Feds investigating insurance fraud that duped U.S. military
We have a follow-up to our CBS News investigation that exposed an insurance scam in which taxpayers are the victims.
Members of the U.S. military have been duped into getting unnecessary medical tests that are paid for by the Pentagon's insurance plan.
After our report aired Wednesday, CBS News confirmed the federal government has opened a criminal investigation.
A heap of trash dumped into a shed at a clinic near Fort Hood contained soldiers' social security numbers, medical information, DNA specimens, and more than 60 photocopies of military IDs.
As CBS News showed you last night, makeshift clinics offered soldiers $50 Walmart gift cards in exchange for their urine and DNA.
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Some of those samples were sent to Cockerell Dermatopathology lab in Dallas -- which billed the military's insurance -- Tricare -- for millions of dollars worth of largely unneeded drug testing.
Agents with the Defense Criminal Investigative Service are now trying to determine who made money at Tricare's expense -- and how much.
On Thursday, Pentagon spokesman Peter Cook addressed CBS News' story.
"Reports like this are obviously of concern to us and something we want to address," he said.
This is not the first time Tricare has been targeted by scammers.
"These criminals were filling sandbags with cash as quickly as they could before we cut it off," said Richard Thomas.
Until April, retired two-star General Richard Thomas ran Tricare. As CBS News reported last year, claims for custom made prescription creams called compounds had grown exponentially until the Pentagon stopped paying for most of them due to their dubious medical value.
Tricare was $1.3 billion in the hole.
Is that largely due to this fraudulent billing of compound drugs?
"Absolutely it was," said Thomas. "That was the biggest single source of us being overspent."
The Pentagon had to re-allocate money from its fuel budget to cover healthcare for the troops.
"What makes this especially egregious is the fact they were specifically going after our military force, and their families, and our veterans," said Thomas.
So far they've recovered about $240 million.
It appears from CBS News' reporting that another fraud is popping up. What does that say to Thomas?
"It's not over. The fight continues," he said. "We have to always have our scouts out and be vigilant."
Cockerell Dermatopathology tells CBS News there's a possibility individuals didn't follow the company's compliance requirements, and is voluntarily returning significant amounts of money.
One estimate pegs the number of soldiers duped in the scam to be at least 2000.
On July 12, 2017, an Information was issued charging four of the marketers involved in the TRICARE insurance scam with conspiracy to commit health care fraud. At this point in time, Dr. Clay Cockerell has not been charged with any crime. Dr. Cockerell maintains that he had no involvement with the alleged criminal activity referred.