Federal Healthcare Fraud and Illegal Prescribing Charges: Intent, Medical Necessity, and Defense Strategies

Missouri physician indicted on 38 federal counts combining healthcare fraud with illegal prescribing of Adderall, benzodiazepines, and hydrocodone. Analysis of the government's burden on intent after Ruan v. United States, medical necessity defenses for non-opioid controlled substances, supervision fraud theories under 18 U.S.C. § 1347, and why trial readiness matters in dual-theory prosecutions. By former DOJ ARPO Strike Force director.