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“The View” star Sunny Hostin, who rationalized violence against healthcare insurance executives after the murder of UnitedHealth’s CEO, also seemingly implicated her husband in one of the largest health insurance fraud cases in the country.
According to the Daily Mail, Sunny’s husband, “Orthopedic surgeon Dr. Emmanuel ‘Manny’ Hostin is among nearly 200 defendants named in one of the largest RICO cases ever filed in New York.”
“[Few] Americans trust our healthcare system… I’m not, unfortunately, surprised people are celebrating the use of violence…violence is justified right now,” she said.
She also blamed the healthcare insurance industry, claiming that her husband was forced to operate on uninsured patients and then sue providers for compensation.
“Doctors suffer because of big corporations as well, doctors that want to do good like my husband, operates on someone even though they don’t have insurance and then has to sue health insurance companies to get paid for the work that he’s been trained his whole life to do.”
According to the RICO case, Hostin and others were accused of “getting kickbacks by performing surgery and fraudulently billing a company that insures taxi companies and Uber and Lyft drivers.”
Hostin has denied each of those accusations. Through his attorney, he described them as a “blanket, scattershot, meritless lawsuit by a near-bankrupt insurance carrier,” which is “meant to intimidate and harass doctors from collecting for care given to American Transit insureds and their passengers.”
Nonetheless, Sunny’s account of her husband’s conduct does not sound right. If Hostin’s patients were uninsured, as she suggests, suing insurance companies for compensation raises more than just a few questions.
However, the RICO case accusations against the liberal journalist and author’s husband are very specific.
“Hostin knowingly provided fraudulent medical and other healthcare services, including arthroscopic surgeries,” the lawsuit claims.
The American Transit Insurance Company, which filed the $450 million insurance fraud case, says the defendants allegedly exploited New York’s “no-fault auto insurance laws.”
The law requires that insurance companies “reimburse their policyholders for the cost of necessary and documented medical care up to $50,000 for personal or private passenger vehicles … for injuries arising out of an accident regardless of fault.”
While well-intended, “These substantial possible no-fault recoveries can incentivize providers with ill intent to over-diagnose, over-treat, and over-bill to recover the most money for themselves.”
Two of Hostin’s patients identified in the RICO case were involved in “low-impact” collisions resulting in “no more than soft-tissue injuries.” However, they both received arthroscopic surgery.
The alleged conduct hurts the insurers, who lose money through unnecessary claims, which in turn hurts the taxi companies, which have to pay higher premiums. It also negatively impacts the patients, who have to undergo intense medical procedures requiring more time to recover, resulting in loss of income.
If the RICO case accusations against the liberal journalist’s husband were true, Sunny should be the last person to criticize the system that unscrupulous doctors exploit to enrich themselves at the expense of insurance companies and patients or even justify violence as the solution.