Michael Luehrsen, accused of defrauding insurance companies
A former western New Yorker has been accused of defrauding
insurance companies out of millions of dollars.
Michael Luehrsen, 38, who now lives in Miami, was charged
with money laundering, corruptly destroying evidence and conspiracy to commit
health care fraud.
The indictment says Luehrsen was a pharmaceutical sales
representative who later owned a company called MedHype Typ. Prosecutors say
that between 2014 and 2016, he and others started marketing “compounded medications.”
These are made by mixing, combining or altering the ingredients of a drug in
order to create something tailored for an individual patient’s needs.
According to officials, these creams and patches were
marketed as non-narcotic treatments for pain, scars and wounds.
Prosecutors say the compounded medications were not actually
tailored to individuals’ needs, but instead were made to contain ingredients
with high reimbursement rates from health insurers.
“For example, one patient began receiving compounded
medications, with monthly refills, from approximately January 2015 through
December 2016, with an average monthly reimbursement rate of more than $16,000
per compounded medication. The patient’s three children also began receiving
compounded medications, with monthly refills, from approximately April 2015
through various dates in 2016. In total, those prescriptions and refills
resulted in reimbursement of approximately $2.819 million.”
Prosecutors say Luehrsen and his associates have also been
accused of getting compounded medications from doctors who never examined and
had no doctor-physician relationship with the patients whom the medications
were prescribed for.
The indictment says one doctor signed more than 140 compound
medication prescriptions for 19 patients, according to officials.
In addition to this, prosecutors say Luehrsen also obtained
many high-reimbursement compounded medications for himself.
Following his arraignment on Wednesday, Luehrsen was
released “on conditions,” prosecutors say.
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