Tag Archives: Lufkin

Swanky art auction held for fraudulent Planned Parenthood affiliate

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“A fool and his money are soon parted” is a phrase that came to mind when reading the May 26 Houston CultureMap story, “Auction party: The stakes are raised for Planned Parenthood at this artful River Oaks bash,” about a “Fine Art Auction benefitting Planned Parenthood Gulf Coast.”

Houston’s pro-abortion elite are either unaware or pretending not to notice that Planned Parenthood Gulf Coast is up to its ears in legal trouble.

Planned Parenthood Lufkin Texas closedI reported last week that a third Medicaid lawsuit has emerged accusing  PPGC of Medicaid fraud.

Two of those cases are pending, but the third has been settled with the Department of Justice, costing PPGC $4.3 million. All three clinics under investigation were forced to close.

One of those clinics, in Lufkin, Texas, had only opened in late 2006, at a cost of $1.5 million. Funds for that money pit were donated or raised by Ellie and Buddy Temple and the T.L.L. Temple Foundation, Jean and David Dolben, and Joan Duncan.

None of those names appeared on the guest list at the Houston soiree.  Perhaps this was a coincidence, or perhaps it’s as fellow Texan President George W. Bush once quipped, “Fool me once, shame on – shame on you. Fool me – you can’t get fooled again.” Whatever, more on the Houston event from the article:

Where: The artful River Oaks home of Judy and Scott Nyquist.

The 411: Guests sipped wine and nibbled light bites from A La Carte Catering while strolling from room to room to view and bid on donated art treasures from well-known artists such as Patrick Hughes, Jim Dine, James Surls, William Wegman, MANUAL, Don Reitz and Joe Aker, who was on hand to share the story behind his iconic photograph “Lonely Road.” The auction items were displayed among the Nyquists’ own exquisite collection, generating lively conversation among the art lovers.

Presiding over the auction was Houston artist and philanthropist  Kathryn Rabinow who, with her daughter Sarah Pesikoff, is chairing the “The Gala: For a Million Women, For a Million Reasons,” benefiting Planned Parenthood, on Oct. 25 at the Hilton Americas-Houston. The Reitz and Surls sculptures were sold outright and Rabinow even received phone-in bids as the party progressed.

Who: The artistic crowd included Elizabeth Weingarten, Anne Chao, Beverly and Howard Robinson, David Haug, Page Kempner, Anne Tucker, Adam Newar, Eddie Allen, Ruth and Tom Dreesen, Carol Neuberger, Lois Stark, Leslie and Russ Robinson and Anne Graubart.

(Tom Dreesen the comedian, I wonder?)

I really do wonder how many of these moneybags know they’re likely donating to the Planned Parenthood Gulf Coast Medicaid Fraud Endowment Fund?

More photos from the lovely event to support mass murder, all via Houston.Culturemap.com, with photos by Sarah Austin (click twice to enlarge)…

[Top photo, via Houston.Culturemap.com, L to R: Susan Bischoff and Eddie Allen in front of a Jim Dine painting; Lufkin screen shot via Saynsumthn’s Blog]

BREAKING: Third Medicaid fraud lawsuit emerges against Planned Parenthood Gulf Coast

breakingA third lawsuit has emerged accusing  Planned Parenthood Gulf Coast of committing Medicaid fraud.

Former PPGC accounts receivable manager Patricia Carroll is alleging her former employer falsified Medicaid claim forms and double billed.

Carroll joins former Planned Parenthood Gulf Coast employee Karen Reynolds, who won her case in 2013 and received a $1.25 million bounty from the $4.3 million settlement paid by PPGC to Obama’s Department of Justice, and former PPGC employee Abby Johnson, whose lawsuit accusing PPGC of $6 million in fraud is still pending.

Carroll originally filed a sealed whistleblower lawsuit in 2012, but at some point the case was unsealed, coming to light on May 19 when she filed an amended complaint.

Carroll alleges Planned Parenthood’s Huntsville clinic staff ran a Medicaid fraud scheme between 2002-12 involving troubled teens involuntarily remanded at Gulf Coast Trade Center in New Waverly, Texas.

Nonphysician staff from Planned Parenthood routinely drove to the center to take two separate blood draws for STD and HIV testing 10 days apart from newly detained youths, when one blood draw would have sufficed. Planned Parenthood then filed Medicaid claims falsely indicating the blood draws were completed at its Huntsville clinic on two separate visits and by a physician.

Carroll’s lawsuit alleges PPGC “is an ineligible provider of Medicaid services in a school or prison setting.” So, she states, PPGC Huntsville staff created false charts and false office appointments to cover up the scheme. Furthermore, Carroll alleges Trade Center violated the HIPAA privacy rule by providing identities and Medicaid numbers to Planned Parenthood.

Carroll further alleges the blood tests were unnecessary to begin with, since the youth were medically screened before coming to the center.

Carroll says she became suspicious when Planned Parenthood’s Huntsville clinic suddenly showed a 315% spike in revenue, whereupon she took a closer look at its books.

If Carroll’s allegations prove true, the cover-up extends all the way up to the upper  echelons of Planned Parenthood Federation of America.

After Carroll discovered the illegal revenue stream, she first approached local PP managers to no avail and finally called PPFA’s corporate office in New York, which forwarded her to PPFA’s ethics attorney, Jay Meisley, in Washington, D.C.

Meisley referred Carroll to a local attorney, with whom she understood she would be filing an ethics complaint. But that attorney, “presumably Alissa Rubin,” according to the lawsuit, turned out to be Planned Parenthood’s own attorney defending PPGC against Reynolds’ and Johnson’s lawsuit.

Carroll finally quit, refusing to file additional Medicaid claims she thought were illegal.

“Immediately thereafter,” according to her lawsuit, “[PPGC CFO] Jeffrey Palmer, [PPGC HIV Program Director] Susan Rokes and [PPGC VP of Medical Services] Laurie McGill made the decision to write-off the claims Carroll refused to release, but did not, to Carroll’s knowledge, fully inform the Medicaid Program or reimburse fraudulent billings.”

Carroll alleges the fraudulent claims were for approximately $200 each and amounted to “thousands” over the course of a decade.

PPGC garnered great media sympathy by taking the occasion of Texas Governor Rick Perry’s signing of the omnibus pro-life law in 2013 to announce it was closing three of its 12 clinics. 

Not coincidentally, the clinics were in Lufkin, where Reynolds discovered fraud, Bryan, where Johnson discovered fraud, and Huntsville, where Carroll discovered fraud.

Planned Parenthood tried to get Carroll’s lawsuit dismissed by claiming the statute of limitations had run out and that her fraud claims were not specific enough.

On May 14, District Court Judge Sim Lake ruled against PPGC on all its motions to dismiss, except its point that one of Carroll’s claim was not specific enough. In the latter case the judge gave Carroll 15 days to clarify that one allegation, which she did on May 19. The judge noted, “Carroll has adequately pleaded factual content that allows the court to draw the reasonable inference that Planned Parenthood knowingly filed false claims.”

[Thanks to Alliance Defending Freedom attorneys Steve Aden and Casey Mattox for their input]

Busted: Planned Parenthood Gulf Coast must repay $1.4 mil for Medicaid fraud

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Last week I hypothesized that Planned Parenthood Gulf Coast’s announcement that it was closing three clinics in Texas had nothing to do with new pro-life Republican laws and funding cuts, as it claimed.

Rather, I wrote, “was this really an attempt to erase dots between the shutdowns and PPGC’s problem with Medicaid fraud?”

Thanks, Chris!

So as it turns out, according to a press release today by Texas Attorney General Greg Abbott:

After a whistleblower lawsuit was filed alleging improper billing practices by Planned Parenthood Gulf Coast, an investigation was opened by the Texas Attorney General’s Office and the Texas Health and Human Services Commission’s Office of Inspector General. The State’s investigation revealed that PPGC improperly billed the Texas Medicaid program for products and services that were never actually rendered, not medically necessary, and were not covered by the Medicaid program – and were therefore not eligible for reimbursement. For example, state investigators determined that Planned Parenthood Gulf Coast falsified material information in patients’ medical records in order to support fraudulent reimbursement claims to the Medicaid program.

Under the agreement announced today, Planned Parenthood Gulf Coast must pay $1.4 million to resolve the Medicaid fraud enforcement action.

PPGC is denying everything. According to DallasNews.com:

The allegations in this complaint are baseless and we are ending this case as a practical matter. Continuing this litigation in the hostile environment for women’s health would have ensured a lengthy and costly process that would have distracted our energies and required us to share the private medical information of thousands of women. We are ending this lawsuit in order to devote all of our time and energy to delivering high-quality, affordable health care.

Sure.

PPGC didn’t suddenly decide to settle the litigation. It knew last week when it floated its ruse that this was all coming down. Will MSM circle back to connect the dots? Betting not.

Now it makes more sense that PPGC would close its almost new $1.5 million Lufkin clinic – just about what it needs to repay the government.

[HT: LifeNews.com, Saynsumthn’s Blog; graphic via ketknbc.com]

PPGC clinic closures had nothing to do with those Medicaid fraud charges, sure

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Planned Parenthood Gulf Coast took the occasion of Texas Governor Rick Perry’s signing of a new omnibus pro-life law today to announce it was closing three of its 12 clinics. The reason, per Huffington Post:

The three clinics are located in Bryan, Huntsville and Lufkin, Texas. They are closing in response to a new package of  a new package of abortion restrictions signed into law on Thursday and funding cuts to Texas’ Women’s Health Program that were passed by the Texas state legislature in 2011. Out of the three Planned Parenthood clinics that are closing, only the Bryan clinic performs abortions.

Planned Parenthood timed its notice to steal media attention away from pro-lifers, while also trying to put Texas legislators on the defensive. But was this really an attempt to erase dots between the shutdowns and PPGC’s problem with Medicaid fraud?

Most interesting is the former employees who have accused PPGC of Medicaid fraud worked at two of the closing clinics.

Karen Reynolds, who filed a lawsuit in 2011, worked at the Lufkin facility; and Abby Johnson, who filed a lawsuit in 2012, worked at the Bryan clinic.

The charges may or may not lead to prosecutions, but my first thought today was that subsequent attempts by PPGC to clean up its books resulted in such a noticeable loss of profits it had to shutter the doors at 1/4 of its centers, two of which were surely under added scrutiny.

I spoke with Abby Johnson this afternoon, who agreed the Medicaid fraud charges had something to do with the closures.

“I think a lot of things went into account,” Abby added. “The loss of income from the State of Texas and the new regulations played a part. Then there was the constant presence of pro-lifers in Bryan that took away the bulk of its income from surgical abortions. Plus, all three facilities were 40 Days for Life sites. And, yes, PPGC also knows the state is watching their books, so they can no longer get away with charging for services they don’t provide.

“What’s makes this even more hilarious is PPGC just spent so much money on the Lufkin facility, which was abortion ready but not asc (ambulatory surgical center) ready,” Abby said. “With the passage of HB2, they knew they could never perform abortions there.”

Indeed, less than six years ago PPGC opened its 6,700 sq ft, $1.5 million Lufkin clinic….

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Major donors to the Lufkin clinic included Buddy and Ellen Temple and David and Jean Dolben, now had.

Not one to let poor planning stop it, PPGC broke ground in May for a new $4.2 million, 7,000 sq ft abortion clinic in New Orleans, Louisiana, to open in late 2014/early 2015.

This action prompted the Louisiana legislature to open its own investigation of the PP affiliate in June.

Breaking: Whistleblower alleges Texas Planned Parenthood committed massive Medicaid fraud

A former employee of Planned Parenthood Gulf Coast has filed a whistleblower’s complaint with both the Texas and United States Attorneys General alleging her management engaged in massive Medicaid fraud.

Karen Reynolds, who worked as a “health care assistant” from 1999 to 2009 at the Lufkin, Texas, branch of the affiliate formerly known as Planned Parenthood of Houston and Southeast Texas, has submitted company memos and emails to support her charge that PPGC has engaged in a systemwide scheme to bilk Medicaid, Title XX, and the Women’s Health Program of tens of millions of dollars over the course of at least a decade.

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