VINCE Podcast – “LA Hospice Fraud Scandal Exposed” | Episode 243

Host: Vince Coglianese
Date: March 11, 2026
Podcast Network: Cumulus
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Episode Overview

In Episode 243, Vince Coglianese exposes the massive and growing issue of healthcare fraud in America, focusing especially on a recent CBS News report uncovering hospice fraud centered in Los Angeles, California. The episode explores the billions of taxpayer dollars siphoned through fraudulent hospice and Medicaid billing schemes, the journalistic and political efforts to tackle these crimes, and the broader political context—specifically the Save America Act and election integrity battles in the Senate. Vince’s tone is fiery, unfiltered, and engaging, pushing for accountability and grassroots activism at every step.

Key Discussion Points and Insights

1. Georgia Special Election Update (00:56–05:30)

• Vince recaps the Georgia 14th congressional district special election:
  • Marjorie Taylor Greene’s replacement to be decided in a runoff between Trump-endorsed Clayton Fuller and Democrat Sean Harris.
  • Despite Harris narrowly leading (37.3% vs. Fuller’s 35%), GOP candidates together secured nearly 60% of votes.
  • Vince predicts strong GOP performance in the runoff, urging continued mobilization.

2. Virginia Election Integrity Efforts (05:30–10:46)

• Updates on early voting turnout in Virginia, highlighting strong Republican engagement in western counties and contrasting lower turnout in Democratic areas.

• Vince encourages listeners not to become complacent, noting the attempts by Democrats and figures like Barack Obama and Abigail Spanberger to "steal" House seats by altering election rules:

  “Barack Obama and Abigail Spanberger are trying to steal the entire United States House of Representatives right now.” — Vince [07:51]

• Clarifies "over 100%" early vote numbers refer to exceeding 2025 turnout at the same point in the voting season.

3. Explosive Legacy Media Coverage of Healthcare Fraud (11:00 onward)

CBS News Exposé: LA Hospice Fraud (12:00–17:40)

• CBS reports Los Angeles is “ground zero” for hospice fraud.
• Details from the CBS investigation:

  • Medicare numbers are stolen and used to fake hospice enrollment; fraudulent operators bill Medicare for nonexistent services.

  • Example: Lynn Ianni, a healthy 69-year-old, learned she was enrolled in hospice only when denied physical therapy (12:43–14:10).

    “The government thinks this woman is dying in hospice care. But she just humiliated me, schooled me on the pickleball court. She’s definitely not dying. She is a victim, though, of hospice fraud.” — Adam Yamaguchi (CBS) [12:43]

  • Over 700 of 1,800 hospices in LA County trigger fraud warnings.

  • “Shell” hospice companies found in deserted offices; entire buildings sometimes house dozens of supposed hospice businesses.

  • Common signs of fraud:

    • Multiple hospices at a single address.
    • Geographic clustering.
    • Low patient counts, high discharge alive rates.
    • Excessive billing and shared staff across companies.

    “High rates of terminally ill patients who are later discharged alive. It’s a miracle. Everybody’s just walking out.” — Vince [16:13]

Dr. Oz and Organized Crime Links (18:59–21:08)

• Dr. Oz (now Head of CMS) visits LA and describes Russian-Armenian organized crime involvement in fraudulent hospice schemes.

• $3.5 billion in fraud estimated for hospice and home care in LA alone.

• Fraudsters buy Medicare numbers, set up fake address “hospices,” recruit doctors, and launder money. Law enforcement’s attention is only now ramping up.

  “There are apparently quite a few hospices around here, 42 within a four block radius. And these guys stole $16 million. The main guy went to jail for two years stealing $16 million, which is a good trade-off for a lot of folks.” — Dr. Oz [19:15]

• Oz claims previous CA oversight (under Governor Newsom) was minimal.

• Vince skewers Governor Newsom’s defensive response labeling Oz’s investigation “racist”:

  “Thank God, Dr. Oz, the U.S. attorney, the FBI are all over this because you no doubt are on the take from these operations that have been taken from us.” — Vince [23:04]

Wall Street Journal Autism Therapy Fraud Story (28:50–33:01)

• WSJ reports Medicaid “jackpot” fraud in autism therapy services:

  • Indiana firm billed $29 million to Medicaid for just 84 patients—$340,000 per child—with some therapy amounting to kids watching movies.
  • The fraud is not local; similar scams found in Minnesota, Maine, Wisconsin, Colorado.
  • Public release of Medicaid data under Trump administration enabling journalists and citizens to uncover waste patterns.

• Prosecutions have increased, especially in Minnesota and LA, but much of the stolen money is believed to have already been laundered overseas.

  “A lot of that money, especially in the case of the Somalis, they’ve already sent it overseas. It’s gone. Spent and gone.” — Vince [35:11]

Listener Solution—A National Benefits Dashboard (36:10)

• Vince reads out a listener suggestion for a federal dashboard where citizens can verify all benefits associated with their identity (e.g., “You are currently receiving hospice care”), allowing for quick fraud reporting and crowdsourced vigilance.

4. The Save America Act and Senate Politics (43:30–1:00:00+)

GOP Senate Leadership Division

• Deep-dive into the fierce internal debate over the Save America Act, aimed at safeguarding U.S. elections from fraud/non-citizen participation.

• Vince calls out John Thune (Senate Republican Leader) for “abdication” and “patronizing” both Trump and the MAGA base:

  “There isn’t anything I can do about it. … Who’s the leader around here? It’s you.” — Vince [41:44]

• Laments Thune’s pursuit of a “show vote” to appease Trump and the base, which would fail procedurally in the Senate, as opposed to taking on the hard fight to actually pass the Act.

• Sean Davis (The Federalist) is quoted, suggesting Thune is engineering the process to camouflage opposition from vulnerable “RINO” senators.

  “Thune needs to kill the Save America act, not expose any of his GOP colleagues as being against it, and be able to pretend that he tried.” — Vince quoting Sean Davis [49:50]

• Bernie Moreno (R-OH) confirms on Fox there are “three or four Republicans that just won’t be part of the team” holding up the bill—Thune apparently lacks leverage.

• John Cornyn (TX) under pressure in his primary runoff, pens an NY Post op-ed expressing readiness to change Senate rules to pass the Act—Vince attributes this shift to surging grassroots and Trumpist activism.

  “Process matters, but outcomes matter more. The Democrats’ assault on election integrity and national security must be stopped.” — John Cornyn [54:55]

• Vince lists current “holdout” GOP senators not yet endorsing the tougher “speaking filibuster” tactic—the path he and Mike Lee champion.

Democrat Response: Chuck Schumer’s “Tens of Billions” Gaffe

• Chuck Schumer misleadingly claims the Save America Act would see ICE removing "tens of billions" of people from voter rolls—Vince mocks this as nonsensical and emblematic of Democrat resistance.

  “Chuck, our nation has just over 300 million people. Tens of billions. Planet Earth doesn’t have tens of billions of people.” — Vince [59:36]

5. Call to Action & Final Words (1:00:48–End)

• Mike Lee (R-UT) gives an impassioned floor update, encouraging listeners to double down on grassroots activism and not to buy into Senate “procedural games.”

  “If not us, who, if not now, when? … Let’s redouble our efforts. This thing is hitting the floor likely in less than a week. Let’s make it happen.” — Mike Lee [61:40]

• Vince urges staying in the fight, calling for relentless grassroots pressure on wavering senators to secure both election integrity and meaningful fraud prosecution.

Notable Quotes & Memorable Moments

• On Hospice Fraud:

  “Over 700 of the roughly 1800 hospices in LA county trigger multiple red flags for possible fraud. … There’s even a single building with 89 registered hospice companies.”
  — Adam Yamaguchi, CBS [13:15]

• On Organized Crime in Healthcare:

  “What we have learned is there’s roughly three and a half billion dollars of fraud taking place here in Los Angeles in hospice and home care. It’s run—quite a bit of it—by the Russian Armenian mafia.”
  — Dr. Oz [20:18]

• On Senate Resistance to Election Integrity:

  “Your job is to convince your conference to join you in noble legislative pursuits. Why aren’t you doing it?”
  — Vince, on John Thune (42:23)

• On Grassroots Power:

  “We dragged [Cornyn] into this. And that’s fun. I like that that’s happened.”
  — Vince [55:45]

• On Democrat Misinformation:

  “Tens of billions. Ladies and gentlemen, I know you know this, but this is for you, Chuck. … Planet Earth doesn’t have tens of billions of people.”
  — Vince [59:36]

• On Staying in the Fight:

  “Let’s get this done. Don’t slow down. Let’s redouble our efforts.”
  — Mike Lee [61:53]

Timestamps for Important Segments

• Georgia Special Election Coverage: 00:56–05:30
• Virginia Early Voting & Election Integrity: 05:30–10:46
• CBS LA Hospice Fraud Exposé (soundbites & analysis): 12:43–17:40
• Dr. Oz LA Organized Crime & Fraud: 18:59–21:08
• Wall Street Journal Autism Therapy Fraud Story: 28:50–33:01
• Listener “Fraud Dashboard” Solution Idea: 36:10–37:55
• Senate Save America Act Debate (incl. Thune, Cornyn, Lee): 43:30–1:00:00+
• Chuck Schumer’s “tens of billions” Claim: 59:30–60:12
• Mike Lee Closing Rally: 60:48–62:16

Summary Table of Major Topics

| Segment | Timestamps | Key Points | |----------------------------------------|------------------|---------------------------------------------------------------------| | GA Special Election | 00:56–05:30 | Runoff between Fuller (R, Trump-endorsed) and Harris (D) | | VA Election Integrity | 05:30–10:46 | GOP turnout surging; Dems accused of changing rules to “rig” vote | | LA Hospice Fraud via CBS | 12:43–17:40 | 700+ flagged hospices, clustering, “miraculous” patient recoveries | | Dr. Oz Mob Fraud Connection | 18:59–21:08 | Russian Armenian gangs, $3.5B fraud, minimal CA action so far | | WSJ Autism Therapy Medicaid Fraud | 28:50–33:01 | Company bills $29M for 84 patients, therapy as mere movie watching | | Government “Fraud Dashboard” Idea | 36:10–37:55 | Listener proposes central benefit tracking site for all citizens | | Save America Act—Senate Politics | 43:30–1:00:00+ | Intraparty battles, show votes, call to pressure wavering GOPers | | Chuck Schumer’s Claims Mocked | 59:30–60:12 | Misstates bill, numbers patently absurd | | Mike Lee Closing Inspiration | 60:48–62:16 | Urges listeners not to relent on election integrity fight |

Conclusion

This episode offers a comprehensive, biting, and highly mobilizing breakdown of America’s healthcare fraud crisis—with spine-stiffening political commentary on Republican and Democratic inaction. Vince’s message: Fraud is widespread, prosecution is possible, but only relentless public scrutiny and activism will force real change. The battle for election integrity, Medicare oversight, and real journalism is on—all hands needed.

For more updates and to join the conversation, listen live weekdays at 8am ET on Rumble.com/Vince, or subscribe wherever you get your podcasts.