Story perspectives

California Hospice Fraud: $170M Scheme Exposed by Investigator

3/18/2026

25 5

Summary

Story summary

Nick Shirley, an investigator, is examining hospice fraud in California.
He found that numerous hospice companies operate from a single motor lodge.
Shirley's findings tie these operations to significant Medicare billing schemes, estimating over $170 million in fraud.
His video on the topic has 4.3 million views, underscoring the urgency.
Critics, including CBS News, are examining the scope of the fraud in California's healthcare system.

History

Historical Context

The Medicare Fraud Prevention Act, enacted in 2009, aimed to address healthcare fraud costing taxpayers about $60 billion annually. This law enhanced the investigative powers of the Department of Justice and the Department of Health and Human Services. Current investigations, like Nick Shirley's into California hospice fraud, which uncovered over $170 million in fraudulent schemes, underscore the ongoing challenges in safeguarding Medicare funds and protecting vulnerable patients.

1 of 2

Story summary

Nick Shirley, an investigator, is examining hospice fraud in California.
He found that numerous hospice companies operate from a single motor lodge.
Shirley's findings tie these operations to significant Medicare billing schemes, estimating over $170 million in fraud.
His video on the topic has 4.3 million views, underscoring the urgency.
Critics, including CBS News, are examining the scope of the fraud in California's healthcare system.

1 / 2