Medicaid/Medicare Fraud! So Goes Maine…So Goes Florida

Palm Beach Post reports “Owner of nursing home where 8 patients died linked to $1B Medicare fraud case.”

“The hospital co-owned by a Florida doctor whose nursing home was the site of eight deaths last week is linked to the biggest Medicare fraud case ever filed against individuals in U.S. history, court records show.

Neither Larkin Community Hospital nor its president, Dr. Jack Michel, is named or charged in the criminal fraud case filed last year in Miami federal court.

But in 2004, in a civil case also filed in Miami, federal prosecutors cited multiple links among Michel, Larkin and Michel’s former business associate, Philip Esformes, the man prosecutors say is the ringleader of a scheme that used elderly patients to bilk Medicare and Medicaid of about $1 billion.

Federal prosecutors alleged at that time that nursing home and assisted living patients were being admitted to Larkin for care that wasn’t needed, leaving Medicare and Medicaid to foot the bill.

When Jack Michel took the reins at the hospital, a series of kickbacks were coordinated with his brother, George, who was the admitting physician for virtually all of the nursing home referrals to the facility.” Read more HERE.


Repeated requests to Maine Legislators/other officials were made for a full investigation into Medicare and Medicaid payments that were paid out in excess for prescription drugs that were not needed, medical equipment that was not needed and stays (against the will of a person) at a local hospital and nursing home in Biddeford, Maine and the failure of said nursing home to maintain records in violation of the law. The Maine Bureau of Corporations did not have any filing in the name of the nursing home. It was discovered through the Medicaid printout that North Country Health Care Assoc. received Medicaid payments for the nursing home in 1998, a corporation that was not licensed at the time of receipt of Medicaid funding. 

Medicaid printout, click here.

Behind Maine’s Long-term Care Curtain

Chris Orestis is CEO of Life Care Funding, a Portland company that converts life insurance policies to help consumers pay for long-term care.

The smell to this? John Orestis, nursing home(s) owner is a relative of Chris Orestis.

Another “layer to this onion” is Alan Casavant (former legislator) who was presented with the evidence. Who is Alan Casavant? Mayor of Biddeford where the frauds took place!

It’s a PUBLIC SCANDAL that Maine legislators/governors have turned a blind eye to what’s happening in Maine!


Published in: on September 20, 2017 at 5:06 pm  Comments (2)  

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2 CommentsLeave a comment

  1. Hi!

    Another elderly patient just died today, September 20, 2017. That makes 9 total. Not sure if it is the same nursing home as above-mentioned.

    Was there a “backup” generator that would have come on “automatically” during an electric downturn?

    If not, why not?

    This needs to be investigated.

    It is an outrage to lose 9 patients pertaining to death.

    Thank you!

    Lise from Maine

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