations: some home care agencies are essentially PO boxes that submit invoices to the Department of Health and Human Services; others are residential care facilities operating as homes where real adults are present but care is understaffed and substandard, with employees overworked and sometimes asleep on the job. A Department of Health and Human Services inspector general report is cited: in 2023, Maine improperly billed $46,000,000 in Medicaid payments to the federal government in one program (Section 28), and the state is seeking to claw back that money. John Featherston notes visits to the Portland area where they toured home health care centers during business hours and found no staff present. Mustafa Alamedy, described as a 25-year-old Maynard resident, reportedly billed over a million dollars from 2021 to 2024 with an audit error rate around 70%. The hosts recount visiting multiple home health care facilities, often finding no employees or furniture, indicating non-operational sites despite billing activity. A confrontation arises when a caller accuses the Maine Wire of propaganda and targets Somalis and immigrants. Steve Robinson responds by detailing alleged ties to Gateway Community Services, a organization accused of systemic Medicaid fraud over five and a half years by a former employee and under investigation by Homeland Security, the Department of Justice, and the state of Maine. Safiya Khalid, a former employee associated with Gateway, is named as making such accusations in the broadcast; her brother Mohammad Khalid runs another business from the same office complex. Robinson suggests Khalid should be sleepless at night if implicated in the fraud scheme, given ongoing investigations. The Portland-area investigation is reiterated: there are three home health care facilities inside a building, yet during daytime hours no one appears to be working, and there is no furniture or desktops visible. Governor Janet Mills is questioned about the $45,000,000+ in fraud findings, with the Maine Wire asserting that Mills’ administration did not actively support investigations into Gateway Community Services. They claim Mills’ attorney general later provided limited support and funding to Gateway with opioid settlement money after the outlet’s reporting, saying real investigation only gained traction after national media exposure. The discussion closes with praise for the Maine Wire’s reporting, urging continued local investigative journalism to draw national attention. The guests are Steve Robinson and John Featherston.

A report from Minnesota describes nonemergency medical transportation (NEMT) businesses that operate vans seen sitting in the snow and reportedly never moved. Neighbors say these vans haven’t moved in months, with snow built up around them. The segment states that Minnesota has over 1,020 NEMT companies, and 90% of them are Somali-owned. It claims that each of these businesses collects over $1,000,000 a year in taxpayer dollars by moving people with medical needs, according to the report. Neighbors say the vans “never leave” and that the situation amounts to “massive fraud,” while the reporter asks for viewers’ thoughts on the issue.

- A doctor billed the government $120,000,000 in a single year, claiming to oversee 1,900 patients. - With almost 2,000 hospice agencies, Los Angeles County has more than 36 states combined, and 30 times more than either Florida or New York. - 18% of the whole country’s home health care billing is coming out of Los Angeles County. - A map shows a cluster of 287 hospice providers in a two-mile radius, some in strip malls, unmarked buildings, even a wrecking yard and vacant lot; all of it is just paperwork. - I could fill that out in Kazakhstan if I want. - I can get a hospice license waiting for me.

A building in Signal Hill, California appears to be the headquarters for nearly 700 freight companies, according to federal records. Approximately 500 of these companies share the same email address: WTFfmcsa@aol.com. CRAX reported this address to federal regulators two years ago. The speaker questions why no action has been taken despite the report.

The speaker states that the woman who owns the building housing a child care service recently opened a restaurant there as well. This same woman previously ran Samala Child Care, which was rated in 2015 for stealing hundreds of thousands of dollars and had its license revoked. The speaker notes that under a different variation of her name, she also operates the Hu Yu Child Care Center. The speaker then claims that a Google search for the Hu Hu You Child Care Center yields a video featuring the mayor of Minneapolis. In that video, the mayor is playing very loudly Somali music and is wearing a shirt that shows pride in Nicolette Street. The speaker asserts that he is very proud of his community and all of the fraud that they have all committed together.

Medicare was scammed out of $760,000,000. An investigation in Phoenix was opened after a complaint about suspicious billing to Arizona Medicaid. This led to a network of sober living homes, intended to help those struggling with addiction, many of whom were Native Americans. Instead, it was a massive fraud scheme that billed for services never provided. The sober living home facilities owned by ProMD received more than $560,000,000 for services that were not provided.

In Los Angeles, there are 42 hospices within a four-block radius, with Cyrillic and Armenian/Russian writing on buildings and little visible patient care activity. A major case involved $16,000,000 stolen, with the main organizer going to jail for two years. The area had an apparently empty hospice center and claimed services for people at home that were not actually provided. The speaker asserts roughly $3.5 billion in fraud is taking place in Los Angeles hospice and home care, run largely by the Russian Armenian mafia. The narration notes the presence of language and dialect behind the speaker as indicative of this organized crime. The operation allegedly recruited hundreds of doctors to write false prescriptions and paid or tricked 100,000 patients into giving them their beneficiary numbers to perpetuate the fraud. Criminals allegedly run the organization and quickly evade when law enforcement prosecutes them. California has not given much attention to these problems, but that is changing, according to the speaker. The US attorney and FBI are now focused on the issue in a state with about $30,000,000,000 worth of home and community-based services, most of which, the speaker claims, might be fraudulent. The statement concludes that the President is not going to tolerate this anymore.