A former Marine helped recruit service members for a scheme to bilk the Department of Defense out of more than $65 million using tubes of scar cream that did nothing to treat scars, according to a remarkable investigation by the Nashville Tennessean.
Today, court records make clear the enormity of the conspiracy. The scheme that Schneid stumbled upon in 2015 stretched from California to Tennessee, involving people and companies from at least four states. In Tennessee, two doctors and a nurse practitioner have pleaded guilty to defrauding a military insurance program, called Tricare, out of $65 million. At least two more suspects are still facing charges. Federal prosecutors also are attempting to seize swaths of East Tennessee farmland, a strip mall, and a large estate they argue was purchased with health care fraud profits.
- Two doctors and a nurse at the Tennessee clinic have already pleaded guilty to defrauding Tricare to the tune of $65 million, while several other suspects, including the former Marine and a Utah-based pharmacy, have already admitted to their role in the scheme.
- The scam was simple, according to the Tennessean: “The Marine was being paid to get medicine he didn’t need. A Tennessee doctor he had never met wrote him a medicinal cream prescription, which was being filled by a pharmacy in Utah. The military covered the bill and the Marine got a cash kickback from somebody.”
- The medicine Mederma, supposedly used to treat pain and scars, runs for about $30 on Amazon; according to the investigation, the Tennessee pharmacy was prescribing the stuff to Marines at $14,500 a tube as far back as 2015 — and the stuff barely even worked.
- Court documents reviewed by The Tennessean indicate that the recruiters, led by former Marine Joshua Morgan, “targeted Marines around Camp Pendleton, often by convincing the Marines they were joining a drug trial for the pain and scar creams. Marines were paid about $300 in illegal kickbacks each month,” according to the investigation.
- According to a 2015 CBS News report, the scar cream scheme succeeded by exploiting a loophole in Tricare regarding “compounded” medications which rely on mixing several medicines into a single treatment — medications that were fully covered by Tricare despite the absence of formal reviews of their effectiveness by the Food and Drug Administration
- “We’re on track this year to spend over $2 billion unless we get our hands around this,” former Tricare chief Maj. Gen. Richard Thomas said in the 2015 CBS report. “It’s just been astronomical, an explosion of the charges in a relatively short period of time.”