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“I would get bills and bills and bills in the mail and half of the time I would just throw them in a drawer,” she said. Throughout her daughter’s ordeal, evidence of fraud arrived almost daily at Flory’s house in Illinois. “Oh my God, if I would have just lost my job and not had insurance, she would still be alive.” Evidence of fraud Now, two years later, she has a different perspective. I thought, I have to keep this job until Alison is out of treatment,” she said. Flory was relieved that under the Affordable Care Act a parent’s health insurance policy extends to their children up to age 26 – including requiring open-ended coverage for drug treatment programs.Ī mother of five, Flory was working in a job she didn’t particularly like, but she resolved to remain in that job because it came with a generous health insurance plan that she couldn’t otherwise afford. “This goes beyond anything I could ever imagine, that so many people are so selfish and heartless,” Alison’s mother, Jennifer Flory, said in an interview.Īt first, Ms. Many of the addicts are complicit in the scam, using their parents’ insurance benefits like a credit card to fund a work-free and responsibility-free South Florida lifestyle while hiding behind a false façade of “treatment.”įor individuals struggling under the weight of addiction with poor judgment, low self-esteem, and inadequate coping skills, this scam and the associated lifestyle is the antithesis of rehabilitation. Rather than promoting health and healing, the business model that supports this multimillion-dollar health-care fraud involves warehousing addicts in fake sober homes to facilitate the perpetual fleecing their parents’ insurance policies. It is an open secret among addicts enrolled in South Florida treatment facilities that hundreds of suburban homes posing as drug-free recovery residences are little more than co-ed flop houses where the use of drugs is permitted and sometimes encouraged.
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They did so with the promise of free rent, free use of a scooter, and other benefits – including possible romance – if the patient agreed to enroll in a particular treatment program and live in a recovery residence or sober home associated with that treatment program. It was largely the work of fellow addicts – young men – who were paid to lure her and others away from their current treatment program. Over a 15-month period in 20, Alison moved nine times to different drug treatment centers. It was in this home that she died of a drug overdose. It is just money from the government or money from deep-pocket insurance companies, these cynics suggest.īut when greed replaces much needed health care for the most vulnerable in society, experts say, the result can be devastating – even fatal.Īlison Flory, in the bathroom of a sober home in Lauderdale Lakes, Fla., where she lived for a couple of months in 2016. Some Americans cynically dismiss health-care fraud as something less than a major crime problem, federal investigators say. On the Fortune 500 list of largest US corporations, ahead of Boeing, Microsoft, and Bank of America.) (That is more than the entire GDP of 131 of the world’s 195 countries. Experts estimate that the government and private insurance companies lose $100 billion each year to health care scams and fraudulent claims. The crisis is creating a broad new spectrum of Americans struggling with addiction – from suburban high school students, to young adults, to white-collar office workers, to grandmothers on Medicare.Īt the same time, America is facing an epidemic of fraud in the health-care industry. Sober high: How 'recovery schools' help addicted students The carnage is fueled in part by the widespread legal distribution of opiates to medical patients, easy availability of cheap heroin, as well as an ever-expanding lineup of other types of prescription drugs and synthetic intoxicants ripe for abuse. The US is in the midst of an epidemic of drug addiction and fatal overdoses with more than 52,000 deaths in 2015 – and the numbers are rising. This is the story of how two troublesome national trends – booming drug addiction rates and widespread fraud in the health care industry – conspired to destroy a young woman’s life.
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When she enrolled in a South Florida drug treatment program in 2015, Alison Flory had high hopes of getting her life in order and starting anew.īut instead of receiving life-saving health care, the 23-year-old from a Chicago suburb found herself being recruited from one recovery residence to another as a string of shady drug treatment facilities systematically overcharged her mother’s health insurance policy for expensive, unnecessary procedures and tests.