Presumption of Innocence - Episode 89

Episode 89Diary of a Healthcare Fraud Investigator: Inside the FBI's War on FraudHosted by Matt Adams“One of the things that surprised me about that case is when we would approach some of these doctors and say … ‘Why, why'd you do it? You know, so you're getting $100 a patient for each patient's blood that you were referring to this lab’…. Their answers were, ‘It was easy, and, and I didn't think anybody was looking, and I don't think anybody would notice.’"Over the course of 26 years and five presidential administrations, she handled cases worth hundreds of millions of dollars and formed the DOJ’s top healthcare fraud unit.In this episode, host Matt Adams sits down with Laurie Allen, a former FBI Supervisory Special Agent, corporate lawyer and Air Force veteran with a degree in math. Now a principal at Withum, Laurie reveals how her unconventional background shaped a methodical, step-by-step investigative style that has defined her career.The conversation goes behind the headlines: from a kickback scheme involving over 50 healthcare providers and $100 million in restitution, to an "evil genius" stock-hacking scheme and the cell-structured "Operation Brace Yourself" telemarketing fraud that kept conspirators insulated from one another.Laurie also breaks down how modern investigations actually originate — qui tam whistleblower suits, tips from scorned exes, and increasingly, AI-driven data analytics — and why data alone will never replace a human "storyteller" willing to talk to agents.Whether you're a healthcare executive, compliance officer or defense attorney, this episode offers rare insider perspectives from both sides of the federal enforcement equation.The views expressed in this podcast are those of the participants and should not be considered the views of Fox Rothschild LLP or its attorneys. This podcast is for informational purposes only, is not legal advice, and does not create an attorney-client relationship.