CRUCIFYING BLUE CROSS BLUE SHIELD OF MICHIGAN ON ITS OWN CROSS AS FORD MOTOR CAR COMPANY, ALONG WITH DR. LESLY POMPY, FILED MAJOR LAWSUIT ACTIONS

NORMAN J CLEMENT RPH., DDS, NORMAN L. CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., INC.T. SPIRIT OF REV. IN THE SPIRIT OF WALTER R. CLEMENT BS., MS, MBA. HARVEY JENKINS MD, PH.D., IN THE SPIRIT OF C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., WALTER F. WRENN III., MD., JULIE KILLINGSWORTH, RENEE BLARE, RPH, DR. TERENCE SASAKI, MD LESLY POMPY MD., CHRISTOPHER RUSSO, MD., NANCY SEEFELDT, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., NEIL ARNAND, MD.RICHARD KAUL, MD., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NJOKU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS

BLUE CROSS OVERCHARGING AND CORRUPTION

Ford Motor Company and Dr. Lesly Pompy, MD, are suing Blue Cross Blue Shield of Michigan, alleging a price-fixing conspiracy. Ford Motor Co. is suing Blue Cross Blue Shield in federal court, alleging a price-fixing conspiracy that resulted in the automaker being overcharged for health insurance in Michigan and other states.

“THE BLUES TO YOUR HEALTHCARE

THE DR. LESLY POMPY SUIT ALLEGES

The Pompy alleges

” So, under the guise of combating waste, fraud, and abuse, Blue Cross Blue Shield of Michigan (“BCBSM”) has devised a scheme to target for criminal prosecution doctors who bill “too much” for seeing “too many” patients, who write “too many” expensive prescriptions to patients, or both.

The object of this scheme is to (a) unlawfully recover medical expenses rightly paid to doctors for services rendered and (b) wrongfully deter other doctors from serving patients or prescribing medications that are too expensive.

JUSTICE HAS BECOME A VICTIM OF THE JUSTICE SYSTEM AS IT ARRIVES SLOWLY FOR LESLY POMPY MD

The method by which BCBSM implements its schemes to conspire with law enforcement officers looking to make a name for themselves and their agency to “investigate” and falsely accuse doctors of running “pills mills” and/or billing for services not rendered or not medically necessary.

JUDICIAL MUNCHAUSEN BY PROSECUTION (MSJP)

DOJ-DEA HYENA

While much has been made of the fact that law enforcement (DEA, FBI) uses paid informants to snare pain physicians Munchausen’s Syndrome thru Judicial Prosecutions (MSJP) defines exposing the DOJ-DEA targeting of Doctors and the issues of entrapment is of the same mindset and nearly identical to the disease state Munchausen’s Syndrome by proxy (MSBP).

Described as a mental health problem in which a caregiver makes up or causes an illness or injury in a person under his or her care, such as a child, an elderly adult, or a person who has a disability.“

Because vulnerable people are the victims, MSBP is a form of child abuse or elder abuse. Similarly, Munchausen’s Syndrome thru Judicial Prosecution (MSJP) DEA law enforcement “makes up an illness,” using a person under their control.

Doctors targeted for “investigation” are publicly raided, have their financial assets seized, and have their medical licenses and registrations to prescribe controlled substances suspended when criminally charged.

With their assets seized, unable to work, and facing charges that can carry many decades in prison, doctors are routinely pressured into accepting plea agreements requiring them to give up their seized assets.

Those assets are then split between BCBSM and the law enforcement officer’s agency: “restitution” to BCBSM and “asset forfeiture” to the agency.

THE FORD MOTOR CAR COMPANY SUIT ALLEGES

The automaker’s claims relate to a $2.7 billion antitrust settlement last year in U.S. District Court in Alabama between several companies, the Blue Cross Blue Shield Association, and several Blues plans. Ford opted out of that settlement to pursue its litigation against Blue Cross.

The plaintiffs in the settlement, which include Home Depot, claimed the various Blue Cross insurers violated antitrust laws by agreeing to limit competition amongst themselves when selling full health insurance and administering self-insured plans.

Ford seeks treble damages for the alleged antitrust violations, although its lawsuit doesn’t specify an amount.

The lawsuit says Ford spent over $500 million on full insurance premiums between 2009 and 2013 and over $150 million in administration fees for self-insured plans since 2013.

The lawsuit says that most of Ford’s health insurance has been self-insured since 2015. Businesses with self-insured plans pay most claims out-of-pocket, with insurers responsible for administering the plans and processing claims in exchange for fees. Companies buy separate “stop loss” coverage to protect against vast claims.

JUDICIAL MISCONDUCT

All of this illegal activity appears to be conducted under the supervision of United States Attorney Wayne F. Pratt (to win at all cost) and a cadre of COINTELL cohorts who have been named in several lawsuits by patients of Lesly Pompy MD.  Including former prosecutors, judges, and police, all working hand in hand with Blue Cross Blue Shield of Michigan’s corrupt activities targetting healthcare providers of color.

AUSA WAYNE PRATT
AUSA WAYNE PRATT, The love and hate relationship with his “precious” Master, Blue Cross Blue Shield, has gradually corrupted him like Gollum by the ring’s power.

Helen Borel, RN., pointed out in her book “American Agony The Opioid War Against Patients in Pain.”

Managing pain with narcotics is a science, except for politics, money, and overzealous law enforcement are denying American patients the relief they so desperately need.

“Emboldened by the medically intrusive 2016 CDC Guidelines, DEA operatives have deputized themselves with greater powers to raid innocent doctors’ medical practices even more invasively, even more than they’ve been doing across America for two decades. These intrusions keep occurring with nary a whisper from opiohysterical journalists about these onslaughts on innocent narcotic prescribing doctors.” Where is the “free press”? Who speaks for abandoned pain patients? Who speaks for wrongfully imprisoned physicians?

the targeting of Dr. Leslie pompy, MD

On December 1, 2022, and December 2, 2022, a Blue Cross Blue Shield (BCBS) Corporate and Financial Investigations Department (CFID) Investigator, James Stewart Howell, testified in Court Room 216 of Eastern District Court of Michigan under cross-examination by Ronald Chapman, Attorney for Dr. Pompy presided by Hon. Stephen Murphy stated the following: 

1) He was a former police officer who was hired around or about one week after retiring by BCBS CFID; 

2) He was trained in Healthcare Investigations and Undercover Operations at the Blue’s Academy, which is a BCBS training program; 

3) He works as an undercover “patient” seeking drugs and pills from doctors; 

4) CFID does not randomly identify doctors to investigate, but targets specifically identified doctors ; 

5) CFID identifies doctors to investigate through BCBS employees, law enforcement, tips from doctor’s employees, undercover agents, audits, and medical record reviews; 

6) CFID also identifies doctors through data mining, where they are compared against their peers; 

7) That Mr. Howell was involved in hundreds of investigations of doctors (mostly of color); 

8) As undercover, Mr. Howell was disguised as a patient in 30-40 investigations to get a look inside a doctor’s office and analyze the time a doctor would spend with patients and the number of employees; 

9) Obtained fake driver’s license from the Secretary of State of Michigan and Michigan State Police; 

10) Obtained fake insurance cards from BCBS; 

11) Obtained a fake referral from a cooperating doctor who routinely works with BCBS CFID and writes fake referrals and fake prescriptions for BCBS undercover operations; 

12) Makes video recordings of patients in hospitals and doctors’ offices with covert cameras hidden inside a coffee mug;

PROSECUTORIAL CORRUPTION

According to Richard Lawhern, Ph.D. :

“It is now apparent that doctors, nurses, and pharmacists are being persecuted (not merely sanctioned) in a US national witch hunt by the Drug Enforcement Agency, Department of Justice, State Attorney Generals, and State Medical Boards for the imagined “crime” of “over-prescribing” opioid pain relievers to patients in moderate to severe pain.  

This unjustifiable witch hunt is unsupported by science or ethics.  But it has resulted in the departure of thousands of physicians from pain management practice.  Millions of patients in agony have been denied access to community clinics or force-tapered from opioid therapy, which has been the only effective means of controlling their pain.  This campaign’s death toll in medical collapse and suicide is rising.” 

“EVIL PERSISTS WHERE GODD MEN AND WOMEN DO NOTHING AND IGNORE INJUSTICE”

Ronald Myers, MD, Father of Juneteenth

The facts speak for themselves 

It is said that Wayne F. Pratt, Chief of the Health Care Fraud Unit for the U.S. Attorney’s Office for the Eastern District of Michigan, has saved Medicare nearly $1 billion and has done more to fight health care fraud than almost anyone else in the U.S. Department of Justice. 

However, a decade of Blue Cross Blue Shield’s influence has twisted Chief Prosecutor AUSA Pratt’s body and mind; he has indicted healthcare providers based on Blue Cross Blue Shield’s precious bidding.

“…without struggle, there is no progress…”

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Frederick Douglas

-cont-

The love and hate relationship with his “precious” Master, Blue Cross Blue Shield, has gradually corrupted him like Gollum by the ring’s power. And, like Gollum, he has come to love and hate himself.

Since becoming fraud unit chief in 2010, the Federal officials have successfully prosecuted more than 50 doctors and 30 pharmacists for felony violations involving fraud, controlled substances, and kickbacks.

GOLLUM

BACKGROUND HISTORY OF CASE FROM POMPY TRIAL

James Stewart, aka James Howell ( Blue Cross employee), presented to the medical office of Lesly Pompy, MD., requesting to be a new patient on 1/5/2016. The receptionist told him that he needed a referral for pain management. 

Stewart’s mission was simple to disrupt and destroy Lesly Pompy, MD, as he had done previously to other healthcare providers of color on behalf of BCBS of Michigan.

“As an employee of Bue Cross Blue Shield of Michigan Mutual Insurance (BCBS) company, he got one of their doctors (working for them), Doctor J Alan Robertson, to refer, aka James Howell, to Pain Management. James Stewart “complained of back and nerve problems.”

Japanese-American internees wave to friends departing by train from the Santa Anita Assembly Center at Santa Anita Racetrack in Arcadia, California, 1942. The camp was a temporary detention facility for some of the 120,000 Japanese Americans excluded from the West Coast under wartime presidential Executive Order 9066. (Photo by Library of Congress/Corbis/VCG via Getty Images)

Instead of dating the referral from 1/5/2016 onwards – both aka Howell and Robertson conspired to backdate the referral for 12/2015 after asking about the Blue Cross undercover investigation. Intending to trick the doctor, James Stewart, aka James Howell, lied in the referral doctor used the Blue Cross to lie for MANTIS. 

James Stewart was issued a fake Michigan driver’s license from the Michigan Secretary of State Office with doctors (then prosecutor, now judge) William Paul Nichols, Marc Moore, Brenth Cathey of the Monroe City Police, and driver Blair of the Monroe County Sheriff’s office.

“No. 18-cr-20454” United States v. Pompy, Criminal Case No. 18-cr-20454, (E.D. Mich. Mar. 16, 2021)

HOW BLUE CROSS BLUE SHIELD SENT ETHNIC MINORITY DOCTORS TO PRISON AND PROFITED BY USE OF “FABRICATED” DATA ANALYTICS & “JUNK SCIENCE”

According to Blue Cross Blue Shield CFID documents, CFID employees consist of former federal, state and local law enforcement agents and lawyers who communicate with current State and Federal law enforcement agents to influence and induce investigations into unfavored medical professionals or business competitors at Blue Cross Blue Shield CFID’srequest (violating impartiality regulation and disqualification arising from personal or political relationship, 28 C.F.R. § 45.2).  

“…There are two fundamental concepts in U.S. Constitutional law that form the basis of Civil Forfeiture law: The right to own private property and Due Process. All people in the United States, whether they are citizens, immigrants, or even illegal aliens, all have the same fundamental right to own property and benefit from Due Process…”
Brian Silber, Esq.

The Blue Cross Blue Shield franchisees, in their conduct as agents of the government within a joint enterprise, are subject to Constitutional law, such as 14th Amendment Equal Protection Clause.  One of the primary purposes of the Plaintiffs’ FOIA litigation was to obtain relevant documents of Defendant HHS who is partnered in a joint enterprise, with Blue Cross Blue Shield through the Healthcare Fraud Preventive Partnership (HFPP).  

The partnership seeks for purposes of pecuniary and proprietary gains from civil and criminal asset forfeitures from “suspect class (race and religious)”, minority physicians, and healthcare professionals, who subsequent to asset “stripping”, are concentrated within American prison camps. 

AUSA WAYNE PRATT SMASHED TO THE GROUND

“VICTORY” A federal jury acquitted Dr. Lesly Pompy of unlawful prescribing, healthcare fraud, and maintaining drug-involved premises after a month-long trial. Dr. Pompy was represented by Ronald Chapman II of the Chapman Law Group and the founder of Chapman Consulting Group. George Donnini and Joe Richotte of Butzel Long also represented him.

RELATED ACTIONS AGAINST BLUE CROSS BLUE SHIELD

HOW BCBS OPPOSED JUNETEENTH HOLIDAY,

STORY OF RONALD MYERS, MD, FATHER OF JUNETEENTH

DEFENDANT ROBERT MARINO (RIGHT) B.C.B.S. CEO
DEFENDANT ROBERT MARINO (RIGHT) B.C.B.S. CEO
On May 10, 2023, in the matter of Kaul v BCBS: 23-CV-00518 (K11-11), there was filed a Rule 201 Judicial Notice, that brought to the Court’s attention evidence of a massive and ongoing conspiracy between Defendant BCBS and American prosecutorial agencies, in which ethnic minority physicians, to whom BCBS owed money, were and are being falsely indicted, convicted, and incarcerated, many for life: “Brooks certifies that in response to Petitioner Anand’s FOIA request, a limited search was conducted, which revealed that almost 33,000 complaints against physicians were referred by Defendant BCBS to the DOJ for criminal prosecution.” “The following statistics illustrate not just the massiveness of this scheme, but allude to a corporate-government totalitarianism and state of lawlessness that have come to define the American insurance industry” On May 11, 2023, Defendant BCBS, in seeking to suppress this evidence, submitted opposition papers to the Rule 201 Judicial Notice: “This firm represents Defendants, Horizon Blue Cross Blue Shield and Robert A. Marino, in the above-captioned action. Please accept this letter in response to Plaintiff’s May 9, 2023, letter to the Court. (ECF Doc. 15) For the reasons set forth below, we ask the Court to deny Plaintiff’s request for judicial notice pursuant to F.R.E. 201.” 

FOR NOW, YOU ARE WITHIN

“EVIL PERSISTS WHERE GODD MEN AND WOMEN DO NOTHING AND IGNORE INJUSTICE”
Ronald Myers, MD, Father of Juneteenth

THE NORMS

references:

Legal Definition of Entrapment: Everything You Need to Know

A person is entrapped when he is induced or persuaded by law enforcement officers or their agents to commit a crime that he had no previous intent to commit; in such a case, the law forbids conviction.

1. Exceptions to Entrapment
2. Reasonable Doubt and Entrapment

@deabusters234

“Not only does DEA send in fake patients, they even have a fake “office” that takes calls on the fake patient. So when staff calls a previous doctor’s office for information, the DEA is there to lie to the staff.  From Szyman case in 2017@DEAHQ @DOJCrimDiv  are the criminals.

______________

Richard Lawhern, PH.d.

For advocates, lawyers, and firms engaged in defense of doctors fraudulently charged by DEA or State drug enforcement agencies with prescribing opioids outside the bounds of accepted practice. This is an FYI in the unlikely event that you have not already seen these legal filings. 

Dr. Ibsen,

I have attached two filings by Dr. Richard Kaul where Blue Cross Blue Shield is trying to hide the fact that 33,000 doctors have had cases created on them.  These are not just a few bad apples stories.  33,000 is not just a few bad apples.  The whole system is rotten to the core, and it is coming out.

Sincerely,

Neil Anand, MD

2 Comments

  1. So are they addressing the fact that BCBS/DEA were going after doctors using entrapment techniques? Because that fake id was, in my view, an entrapment techniques.

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